71594_Louis Stephen Polilli_20180727

LAMA / ❑ DREDGE & FILL No 71594 a B C D
GENERAL PERMIT Previous permit#
New 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 I SA NCAC 7#, z�
E!pRoles attached.
Applicant Name / a u 4 S f eV�
Address l a y C o,. I c C�
City %�• ( � e ✓ � tl k I i s State N <_ ZIP 2
Phone # (X�) Y89 — 974E-Mail
Authorized Agent
Affected ❑ CW Z - _ CIIRTA ❑ ES ❑ PTS
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes / �60D PNA yes / no�)
Project Location: County <:L) o. C -q-
Street Address/ State Road/ Lot #(s) +� g
Y
Subdivision -Svc-
city A('. 11 -9 ✓, / a4 /(s ZIP 2--7 5 YK
Phone # ( ) River Basin 10a *'-4" u
Adj. Wtr. Body C-Q ^-A (nat k/unkn)
Closest Maj. Wtr. Body 6U2T�''^ oC j I S, 4 ^ d

MC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: Polilli
Date: 07/27/18
Permit #: 71594A
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
252-808-2808 :: 1-888-4RCOAST :: www.nccoasta[management.net revised:02/03/10

Postal
CERTIFIED° i4ECEIPT
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Domestic Mail Only
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Certified Mail Fee r . .r
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Extra Services & Fees (check box, add es�ro
0
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C3
❑ ReturnRecelpt (hardtop» $
❑ Return Receipt (electronic) $
_ -
Postmark
-0
cc)
Certified M, C3
❑certified Mail Restricted Winery $ I I
III
( )late
r i
$ C3
❑ Adult Signature Required $ � I 1 _Kul .
Extra Servi(
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❑ Adult signature Restricted DeMery $
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0
❑ Return R
❑ Return R, C
Postage I I, j 11
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❑cenreed ru
$
Total ostage and F 71
�w�`!2n18
[:]Adult Sig
❑Adult Sigi r`
$
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Postage r q
$
Sent To n
Street and Apt. No., or P $oz No.
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Total POsta N
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-State �
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City, ZIP+d+-
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'� pf—
A PS Form : r • r • • rrr •r tm in CHESAPEAKE, VA 23322. It was held for the
�`- P - .-• ---•_-••- d to the sender.
Street andt No., or o 0
WS A),C . 2-79 �
Alert
July 26, 2018 at 9:17 am
Unclaimed/Being Returned to Sender
CHESAPEAKE, VA 23322
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July 26, 2018, 9:17 am
Unclaimed/Being Returned to Sender
CHESAPEAKE, VA 23322
Your item could not be delivered on July 26, 2018 at 9:17 am in CHESAPEAKE, VA 23322. It was held for the required
number of days and is being returned to the sender.
Reminder to Schedule Redelivery of your item
June 28, 2018, 2:22 pm
Notice Left (No Authorized Recipient Available)
CHESAPEAKE, VA 23322
June 28, 2018, 9:17 am
Arrived at Unit
CHESAPEAKE, VA 23322
June 27, 2018
In Transit to Next Facility
June 26, 2018, 12:02 am
Departed USPS Regional Facility
RALEIGH NC DISTRIBUTION CENTER
June 25, 2018, 10:42 pm
Arrived at USPS Regional Origin Facility
RALEIGH NC DISTRIBUTION CENTER
June 25, 2018, 4:17 pm
Departed Post Office
KILL DEVIL HILLS, NC 27948
June 25, 2018, 3:31 pm
USPS in possession of item
KILL DEVIL HILLS, NC 27948
Product Information
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L.S. & R.J. Po11111
104 Galleon Court
Kill Uw" Hills NC 279,q
7017 2400 0000 1860 9928
i lETUDN GzDEIPT
REQUESTED
KILL DDDHILLS, NC
27948
Eo�ar: JUN 25 18
IOS ©L SEFV[E x AMOUNT
1000 $ 6 � 7 O
27948 R2304M114498-03
RETURN TO SENDER
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AMA / C-1 DREDGE & FILL L��✓
c
GENERAL PF RMIT , t z)4J A;' B c D
f New j4Modification Complete Reissue ❑Partial Reissue Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources ) and the Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC /�.,/
Applicant Name _, c , _5 Rules attached. ,"� f _ Project Location: Countya
t. --- --
Address,, Street Address/ State Road/ Lot #(s)`
City- , f �y�l stt; f% s _State vv ZIP
Phone #(:U)j E-Mail Subdivision
Authorized Agent
_..
City
Affected El CW SEW ((RTA 4M I] PTS Phone #
( )_ . — — River Basin f ' ; �— ��. =/ n �'<
AEC(s): C1 OEA L1 HHF ❑ IH p USA U WA .. -
CJ PWS: Adj. Wtr. Body..1 k
-_�4+,, .. nat...unnkn
ORW: yes /'no ; PNA yes/ no) Closest Maj. Wtr. Body
Type of Project/ Activity
ZS'
Pier dock len h
Scale:
Fixed Platform(s)
9�,�y /i
Platforms) a.61 _
_j
r :
,)
Finger pier(s)
9T
Groin length
number
Bulkhead/ ftiprap length
avg distance
D
offshore
fjr�
max distance offshore
Basin, channel
,a
cubic yards_ _
Boat ramp _
Boathouse/ Boatlift,
Beach Bulldozing__
Other
Shoreline Length _ ]
i
SAY: not sure yes
�n.o
Moratorium: - n/ano
'} yes �..... L.- 1
i
Photos: r i
yes) no
Waiver Attached: y
1�
es no ---
A building permit may be required by: I UkC- �. e 'tom
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
6 • -' - et
C
4L
arc. Tyu.,
Agent or Applicarit Printed Name -- — — —
Sig fire "Please read compliance statement on back of permit**
Application Fee(s) _ Check #
r
i
EEEi ..._.
i
PefmitOfikees Printed Name
At
Slgp�itur�-e --
— —.
Issuing Date Expiration Date

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