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Home My WebLink About69068D - Blomeke}F 4.15•I'1 _ �CAMA / DREDGE & FILL A B C GENERAL PERMIT Previous permit# D ew '—Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources rr �jj and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Applicant Name PST --SAW ?)LO C- Y Project Location: County UI."W Address "7 coI I NCB (U 1�1 P -D, A -PT !'t S City F 1 F State ZIP '2zE; Phone # (�Dl) �' _73E-Mail Authorized Agent N / A, - Affected ❑ Cw AEC(s): ❑ OEA ❑ PWS: ORW:; yes:' no 1, EW 'K PTA ❑ HHF ❑ IH PNA (� no ❑ ES ❑ PTS ❑ UBA ❑ N/A Street Address/ State Road/ Lot #(s) Z`� IS L k1`J(, Subdivision pp r City f\N• J Dt(�`3A' f'7�.t1 . ZIP �'l1(p0 Phone # River B n lv Adj. Wtr. Body Git U ✓t^ SU vN Hat man unkn Closest Maj. Wtr. 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S. l�• r� Issuing Date Expiration Date Date Date Check From Name of Permit Vendor Check Check Permit Number/ Receipt # Received Deposited (Name) Holder Number amount Comments 4/18/2017 Notre Kelsey & Adam Dame Fed. JD rct. Blomeke same CU 1525 $200.00 GP69068D 4078D -MPuter Sheet NC Division of C0a!gaj-.M!9t. Habitat lm.Pact* GO Applicant:,�vti T-11 L-C tip s Date: Describe below the HABITAT disturbances for the application. 4. f^"nrl in your Habitat code sheet. All values should match the name, and utlits. OT measVIC11.1vil TOTAL Feet FINAL Feet TOTAL Sq. Ft. for.(Anticipated .1 L Sq. Ft. final (Applied for. (Anticipated final DISTURB TYPE (Applied Disturbance total disturbance. Excludes any Disturbance total includes. disturbance. Excludes any Habitat Name Choose One includes any 'anticipated restoration any anticipated restoration and/or Impact . t- - temp ImPac'' restoration or and/or temp a restoration or nmmintl Dredge El Fill M Both n Other Dredge [I Fill F1 Both El Other ❑ Dredge 0 Fill ❑ Both M other ❑ Dredge ❑ Fill 171 ` Both El Other ❑ Dredge F1 Fill 0 Both 11 Other. ❑ Dredge. Fill 0. Both ❑ other El Dredge El Fill 171 Both n- Other F1 k 1. CERTIFIED MAIL, RETURN REf' (PT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: M Address of Property: 3 $ Z cl ' I S) and Air I N. opt •\ &Ctx1 0,5t*%V (Lot or Street #, Street or Road, City & County) Agent's Name#:-AdA Mailing Address: 3SZ01 I51t,► a at. -Agent'sphone #: /v . Tn 0(x� 1 k'2x ., + N� nq 4 0 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 descripilon 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 beingproposed, you must notify the Divlslon of Coastal Management (DCM) in wrtting wrihin 10 days of receipt of this notice. Correspondence should be mailed to t 27 Cardinal Drive Ert., Wilmington, NC, 28405-3845. DCM representatives can also be contacted at (910) 794-7215. No response is considerod the same as no objection if you have been notified by Certified Mail WAIVER SECTION I understand that a pier, dock, mooring pilings, 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 mast 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) Signature (Adjacent Property Owner Information) 66-ect4 �a�am O CKt PhW or T*e ww Print or Type Name Mating Address Marling Address /�i-- 10V%U t city/5tate/Zrp Gtfiy/State/Zip ?of im - 47--13 Telephone Number Ta�splwne Number -.Zy-i7 RECEIVE® Data APR 12 2017 °i"' Revised 611812012 DCM WILMINGTON, NC OR {o cck Ln C3 zN c�G C:3 w to Z C3 POSUOS M, TT1 m ru be S�gnature C,o�►� /j paid WOO militle.. �. s ♦• ��*► • •"�.�► •ice'. � r+►• %1Ar: �� sr'e sR-.y �+fir arr•�!�! •�"S tiri'y �.'�.♦�r'�r•+� f.�w 4'rr 3NS i SU .>. �Post"'ti N rWard QPaCkep Spa► WAs U 0 4/18/2017 USPS Tracking® Results Tracking Number: 23132760000020858104 USPS.com® - USPS Tracking@ Results Track Another Package Signed for By: R JEFFREYS // RALEIGH, NC 27610 // 11:22 am Product & Tracking Information Postal Product: Features: Priority Mail- Insured Signature Confirmation - DATE & TIME STATUS OF ITEM April 3, 2017, 11:22 am Delivered, Left with Individual A& Your item was delivered to an individual at the address at 11:22 am on April 3, 2017 in RALEIGH, NC 27610. March 31, 2017, 12:32 pm Notice Left (No Authorized Recipient Available) March 31, 2017, 10:30 am Arrived at Post Office March 31, 2017, 6:35 am Departed USPS Facility Available Actions FAQs > (http://faq.usps.com/?articleld=220900) Delivered Remove X See Available Actions LOCATION RALEIGH, NC 27610 RALEIGH, NC 27610 RALEIGH, NC 27610 RALEIGH, NC 27676 See More \/ Text Updates v Email Updates v Proof of Delivery u See Less ^ Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. https:/ttools.Lisps.com/go/TrackConfirmActon?tRet-fulipage&tLc= 1&text28777= &tLabels=23132760000020858104 1/3 S o Postage and Signature Confirmation fees must be paid before mailing. -I e,:.. orS . �4..1 ....... ..............�. co G �.i 6a POSTAL CUS TOIMER s access intamet u' oKeep this recelpt. web site at www.usps.com° or call P63�`4rnark 14100-222.1811. : r `41ere N ..,� .,, . :.., . r1.i y. Priority Mall®Service First -Class Mail® parcel r-q m `� b�N9 / ❑ Standard Post- rU / ❑ Package Services RECEIVED DCM WILMINGTON, NC APR 18 2017 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: \OmG Address of Property: Sl unA & /,J. i oejo,,\O-51,0 ;,, (Lot or Street #, Street or Road, City & County) Agent's Name #: A//A Mailing Address: _MZ-`A t 5 (wA dr, . -Agenew phone #• -7c) i 23$ -- (s213 (d_M� N `iv elxc, \ \LxC.A:-, I N C, ZS4 o 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 jhe development they are proposing. A description or drawing with dimensions must be provided with this Ietter. I have no objections to this proposal. I have objections to this proposal K you have objections to what /s being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ert, Wlimington, NC, 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered Hie c,.nn ie n....i.r.._a__ -- � - - .. - -__ - - - WAIVER SECTION I understand that a pier, dock, mooring pilings, 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 Initlai 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) V,, Signature kt�k5c,,, b ,cr.e, Ac(am 81o►muc,t Print or type Name Mailing Address City/3tatw0p *? of 2 38 2'13 Telephone Number `3'1`i - l,7 Dar: (Adjacent Property Owner Information) fl-I Lt X, G' ,f --) ' Print or T/y�\pe Name -L/, -I/'V l Mailing Address Telephone Number Date RECEIVED DCM W MG ON, NC Revised Q/7i�7 h APR 18 2017 (Y) :I D �2017 INGTON, NC, Ot I hereby certify that I own property adjacent to Kc13 e & A �,a,-- No,r e-t<.- I i sla"A Jr ame of Property Owner) property located at _ �bZ i (Address, Lot, Block, Road, etc.) on , in r1r,w. TorrYt•A i6c'..C. t___ N.G. (Waterbody) (Ct'ty mn and/or County) The "ficant has described to me, as shown below, the development propol d at the above lotion. r i have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING Of PROPOSED DEVELOPMENT (Individual propoWng development must Nil In description below or attach a site drawing) RECEIVED APR 12 20V DCM 4J,LMINGToN, NC` WAIVER SECTION 1 understand that a pier, dock, mooring pilings, 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.) rdo wish to waive the 16' setback requirement. t6 I do not wish to waive the)Kseetback requirement. ! l= f _Se f ha C J( I?C4 k ifeq (Property Owner Infornnadon ',,-- I ;V 14.4 sygah" _ 0 ?A2q tad AV' Addrm At aP' •� Facs� / Telephone Number oafs (Adj;tent Property. adon) t,. 2if6 �,,Xh V Telephone Akv bw IV ro �hj &C : E C EiPV IE- D APR DCM WILM GTON, N ,i A pe