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Home My WebLink About71796D - Stephens'CAMA / DREDGE & FILL GENERAL PERMIT X?4ew `;Modification ❑Complete Reissue El Partial Reissue No 71796 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 15A NCAC ST�pH£�.IS ❑ Rules attached. Applicant Name Project Location: County ! c.k Address 5 S ddress/ State Road/ Lot #(s)� Street Af�� City �i1tRKowJ' State Af C ZIP 2-8 �4 0 VW I L M 1 n/ C-tTJ At STTzE E-r Phone # (4tO )`28 - 086$ E-Mail dsronG o.,4& drav Subdivision Authorized Agent � 1C-K wr-ST City 6.A: S Le-- Z'EAW ZIP f 4& rj Affected ❑ CW ;(EW XPTA ❑ ES ❑ PTS A*,%S ,Arr Phone # ( D+) US - O(.6 d River Basin Lu ily- ElOEA ElHHF ❑ IH ElUBA El N/A AEC(s): Adj. Wtr. Body CA NA l- (nat /�/unkn) ElPWS: ORW: yes / no PNA yes no Closest Maj. Wtr. Body A 1 W w roin number avg distance offshore max distance offshore_ iasin, channel cubic yards son Foam Bulldozing MEME horeline Length -AV: not sure oratorium: a yes no aiver Attached: es - length ■■��i�'■i■�i�i�i�i■i■i�■■=■psi®■■■ ■■■■■®■■■■■■ ■■■■■■■■■/1■■■■III ■■■■I � ■■■■■ ■ ■■■■■■■■■■■■�■■ice ■�■�■■■■�■■■■■■■ - � NE04 i�L'■■■■■11■C�lir■�i�IWii`:u'I�`iila■■ ■■■■ =■■■■■■■ Agent or�plapPlint m Signature ** Please read compliance statement on back of permit" i� 2 c�c7 # 5453 Application Fee(s) Check # y�TZ 1'� C �Lt IRS PermitOfficer's Printed N e , C Signature 4/ Iz Issuing Date Expiration Date XCAMA / F-, DREDGE & FILL No- 71796 A B C GENERAL PERMIT Previous permit # )(New ❑Modification i�jComplete 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 1 SA NCAC 07 H • 1200 Rules attached. Applicant Name__ -r_A _ �YE�N1CrJS Project Location: County—__3-PLLr► s 1..)1 t-x Address 5 N,10.15-_ I-p _ Street Address/ State Road/ Lot #(s)__ City-_��A t fPg1e.J � .. _ State�C_ ZIP 2-193+0 � l t_ M t N C�T.� w! �T._IZ�t�-r Phone # (4 tom) 6 O i. f E-Mail Jz� r_onJ 4Ob Subdivision Authorized Agent le-V, W r ST _ City- eA-SA W -- i S L r- - 81CAW ZIP. z._ f 4 Affected -) cW XEW XFTA -JES - O PTS /�G-.r-_fir Phone # (j04) St: t - OLG d River Basin %_+, MG V -- n OEA HHF U IH O 11BA L WA Adj. Wtr. Body CA NA V jn-4 unk� AEC(s): - -- - - - ❑rws: 1WW ORW: ,g Closest Maj. Wtr. Body --- — - yes /� PNA yes no Type of Project/ Activity P%EPL-ACf-- r4ow-f telG AJl7 K w ALA C,,ymcwT -17�> 'F.ac lS•f 1AI& 'Dcy_aav Fit Ott-t-T Y (Scale: Pier (dock) length Fixed Platforms) --� G,awA Groin length number Bulkhead/ Piprap length L mt I �t 5t� C P NE �Lt N avg distance offshore ( •� max distance ofkhorn _ i r , -I r - ) Basin, channel � �---� !sue"•# �„�. lr culik yards Boadwu W Boadifc Bach f1u Wovng _ _ yG ----- Shoreline Length _5 O • SAV: not sure yes ® vow . f Muratori=: rda yes no 1 7 Photos: yes 22 waiver Attached: yes A -building permit maybe required by: QGCA V DF-SLA-- c-(-I ( Note Local Planning Jurisdiction) J lf� Oc I 1 sT � NN rg U See note on back regarding River Basin rules. Notes/ Special Conditions O 7 N 12 O O & AI-4, DruA e k Lo a AL ;5rA iir�, . AND FeL7GtzAL 1iLG iAL✓tTtts ws APPLY - cant 4i k - ___ Signature M Please read compliance statement on back of permit ee Application Feels) Check # - - M C IA, « Permit OFricers'Printed N Signature 41 1.7- /1i gA2-.Al Issuing Date Expiration Date G_ioioafojd�woo I!ew60y%17UOPuasPlLptas#-jalAl--b6/olnp!ewtwoo-af6006-1iew//adu4 _ CD cr. ti ySy� rA �b Gl v 5F _ m v� ro co a m m r ?'� <:dr .b �'S?`'•+�1'3�q�ATc on ��f`.� � i^A=as- tiP m X Ow SZZ9'JWI a m y D O -3 n c o cr b N <D CD v �p < CD O m D 0 0 fo m N v � 0 S4 n ` i7 .. �+ o CLIE� z�. r/ t ~� 1 6 LOWP ■ Complete items 1, 2, and 3.. A. Sign lure ❑ Agent i1. Print your name and address on the reverse X ❑ Addressee so that we can return the card to you. B ei by (Prin e) C. Date of Delivery ■ Attach this card to the back of the mailpiece, 1`/ or on the front if space permits. 1. Article Addressed to: I D. Is delivery address different item 1? ❑ Yes J/ C /1j% J / J If YES, entel�� ®low: ❑ No 1 q�JS �a.,z-`1�C-i•� K � �X%. APR 10 ? r 1 11 3. Service ype ❑ Priority Mail Express® ❑ Adult Signature ❑ Registered MailTM II I IIIIII IIII III I II II' I III II I II II II II I III ❑ Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 4036 8079 7384 43 ❑ Certified Mall® ❑ Certified Mail Restricted DelNey Delivery ❑ Return Receipt for Merchandise ❑ Collect on Delivery - -t on Delivery Restricted Delivery ❑ Signature ConfirmationTm n n..v.a,. ��••.-.�-- it ^-'--:--- --"`-- •-•- -" 7 018 0360 0001 3 611 6160 d Mail d Mail Restricted Delivery ❑ Signature Confirmation Restricted Delivery I cover $500) 00 PS Form 3811, July 2015 PSN 7530-02-0-9053 Domestic Return Receipt a ■ 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: r AA C� I 4t na v 5 II I IIIIII IIII III 17II I III II I I III II III III II II III 9590 9402 3995 8079 6542 69 9 Artinla Ni,mhAr (Transfer from service label) 7015 1520 0002 4186 1917 A. X ti❑ B. Received by (Printed Name) C. Date of Delivery —25—I` D. Is delivery address different from item 1? ❑ Yes If YES, enter wt4flsi:,r : ❑ No APR 10 2019 3. Service f& IVI v v r 1' rv" 1 v — ' dPdoAty Mail Express® ❑ Adult Signature ❑ Adult Signature Restricted Delivery ❑ Registered Mail" ❑ Registered Mail Restricted [ICertified Mail® ❑ Certified Mail Restricted Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise ❑ Signature Confirmation'" 'Mail ❑ Signature Confirmation as l,�strfcted Delivery Restricted Delivery Domestic Return Receipt PS Form 3811, July 2015 PSN 7530-02-000-9053 . = CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner:%zY �- S�h `'^'•'� �'" 41 Address of Property: o �� G (Lot or Street #, S6eet or Road, City & County) Agent's Name #: w l�yr<Ks/�ic�CRS`� MailingAddress: Agent's phone #: 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 oroyided with this letter. Pkl I have no objections to this proposal. I have objections to this proposal. Nt fb L l you have objections to what Is being proposed, you must notify the Division of Coastal Management (DCAf) In writing within 10 days of receipt of this notice. Contact information for DCM offices is available at http 11www nccoastalmanagement.net/web/cm/staff-listing or by calling 1-888-4RCOAST. No response Is considered the some as no objection If you have been notified by Cardfi'ed 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 nuot Inffld the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Projm�y Owner Information) Signatures Print or Type Name l Sc) 44 Mailing Address City/State/Zip rP/0- 734--Mu5a Telephone Number/ Email Address �--_--�1-/1) Date (Riparian Property Owner Information) Signatur Print or Type Name I1 , i S ,�o Ui'in( ( tib b) U!k Mailing Address yr nVu r-L 32I 2�6 City/Stat&zP Ys "a L,4 k-1C- y1 C) (,6 Telephone Number / Email Address It - Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: A rlrirocc• of Drnnorly• ram/ (.\ �`-'�i C... l��.�.�-� `-li! � (Lot or Street;;, aireet or rcoaa, t;iry & t✓ounty) Agent's Name #: /?,h) Ij 4cic.,, s %dick 2, s j Mailing Address: /�'� c Agent's phone #: lC c.) c- 1 hereby certify that 1 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.aproposing. A description or drawing, with dimensions, must be provided with this letter. ^ t I have no objections to this proposal. I have objections to this proposal. I VI I I- — If y u 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 athttp://tivww.nccoastalmanactement.neUweb/ctn/stiff list orby calling 1-88&4RCOAST. No response is consldered the same as no objection if you have been notiNed by Certified Mail. WAIVFR SFrTInN I derstand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must set back a minimum distance of 15' from my area of riparian access unless waived by me. (If ou wish to waive the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. 'J"If 1 ,rt , i oo not wisp to waive the i o- setpacK requirement. (Property Owner Information) oitgnature J / Print or Type Name � , I AJ-U;-- A.44- City/Stat&Zip 61 Telephone Number/ Email Address Date (Riparipn Property Owner Information) atgnuture L � ,`rtnd.✓Y Print or �Ty�pe/ Name } AA.M.— A44 no CaR Nc zY4G1 City/State/Zip 1I9 f Yo z/M- Telephone Number / Email Address 7122Z/ 2 Date 2 (Revised Aug. 2014) Q-G (fk .0-.(. �4 A)c k,Jy *- AOL.. eof*l QA CA G. 0 R 5 Z_ O o m A w � � O A o c 3 w Z 3 m z � 2 n o s2 R 0 3 2 3y Epp R Y ?� �5 v 3 i c 0 3 0 Q o n 3 � a