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HomeMy WebLinkAboutCamp Caroline❑CAMA / ❑ DREDGE & FILL No. 74417 A B C D GENERAL PERMIT Previous permit# —]New ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued r 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 15A NCAC - /� ❑Rules attached. Applicant Name i%r I ! I ( Project Location: County ✓ i 'f7" , tt� Address % I (C i C ik Street Address/ State Road/ Lot #(s) �AMLr City State r�C ZIP /0 —� Phone # O_ __ _E-Mail Authorized Agent _ Affected ElCW EEW ❑PTA 6ES ❑PTS AEC(s): DOEA ❑HHF ❑IH FIUBA ❑N/A ❑ PWS: ORW: yes / no PNA yes / no Subdivision City ZIP Phone # ( ) River Basin "419Z _ Adj. Wtr. Body OAU5e241 (iL.eXti(nat /man /unkn) Closest Maj. Wtr. Body 'gyp_p� r�■i�iiiiiiiiiiiiiiiiiiiON MONSON NMI MMOM 1i�iiiiiii ::m_::::::::::�::::C:: - �i11111101 iiiiiiiiiii �iiiim��a'■is'r�uvu'i�V'�iiiii ■■..........■■ ................■C■■■■■■■■ :":C:iiiiiiommomomi EMMMiii'u'IN EMMMMMEM .C:..■...•••••••••••C OMEN ■■N■m■N■■■■■■I . ■■ON IED1■■■■■■■M loom ■■■E■■ENE■■!E®■■ MENESESE INNER OEM M III ■■■■ \JEROM■ONNE■■■ NONE ME miiioii.N. ®mclmmlwl-lmg�mms IM�'l�� ORIMME!A ■■E■■ wilmm■N ==ME■ ■■ m 9II1NJ!Ir9WM0 ®��■.a M ■av■■■■N11NE■ EEE■■N�rsaO■■ ■■�■lIONNOO ■■O■ ONEEMEMEN ROMERO sm IN ME 0 =11 IIIEFFA oil �iiiiei■N■iiii�iiM�'!t�'I�r'1�'J�ommommomom ' n'IrnRiiiiiii��ii NMI Agent or Applicant Printed Name Signature *t` Pleaseread compliance statement on backof permit" Application Fee(s) Check # Permit Officers Printed Name Signa ure Issuing 1,ate E.piratiq Date Connell, Brad From: Brownlow, Roy Sent: Monday, April 15, 2019 9:46 AM To: Sullivan, Shelton Cc: Day, Susan; Connell, Brad Subject: FW: Camp Caroline? Attachments: CampCarolineShoreline.pdf Thanks Shelton. I have forwarded this to Brad Connell who is our Field Rep for this area. Thanks, Roy Brownlow District Manager, Division of Coastal Management North Carolina Department of Environmental Quality 252.808.2808 ext 217 (Office) Roy.Brownlow@ncdenr.gov Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. From: Sullivan, Shelton Sent: Friday, April 12, 2019 4:03 PM To: Brownlow, Roy <roy.brownlow@ncdenr.gov> Cc: Day, Susan <susan.day@ncdenr.gov> Subject: Camp Caroline? I think this is yours? Thank you, Shelton Sullivan 401 & Buffer Permitting Branch Division of Water Resources North Carolina Department of Environmental Quality "please note my phone number has changed" (919) 707-3636 office (919) 807-6494 fax Shelton. sullivane-ncdenr.00v Location: 512 N. Salisbury Street, Archdale Bldg #942G, Raleigh, NC 27604 US Mail: 1617 Mail Service Center, Raleigh, NC 27699-1617 RE Q7> pyLNMt M[mYgnYAYI GYhh Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. I hereby certify that I own property adjacent to nrr,t)ert IncatPr'^4 (Address, L on 5"'.1 Cf'K in (Waterbody) /v 1 VI\K I (S" (City/Town and/or N.C. The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) '�i �% Q WAIVER SECTION 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'iniess waived by mu, (If you wish to waive the setback, you must initial the appropriate blank below.) Date I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Adjacent Property Owner Information) Signature or Type Name Mailing Address City/State,Zip Telephone Number Date (Revised 611812012) AD, I hereby certify that I — ----s ID 4 N on- ova sc, ,.l C w Lfi l/ Z. N.C. W (Wate ��� W n r d = ItY) W 9 �J The applicant has dew a$ Ef?� Cr a/ _ I at the above location.�- I have I have DESCRI CD t - IT (Individual proposh o = site drawing) J) ru J ru .V ru ID Q 1 Q6 IQ understand thaId — -- s �y )in must be set back a minimum Q by mu. (If you wish to waive tha a Q I do r rxy Owner It -u Q A� Tye Yame Address 6 { we Number Date roLaws ZN O. CI m Date nformation) (Revised 611812012) I hereby certify that I own property adjacent to rJo^A Pl ri��0 �` Is (Na of Prop rty Owne C prr,pzrty.lo ?tec! at 'J _. ... :1I (Address, Lot, B k, Ro d, c ) on CxW'Ca� r� e�l< in r�w� �1��% N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) �— lO e Z.O /���� �IQAYrM ILASi Nf $RSo.� 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. (I u wish ED to wajve the setback, you must initial the appropriate blank below.) �ECEIV �// 1 do wish to waive the 15' setback requirement. APR 1'j 2OS (Property I do not wish to waive the 15' setback requirement. ca4ca le Print or Type Name v 3"3` 7x 7A,ntedv 11(� .o -3157 Telephone Number u-;-h 19197 CITY (Adjacent Property Owner Information) 4& z I Y r�— ignature Print or Type Name Date (Revised 6/1MO12) III Fust•Class Mait I Postage &Pees Paid IIIIIIIIIIIIII�. r �II�IIIIIIIII�I Perms No. G-10 9590 9402 3099 7124 9915 21 United States Postal ServiCe ddress, and ZIP+4® in this box' =Pl Yd gs-i) v D-q—S2e q ® 4111,t,,,,l4dlttt4llr ltlit1lt1,,,,,,,,,,}t,,i,ttll„Illrtl USPS MACKING # First -Class Mail Postage & Fees Paid IIIIIIIII IIIIIIIIIIIII IIIIIIIII) �IIIIII PUSPS ermit No. G-10 9590 9402 3099 7124 9915 07 United States Po f Servide w g • Sender:. Please print yoAu1r name, address, and ZIP+40 in this box' 33�k Vnre� /JL oq�Ssr-io illl1lislii,ili,Jill Ilirjil:l 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 thisi to the back of the mailpiece, a U � _ �l d12W � Ia � ✓�S \ C IIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIINIII 9590 9402 3099 7124 9915 21 Agent 9�/e 7 11f/a, D. Is delivery ad� ress different from Item 1T If YES, enter delivery address below: EHW 7011 0470 0003 2518 2948 I Ps Form 3811, July 2o15 j ■ Complete itemsj; 2, and 3. M. Jlu. ■ Print your narrand address on the reverse x so that we can return the card to you. B. Rec ■ Attach this card to the back of the mailpiece, or on the front if space permits. ,,1.11Article Addressed to: D. Is 3. ervi °A eh illllllllllllllllllllllllll IIIIIIIIIIIIIIIIIII 0A It! ❑ Cedifie 9590 9402 3099 7124 9915 07 13 OeMe ElCnv—1 2. ArticlefJDmberCrmnsrerr M s--` 2518 2962 ❑470 0003 7011 ��(OVe Ps Form 3811, July 2015 PSN 7530-02-000-9053 ❑ Priority Mail Express® ❑ Registered MAN led Delivery O Registered Mail Restricted Delivery t Delivery ❑ RMO Recefptfor Merchanafs0 Irlcted Delivery ❑ Signature ConMnatonTM O Signature Confirmation Delivery Restricted Delivery Domestic Return Receipt ❑ Agent in item 1? 1-1 Yes below: K] No tdoted Delivery yRestricted Delivery O Domestic Return Receipt