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Home My WebLink About66507D - Hetrick*CAVA / 1-J DREDGE & FILL U` I � l � i 66507 A B GENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �� ❑Rules attached. t Name t�a�eTT �� I �i L� ,Y�S Project Location: County (�'-ytN S vv ( k II✓ �t,,Q 0 �0 �L i `� Street Address/ State Road/ Lot #(s) tl,Qt% d State A zip 2 11 (� �') �, I 4ae C Subdivision ;ed Agent ❑ Cw XEW /KPTA j ES X PTS ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A ❑ PWS: Project/ Activity City J u�\ i3 C' Gl r�/1 ZIPS Phone # ( ) C 5 River Basin L—L/ VVI Adj. Wtr. Body << N C1 (nat h ✓ Closest Maj. Wtr. Body ~ � � (Scale: ck) length _ atform(s) Platform(s) `73 X nber distancioffshore— ■ 1 ■ 1 iann ■■ 1 &ds ■■■■1 ■■ . ■1 se/ Boatlift Adozing Length - _ m ■ ■■11/.■■■'E.'■fII�C41Gfr2��l - m �?��i�ii■i�i�it��v��s u 0 See note on back regarding River Basin rt NC Division of Coastal Mgt. Habitat Impact Corr Applicant: ��-L��r► K Date: —1 A Ice 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 F (Applied for. (Anticipated final (Applied for. V DISTURB TYPE Disturbance total disturbance. Disturbance di Habitat Name Choose One includes any Excludes any total includes E. anticipated restoration any anticipated re restoration or and/or temp restoration or to ternim acts impact amount) temp impacts) i ODredge ❑ Fill ❑ Both ❑ Other tq b 0 O Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ MCDENR Nodh Carohna Deparneft of EnAronri---i aqd Natural Resources llrv�ninn of Co tat thnagerne,1 Yoi Da.^ ktkn E Ski,' AGENT AUTHOR17ATION FORM ArFNT AUTHORIZATION FVKM Date ie of Property Owner Aprily;ng for Pet -nit, Narne of Authorized Agent for this project.' Ataffing Address re Numbe, Agen, s Madinq Address Phone Number 111,j that I have autbonzed the agent listed above to art on my Denalf, for the purpose of applying krd obtaining all CAMA Permits necessary to install or construct he following (activrty). tWef We) my property located at .7 ffA "I P &_ con*cahon is jjd date) Propertj Owner Signature Date > We f27 C;&*,Il 0*0 EA *NMVW. MC W, CERTIFIED MAIL RI TURN WCCIPT REQI�E`3TEp DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN IPROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner:e�' �-I—� _1 (AL I - — --- Address of Property: _—__ _ (Lot or Street #, tr�r Road. City & Cou y Agent's Name ii�� '��(!��' � &aZ1l1n(AdAgent's phone1I: l,�T__l� �.._�r!S ,_rrr■unr r�r�..r��re - --- 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 drawn _the development they are proposing. .. &,ytar;zk�Mt)DE u 8l9_ti- t have no ob.jcotions 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 (OCM) In writing within 10 days of receipt of this notice. Corresggnplence should be mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3846. DCM representotIV09 can 018.0 be contacted at (910) 796-7215. No response Is considered the same as no objection if you hV0 been notified by Certified Mall. _-.. 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 Initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property owner in ormation) -- .Signature Print or "l"ype Name -� Mailing Address City/state/TIP telephone Number V n _...... ... -- Mailing Address V 017 City/state/Zip Telephone Number - JSPS•Tracking Intranet Page I of I Product Tracking & Reporting Raports M1tiarluat Entry Ratesl PTR ! FL)W LISPS Corporate Comtnitinents Accounts USPS Tracking Intranet Delivery Signature and Address Tracking Number: 7015 0640 0006 3682 2130 This item was delivered on 02/04/2016 at 16:41:00 < Return to Tracking Number View j i Signature. Help 2 IWITEDSWIlU Posrni SERVICE a r _ Tr Enter up to 35 items separated by commas. PostalPostal CERTIFIED MAILO-RECF-IPT CERTIFIED MAILO RECEIPT Domestic Mail Only Domestic• nly • � a n ru ' CeRlfied Mail Fee f 3.45 047i i ro Certified Mail Fee $3.45 17 0470 11 $ ? 11 -0 m $ EE) R en Rece to Fees (check box, add tee ayaQ.rpRpgte) ❑Return Receipt (hardtop» $ 7711�r 11��1� Extra Services & Fees (check box, edd tee P te) 6• ❑ Return Receipt (hardcopy) $ ❑ Return Receipt (electronic) $ �111 _ I 0 _ Postmark `� ❑ Return Receipt (electronic) $ $ S_.$0=fiter Postmark Here ❑ Certified Mail Restricted Delivery $ $0 ntr Here O ❑ Certified Mail Restricted Delivery ❑ -- — Adult Signature Required $ ❑ Adult Signature Required $ $ O Adult Signature Restricted Delivery $ ❑ Adult Signature Restricted Delivery $ Postage $11.49 C3 Postage $0.49 $ 01 /27/2016 $ 01/27/2016 Total Total Postage and F.74 �O Total Postage and Fees Fees $ $ Sent To '\ Id p`�1 �y QQ w u I o To \I 8--- -- `� -- ------ Q° o Boo. 51 JSPS Tracking Intranet Page I of Product Tracking & Reporting Rates. LISPS Corporate R'F ,rt Manual Entry Commitments PTR J i DW Accounts LISPS Tracking Intranet Tracking Number Result Result for Domestic Tracking Number 7015 0640 0006 3682 2130 Destination and Origin Destination I27517 CHAPEL HILL; NC i284691029 OCEAN ISLE BEACH, NC Tracking Number Classification Class/Service Class/Service: First -Class Certified Mail Class of Mail Code/Description: FC / First Class Destination Address Information Address: 100 ASHE PL City: CHAPEL HILL State: NC 5-Digit ZIP Code: 27517 4-Digit ZIP Code add on: 4942 Delivery Point Code: 00 Record Type Code: Street Record Delivery Type: Residential, Sidewalk Origin / Return / Pickup Address Information Address: City: State: 5-Digit ZIP Code: 28469 4-Digit ZIP Code add on: 1029 Service Delivery Information Service Performance Date: Scheduled Delivery Date: Friday, 01/29/2016 Network Predicted Delivery Date: Friday, 01/29/2016 Delivery Date from AAU (Notification Delivery Date): Monday, 02•"OV2016 Zone: 01 PO Box: N Other Information Service Calculation Information Payment Postage: $0.49 Weight: 0lb(s) 1 oz(s) Rate Indicator: Single Piece - Letters Other Infnrmnfinn Help tavrrtys.rarrs POSTAL SERME. 1-"h 31,2016 )SPS Tracking Intranet Page 2 of Events Posting ' j Date I j Event Event Event Event Location Input Scanner Carrier Time Other Information Code Date Time Method ID Route (Central Time) IIView Delivery Signature MDD and Address DELIVERED 01 02/04/2016 16:41 CHAPEL HILL, NO Scanned 15185D8377 tniterface Scanned by route 0210412016 Facility Finance Number: 361376 I 27517 type- 7517CO26 15:44:40 I i r w!reless> Request Delivery Record GEO Location Data Available _..................... _..................... _ .......................� .......................... ................. .............. ..... ......... ... ............. ___ .._._-_........ .............. .......... ....... ....... _.... ............. ...__.... MDD ....... _.... ..... _.............. ......... ...................... . NO AUTHORIZED CHAPEL 15185D8377 Scanned by 0/2016 01.36,37 3849 ID: 5293052532335626 RECIPIENT AVAILABLE 56 01l302018 18:32 HILL, NC 27517 Scanned (interface type• route 751iCO26 15:38'37 ! QEQ.j„gyation,.&d Av i wireless) CHAPEL IMD 030SHEZ383 Scanned by 01,0/2016 ARRIVAL AT UNIT 07 01/30/2016 10:32 HILL, NO Scanned (non- made 11:10:37 275149998 w rel�ss) 75149980 : DEPART USPS EF 012812016 20:41 RALEIGH, System 01/282016 Dispatch Label ID: DS14 4133 7111 1601 FACILITY NO 27676 Generated 20:05:34 26194917 ENROUTEIPROCESSED 10 01.28/2016 13:11 RALEIGH, NO 27678 Scanned DBCS-017- Destined to route 011282016 12: 14:44 27517494200 ---...__........._ — .._..................._..._..__.... _____..._................. RALEIGH, ........ .................... _. ................................. _..._..._..__..._......... Destined to ...................... __._ 01/28l2016 �....—...............__............._..___............_._._._........_..._.; ENROUTEIPROCESSED 10 01128/2016 12:59 NC27678 Scanned DBCS-017- route 12'03:4e 27517494200 ENROUTEIPROCESSED 10 01128/2016 11:19 EI RALGH, NO SIGH Scanned DBCS-018- Destined to route 01/28/2016 10:24:39 I ! 27517494200 DEPART USPS EF 01/28/2016 02:38 CHARLOTTE, System 0112812016 ch Label ID: 0514 4133 2333 I601 i FACILITY i NO 28228 Generated 06:54:34 806 4349 2806 r ENROUTEIPROCESSED 10 01128/2018 00:52 NC822CHARLOTTE1,0112 yC 28228 Scanned DIOSS-013- Destined to route 27517494200 7/2016 23:55'41 i i .—_...— ._....... _.... ----1 i_......... ---- ............. DEPART POST OFFICE SF _........ - 01/272016 —__ 14:53 _._......................._ OCEAN ISLE BEACH, NC _...__. System __...._.............____... ____..............._. ..__.'"___ 01/01271227/2016 C loseout Label ID: CT14 3825 8000 1601 284691029 Generated 1 72 13 5556 OCEAN ISLE Destined to 0112712016 j ACCEPT OR PICKUP 03 01272016 10:34 BEACH. NC Scanned POS mute ute CO26 10:14:24 Facility Finance Number 366993 i Enter up to 35 items separated by commas. n Select ■ 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. Article Addressed to: w�n\Jlvn �l�m NLZ�� A. Signature „� ' -�� ❑ Agent -----) ('�L-�� ❑Addressee B. Received kly (Printed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type 11 Priority Mail Express® J)(�)IL-Z1N vU 2)'lp� URAS A\ bQ +Sob 9Z �� q6