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HomeMy WebLinkAbout67983D - Barnes_.'.LAMA / DREDGE &FILL ^' A B C( D PERMIT Previous permit # ��i WIENJERAL ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �, �"t • ��/ Rules attached. Applicant Name `TL i�� YIJ Project Location: County Vl— Address U21 .1 4- 1 1 PdStreet Address/ State Road/ Lot #(s) City�State Phone # ) ' VD E-Mail Subdivision Authorized Agent City ZIP/ Affected ❑ CW CAW �A S ❑ PTS Phone # ( ) River Basin l AEC(s): ❑ OEA HHF ❑ IH ❑ UBA El N/A Adj. Wtr. Body Gil f� 1 an n ❑ PWS: ORW: yes (no PNA yesCno) Closest Maj. Wtr. Body I / / '' Pier (dock) length ■■■■■■■■■■■r��■■■�i■�rir�■Ei■■■r�r.�au,Floating Platform(s)UZAMEM . Fixed Platform(s) ■■100 Finger pier(s) JIMEN Groin length number ■■■■■■■■■■■■■■■■■■■■■■■�■■■■IN OEM ■■■■n■■■■Bulkhead/ Riprap length ■■■■■■■■■■■■■■■■■■■■■r�z►��■r�■■■■■■■■■■ avg distance offshore max distance offshore ■■■■■■■■■■■■■■■■■■�.:■■•.■�ii■■■■■■■iBasin, channel cubic Boat ramp Boathouse/ Beach Bullclotng Other Shoreline Length SAV: not sure yes IS Moratorium: n/a ye PA Photos: yes I Waiver Attached: yes no A building permit may be required by: ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) /..,� -lL �^ / ! Notes/ Special Conditions U. d / � • ! L HC? � T /T1l toM ofA Ohl Agent or.Applicant Printed Nark PermitOfPicgrs Printed Name Signature; Please read compliance statement on back of permit ** Signature L ApplicationFee(s) -7 -,P4J Check# Issuing Dhte Expii NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant,: rPermit #: Date: C" L Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet TOTAL Sq. Ft FINAL Sq. Ft. TOTAL. FeetFdisturbana t (Applied -for. (Anticipated final (Applied for..final _ Habitat Name DISTURB TYPE Disturbance total disturbance. DisturbanceChoose One includes any Exdudes,a total includesyanticipated restoeation any anticipatednd/or restoration or and/or temp . restoration or temp impact CWDredge ❑ Fill Both ❑ Other ❑ / Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge. ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both Other ❑ Dredge ❑ .Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑: Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ . Dredge [I Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both [I Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Payment Proccessing Confirmation Date Received 1 2/2/2017 Check From (Name) Allied Marine Contractors Inc Name of Permit Holder John Burns Vendor First Citizen Bank Check Number 5286 Check amount $1,400.00 Multiple Permits Yes Major/Minor Permit Number/Comments GP 67983D, Permit Fee $400 Receipt or Refund/Reallocated TM2805D NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date j- /2, f Name of Property Owner Applying for Permit: Soh n &L 11, <Z m ,Bur n_S Mailing Address: lelhyl I certify that I have authorized (agent) `�°�-r ��� �� to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to / install or construct (activity) J Ul le, h e"'e , at (my property located at) V-,--- This certification is valid thru (date) l z - 3 1- 1-7 Owner Signature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper ■ Complete items 1, 2, and I ■ 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, B. eiv y (F or on the front if space permits. r 1. Article Addressed to: J F5 . At ILIC m t ar ❑ Agent ❑ Addre Date of i/ 1I D. Is delivery address different from item 1? LJ Ye; If YES, enter delivery address below: ❑ No 2- 5 I 3. Service Type ❑ Priority Mail Express® I III I I I I I III II IIII I I ❑ Adult Signature ❑Registered MaiITM II I IIIIII IIII III I II ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted Certified Mall@ Delivery 9590 9402 1883 6104 3421 21 ❑ Certified Malt Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise ❑ Signature Confirmationlm ❑ Signature Confirmation 2. Article Number (transfer from service labell 7015 1730 0002 1608 8054 l iil 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: V w 3 Jr. �?s CYP Ze-5 ✓c 2� Ul &r� f Wc— �75 q 1 A. Signature ❑ Agent ❑ Addressee B. Rece by,(P_Aate naame) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Express@ I IIII III I) I I) I I I I III II IIII ❑ Adult Signature ❑ Registered MailTM ❑Adult Signature Restricted Delivery XCertlfled Mail@ Mail Restricted ❑ Restricted Delivery 9590 9402 1883 6104 3421 45 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. — — - --- ------•-- •-�-.. n Collect on Delivery Restricted Delivery ❑ Signature ConflrmationTM 7 015 1730 ODD 2 1608 8085 ❑ Signature Confirmation testricted Delivery Restricted Delivery tovelTU.-r— PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt a(01 "�, i/I 19 Leta? I � eurli� to 4 v e- 126 1301-yr- 191je- rat /Z-7 6o,y(e, Prof .,e A th 6 h e K eof v