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•