HomeMy WebLinkAbout63383_authorized 4' x 6' Box Replacing (3) Failed culverts_20181102z
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Previd'u`sper,7 PERMIT
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o16. Department of Environmental Quality
As autho zed by the State of `North Car -
and the -.Coastal Resources Comm ission in an area of environmental concern pursuant to 15A NCAC:-,
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Agent or Applicant Printed Name
Signature Please read compliance statement on back of permit
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:App catibnl`ee(s)Check #,
0 AR f
PermitOffi :s Printed Name ,LLceE
Signature No V
41 AV -2011�
Issuing Date Expiration* -Date
■ CWplete 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 mallplecef
or on the front if space permit's.
1. Article Addressed to:
Derrick Lee, District Engineer
Field Office
19210 US Hwy 64 East
Williamston, NC 27892
❑ /+3ent
❑ Addressee
C. Date of Delivery
D. Is delivery address different from it@fit 1? ❑ Yes
If YES, enter delivery address below: ❑ No
a Type
❑ Priority Mall Exp ress®
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❑ &AKSIgnature Restricted Delivery
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❑ Re istered Mall RestrtcU
Delivery
9590 9402 3097 7124 7495 20
Certified Mall Restricted Delivery
❑ Return ecReceipt for
❑ Collect on Delivery
Delivery Restricted Delivery
Merchandise
❑SlgnatureConfirmation"
701;7' 30401;0000 i 27i70 ; 6581, '; 'l�l l j '
:.. _ .tail Restricted Delivery• : I
❑RestriureColivery ion
. Restricted Delivery
Ps Form 0011, July 2015 pSN 7030-02-000.0003' Domestic Return Receipt
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Return Receipt (hardwpy) $
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❑ Return Receipt (electronic) $
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[]Adult Signature Required $
❑ Adult Signature Restricted Delivery $
Derrick Lee, District Engineer
Field Office ____
19210 US Hwy 64 East
Williamston, NC 27892
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'101� 3101.0 &Q00 2__T70 9591
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ADJACENT---- - I
- - DIVISION OF COASTAL MANAGEMENT --
RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Domtar Paper LLC
Address of Property: Highway 149 North, Plymouth, Washington County
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Mailing Address: P.O. Box 747
Agent's phone #: Plymouth, NC 27962
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
availableathttg.11www.nccoastalmanagemenLnethveb/cm/staff-listinaorbycalling 1-888-4RCOAST.
No resyonse 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.
(�
(Prope JJy Owner Information) (Riparian Property Owner Information)
� Z—
Sig ature V Signature
Everick W. Spence
Print or Type Name Print or Type Name
P.O. Box 747
Mailing Address Mailing Address
Plymouth, NC 27962
City/State/Zip City/State/Zip
(252)793-819I/Everick.Spence@domtar.com
Telephone Number/ Email Address Telephone Number/Email Address
Date Date
(Revised Aug. 2014)
4.1
EXISTING
T 0.02
Replace three (3) CMP, total cross sectional area of 21.2 sq. ft., with one 4' x 6' box culvert, total cross
sectional area of 24 sq. ft.
■ Complete items 1, 2, and 3. m. °1yfd�
■ Print your name and address on the reverse X
so that we can return the card -to you. B. Received by
■ Attach this card'to the back of the mailpiece,
or on the front if space Dermits.
CSX
Attention: Mike Lester
105 Sutton Road
Rocky Mount, NC 27801
nnAuiuiiAiiuinui iii iinuAumu
701?` 3040. g000 ;2770
DELIVERY
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❑-Addre
Ca4ate of Deli
D. Is delivery address different from Rem V/ u Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express®
❑ Ailult Signet
❑ Registered WOW
❑ Ad ature Restricted Delivery
❑.Registered Mail Restrlote
rtified Mail®
❑ Certified Mall Restricted Delhrery
Delivery
❑ Return Receipt fo(
0 collect on Delivery
Merchandise
Delivery Restricted Delivery
;
❑ Signature Confirmation*^
❑ Signature confirmation
7°4 Mall
I Restricted Delivery ;
Restricted Delivery
Two)
PS Form 3$11, July 2015, PSN 700-02-000-9053 Domestic Return Receipt
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Certified Mall Fee
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Extra Services & Fees (chackbox, add fee Bs eppropda )
Receipt(hardcopy) $
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Return Recelpt (electronic) $
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❑ Certified Mall Restricted Delivery $
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❑Adult Signature Required $
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❑ Adult Signature Restricted Delivery $
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Postage
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$
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$ireei Attention: Mike Lester
N 405 Sutton Road
crty,'s Rocky Mount, NC 27801
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VGfI 1 IrIG&J IVINIL- - nG I Vnlr nLVLIt- I nL. V[V L-•,7 L-LJ ___ _ _ +_
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DIVISION OF COASTAL MANAGEMENT-
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: Domtar Paper LLC
Address of Property: Highway 149 North, Plymouth, Washington County
(Lot or Street #, Street or Road, City & County)
Agent's Name #:
Mailing Address: P.O. Box 747
Agent's phone #: Plymouth, NC 27962
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
sc they are proposing. A deription or drawing, with dimensions, must be provided with this letter.1
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 athtta://wwwnccoastalmanagement.nebweb/cm/staff-listinaorbycalling 1-888-4RCOAST.
No resyonse is considered the same as no objection H you have been notified by Certified Mail.
r �
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 In rmation)
Signature
Everick W. Spence
Print or Type Name
P.O. Box 747
Mailing Address
Plymouth, NC 27962
City/State/Zip
(252)793-8191/Everick.SpenceCa?domtar.com
Telephone Number/Email Address
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number/Email Address
Date
Date
(Revised Aug. 2014)
.a
Fx' It
FL. 0.0±
_m=5
Replace three (3) CMP, total cross sectional area of 21.2 sq. ft., with one 4' x 6' box culvert, total cross
sectional area of 24 sq. ft.
Applicant: L\)614-M
Date: I /JoJ
4General Permit #: 7Z 4 S- ^ 3
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
; g6UR9
Dredge ❑ Fill ❑ Both ❑ Other
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other [I -
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 ❑