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Home My WebLink About67212D - JordanCAMA / ❑ DREDGE & FILL I N0 6721.2 A B "ENERAL PERMIT E Previous permit # ,New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued_ sized by the State of North Carolina, Department of Environment and Natural Resources / t' Zoastal Resources Commission in an area of environmental concern pursuant to I SA NCAC V�* t • Z7 ff + ❑ Rules a hed. it Name 6xO ` 01 < (. A sor h Project Location: County !jam 44a ?0 .gcy State AX ZIP Z*:;-51� t ( ) 4&7 - 9NO E-Mail and Agent ❑ CW )(EW **A ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PNKS: yes // no,� PNA yes / !no Street Address/ State Road/ Lot #(s) `I J P" i2ex-% /Ue L L 2 L Subdivision city, '.J"►Ihn; �. ZIP Phone # ( ) River Basin Adj. Wtr. Body r' nat c � Closest Maj. Wtr. Body %,-, f Project/ Activity . (Scala 1 >ck) length - _ ��1� latform(s) Platform(s) angth amber id/ Riprap g distance ax distance hannel / ibic J Boadi c 13' I( 13` lulldozing ie Length not sure yes no rium: n/a yes (� yes Attached: yes no ing permit may be required by: AJCW �IAWVEK ❑ See note on back regarding River Basin r Local Planning jurisdiction) • } NC Division of Coastal Mgt. Habitat Impact Comp Applicant: C-'Wry Date: /b/03I1( 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 FIN, (Applied for. (Anticipated final (Applied for. (Anti DISTURB TYPE Disturbance total includes any disturbance. Excludes any Disturbance total includes distu Excl Habitat Name Choose'bne anticipated restoration any anticipated rest( restoration or and/or temp restoration or teml ternimpacts) im ad amount) ternimpacts) amo Dredge ❑ Fill ❑ Both ❑ Other ��0 I �� Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge 0 Fill ❑ Both ❑ Other ❑ N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 9119 /A� Name of Property Owner Applying for Permit: x- Mailing Address: �42 2 D ►^aQ1s, I certify that I have authorized (agent)to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) -Z This certification is valid thru (date) �i� Property Owner Signature Date CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner. -r Ae j� ;�Y rX of Address of Property, (Lot or % %C C- Street or Road, City & County) Agent's Name #: ? rn Mailing Address: ,, D - i- u 1C 112 ?e/ Agent's phone #: 6 9'7' `t'4�''��Tdc, .��L J 4Cd14Z 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 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 being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at http:llwww.nccoastalmanagement.net/web/cm/staff-listing or by calling 1-888-4RCOAST. 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, boat ramp, 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.) z_ I do wish to waive the 15' setback requirement '✓ I do not wish to waive the 15' setback requirement. (Prope wner Info o) (RiparlanlP o Own e Infarmation) 7�Y ir-� e__ �— Print or Ty Name P --y s- QV-� Print or Type Name P Mailing Addres Mailing Address 711111 ■'Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ 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: DM C. Date of D.'is delivery address different from item 1 . ❑ Ye: If YES, enter delivery address below: ❑ No %G, /e / �� 3. Service ype I [ erti(/ fied Mails ❑ Priority Mail Express'" ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) 2. Article Number _ ❑Yes (Transfer from service label) 7 015 0640 0002 2842 1604 PS Form 3811, July 2013 Domestic Return Receipt ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. IN Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: c>?6 �' 1 a fin /fir , /9aleaC, J7�� A. Signature X v �" T ❑ Agent r ❑Addressee eceived by (Printed Name) C.. Dat of elivery D. Is delivery address different from item 1 . es If YES, enter delivery address below: ❑ No 1111111111111111111111111111111 JIM 1111111 �. �ervl type --'- ertified Mail'- ❑ Priority Mail Express- 0 Registered ❑ Insured Mail ❑ Return Receipt for Merchandise ❑ Collect on Delivery c. L\mme Number (Transfer from service label) e� eri-�r�rsrr. uRx�r�oe�r • I-- I cW 7015 0640 nnna _ ❑ Yes 6f 1 E _17 � �� in OF rgan, Brooks R im: trip@pippinmarine.com it: Friday, October 07, 2016 10:06 AM Surgan, Brooks R bject: RE: FW: 4S Pipers Neck - GP Expiration )oks, is confirms that I received your email with the expiration date of 02/04/17. ank you, P ip Pippin )pin Marine Construction, LLC 0-270-1290 - Office/Fax 0-471-2034 - Mobile /w.pippinmarine.com @pippinmarine.com ------ Original Message-------- ubject: FW: 45 Pipers Neck - GP Expiration �om: "Surgan, Brooks R" <brooks.surgan@ncdenr.gov> ate: Fri, October 07, 2016 8:15 am z): "trip@pippinmarine.com" <trip@pippinmarine.com> lease confirm. rom: Surgan, Brooks R ,ent: Thursday, October 06, 2016 12:05 PM 'o: 'trip@pippinmarine.com' <trip@pippinmarine.com> lubject: 45 Pipers Neck - GP Expiration ri p, er our phone conversation this morning, I wanted to confirm with you that the xpiration for GP 67212-D is 02/04/2017. Please let me know that you have 2ceived my email and confirm the expiration date. Thanks. rooks R Surgan eld Representative ivision of Coastal Management Ik 'ilmington, NC 28405 Nothing Compares.-- -, nail correspondence to and from this address is subject to the orth Carolina Public Records Law and may be disclosed to third parties.