HomeMy WebLinkAbout76221D - Caudle\CAMA / -- DREDGE & FILL NO. 76221 A B C
ENERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality { -� ��
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC l/ `
% ules attach
Applicant Name `� Project Location: County -
Address , I
City
State_/V?-,^-ZIP
Phone 40 �� —694-7-1--t-Mail
Authorized Agent
Affected ❑ Cw '�aw ETA ❑ ES ElPTS
AEC(s):
ElOEA ElHHF /❑ 11H ElUSA ElN/A
❑ PWS:
ORW: yes [`no PNA yes ' V
Type of Project/ Activity (/V15
Street Address/ State Road/ Lot #( )
Subdivisio
City 1,24 ZIP
Phone # River Basip 0
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A building permit may b ere quired by: �\
( Note Local Planning jurisdiction)
Notes/ Special Conditions
rlv
Name
❑ See note on back regarding River Basin rules.
Sigr{atu� _ Please read compliance statement on back of per mi Signay(y�e
Application Fee(s) Check # Issuing Date Expiration Date
I*
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: CJ 16
r
Mailing Address: —)OS- reel- Cove /.-e,,4d
j. /1l/G �-CSq
Phone Number: ( [ o - D-'�o - 4 Q 24
Email Address:
I certify that I have authorized M
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: f 6 � P I C. r rr
ies 4f oUeJ 6/ �L,f(�,'/a�C FI o re• -ALB
at my property located at t U S L
in et4el County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
i Signature
Print or Type Name
Vw/l,/-
Title
f �O
Date
This certification is valid through I I
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Own
Address of Property:
I WO1 it►I / / rare
(Lot or Street #, Street or Road, City n
Agent's Name #: Mailing Address:
Agent's phone #.,
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 setter.
I have no objections to this proposal. I have objections to this proposal.
N 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. Correspondence should be malted to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 79&7215. No response Is
considered the same as no objection If you have been notified by Certified Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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 I Ial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pyaperty Owner informagon)
Signature'
�2 b)I Cti
Print or Type Name
lD�- -I-) r/�
Mailing Address
City/State tp 1
Telephone Number
(Adjacent Property Owner Information)
Signature
�Yl i i?Ma EJ
Print or Type Name
Y rLto--
Mailing A ress
yb
City/Sta e2ip
Telephone Number
a u:1 lU;1.nktl11;R1VAsJ4r;E1aT91TT=e
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:1
Address of Property: I w�`
(Lot or Street e, street or Road, City 3 County)
Agent's Name #:
Agent's phone *
Mailing Address:
I hereby certify that 1 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 lefter.
I have no objections to this proposal. 1 have objections to this proposal.
If you have objections to what is being proposed, you must notlly the DI vision of Coastal Management (DCM) In
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405.3845. DCM representatives can also be contacted at (910) 794.7215. No response Is
considered the same es no objection if you have bow nodMd by Certified Mal.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.
(Propat'WOwner In"atbn)
Signature /
���►�ic�l Cr�dt�
Print or Type Name
ailing Address
C /Stat ip
10 612-19,103
Telephone Number
L4 -d-ID ---
Data
(Ad)se t Pr rear Into ationI
SjgltA re
1 hlnlrt
Print or Typb Name —�
f Vol Iku Cov
Melling Address
Ciry/Sta p T—
Telephone Number
"T' !e -2-0
Date
Revilesd ifNti/2012
ADJACENT RIPARRIAN PROPERTY OWNER�STATEMEN
�r
I hereby certify that I own property adjacent to y)d . ll t—AU A 1 i✓ a
of Property Owner)
property located at i b C 6
on (Address, LA Ipock, Road, etc.)
in , N.C.
(Waterbody) (C own andlorCounty)
The applicant has described to me, as shown below, the development proposed at the above location.
a' �5
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must flit In descripdon below or attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you with to waive
the setback, you must Initial the appropriate blank below.)
I do with to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement
403 ling Add e C S H 4 3k
Cl Ip /
Telephone {Vymber � D
Dols Le (Oe
(Revised tV19/2012)
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Data Racalvad
Dab
Chxh From ama
Name or RrrnN Molder
Vanow
Chsck Number
aChockmount
Permit NambaNCwnmanra
R w RerundIR"flocabo
CQkNM1
C099mS
Cdumn4
C.A-4
Columns
Column9
Column?
QW-8
C01umn9
492/2020. 4/132020
Dawn and Scott Humphries same
Alliance Credit Union
8661 $ 200.00 GP 675878D
JD rct. 10338
4/2 020 4(1 20
Randall Caudle- same
Wadpvia
4565__ $ 200.00 G_P—Or 76221D_
JD rct. 10337_
Major Renewal 014.00, Turtle Harbour Association,
_
4#22/2020 _ 423/2020
Carolina Marine ConstructionInc. Turtle Harbour Association._
First Bank
12ti41 $t00.00 Wilmington NHCo
PA tot. 9750
4/22/2020 423/2020
' Duncan Marine Contractors, Inc.
William Masse
Branch Banking and Trust
First Citizens Bank
ti32 i S 400.00.GP#75896D
193 S 600.00 GP #758950
Major fee, South Beach Renourishment, Bald Head Island
PAtoL9748
PA reL 9747 _
4n2WWJ
4aWMM
__—
_Land to_ Sea Construction LLC
Mark Ma and
423/2020
Davev Resource Group
villa a of BHI
United
1767 475.00 BrCo SPLIT 60140
1 VAN be TP left receipt book at ofFic