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Home My WebLink AboutDail, Glennti �C 4 MA / ❑ DREDGE & FILL No 71645 GrUAIERAL PERMIT Previous permit# A B D �CJ ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 6 As authorized by the State of North Ca olina, Department of Environmental Quality and the Coastal Resources ommissJiC an arka of environmental concern pursuant to 15A NCAC / ] /� 71 les attached. Applicant Name �� r 1 Project Location: County ( , 1 �'"tom City � f / /r tl" I` f ff St. Phone # ( ,) J Gf6 6 E-Mail Authorized Agent ❑CW %EW DES ❑PTS Affected ,204TA El OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): ❑ PWS: ORW: yes / 'no PNA e9/ no Street Address/,}}State Road/ I ci #(s) 1 S , ,yrt- r Subdivision City zip ,,Rd Phone # ( ) J Over Basil Adj. Wtr. Body / � I W V"I , " r.. at man unkn Closest Maj. Wt.. 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Signature ** Please read compliance statement on back of permit a"t Application Fee(s) Check # r s Printed N Date }/�. Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: /?/ eNN Address of Property: 16 2 ��ilr'c D �� L9G64CE STD P A'C d2,FS-21F� (Lot or Street #, Street or Road, City & County) Applicant phone #: oZ Sa Z Mailing Address: F9f%/7(/?LC AC e27�2 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. Ifyou 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 at www.nccoastaimangement.neticontact—dcm.htm or by calling 1-888.4RCOAST. No response is considered the same as no objection If you have been notified by Certified Mail. WAIVER SECTION understand that a pier, dock, mooring pilings, 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 Information) Sign attae �G ENiv ✓�. D,9z Print or Type Name ,�E'a2 hN0126TA/ Mailing Address Ll-r'L e tir .2742,P City/State/Zip oe 5--;L- 717-d�,/3b Telephone Number 7- /6 If Date (Riparian Property Owner Information) Signature r—_ S aw^�tn Ll- Print or Type Name ) S cba 0-" ,�� CA Mailing Add City/State/Zip Telephone Number Dar ■ Complete items 1, 2, and 3. A. signature ■ Print your name and address on the reverse g �,(j� (. j• GL• _ so that we can return the card to you. ■ Attach this card to the back of the mailplece, B. Received by (Print* or on the front It space permits. '. !'✓ s IIIIIIIII IIII I'll! IIIII IIII II IIIIIIII III III III 9590 9403 0204 5146 8448 78 p. Mki M,rm !wane!— f— eerv/ra MA 7016 2710 0000 0959 4443 PS Form 3811, April 2015 PSN 7530-02-000.9053 UNITED STATES POSTAL SERVICE E3 bent D. Is delivery address different from Rem t? U Yea If YES, enter delivery address below: Cl No J. tl rvlce Type ❑ priory Moll Exp- a ❑ Adue Signature ❑ Replxered MaA,- A_du�II�t 54 ratu Rmirkted Deliver O Reghterad Mall Restrcted -0py U t"fwd Mai Rwtrkted Delivery ❑ Res+m Reealpt for ❑Coeeot m DeHvxy MereWMiw ❑ Oepaol on DeA" Reetdmed Delvery O Signature ConennetionTM Insured Mvl ❑ Sigul. Confirm»Ion Inwred Mail Restrkted Delivery ReeMed DNlvxy (ovx Ssaq Domestic Return Receipt 111111 Perm9lNo. G-tOPald a Sender: Please print your name, address, and ZIP+4® in this boxe (T'c Fn.,NAIC- v vA1t. sy,�a ��r,✓Y�s��v --- - - %UW HILL - - 911 SE 2NO ST SNOW HILL NC 2858D-1634 36718,105811 0/11/i201d 8t)(027-5-8//1 10.41 AM PI -oduut Sale Final Denul IP1I On Uty P1 Ile First -Class 1 $0.71 Mail Letter (Domestic) (WARSAW. NC 2839a) (We)ght:d Lb 1,60 Oi) (Estimated Delivery Date) (Thursdav 0,15.12016) I,el t i f f ed 1 $:1. 4(, (wt15P,� (.61 t I f i ed Mal I A> (7D162710OL)OLi19594t143) Return t $2.15 kecelpt Inub,N Re Lilt, ll Re, ei pl B) 9590y4U3020451468.148/8) Total $6.91 Cash $11.91 Change t$5 A0) Imtt your it king ulunuer t,, 28117 (20SPS) to get the latent >tnLrr. %1,Vdard Mev>agle ald Data I ate, Mal/ appIY. You may also vi>I WwW. I r..l•_. cum 119K, Ir'a,itIrti) or ral 11-81yi-222-1bII Preview your Mall Tr at blur Pauka9es S1911 up for FkEE W www. irdt,r m.,drk,l lvrn r.. am AI I .ales final on tdwp, anti po:,taue Refultds tut guafantt+e,l eel vltee =,nlv Thank v<ttl for VOIIr bll>Ihi,r" HELP lJ5 SERVE Yuli UI IER IELL U ABOUI YOI)k RFiFNI PliS(AL ENPFRIFNI;F Go to: 1,ttps:'/luatale..pm Ian, V...,,nn'Pt,:. 84U-5280-u/119-0tJ2.0111 !I :J039's-u< of 111011 this I.uue will, Your mobile ,lovi re: or ,all 1�01.10-410-742u. CERTIFIED M,�ILO RECEIPT �, zr 00�51lc mad Only m S S o. WARSAW, HC 2L3 Iin g 13.15 O ]Gn.Lp nka y,pap oa.rr ! •-�� '`�'—' °�stm,Ik 1 _+=., av,ew. ri w,ncaoow.l. !—fCrCR?'— 9 raoltl- N }i71 ti '�m YOUR OPTNTON i'.OIJN7) ■ Complete items 1, 2, and 3. (+. signature ■ Print your name and address on the reverse X 1'011 { t l so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. Received by (P4nted or on the front if space permits. 1. Article Addressed to: D. Is delivery address del If YES, enter delivery 4/ / "•" I�IIIIII IIII IIII (IIII IIII II IIfI IIII IIIIII 9690 9403 0204 6146 8448 78 R. Adiak Numtw Tan✓ar f--„ r 7016 2710 0000 0959 4443 P3 Form 3811, April 2015 PSN 7530.02.000.9053 UNITED STATES POSTAL SERVICE 0 !gent O Addressee Date of Delivery below: O No 3. Service Type ❑ Priority Map typredae O Adult signature 0 Regutered M"'• ❑ Adult signature Resekted Deliver! O Rerered Mad Reslrloted j�CeNmd Mega 0,Gvay Red Mel RSMCIed Delivery D Rerun, Receipt for ❑ collect on Delivery Mer u* ❑ Dopect on Deliva y Restricted Delivery ❑ ftmwre Confrmatbnnu Insured Mol Cl signal. CanRmatlon Insured Mvl Restrcted Delivery Restricted Delivery (over MWi Domestic Return Receipt 111111 Postage G-10 Paid a Sender: Please print your name, address, and ZIP+4e in this box* FNAo� v. vA'� AIC e: ? l�- SNOW MILL till SE 2ND ST SNOW MILL NC 28580-1634 367184058/1 U1l 11!21113 i800)27ti -8111 10:41 AM PI oduk.t Sala Filial Dow IptIofI uty Price First -Class 1 $0.71 Mail Letter (Ourrest)c) (WARSAW, NC 28:1v8) (Weight:O Lb 1.Gn Oz) (Estimated Delivery Date) (Thuitklav 07,151201E) I,el Titled 1 ("lisps Let it fled Mall N) ( 01627](d10(.IUutl594 N.i1 Re'Lurn L $2.15 Receipt (111USPS r(e trlrn Re(vipt N) (9590b4U3020451468W818> Total $6.91 Cash - $11.91 Chan::le ($5.00) le-t Your 1141kil,il IunnUM to 28717 (2USPS) in g.,t the Ialeat ,ta LLIS. Starldard My>.,aUe and Data I ates may apply. Y411 may al50 visit USPS ItE"klnt or call 1-806-a22-1611. Preview YOUI- Mall Track vuur Packages Sign up for FREE W wwvi I rlful mw, IrW I I vPl v, r um All males final on otnmpe ai1(1 Il'i5ta?le Reful Kls tur Ouar anteed ,01 vlce> ,)nlv Thank vnu for voor busnlea- HFLP IN ;Ek* YUU HEIFER 1ELL U; ABOUT Y011k KulENI PUSfAL EXPFRIENCF. GO to: 840.5280 1b39'o-U2 or ,,all till, Lode with vour mO6llr .levive: or caII 1-bull-410 !.:, ' • i. n S DonwSlic MailOnly S S WARSAWr NC 2334$ Ln Ce7fMa I F. — �aa -cu ••s mnao. gases i'' p �aM,,a,asaas ,a+ua.q s p=�.Y3')a{(WYa@aq yy�y !~-' o9slTara Hem O �aaR s.sw:kow,eu,w oaaa. • f:t.fjlT � oshq• N ru ��wlr Vr/1J/2i11& -a t i0.41 o L FL✓ C ................. .. /.'.... Y { YOUk OPTNILIN 10UNi) 41 PROP05-�,o -17 4.Z-r7' N CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: 15'.� �'� LTL'O((Crrsi E.f /112 FUR (Lot or Street #, Street or Road, City & County) Applicant phone #: _,2 5c7 - %/7-/}4 3 Mailing Address: 2 9 Al 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 available at www.nccoastaimangement.neticontact-dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION 1 understand that a pier, dock, mooring pilings, 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.) 'tt I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Sl gnat ure Print or Type Name Mailing Address 5ty/State2ip Telephone Number Dale (Riparian Property Owner Information) 1 Signature }} L (I U Vl- ltes1 Print or Type Name 1 11) 1 Mailing Address g _ IVY 1l )((((1 l g,. (" City/State2ip TelephoneNumber r _ 14 Dale