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HomeMy WebLinkAbout67181D - MoyeAMA / El DREDGE &FILL c7 Ij 1 ENERAL PERMIT /6 Previous permit # P(ew ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources o oo :)astal Resources Commission in an area of environmental concern pursuant to I SA NCAC 1 ❑ Rule hed. ywbu�s Name ' l ~ Project Location: County . (7t � Street Address/ State Road/ Lot #(s) S ��• ZIPt \f A_ ( ) E-M 'I A Subdivision :d Agent CityV� L, ; ZIP �1 ❑ Cw y "'YeTA ❑ ES ❑ PTS Phone # () Rive/r. Basin ❑ OEA [IHHF ElIH ❑ UBA El N/A t � + t ❑ Pw! res (no `, PNA yes n no Project/ Activity k) length_ [form(s) 'latform(s) gth fiber I Riprap length distance offshO're distance offshore innel is yar P !Ildozing Length not sure yes no um: n/a yes yes ,ttached: yes Adl. Wtr. Body Closest Maj. Wtr. Body ig permit may be required by: ii Y \O �(�\V,� ��aw"�� ❑ See note on back regarding River Basin rt .ocal Planning Jurisdiction) . —, NC Division of Coastal Mgt. Habitat Impact Computer Sheet 4pplicant: S(,""I's mode Permit #: 6-7181b Date: nq 10q I % Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement 'ound in your Habitat code sheet. Ilabitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/o temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other)k /M U a1� 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 ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both 0 Other ❑ Dredge 0 Fill ❑ Both ❑ Other ❑ From: brooks@kidsrkidscary.com subject Letter of Agent Brooks Moye Date: June 1, 2016 at 12:51 PM To Mark Clements aernen!,marineco@bellsouth.net hanks Mark Letter of agent I C have retained Mark Clements DBA. Clements Marine Construction Inc, to make application for any and all permits needed to start construction on the work requested for our property or properties. By allowing Mr. Clements to make such applications I do understand that this will in no way relieve me of any obligations to perform all work according to the building codes of North Carolina. LAMA. DWQ or any other state and or county ordinances. Print tam Si at e ' 119 - // - 5l 5 7 �i date Contact information ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to f) rflo i-S mye -, 's (Name of Oroperty Owner) property located at L (Address, Lot, Block, Road, etc.) on (,e�5 Cu .I , iny ku, I le beach N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Ow r Information) Saturre N% `l (Adjacent Property Owner Information) Signature * Print or Type Ngme Print or Type Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to m Ue, 's (Name of Oroperty Owner) property located at (Address, Lot, Block, Road, etc) on (,e�5 �A .f in 0 rNa h�ry, I (P beat.h , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) n(e►� �.e �r:1 �'►'10I �e� LCLa. S-}Ct�INGt/i Nr'1'01�h WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Ow r Information) (Adjacent Property Owner Information) Pr r.,., A A Si nature Signature ParK doetc✓1� Print or Type N me Print or Type Name e ■ 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: �Ze.becca- 4, 54ec-crviof\ 130.J Fa iC4,x ►� IIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIII 9590 9403 0737 5196 1502 05 2. Article Number (Transfer from service label) PS Form 3811, April 2015 PSN 7530-02-000-9053 ■ 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. T. Article Addressed to: A. Signature X / ❑ Agent ❑ Addressee B. Ileceived by (Printed Name) C. Date of Delivery 4e D. Is delivery addre �tf�o��qq it 1? ❑ Yes If YES, r de�Eldr� DeIoZ ❑ No 5IVI WILMINGTON, NC 3. Service Type ❑ Priority Mail Express@ ❑ Adult Signature ❑ Registered Mail- ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted Er ertified Mail® Delivery El Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery Signature Confirmation- ❑ Insured Mail ❑ Signature Confirmation ❑ Insured Mail Restricted Delivery Restricted Delivery (over $500) 3z 9 A/a �9i�s •-� $so q66a IIIIII II I'll IIIII II IIII III II IIIIIIIIIII III III 9590 9403 0737 5196 1501 82 __ _ _ rr.._....s,.- s 1.h.11 Domestic Return Receipt A. Sure _ ❑ Agent dre e 'ived by nted Name) C. Date of Del D. is delivery addr4RM@r jl#fr& item 1? ❑ Yes If YESj3"TrrVjflf "*,% (—, ❑ No SEP d 7 2016 3. Service Type Cl Priority Mail Express® ❑ Adult Signature O Registered Mail- 0 Adult Signature Restricted Delivery ❑ Registered Mail Restricted j2'Certified Mail® Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for Merchandise ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery 0Signature Confirmation— n ---. r'—fir—tin•