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77866D - Rabon
Check Dab Received Date Deposited Check From(Nam) Name of Permit Holder Vendor Check Number amount Permit Number/Comments Receipt or Refund/Reeeooeted Column', Cokunn2 Column3 Column4 Column6 Column6 Column? Column!" Column9 10/302020 Tam Mealrioal Robert Reber 8E187 _ 14048 8 200.00 OP 0778480 188 rct.1212E 10/302020 Pim*Pal Eugene McAlister CmeCoin Bank 3367 $ 20600 OP 6778740 •8B rct 12426 ___ 10/302020 116CenM11Wen,LLC Walter 8 Debra Talbott _ 8867 24E0 $ 200.00 OP 07/064D BB rct.12429 10/302020 0MW Decks end Manna Construction LLC Edward and Lisa Mothers 888T 8038 $ 200.00 OP#77880D 4BB rot 12498 _-- 10/202020 David Orion Mann Order Robert ObdaY PCB 394189811 S 800.00 OP 1177882D 188 rct 12500 —-- --- • • a • ClCAMA/ D DREDGE& FILL GENERAL PERMIT N�re pee6 t# A B C New ❑Modifiation DComplete Reissue ❑Partial Reissue Date previous permit issued f As authorized by the State of North Carolina.Department of Environmental Quality and the Coastal Resources Conxnission in an area of environmental concern pursuant to I SA NCAC O 3 . 12.0C1 . l ❑Rules attached. Applicant Name �.1 €4'Oe \ Project Location: County 1..,,,.x.tit. Address 1 , \qll______-- Street Address/State Road/Lot#(s) t3 %5 C. City 6\as.,,tooto Statel•1L. ZIP ? 320 A. A•rt. C.0►....I Si J Phone#(' )WM. 9I6f E-Mail tti_ 6u�A rtcktlm,;t Subdivision c Authorized Agent _h&c, GA-ea o City &()j_ ZIP 2%'142 Affected iiaCW IOW kiPTA DES OPTS Phone# (_) River Basin s: D°EA O HHF O 1H O URA D WA AEC(s): y h O PWS: Adj.Wtr.Body Sty Cam.-1 (natr/f♦t�i�unkn) ORW: yes /(0. PHA yes /®- Closest Maj.Wtr Body Ali W W Type of Project/Activity A 4�wt\ At \ ,r-W.1-[ -t o �vc5t- rsk i C •A 4 O o c-L GA.(►�4 0.4 fe rAollto Ot'�1rcn S oC- � ci.,S n �.i.-cA f IA-Way-PA (Scale: NZ Pier(dock)lerigth Fixed Platform(s) 4::. • :. �^ ��! i 'Fk�ting Ptadom)(,) 1 —, ' r ' I I F P~�:) 111111 - I— _ —' ' 1 i Groin length ~; i i l Bolkheadl .'-I� _ avg distance offshore _ ■M■■■ --I -. .__ ■U max distance offshore Min ;+ I.: WI C',• � . , _• — Basn•channel q�� �l♦� ,Nee.• • - _e A _• ,. q••=•■ \aost4` ■ ■ _ ' " cubic yards 1111r11 mq Boat ramp q��q ,, rt .4t .�T ■ ■ I I gl+gq1 '— t _y Beach Bulldozing I Other qi•■1qua� I I NUM • -t`Pi Shoreline Length S'6 Ili*. I. I { —r_j i C l I I_ l mim . Liniii t• �, SAv: , notsrre yea C> i-INIc-C--- ''� j i e-• r ' 'Cr - - jJ Mor,torium: n/a yea 1 -- _ ( �—£ —'•�-/}•�C Photos: i . ■ __ _' — —- _ - ••� i:-_ - 1-7 l I--- _ ■ 1 lWaiver Attached: r— IIT - - - — _.--,- A building permk may be by t (Note Local Punning jur,•' e••"-S• IL �-- • ❑See note on back regarding River Basin rules. Notes/Special Conditions lb ` Sk u,,t ,..1 ,t cc t r S.� ..0 A\ A. c, 14- ,M Igdue► 64-et.t. ' - , ..c.. Agent or Printed Namert,t.1.., /�j� ,,/I'�nj�'�'�,,,,-�-� PcmaOffic Name :\--1 L________,.„ Signature ~�,�e p�compliance ofye(r,�rnit"�( Signature �L " 1 0`'1U to -Lk 1•LUZG) AN:Option Fens Z. 2 l Z v Check# Issuing e Z 1 Ex (ration Date Scanned with CamScanner DocuSigq Envelope ID:13B9C661-9659-4A50-9399-20B6CEBFD61C AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: RUr_/t-`rt Ro ;t(j Mailing Address: PC F30 x I I Oil • 1771 1c,Liiv cyvf N C 2Q32a Phone Number: Cl i - � 2 - CJ l 0 Email Address: r btac v noon 69 Vc fiYV OLt 1 (.C- ai I certify that I have authorized c3CCipolmaiii tt COMITuL Tl DI1 (r(_L_ Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: E C tU at my property located at ('(� ) w it L(,(,u.'} 1 ,v Y- in PAL i i 1<,�L rL �- County. �JJ?t y, Nip 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 f Property Owner Information: (� ---OocuSpned by. - RCILiCi Print or Type Name eI Title 7/28/2020 Date This certification is valid through 14 / I 1 / Dods 9/9/2020 Mail-Brock,Brendan 0-Outlook • AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: PO bec4 44Gir 1\c Mailing Address: (n,) Phone Number: 91(1 — 76.5 D?(o Email Address: /� I certify that I have authorized e" Mari tie /�o c � nnAi (Corr 1 Agent/Contractor I to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: DennC e;tf Gazebo Q,,I c1 in k ( 411 at my property located at )6 y 4 en d eS )4 eD Sw 5.401 y , in W.Net. '(_ County. I furthermore certify that 1 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: Signature ,bed r^ Print or Type Name Title 9 I q I ck) Date This certification is valid through https://outlook.office365.com/mail/inbox/id/AAQkADVjMzg3NTMyLTIIMTMtNGM5Yy1 hNzQ4LThiOWM2NWZhNjc5YwAQAlii8tErBBNAINSfmZuwskA%... 1/2 TERM MECHANICAL 14048 PH.910-863-4760 P O BOX 1194/124 AIRPORT RD • BLADENBORO,NC 28320-1194 66-112/531 DATE 3P T ( I 2020 PAY�� � THEw I ORO DTER OF ` el $ ZOO, Ilv° 110KS EEl — C DOLLARS CI „g6oback DD47` BRANCH BANKING AND TRUST COMPANY i:' e FOR I ,9j"1 E J k 1�P� l._ XK1(3 Q-Amex-{- 1) u.,____,.__.____._r 1 11'000 140 4811' ':0 5 3 10 1 1 2 11:000 519 5 28 908 7n' RECEIVED SEP 162020 DCM WIL MINGTON, NC DocuSign Envelope tO 1389C881.9859.4A50-9399-2088CFBf061C CERTIFIED MAIL.• RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM I�O(o Name of Property Owner: ri- VA(�,�,�(n�,o� (mutt ��/ Address of Property. g,t4 '' f r ( �rt i C V v , Jr y.NC. (tot or Street*,Street or Road,City&County) g UYK wt( Agent's Name#: 4tr t C Wang phone#: 6110 l 4W dk' IM18 $lie-0452 hereby certify that i own property adjacent to the above referenced property The individual applying for this permit has described to rise as shown on the attached drawina_the development they are •r... rig.A descrRAtIon or dray ino,v ti gtimensione,must be Provided with this leller. t "- AV.9 have no s)bjcciions to this proposnI. I have ubjettions to this proposal. If you have objections to what is being proposed,you oust notilymm.Ohdaio,d Coomai wilting within 10 days of receipt of this mike. t: � w Err- Wilmington,NC,11tlQ5�3&tnf. OCM ro �dMlbebf27CardlrsalttrlvaExk, Wc ilming od the soma 5 8 p crows can also be contacted at ono 794-7215.No response is Objection If you have boon nobbled bjr Cerrflird Ifa8 WAIVER SECTION I understand that a pier,dock,mooring pilings, brer33svater, boathouse,rft,or groin roust ses back a minimum distance of 15'from my area of riparatt access unless waved by ins <; !do wish to MN**the 16'setback requirement t do not wish to waive;the 15'setback requirement- (Propartyr Ow nor Information) (Adjacent �---aa•+a�.eProper*,© r omzatian) Sigherfttilpo.i,rc.w.ec. �tee,e -011 v-t p.�'r`,1d ovi �l�, age (Ak,. Print or Type Name Print or nye Name t 0 0)6 1114- I 11ap rc.r ity_ Mailing Address Wing Ady .. City/St 'O �16y iouvt7, r'o)T '2 3210 ip CitY ry r ,.3t� c1? u - 12. � t7? � s � �rr> Telephone Number TMOphotmtAkintims- 7/28/2020 11,4111111kusamirivisimestv Date Dale Revised 6/182612 DocuSign Envelope ID:13B9C661-9B59-4A50-9399-20B6CEBFD61C CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner 00"Cr1- ?6)0Ll Address of Property: C) E Sal P1 1 CarA,1 SW, cuppiY NC (Lot or Street#, Street or Road, City&County) RI1/1 1/1S Agent's Name#:Gat, P( M vl a Mailing Address: •-' Govi4tvvGti Q i Agent's phone#: i - -hp_ovci2 . 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. t 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. Correspondence should be mailed to 127 Cardinal Drive Ext, Wilmington,NC, 28405.3845. DCM representatives can also be contacted at(910)796-7215.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, breakwater, boathouse, lift,or groin must be set back a minimum distance of 15'from my area of riparian access unless waived by me. PRP . y , i do wish to waive the 1 5'setback requirement. I do not wish to waive the 15'setback requirement. (PropeOrty,3ipnwnsd by Oer Information) (Adjacent Property Owner Information) x Sigma 78C8044CF Signature 610-6 Zpt.,o ov Print or Type Name Print or Type Name Fe e'02( 11 0 4 IIIPINIMI1111~11118 Mailing Address Mailing Address I01 ti6o oow, NG 2g320 City/State/Zip City/State/Zip 2_ - ) 0 -7 ammaimmummir Telephone Number Telephone Number 7/28/2020 Gut.' Date Revised 6/18/2012 , DocuSign Envelope ID:13B9C661-9859-4A50-9399-20B6CEBFD6IC AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: lRGIOt V"t RC ?O V1 Mailing Address: PC F3O x 1 1 (1 t-lr- P2Eo:a,ti V .310 Phone Number: " b r 2 - 1 1 0 Email Address: r (j k r+ y (o c. -i vi ou I Lc I certify that I have authorized e(1, POO NIrui nc C;0i 4yucrn an 4LC- I Agent F Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: _- L I at my property located at 1'6 1 c) i tL Alm. C GLI 1&/t '5 Il'Xi in r31"L1 I`1i v�tG l County. 't [ y, NI t�- 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: __-oocuSlIn.d by �J(gnawre Print or Type Name 1 Title 7/28/2020 1 J Date This certification is valid through 4 I l Dods • Pier• D3, sx : y7o Fhvie r . lo. S yI6 J 16F CIes,.l 4- Iq7 Sr =,to U J r- Cvrrec l►ve f Den,.. : as_1N xJ35% la"), a. ()(, f q- 6X6' ,I,:. /9=,/e 3. mad,?y (QQ,(./ p;r ! �' 1-1 !� ; Da5 I I x geAS 14e. gc xC q2 q sf ,_t_L14.1-- lI.( (- -''` 0 ❑CAMA / ❑DREDGE & FILL t'ikin N° 77866 A B C 12 GENERAL PERMIT Previous permit# >< [New El Modification ❑Complete Reissue ❑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 ISA NCAC 0_ k . IL O C) . ❑Rules attached. Applicant Name V),,,A e c,Oc (\ Project Location: County r y";,.,,%.h. Address PO \\QtLj Street Address/State Road/Lot#(s) ( °5 C, City ��„ .0u(p State}JC- ZIP 2-V32O (Nye A,T_ (- �c...1 SU.J Phone#(900) $1„ c 1 u1- E-Mail to, r --t(Q€rociLti,w s I, Subdivision co- r Authorized Agent N&c.r-. Cyr-c.e..+e.. City Jv N i y ZIP 2�'{(uZ Affected KCW k.EW ®PTA ❑ES ❑PTS Phone# ( ) 6 River Basin AEC(s): ❑oEA ❑HHF CIIH ElUBA III WA Adj.Wtr. Body Set A• ❑ PWS• nat i�'�unkn ORW: yes / (Sp;;- PNA yes / p;p - Closest Maj.Wtr. Body Q�W Type of Project/Activity \A i121/4,--s Gc,- \kt\ tv k\:\at- e- cSi 0•41!\,i Pc)(lci.^k Gctkct i,cb J t l '- - L)/ti un C) r \�. e`4., N) C. st-c. �i tL r M (Scale: ['\)',,S Pier(dock)length ^ Fixed Platform(s) l &k Floating Platform(s) Finger pier(s) 1 '\L V . YQ s <1 I i r Groin length - ,� ' - number ' Bulkhead/Riprap length l3 J. j — avg distance offshore � 1 10 max distance offshore { 1 Basin,channel e* E • - 1 :,.^ �i ns. Qk(jk . cubic yards ' 1 t re \I• t t I i Boat ramp 4140 + t"`u- m\I f I _ f Boathouse/ oatlift (/‘`r:1� :..............__.__ �__.__ -AIt .— ,1 — n s � � Beach Bulldozing i\1 I Other 11Ur „ . ( ' i , t I p n I ' I F�1 cO� f to 9 +d Shoreline Length S b' ` a� `ru P �\ t r [ C i SAV: not sure yes no «c C Snit �"� F 15 i i'4' — ! 'f (� y2.< Moratorium: n/a yes 410, 1 Photos: yes i, # Waiver Attached: 0, no : I 1 t ' A building permit may be required by: t ,r, „_ S , \L Ces „lt ` I See note on back regarding River Basin rules. (Note Local Planning Jurisdictio r` 1 Notes/Special Conditions \\,kk L. ,\� r o\ e"4 Ca."- I S�"5 t Vs-Q-i a , r� . ` as oaa.ioJ t Q1..A fete,M a...GCj., - f.e, (....C\ 13,r-u L14— Agent or Applicant Printed Name Permit Offic ' •nted Name Signature Flease read compliance statement on bac of permit" Signature $200 d ILIU`1�S Application Fee s Check# Issuing D to Expiration Date