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Home My WebLink About73507D - McSwainCAMA / X DREDGE & FILL GENERAL PERMIT XIVew ::]Modification ❑Complete Reissue ❑Partial Reissue No. 73507 A B C Previous permit # 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 07 H . 1100 ❑ Rules attached. Applicant Name CiFiARLES MC 5%4Ai,4 City State ZIP Project Location: County S14AAe.5w 1 C IL Street Address/ State Road/ Lot #(s) 159 -1 H IGµv01NT 7T91-ET Phone # 0-1-0) 540 — 72 00 E-Mail +OM MJ I'�v rn� ho}�ai I Subdivision N /A Authorized Agent /VON City VA01-VE/V EEC► cN ZIP 284(0 ❑ Cw ❑ EW ❑ PTA XES XPTS Affected AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no N Phone # ( )SAME River Basin L.ttKCse_Et Adj. Wtr. Body "A I, (nat man /unkn) e Closest Maj. Wtr. Body A 1 W W r M. ■■■■■■■■■■■� ■�Fww�l��!■■■■■ ■■■■■■■■■■■■■ ■ ®■■■■■■■■��■in��i�■��ii■■�i■�■i■■i■ ■■■■■■■■■■� j w►7n�il■��l w Cl7f ==mow ��...��_�i.��.I:�LLi��i:�iS'.■`�rri'ri'iii:7G:�1 �■■■■■■■■■■■ ■■M■ � • ■■■I■�r■■■■� ,m ■■■IEZ■■■■■B ■■N I■■�■■��►\�■�■�1■�■■■■■�■■■ Imo■■■Rwr�■1�1��■■■� �■■■rww■■■■■ I■■■■VAH ■■I N■■■IIMUA■■■■ Agent or Applicant Printed Name Signature ** Please read compliance statement on back of permit $ 400 # +733 Application Fee(s) Check # 1 `I I jZ I c 6 Lk %i2 E Permit Officer's Printed ame ` Signature .2oJ2019 740 2017 Issuing Date Expiration Date i CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: /1y,&JA ,j'Y) C- S.—) )4; ,d Address of Pronerty: / •SQ �S �+ , Po f S-1: 1yo6164!w &a4,-k> lw� (Lot or Street #, Street or Road, fty & County) Agent's Name #: y1114 Mailing Address: Agent's phone #: •��/>-/,r 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 `area 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 http://www.nccoastalmana-gement. netlweb/cm/staff-IiEgag or by calling 1-888-4RCOAST. No response Is considered the same as no objection If you have been notjbed by Certified Mall. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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) (Riparian Property Owner Information) Signature G `I✓` pp Signature �G�.f�1 vl i Yl G 1\ t (yL1 VY, Gt,V 1 Pint or Type Name Print or Type Name Mailing Address 0 Mailing Address City/State/Zip City/State/Zip Gy p Telephone Number/Email Address T lee phone Number/Email Address 3-I(D Date Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: Agent's Name #: A IIA- Agent's phone #. / jj ,+- (Lot or Street #, Street or Road, City & County) Mailing Address: 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-staimanagement.net/web/cm/staff-listing 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 I understand that a pier, dock, mooring pilings, boat ramp, 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. N% I do not wish to waive the 15' setback requirement. (Property Owne Inforn3ation) Signatu Print or Type Name Mailing Address City/State/Zip Telephone Number/Email Address nt (Riparian Property Own r Information) Signature Print or Type Name Mailing Address �a 1645�,) E64c H. -29% City/State/Zip qt d 546 ' 7 -2-� ci Telephone Number/ Email Address a 3�yA�c1 - Date (Revised Aug_ 2014) L2 Domestic Mail Only OFor delivery information. visit our website at www.usp�cona fll - - ru s ' Ln Certified Mail Fee m $ fY 1 Extra Services R Fees (check box, add fee as appropriate) ❑ Return Receipt (hardcopy) $ r-q ❑ Retum Receipt (electronic) $ Postmark C3 []Certified Mall Restricted Delivery $ Here C3 ❑ AdultSignature Required $ � ❑ Adult Signature Restricted Delivery $ r3 Postage m $ r-q Total Postage and Fees $ � St To v,Aj A1&L/-.o j ttreet and Apt. No., r j'b Box �t45_ Zcl1 '5---- — �' --- City State,21IP+4® - n&Z A 75 Imo' ■ 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 permits. 1. Article Addressed to: CP ,.U! me-I-I-C*� , ��_ ❑ Agent ❑ Addre B. Received by (Printed Name) C. Da a of gel Vt. 4—tc q .3lG� / D. Is delivery address different from item 1? ❑ ies If YES, enter delivery address below: ❑ No 3. Service Type 0 Priority Mail Express@ I IIII�I III II I II IIII I I ' I I I I I ( ❑ Adult Signature ❑ Registered MailT" ❑ Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑ Certified Mail@ Delivery 9590 9402 3258 7196 8506 11 ❑ Certified Mail Restricted Delivery ❑ Return Receipt r ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery 0 Signature ConfinnationTl 'Mail ❑ Signature Confirmation �)il Restricted Delivery Restricted Delivery 7 018 1130 0001 3358 2041 Form 38TFJuly 2015 PSN 7530-02-000-9053 Domestic Return Receipt ------------ SUPPLY 25 BL.ANTON RD SE SUPPLY NC 28462-3590 3676160462 03/04/2019 (8OQ)275-8777 1:09 PM Product Sale Final Description oty Price First -Class 1 $0.55 Mail Letter (Domestic) (CARRBORO, NC 27510) (Weight:0 Lb 0.60 Oz) (Estimated Delivery Date) (Wednesday 03/06/2019) Certified 1 $3.50 (®®USPS Certified Mail #) (70181130000133582041) Return 1 $2.80 Receipt (OOUSPS Return Receipt #) (9590940232587196850611) First -Class 1 $0.55 Mail Letter (Domestic) . (WINSTON SALEM, NC 27103) (Weight:0 Lb 0.60 Oz) (Estimated Delivery Date) (Wednesday 03/06/2019) Certified 1 $3.50 (@1USPS Certified Mail #) (70181130000133582034) Return 1 $2.80 Receipt (QQUSPS Return Receipt #) (9590940232587196850628) Totai $13.70 Credit Card Remitd U3.1-0- Domestic Mail Only m O For delivery �nfor.rination, visit our websit ul Certified Mail Fee m $ m Extra services & Fees (check box, add fee as appropriate) ❑ Return Receipt (hardoopy) $ ❑ Return Receipt (electronic) $ E3 ❑ Certified Mall Restricted Delivery $ i-3 E3 ❑ Adult Signature Required $ ❑ Adult Signature Restricted Delivery $ r-1 Postage rm $ r-q ri Total Postage and Faea a co Ra j o o Sant ��cro. r` J,� a�tk r/ I iP 1, ) A L1 IV n it Daft RecWved pits Ood Check From Name Name oI Pennit Holder VerMw Check Number cn.at amount P.,.W NumbehCommenft RscW w RS/u#WM Mo tsd Columnl Cofu 2 Col-3 Column{ Columns Coli-6 I Col-7 Co1umn8 C.%M"