HomeMy WebLinkAbout76102D - Winstead-. ❑' CAMA / DREDGE & FILL No. 76102 A B c
GENERAL PERMIT Previous permit # '0i�
fQNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued .y77
As authorized by the State of North Carolina, Department of Environmental Quality /1
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC - 10
f ❑attached.
Applicant Name 1 Sa /� £ �'MX4, Project Location: Countye-tvm-
Addres110 V -'�r C CMS
CityA
"0'� StateNC/ ZIP�3
Phone # 0o )V4" — t)(3;4 E-Mail
Authorized Agent �fy Lvn o
Affected ❑ CWW ❑AUA ❑ ES ElPTS
AEC(s):
ElOEA HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
Street Address/ State Td/ Lot #(s)
Subdivision
City i Qvl�n�i 5 ZIP_ ��
Phone # ( --}- n�--- River Basin W • 0 -
Adj. Wtr. Body � WN 4116a an unkn
Incact Mai Wtr Rnrly -rvIo 7 S v
ORW: yes /,ho' PNA yes / o
Type of Project/ Activity Y C'�Ati'
Pier
Fixec
Float
Finge
Groir
BuM
Basin
Boat
Boatl
Beacl
Othe
Shore
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not sure yes
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zr Attached: Ye g!
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agdnt or Applicant' Printed Name
�_ ❑ See note on back regarding River Basin rules.
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit fficer's Printed Name
i
Sig r
ure
5, s ' Zo T 6-- 0
Issuing Date Expiration Date
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agdnt or Applicant' Printed Name
�_ ❑ See note on back regarding River Basin rules.
Signature ** Please read compliance statement on back of permit
Application Fee(s) Check #
Permit fficer's Printed Name
i
Sig r
ure
5, s ' Zo T 6-- 0
Issuing Date Expiration Date
DocuSign Envelope ID: 614AAD2A-C363-4C3F-BD14-79F6F9EOEAF9
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Adam Winstead & Diane Thomas
Address of Property: 120 Hugh Edens Lane, Hampstead Pender
(Lot or Street #, Street or Road, City & County)
Agent's Name #: PFL Construction/ Josh Barber
Agent's phone #: (910) 330-5569
Mailing Address: 135 Virginia Lane
Sneads Ferry, NC 28460
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
I have no objections to this proposal. _ I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athttp://www.nccoastaimana-qement.netlweblcmlstaff-iistin or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Inform PlSiynedby:
SW
Signature
Adam Winstead & Diane Thomas
Print or Type Name
120 Hugh Edens Lane
Mailing Address
Hampstead NC 28443
City/State/Zip
910-523-0637
Telephone Number/Email Address
12/18/19
Date
(Ripad Property Owner Information)
71
Sigr at re
Sk, ak,--evi e.
Print or Type Name
Mailing) Address
City/State/Zip
Telephone Number/Email Address
I/9J2--0
Date
(Revised Aug. 2014)
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■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
Marv, n Eclen5
32I P-llf(l(an \1\ICAIL
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
l-ny (a t w nu n
"Z V
Iilllllll111111111 IN 111111111111111111111111111
9590 9403 0208 5146 1221 18
A. S' ture A
X tip) L 4/ ❑ Agent
11 Reoelvefby n Name) C. Date of Del
11 c'`{ ' a,P lam- I .
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Registered Mail-
0 Adult Signature Restricted Delivery
ElRegistered Mail Restricted
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
^-" Delivery
Merchandise
rm
Delivery Restricted Delivery Signature Confirmation
2. Article Number (1Ynn1� -' -
7 0 5 9 8 ,il ❑ Signature Confirmation
019 0 7 0 Q 0 0 2 3 4 6 ❑ Insured Mail Restricted Delivery Restricted Delivery
(over $500) _
7PS Form 3811, April 2015 PSN 7530-02-000-9053 Domestic Return Receipt
A. e
X SI ❑ Agent
tr i 6i ❑ Addressee
1. R eived by (Printe^d �ame)r C Da e of Delivery
D. Is delivery address different from Item 11 ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
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I I I II
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❑ Adult Signature
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0 Adult Signature Restricted Delivery
❑ Registered Mail Restricted
9590 9403 0208 514E 1221 01
Certified Mail@
Delivery
❑ Certified Mail Restricted Delivery
O Return Receipt for
❑ Collect on Delivery
Merchandise
2, Artlr lR Kh imhar (Transfer from service label)
❑Collect on Delivery Restricted Delivery
❑ Signature Confrmatlonm
7 019 0700 0002 3467
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0604 stricted Delivery
❑ Signature Confirmation
Restricted Delivery
PS Form 3811, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt
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9650 L9+iE 2000 OOLO 6`IOL
Daft Recdved
Date De ad
Check From /Name
Name of pwit NOMM
Vendor
Check Number
Check
amount
Permit Numbar/Commenb
R—Oi t or RerundiReakacated
Cdwmr
Co/-2
Cdumn3
CaA_W
Cdumn6
C.4—"
Cdumn7
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316/2020
PFI Construction LLC
Logan Marine, LLC
Coastal Marine Piers Bulkheads LLC
Adam Winstead & Diane Thomas
Na Federal CU
Comin Federal CU
7031
$ 200.00
GP 076102D
JD rct. 10380
3/6/2020
Michael & Kathleen Lashlee
6871
$ 200.00
GP 076253D
TMe rct. 9774
3/6/2020
Charles E Davis
Wells Fa
SunTrust
23246
$ 200.00
GP #76252D
TMc rct. 9772
3/6/2020
lOverbeck Marine Const./Daniel Shi
Sea Diamond Pier, Inc. / Mike Cox
5310
S 200.00
GP #76294D
TMc rcL 9767
3/6/2020
Triton ContractingServices, LLC
E u' Trust do Robert Green
Branch Banld and Trust
1134
S 6W.00
GP t76120D
JD rct 10381
3/62020
Overbeck Marine ConstJDaniel ShirleyJoe
& Patricia Green
I SunTrust
1 53121$
200.00
1 GP #76254D
ITMc rct. 9775