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HomeMy WebLinkAbout63383_authorized 4' x 6' Box Replacing (3) Failed culverts_20181102z CAMA '0 72-455 bREDGE'& FILL 5 -N :ARY",!,')C ':D Previd'u`sper,7 PERMIT GENE'RAL., bat-' ''nkisidbd—V/ VN,�evV.--L E]M 116issbe 6dikatiowz, ❑Comp ete eissu Partial e pri�vious, perr 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:-, Mule's attached t Project Location:' Co'u'n a n Applican N -Stai6: koad/ -6t' --#(S),- Address Street �,cldress/. L_ city -)v L Md�iy:St ate ZIP oUr R� Phon# ILF-Mail �,,,Subdivision 'Authorized Ageni.Idy City 4 k '' E-cw, 0 ES EPTS Phone# e-0 Aff�ctedEOEA 0 HHF DIH EUBA, EN/4 e AEC(s): Adj. Wtr. B ei at,M an''/un n) 0 PWS: T' PRW: yes PNA yes Closest Maj. Wtr. Body' RDA A K M. ME ME ME mom ME MEEMMM ME MOOMMEMOMMEMEMOMMEM&NMEME MMUMMOMMOMMEME ■OM■■■■i ODEON on — Ms7■■■■■ MEMOMMEMMEM'M ON MMEMMEN■VINE43M 0 MOMMEMEMEMEN ■■■■■■■■■■■■■C■■■r�n��a�■■■■■■■■■■■■■■■■ MOOMMEM MfEli� W/I�CfA "I'll k TV war-1c. AA) "I A11J EIS ).i A Agent or Applicant Printed Name Signature Please read compliance statement on back of permit _0,� P3 753 :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® II I I IIII IIII III I IIII III I II II,I I I IIII I III I I III3. 13 ❑ AdultAdult ature 0Registered MaiITM ❑ &AKSIgnature Restricted Delivery miffed Mali® ❑ 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 pp :%ha Services &Fees (check bw4 edd fee epptoprlat 201� �iISO Return Receipt (hardwpy) $ [I� [, ❑ Return Receipt (electronic) $ pp ❑ Certified Mall Restricted Delivery $ Here []Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ Derrick Lee, District Engineer Field Office ____ 19210 US Hwy 64 East Williamston, NC 27892 tor-m I IPIGU MAIL -hit 1 UHN Mr-UtIF I Hr-UUtb 1 LU_ _ ran, l• '101� 3101.0 &Q00 2__T70 9591 — —�-- 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 r 13 Agent ❑-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 r%- Certified Mall Fee tti $ N Extra Services & Fees (chackbox, add fee Bs eppropda ) Receipt(hardcopy) $ ,X7 �O�^ p [IElReturn Return Recelpt (electronic) $ O�T pg r p p ❑ Certified Mall Restricted Delivery $ Here ❑Adult Signature Required $ -" - ❑ Adult Signature Restricted Delivery $ p Postage p Total P--`----" — - - - m $ sentl CSX p $ireei Attention: Mike Lester N 405 Sutton Road crty,'s Rocky Mount, NC 27801 ,a, L-' VGfI 1 IrIG&J IVINIL- - nG I Vnlr nLVLIt- I nL. V[V L-•,7 L-LJ ___ _ _ +_ 7oirZ`30y`p�000a -2_?�o-WSSy 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 ❑