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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. 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'..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.