HomeMy WebLinkAboutMurphy, Sean❑CAMA / ElDREDGE & FILL No. 74957 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 15A NCAC /
Rules attached.
Applicant Name ; k a Project Location: County___ //
Address i^.�� (� �� Street Address/StateRoad/Lot#(s) f� 1 I G'��1iF
City i State it/( ZIP
Phone #(�./)21 is-
Authorized Agent
E-Mail
AAffected DCW SEW ❑PTA ❑ES ❑PTS
Affecte DOEA ❑HHF F-IH ❑UBA ❑N/A
❑ PWS:
ORW: yes / no PNA yes / no
Subdivision
City ZIP
Phone# ( ) River Basin /r-
Adj. Wtr. Body j- - i (nat /man /unkn)
Closest Mal. Wtr. Body
i
■■■■■■■■■■■■■■■■■■■■`■`''n■■■■■■■w■■■■■■■■■■
MEM■Siw�N
MEEMEMEMEEMENEMOMMEiiM
MEM■■■■■i■
■■MMMME■■E■■■■■■SEEM■MiiB■ENEi�MUMME■M■MMM■
■■■E■■M■■E■E■■■u■■■MM■■■d■■E■■E■■■
■�
MEN
oMENEEEI
MENMME
NESEEMEN
EMEMME
■■■I■EEM■S■■■■H■S■E■
M■E■■■I�■■■■■■■■ME
I
■■S■■■■MM■■■■SSEE■■1■M�MEM■■■1■■OM■■■■■E■
ME
1010001111110E
...■■.............■..
■ .MEMO::......
OEM
OEM
M■MMEMEM■■EMM■�Ml�JlJMESMB■�M■■SS®MSESM■■M■
EMEMEMEMSEEN■ii
MMEMEMEMEENM■■■■■E■■■■■M■M■MMEpM/�E■M
�MEMEMEMEMEEME��MEMEM■M ■
M
. .�..■.■O�C:::�1■■
IS■■S■■■E■CC■C.
■■.■.. ���
:Ig�C........
'..CN'■'■'.'■'.IMEMNON:C
'.'.'.::'■:'■'■
: EElow
■■MI
Agent of Applicant PfntedName J
Signature ''r Please readcompliance statement on back of permit
Application Fee(s) Check #
PermitOffcer's Printed Name
/Z
Si natuJe
Issuing Date Expiration Date
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Swn 4 imVrlu 's
Name of Property Ou ner)
property located at__ l2rp bOo-Vi�aP_L^�r�,r'�'
(Address, Lot, Block, Road, etc.)
on�nA� in P'ne xieH GtktOreS 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)
P i{ S
� ioKvnarr_1n
FA arcl5
VT 0 (eA-)
C anal
1pfotell'%
RECEIVED
JUN 13 2019
DCM-MHD CITY
a, 1;C
-kL(00 c
Vc—fty : U.C'1�5.
/ pQi:fi P9T
W:1'�
frorvIll
�r
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. (If you
wish to waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Signature
Date 6/9/19
Telephone Number
1°9/�Tl -0�6,
Date
(Revised 611812012)
RECEDED
JUN � 3 �019
®CM-MWu CITY
N
O
a
p
y
Z
CD
®
@
m
m
D
a
Z
z
m
;<
°
c
m
N
ai
0
~
N
p
:
1
O
v
W
3
W
00
0
C
O
O
O
O
W
O
J
W
co
O
=°
o °
0&
N(n
c
W J
®
N
ro
m
\
()O-
"
CD
w�a
CL
m
a
0
n
0J
O
O
3
l^D
a
0
-i`
u
a
LA
0
t
9
0
F
W
3
m
@
A
0
m
N
0
a
o
0
y
7 0
m
�
m k
F
I
7
N
a
N
A
„ A D
Q
N
28512-5328
3603520689
06/14/2019 (800)275-8777
3:40 PM
Product Sale
Final
Description Oty
Price
First -Class 1
$0.55
Mail
Letter
(Domestic)
(GOLDSBORO, NC 27534)
(Weight:0 Lb 0.60 Oz)
(Estimated Delivery Date)
(Monday 06/17/2019)
First -Class 1
$0.55
Mail
Letter
(Domestic)
(GOLDSBORO, NC 27534)
(Weight:0 Lb 0.60 Oz)
(Estimated Delivery Date)
(Monday 06/17/2019)
Certified 1
$3.50
(5@USPS Certified Mail N)
(70173380000034197380)
Total $4.60
Credit Card Remitd $4.60
(Card Name:MasterCard)
(Account H:XXXXXXXXXXXX8234)
(Approval 8:75818P)
(Transaction 0:765)
(AID:A0000000041010 Chip)
(AL:MasterCard)
(PIN:Not Required)
Text your tracking number' to 28777
(2USPS) to get the latest status.
Standard Message and Data rates may
apply. You may also visit www.usps.com
USPS Tracking or call 1-800-222-1811.
Preview your Mail
Track Vonl` Pack?rice
Postal
o
CERTIFIED o RECEIPT
m
M1
For aeir
Er
GOV
Ceaiflea
Z,
Melt Peg
$ E3.50
it684Nlc
O
m e& Beg (tliecxepK etl�ll.e
❑%e Regimmweoc» $ i�
06
r3
C3
❑Realm ReceiPt(elecb ) $
❑Callflea Melt Reatrkte Wp y $'�y";",
POBMIetk
r3
[]PdNt SleneNre R¢qulretl $—!•L��Tp.��—
Net.
O
pnnun Sl$neNre ReeMctee DOI"$
m
Poe eBe
84.55
m
m Poet ft0 am! Fees 06/14/2019
54.05
r
rl
nt,
�(' ,�
M1
_f'7 ...11_Qk
t�
_ '_"_'_�....
.
`
alai_'-_
Al:
Re;u d ,ostage.
Thank Is You -for Your business.
onlY.
HELP US SERVE YOU BETTER
TELL US ABOUT YOUR RECENT
POSTAL EXPERIENCE
https://postdGo to;
l0xperience.com/Pos
840-5280-0231-002-00008-36657-01
or scan this code with
Your mobile device:
or call 1-800-410-7420.
YOUR OPINION COUNTS
Bill N:
Clerk:
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Scar, M urdnu s
Name of Property O ner)
property located at 1 b01ryi aF_ ""t
(Address, Lot, Block, Road, etc.)
on :artd� in Pine, ltN,A11 GN6reG , N.C.
(Waterbody) (CitylTown 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 ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
pig S
hAnctrla A
,C anal
��5fiht�
��I F
to 41 Pr o fev-tI
(;�- Z.A.
�� Q
is
RECEIVED
JUN 13 2019
DCM-MHD CITY
we,,
i7nctn ve bbs
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. (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 Information) (Adjacent Property Owner Information)
Date 6//11/1
9
Signature
Date
(Revised 611812012)
RECEIVED
JU ' ' 119
I hereby certify that I own
property located at
on
.. • • - • '��a1Jk'a.< t' s
I have objections to this proposal.
s
arty Ou ner)
(23 , N.C.
Iior County)
proposed at the above
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
pK !S
CQ w av
IPToe
c� ni j
�•S�'h�
Ky41 1Pc0TCAI
0
RECEIVED
JUN 13 2119
DCidl-ivIHD CITY
Nam, Or
I2��'OC
�7crroYe �4��
P.V.t l 1
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. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.