HomeMy WebLinkAbout76109D - Johnsoncb --(P
� CAMA / ❑ DREDGE & FILL NO. 76109 A B C COD)
PERMIT Previous permit #
�lew -iModification -Complete Reissue ❑Partial Reissue Date previous permit issued
au As tho//r--izeJ by the State of North Carolina, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC . 20b
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Elules attached. Applicant Name (\/�Q�Vi, Project Location: County..✓� c�—
Address J 5y (211? ✓1 A _ Street Address/ State Road/ of #(s)��j S
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City_ Q �,�S ro State w C ZIP 21' U I (o 60 A Co.
Phone # l '5 20U -Mail Subdivision
Authorized Agent b G" A.yv c p - City ZIP
Affected ❑ Cw [j("A ❑ ES ElPTS Phone # ( ) River Basin L — ber
ElOEA HHF IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body &AAG (nat unkn
El PWS: ORW: yes / �n PNA yes / Closest Maj. Wtr. Body "V
Type of Project/ Activity 4cC.,_�
(Scale: f J TS )
Pier
Fixec
Float
Finge
Groir
Bulk[
Basin
Boat
Boatl
Bead
Othe
Shon
SAV:
Mora
Photo
Waiv
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.ng Platform(s)
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pier(s)
i length
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number
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avg distance offshore
max distance offshore
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cubic yards
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ram
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Bulldozing
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A building permit may'required by:
( Note Local Planning Jurisdiction
Notes/ Special Conditions
Agent or Applicant Printed Name
❑ See note on back regarding River Basin rules.
t e'Ae-"I ' �:s or 0C -
-Priated Name /'�7
Signature lease read compliance statement on b ck of permit
aE
Signature
3 2 (v 2 aA s W- 0
Issuing Da xpi ion Date
CCD NR
North Carolina Department of Environment and
Division of Coastal Management
Pat McCrory Braxton C. Davis
Govemor Director
Natural Resources
John E. Skvarla, III
Secretary
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FuHm
Date: 14CI96 dk 46
Nape of Property Owner Applying for Permit:
�n exe-4 k M. 7U �V�. so n
Owner's Mailing Address:
.3 6 o_5 a(a., �Fo,es4 0-4
G-4 2-ev-'s b o vo . /V O
a?q16
Phone Numbera?4) 744 - 9 7 ! ff
Name of Authorized Agent for this project.
Agent's Mailing Address:
ct6t- Sly
Phone NumberV�S_—�1;���
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtaining all CAMA Permits necessary to install or construct the following (activity),
For my property located at
Thffcertification is valid thru
Property Owner Xignature
Is ad
7 IIg0021>
Date
127 Cardinal Drive Ext., Wilmington, NC 28405
Phone: 910-796-72151 FAX: 910-395-3964 Internet: www.nccoastalmanagement.net
An Equal opportunity 1 Affirmative Acton Employer
11ki i " ►
DIVISION Op. OASTAL MANAGEMENT
ADJACENT RIPARIAN PROP9OWNER NOTIFICATIONNVAIVER FORM
Name of Property Owner:
Address of Property: 6SC S�.Q bialCI1
(Lot or Street 0, Streefor Road, City & County)
Agdnfs Name #: Gr KX C� t\*QCA ka Mailing A~dd—ress:W l 3XAC\ C"
Agent's phone 0:
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.
6
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 Di '
of Coastal
Management (OCM) In wrldng within 10 days of receipt of this notice. Co should ba
mailed to 127 Cardinal Delve Ext., Wilmington, NC, 28405-3845. DCM repres also be
contacted at (910) 796-7215. No response Is considered the some of no objection wen
C not fled by Certified Mall.
� rr'i.IW►rr+.�
WAIVER SECTION
V� I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back w
minimum distance of 15' from my area of riparian access unless waived by me, (If you wish to waive the
setback, y st Inttflai the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Print or Type Name
350S GA ens CA -
Mailing Address
r-S\z)
City/Stat&Zip
sle\phonelNumber
Date
(Adjacent Property Owner Information)
ignature
P 'nt or Type Name
J� yl� V Y�
Mailin�Address
6'r o
City/StatelZip
Telephone Number
'�-_ //- 0
Date
Revised 611812012
rO
Domestic Mail Only
,
."w
Certified Mail Fee 55
$3._5 0470r�
Extra Services &Fees (cneck6ox, eddlee {7 ate) 52
O ❑ Return Receipt (hardcopy) $'1 • ='ti'
E3 ❑ Return Receipt (electronic) Postmark
O ❑Certified Mall Restricted Delivery $ Cil}j�_ Here
O []Adult Signature Required $
❑ Adult Signature Restricted Delivery
p Postage c
� $
Total Postage and F 01 /27/2021I
$
' 6.95
r�
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c� to �.---------- -- ----------------------------------------------------
"I Ply IYf 2�ca�i
■ 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:
Z � I�C
A. Si re
X ❑ Agent
Addressee
B. Re eived by ( inted 131ne) C. D to of Delivery
1� Z
D. Is delivery addrehs different from item 1'! t-J re:
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express(D
III
II
I II I
I
I I
II
III
I
II I
I
Adult Signature
El Adult
aiIT^'
Registered Mail-
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
9590 9402 2219 6193 1045 09
❑ Certified Mail®
Delivery
❑ Certified Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Collect on Delivery Restricted Delivery
l
Merchandise
❑ Signature ConfirmationT"
0 Signature Confirmation
2. Article Number (transfer from service label)
0000
7017 0 6 6 0 7487
0078 1 Restricted Delivery
8estricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
C,
t7
Cr
DIVISION Oa, OA$TAL MANAGEMENT
ADJACENT RIPARIAN PROPORTY'OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: J 0�Y���
Address of property: l(P J' CcLl 'n_ U r4 � i6tlea n � Cln
(Lot or Street#, Strew rot Road, City & County)
Agent's Name#:a`.rlC{, ozs rt l�()
Agent's phone #: ( >W- -N `'�bqJ
Mailing Address:�� 1 U D('' 3-6
i hereby certify that I own property adjacent to the above referenced property. The Individual applying for
this permit, has described to me as shown on the attached drawing the development they are proposing.
I have no objections to this proposal. I have objeotions to this proposal,
you have objections to what Is being proposed, you must notify the DI of Coastal
nagement (DCM) In writing within 10 days of receipt of this notice, Cor should bd
mailed to 127 Cardinal DrtVe Ext., Wilmington, NC, 28405-8845. DCM represe also be
contacted at (910) 706-7215, No response is considered the some a$. no objection n
��. aui—� �.. �__auf_� ■r_u
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a4
minimum distance of 16' from my area of riparian access unless waived by me. (If you wish to waive the
setback, you rust (OW the appropriate blank below.)
I do wish to waive the 16' setback requirement.
I do not wish to waive the 18' setback requirement.
(Property Owner Information)
Lc�toM
)�nSignaturen� b\-ln5�n
Print or Type Name
Mailing Address �j T
CIt,.2.S2 r�� bN I '� Z -� U
chyistateaip
telephone Number
Date
>rmatlon)
Mall g�ddress
GJ f �
eltyvgtatoalp
3� - g�f� -sue/
Telephone Number
3 — / g .r ?O
Date
ReVised 6118, 2012
Postal
CERTIFIED o RECEIPT
ra Domestic Mail Only
C3 '
HI T
c(3 Certified Mail Fee 7,!
0470
$ 11
$3. _r�t2
F�- Extra Services 8 Fees (check box, add fee ( ref
❑ Return Receipt (hardcopy) $
t- ❑ Return Receipt (electronic) $ $000 Postmark
♦_ ❑ Certified Mall Restricted Delivery $ Here
C3 ❑ Adult Signature Required $
C ❑ Adult Signature Restricted Delivery $
C3 Postage 55
$ Ili /27/2020
-� Total Postage and Fees
o $ $6.95
N Se
r-1 5-- u �-----------------------------------------------------
\'t Sla1P1 ZIP
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
y�1�5 C) f-(A\a r-(A
A. Signature
B. Ffec�ived by
D. Is delivery address different from item 1?
If YES, enter delivery address below:
❑ Agent
❑ Addressee
Data f D very
❑ Yes
❑ No
I I IIIIII III III I II II I II I I III II I I II I I I i II I I III J. Service Type ❑Priority Mail Express®
❑ Adult Signature ❑ Registered Mail-
0 9402 2219 6193 1033 04 ❑ Adult Signature
Made Restricted Delivery ❑ RegDeliistered Mail Restricted
ry
❑ Certified Mail Restricted Delivery '$fleturn Receipt for
❑ Collect on Delivery Merchandise
2. Arri -lo M imnar frransfer from service label) _❑ Collect on Delivery Restricted Delivery ❑ Signature ConfirmationTM
7 017 0660 0000 7487 0 0 61 J•• ry ❑ Signature Delivery
tricted Delive AesVicted Delive
PS Form 3811, July2015 PSN 7530-02-000-9053 Domestic Return Receipt ;
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Clock
4/1/2020'
4/1/2020 Maritech, LLC
Fredericka Goldberg
Bank of America
1 2411
$ 400.00 1 GP #75871 D
B_B rat. 10858
4/1/2020
4/1/2020 Grice Construction of Brunswick Cow James & Ann Casey
BB&T
13703
$ 200.00 GP #76236D
BB rct. 10857
4/1/2020
4/1/2020 Grice Construction of Brunswick CourTwiford Family Trust
BUT
13705'
$ 200.00 GP #76234D
BB rat. 10854
4/1/2020
4/1/2020 Grice Construcion of Brunswick CounlKenneth
Johnson
BB&T
13706
$ 200.00 GP #76109D
BB rct. 16853
4/1/2020
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BB&T
5770
$ 200.00 GP #75854D
BB rct. 10852
4/1/2020
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Pines
Wells Fargo
1131
$ 400.00 GP #76279D
BB rct. 10914
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,Longleaf
Jill Marie Ronnion Rev. Trust
Wells Fargo
1128
$ 400.00 GP #76281D
BB rct. 10917
4/1/2020
4/1/2020 B and B Coastal Construction Corp
DaVID Tendler & Sausan Pratt Wells Fargo
1130
$ 400.00 GP #75803D
BB rct. 10915
4/1/2020
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Wells Fargo
1129
$ 400.00 GP #76280D
BB rct 10916
4/1/2020
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First Citizens Bank
8794
$ 600.00 GP #75864D
BB rat. 10406
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First Citizens Bank
8797
$ 400.00 GP #74648D
BB rct. 10407
4/1/2020
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IJonathon Adams
First Citizens Bank
8793
$ 200.00 GP #75861 D
BB rct. 10808
4/1/2020
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Randy Moffitt
First Citizens Bank
8798
$ 200 00 GP #74649D
BB rct. 10405
4/1/2020
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First Citizens Bank
8795
$ 200.00 1 GP #75859D
BB rct. 10403
4/1/2020
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!David Pat6shall & Kim Davidsc
BUT
2180
$ 600.00 JGP #76222D
JD rct. 10328