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Home My WebLink About69081D - Chestnut^� 'CAMA / J DREDGE & FILL f �-7 ryCQO� A GENERAL PERMIT Previous permit # _;iNew ❑:Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued B C 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 I SA NCAC C-� 0 0 t — El Rules attached. Applicant Name y S�Y1 V i Project Location: County Address , rl��(,Vyl Q� • Street Address/ State Road/ Lot #(s) r Cityffin V\ 00�V1 StatepdcZIP S j ��•ti� bf - Phone # E-Mail Subdivision - Authorized Agent 1aY-A City (-)(eaN -tS�f �ta(l� ZIP 2$9 �o Affected ❑CW XEW TA ❑ DES ❑PTS Phone# (10 )_754-134S River Basin Lt��-{� AEC(s): ❑ OEA ❑ HHF (❑ IH UBA ❑ N/A Adj. Wtr. Body Q (a sf C'4,a 1_ IQ /man /unkn) ❑ PWS: ORW: yes / rk6� PNA yes / 19 Closest Maj. Wtr. Body Al Wi , ■!►�■■■■■■/T.1!'r7�4'L'�I[!�i'►:I��i :>7■■I■■■Mi;�ll�.l"��I�Lli■■ ■■■■■■:7i1FYllIhIR:'rl■■■■■■■I■�!!�■■■�■■%■L'rri riliii�■ ■ ■■■■L�i�l4illii��!�!■■I■C�i�hiil■►1/l■/�\■��■■■■ ■1■■■■ram �A■RI■■■1■■■!■ �l�iil�■Ili■�i■!■ilii■■■I��i - ■■■vIR�■■�ll�rn.��►:S�I� ��iii•AI■■!�■■■■Irnl■i3■■ ■■■l1ln1■Li'■1•/■■■K ■��I!■■■II'#11■■fir■MrYliv■rr■■■I■■■■■■■■li.: s1■111�TC��.1'!1\�P!■■I ■■■�i.��■!'�■■tl;■ �■ii■ �iJr■■ICr11■■irtlliil■..■■■■■■■■■f ■■■■■■■■■■ ■ X Xt-rnt,�t d S(tkvl Agent or Applicant Printed Name i jt< (AU1 Signature ** Please read compliance statement on back of permit11 ** o. Application Fee(s) Check # Permit Officer's rint Njimel Signature /( Z 2 Zbl7 vn 0/% Issuing Da iraY n Date ON7 GE titFILL 1V? 68081 A B C PERMIT Previous permit# Modification Complete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources red 77 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Ur - 110Q Rules attached. Applicant Name_ �jy�' Yl i! _ _ _ Project Location: County Address r Street Address/ State Road/ Lot # s City � — - . —QO_Y1 �..._�� State N V_ ZIP-7,211 [5-r- Phone # )41 Cj—_ 2K&_ _ E-Mail _ Subdivision Authorized Agent MM 1 Ik 0 City Zip =' ES PTS Phone # (lit) )»�-� Li S_ F River Basin YW Affected r CW .}PTA AEC(s): _: OEA —USA ... lH N/A Adj. Wtr. Body 0(� SIK _ /_man-lunkn Pws: ORW: yes / re PNA yes / Closest Maj. Wtr. Body Type of Project/ Pier (dock) length 1-4 Fixed Platform(s) .$ x cz Floating Platform(s) Finger pier(s)___— . I Groin length number _ �-- i Bulkhead/ Riprap length I avg distance offsho max distance offs e_`___ Basin, channel cubic yards Boat ramp tt 1 Boathouse/ atlih.__. _ - - -- -- (t�S J)YX Beach Bulldozing 1 Other_{4p ' Shoreline Len�7s gth _ SAV: not sure yes no Moratorium: n/a yes no r (Scale: r t� _ 2 O 1 P�oo� �MOOM C:y�-rw'r ta.tirn3a � Photos: yes no Waiver Attached: yes no A building permit may be required by: Town GT oup. t VC 9ck See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) � J Notes/,Special Conditions �,/I�c 6? �� . Q�Q �� r [L� �C M"�CL,t Ql�/) C`� c o plicant Printe rM n Ag Sig a *" Please read compliance stateme o back of permit'• TO, 00 ol;ll Application Fee(s) heck # c�.�t T=a ►r� li Permit OfrKe:r s rint e - Signature ---0_2 Issuing Da�i? O xpirat n Date SAC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: 1"�0, � wv+ Permit #: yc s Date: 0 `Z� �Z 01-] 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 Feet I FINAL Feet (Applied. for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact 4mm� imn�n4e\ mnnr* emnnn4l 4emn imnon4cl n4\ 6 Dredge ❑ Fill ❑ Both ❑ Other ?j S 51Z Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both [I 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 Q Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Date Date Check From Name of Permit Vendor Check Check Permit Number/ Receipt # Received Deposited (Name) Holder Number amount Comments Joseph & Newbridge 2/23/2017 Lara Milligan Ray Chestnut Bank 6397 $200.00 GP 68081 D SF rct. 3572D - Beverly Eaves Perdue Govew & LV-WA North Carolina Depart rient of Environment and Natural Resources Division of CoasW Management Braxton C. Davis Dee Freeman Dinecl or Secretary AGENT AUTHORIZATIONN' FORM Date: of Properly Owner Applying for Permit Name of AuBm iizsd Ag eW for this project Owner's Mail►M Address: �Qn Fey-w- as `hri ye- 1 k� � ► A- NL G. a Y7 5 Phone Number elf � 7 Iq5 ,x;— 9-05tp enrs i&Wng Address: 0 f,�c>K[ :S l Phone NumberfCI 10 �-�i — q 3 qt> I certify that I have auftrked the agent listed above to act on my behalf, for the purpose of applying for acid obtaining all CAMA Permb necesawy to ksta0 or corabW the followirng (acdvt: a tJ K-( I� rA ha 1 0 �X IJ � �C� f r r M 0/A For my property (ocabed at This cerbTKxffion is vald thru (date)- <� - ,3 l — l "I a-4�T- 4r�psrw I 3v Owner silwature Date 127 Car" Drive EXL. VAb+gim NC 2MM Rom 910-7W72151 FAX 9100-M. kftFlO : www. An154Wopp rb*%, fAdo 6npbyet lilt to I: r ap � saU-n(3 Qh u osu�}-I /v f\ fN 1 I r)l )-)-)) sxv '%� ap�Saun�f �� I� n air °i� i'N . ('-�•,-� h c-d ham. �— CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY O`ti'iER STATEMENT -.. r n Name of Property Owner: i n j 1 / w Address of Property: eob (Lot or Street #; Street or Road, City & County) Applicant's phone #: 3 Mailing Address: �l �a t�aL-14- &_L� 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 of drawin>;, 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. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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, 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.) ti!a iC T�.4 i �(�s ii�✓G DOel< 145 I do wish to waive the 15' setback requirement. µit 7y1/( 709 /� SG18JiCie . I do not wish to waive the 15' set back requirement. / G, A-& SWzxC N f 77 Rm-A_IKr;ND-qI IncK 4464Tia4 S4Fs da i &1161MACr( Vc (Property Owner Information) Iglo sat) Lay& do nl\ V-(_ Mailing Address P c\o � A 1 /r4 N G 2�72J, s City / State / Zip A,6- Telephone Number __J6 � Date ` (Ripa Si Print or Type Name Owner Inform ation)!ffg ,K Mailing Address- F,��/�cr�c& 299-69 City / State / Zip Telephone Number *3 If -39 - 774- Date ��7 . 127 Cardinal Drive Ext., Wilmington, North Carolina 28405-3845 Phone: 910-796-72151 FAX: 910-395-39641 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer — 50% Recycled 110% Post Consumer Paper ' Domestic Mail Only For delivery information. visit our website at www.usps.com zi- Certified Maii Fee m ,3 90 Extra ServiCeS R Fees (ram box, add ❑ Return Receipt (hwdcopy) $ . -0 ❑ Retum Receipt (electronic) $ . 0 ❑ Certified Mail Restricted Delivery $ . 0 ❑ Adutt Signature Required $ Q ❑ Adutt Signature Restricted Deevwy S . O Postage .� Total Postage and Fees C3 Ln sent To a r'.. or o Sriooi ai Api �aytia�, 4MCV1,01 %i CXA n Here \ 0 2 201117 2/21/2017 USPS.comO - USPS Tracking4l) Tracking Number: 70150640000683405799 On Time Updated Delivery Day: Saturday, February 4, 2017 Product & Tracking Information Postal Product: First -Class Mail'10 Features: Certified Mail' , (��, LJ16 )-� icle- s• DATE h TIME STATUS OF ITEM LOCATION Not'ce J.e (No Fl t ruP% 4, 2017 , Out RALEIGH, NC 27614 p eci �e Avalabe e ter�t�te t� deli er YQ rite at 12:38 prn In February4, ( In KAL IGH. N� 27Ei�4 an� notice �vqs left becaue an aut orized recipient was not avai a le. 1 �_5 a%4, 2017, Out for Delivery RALEIGH, NC 27614 1�:-15aary 4, 2017 , Sorting Complete RALEIGH, NC 27614 18br8aa, 4, 2017 , Arrived at Unit RALEIGH, NC 27615 1��2p1m3, 2017 , Fa6ii Ityed USPS RALEIGH,°NC 27676 1 25pacla lryi 3, 2017 , �rriillty �d at USPS RALEIGH, NC 27676 2Fe11�u m ry 3, 2017 , Qati li" USPS CHARLOTTE, NC 28228 F bb�� a 3, 2017 , 1 :52 arryi Arrive at A�SPS Orlgln$lacility CHARLOTTE, NC 28228 FVupanry 2, 2017 , BRaerted Post ASH, NC 28420 �,58 ar%2, 2017, Acceptance ASH, NC 28420 https:/Aools.usps.corn/gofTrackConfirmActon?gtc_dabels 1=701 50640000683405799