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
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❑ 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
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Mor torium: n/a yes no
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A building permit may be required by: t (t II
( Note Local Planning Jurisdiction) '
Notes/ Special Conditions
Fee(s)
Check #
PermitOfftcer's
❑ See note on back regarding River Basin rules.
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'Expiration Date
From: 'davld gruelle gruelled@gmail.com
Subject: Re: Floating Dock Project
Date: August 14, 2018 at 10:45 AM
To: Brandi Robertson brandiprobertson@gmail.com
thank you Brandi, yes please act as my agent with CAMA. 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#
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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
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ult Signature
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9590 9403 0514 5173 4461 24
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❑ 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
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Domestic Return Receipt