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Home My WebLink About69273D - Bateman� �CAMA DREDGE &FILL I5 5 6GENERAL PERMIT Previous permit# A B C NNew .—Modification El Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources LL and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 0-7 / � ❑ fjules attached. Applicant Name �'W fi Li Project Location: County tl�_ I" ' r !A) Address `' lA/ Q DO �: Street Address/ State Road/ Lot #(s) City /V-0/" fA , -0 ,0-S7n�i State/Ur.r ZIP Phone # Authorized Agent v/ Affected ❑ CW A EW ;WrA ❑ ES ❑ 1AEC(s): ElOEA ❑ HHF /❑ IH ❑ UB ❑ N/A ❑ PWS: ORW: es no PNA y s / no r) � L iit is 1A O a Subdivision City ND/ f`` / Q / &klp Phone # ( ) River Basin Adj. Wtr. Body, !/6't�.S•'�cJv�Or��/man /unknn Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock length Fixe Float Fing Groi Bulk Basi Boat Boat Beac Oth Shor SAV: Mo Phot Waiv ■■■■■■■■■■■■■■iC7ri1��►f.�!�ll�t�l■■■■■■1�■iii■1■■ ■■®■■■■■■■■■■■C ■■U ■■■■ea) ■■■■■:■■■■■■■ ;,r ■■■■■■■■■■■■■■■■■■■■■■%�� i�7�i I �i�l, d praplength ■■■■■■■■■■■■■■■■■■��a��j■■■■ ■■■■■■■I max distance offshore channell ...............■..�®... �►�.�..�..."■■ 77\ MEMMEME No 0 MOMM ! im■iimmmmmm fj■m cubic yards ramp ■■■■■■■■■■■■■■■■■■■ 1.'■■■■■!1■■►d■t■A■■■ louse/ Boatlift ■■■■■■■■�!��1�■ir■�1,/,�'1«��1■■■■■■■/IIL'■■!f■■■ Aine Length' Wit` not sure yes ■■■■■■■■■1�1i.J■■■■YY■■Iflil■■�■■■■■ii■fll��/1r, r"■■ ■■■■■■■■■<r■■■■■■■■■■■■■■■■■■■�iW■�■■ L;?E ■:■ ■Ds: ■■■■■■■■■■■■■■■■■■ ■■■■■■■■ ` cr Attached: VAP A building permit may be required by: ( Note Local Planning jurisdiction), Notes/ Special Conditions /d dt " ,q---L - J11 n r Applicant Pr�inte Name Sigrlaturee Please read co pliancestatement on back 16P f permit /} T!!!7 plication Fee(s) Check # 0 ❑ See note on back regarding River Basin rules. n Pe / jeer's Printed Name Sliture . ic/-l-7 /,/�, Issuing Date Expiration Date if ■ Complete items 1, 2, and 3. A. nature ❑ Agent ■ Print your name and address on the reverse X Addressee so that we can return the card to you. d by (Printed am C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: D. Is i ry ad ss ES, enter deliv dre below: WIT j 7 oi(� ►� �o �� v��" AUG 3 0 2017 II I III' III II I II II III IIIII i II I I I I I I 3. Service Type "tEety Mail Express® ❑Rgi ❑ Adult Signature Registered MaiIT"' ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 1942 6123 0031 35 Certified Mail@) Delivery Certified Mail Restricted Delivery ❑ Return Receipt for r)elivery Merchandise relive Restricted Delivery ❑ Signature ConfirmationT"" 2 7 016 1370 0002 2 6 0 8 9059 " ry ❑Signature Confirmation �(} 137� DOD ? . z1p� Q (overred $500)il Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt ■ 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: "bAv(6 W LL f-iA)\J P eK �k (��t NIL Agent ❑ Ad ressee by ( rnte Name) to of Delivery If YES, enter delivery 4 W � tiq�l m 0 IIIII III III (IIIII IIIII I II IIIII III3. Service Type 0 Priority ' Ll Adult Signature ❑ Registered Mall�m ess® p ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9402 1942 6123 0031 28 flCertifiedMail@ Delivery ^�'`-' 'Nail Restricted Delivery ❑ Return Receipt for 7016 1370 0002 2608 9066 ) Delivery Merchandise ) Delivery Restricted Delivery El Signature Confirmation- -y r El Insured Mail ❑ Signature Confirmation __- 10 1 �2 ! V LPL, o 2— �L^5 J Ob (over $5 O) Mail Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt property located at ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to o-AL by4TE M N s �1.E� f Property Owner) 1 S3 Z LA) A }} a o (Address, Lot, Block, Road, etc.) on STuSoUKI> in Nle-T�+ ToPsok►L- g9-Ae--14 , N.C. (Waterbody) (City/Town and/or County) The applicant described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION 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 aive the setback, you must initial the appropriate blank below.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Prop ner n ty Ow SIgnature �03�lZ'fi SA4 r c-ti A AJ Print or Type Name ) S 3 2. k" Ar tf a 0 ST -"&7*r Mailing Address MDTzrl+ City/State/Zip Tel4TISTI-7 e Nber/email address Date (Adjacent Property Owner Information) Si tur o ype �Name�� ailing A dr s i t T lephone Number/ emai address ate* *Valid for one calendar year after signature* (Revised Aug. 2014) I ' '7? ( � B I SSA `9 ` a 1E �07� �� N Date Received I Date Deposited Check From Name Name or Permit Holder Vendor Check Number I Check amount I Permit Number/Comments Receipt or RetundIReallocated 9/14/2017 Pamela Bass Jordan/Darrell Erny Donald & Pamela Jordan First Citizens Bank 3260 $200.00 GP 69303D JD rct. 4738D 9/14/2017 Lighthouse Marine Constr./Darrell Erny Robert Bateman Coastal Bank & Trust 1649 $200.00 GP 69273D JD rct. 4739D 9/14/2017 Gary or Donna Middlebrook same Wachovia Bank 3905 $200.00 GP 69278D JD rct. 4737D 9/15/2017 F and S Marine Contractors Paul Chipley PNC Bank 6594 $200.00 GP 68523D CS rct. 47E