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HomeMy WebLinkAboutGruelle, David� k3CAMA / ❑ DREDGE & FILL N2 71681 A B (�C D ®GENERAL PERMIT Previous permit# 4New ❑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 I SA NCAC Rules attached. Applicant Name 4 4' I Y r 7\ 1 ( i Project Location: County '162 , Il t <) Address Street Address/ State Road/ Lot #(s) City 1.F )',,' V, t State ! ZIP • Phone # O r E-Mail Authorized Agent ❑ CW CLEW PTA ❑ ES ❑ PTS Affected „❑ ❑ OEA E1HHF ❑ IH ❑ UBA ❑ N/A AEC(s): ❑ PWS: ORW: yes / no PNA yes / no Type of Project/ Activity Piers Fixer Float Fing' Groii Bulkl Basir Boat Boat Beat Oth, Shot SAS Subdivision City ZlP_ _r_ /r - Phone # ( ) River Basin /!J Adj. Wtr. Body _ nat Iman unkn Closest Maj. Wtr. 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Also, thanks for the cost info. David Gruelle On Mon, Aug 13, 2018 at 4:24 PM, Brandi Robertson <brandi robertson@gmail.com> wrote: Dear Mr. Gruelle, I have received the adjacent property owner's signed notification letters from your neighbors. Please respond to this email confirming that I have permission to act as your Authorized Agent. This will allow me to obtain the permit on your behalf and you will not be required to be present at the site visit that I schedule with the CAMA Field Rep, Mr. Connell. Thank you, Brandi Prescott Robertson B Prescott Marine Construction, LLC 252-249-0149 brandiprobertson @ gm ai I.cb m I hereby certify that I own property adjacent to property located at O( '^f UUQ-ed (Add on �-� RiUCY .in (Waterbody) 01_ �(C' 's and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above �1' 'L locat_ p I have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development mustfiN in description below or aKach a site drawing) ea�pe YvLn �Yrry 05 Y ;5' GYCA f l � �X� rg T)CciC dill iav�SoN ��o�e� i�/ I understand that a pier, dock, mooring pilings, boat ramp, 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) (AdjaSent Properlyner Information) Signature Sigriahwe* )WxR Print or Type Name Print or Type Nargre Mailing Address M Ting Address _ Cily)Stateop CitylState/Zip 2Go - Telephone Numberlemail address Telep�onggNy��r/email address Dare Da (Revised Aug. 2014) 'Valid for one calendar year after signature` •• UNITED STATEM"AWVICE I First -Class Mail i ,• ,-5,� Postage &Fees Paid ' 'fi.•r.,,,, ,a.?.;' II LISPS ;'yid: I Permit No. G-10 • Sender: Please print yotir name, address, and ZIP44®imthis box• B PRESCOTT MARINE CONSTRUCTION, LLC PO BOX 874 ORIENTAL, NC 28571 LISPS TRACKING# lllllllllllllllll;llll�l�������l���ll��l�1T�lI�Plaiililiillplllll;ll��l�" ���lit _::�.: 9590 94�3 0514 5173 4431 24 ■ Complete 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 mailpiece, or on the front if space Dermits. 1. Article Addressed to: Fecelved by (P nted /�argeJ I C, Dgfg of ie Is delivery address different from Item 1? ❑ Yes If YES, enter delivery address below: ❑ No II I'lll'I I I I'l I I 1111111111 Ill III I III l Ill 1111 �—'— ,ype ult Signature ❑ Priority Mall Express® 9590 9403 0514 5173 4461 24 ❑ Certified Mall® nature Res dcted Delivery ❑ Registered Mall'^' O RDee$very� Ma l Restr ctetl ❑ Certified Mail Restricted Delivery ❑ Return Receipt for 2. Article Number (Transfer from service label) ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise ❑ Signature ConfirmationTM 7 013 3020 0000 5359 9580 ❑ Signature Restricted Delivery Restricted Del erytion PS Form 3811, April 2015 PSN 7530-02-000-9053 ""-' Domestic Return Receipt