The URL can be used to link to this page

Home My WebLink About67937D - McCorklemmw o■e r ■ 1� Vl1�■ ■�7■�It7■■■!�!■■ ■■■R' 1�1�■■ ■1�■�IYN■�iii■ ■■■�1■ 'NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant; I ``( (CWA(-\-t, Date: 1L% 6 5P o t Permit #: L-7 10- r Describe below the HABITAT disturbances for the application. All values should match the name, and units of measureme found in your Habitat code sheet. Habitat 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/ortemp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated fii disturbance. Excludes any restoration am temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other �1 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 ❑ Other ❑ Dredge 0 Fill 0 Both 0 Other 0 ayment Proccessing Confirmation late Received I 11/23/20161 heck From (Name) Willie Clarence Richardson DBA Richardson Construction lame of Permit Holder McCorkel lendor BB&T :heck Number 6560 :heck amount $600.00 Multiple Permits Yes Major/Minor 'ermit Number/Comments GP 67937D ($200) teceipt or Refund/Reallocated SF/2844D North Carolina Qe artment� o4��R p f Environment and Natural Resources Division of Coastal management Beverly Eaves Pardue G H. .lames HHregson Governor Director flee Freeman Secretary AGENT AUTHORIZATION FORM Date: September 20th 2016 Name of Property Owner Applying for Permit: Name of Authortzed Agent for this project. Jerry McCorkle Will Richardson Owner's Mailing Address. 6825 Melody Lane Charlotte NC 26215 Phone Number 7pq 537-t3306 . Agent's Mailing Address- 3235 Sreacrest Ave SW Suppiv NC 28462 Phone Number ( 910-"7-0335 I certify that i have authorized the agent listed above to act on my behalf. for the purpose of applying for and obtaining all LAMA Permits necessary to install or construct the following (activity)_ Construction of Dockin Facili (my property located) at 123 Salisbu st Thi zficatiOn is valid thru (date) 12-16 C Property Owner Signature Date CERTIFIED 'VLAM - RETUFLN RECEIPT REQUESTED DIVISION OF COAS'TAL MANAGEMMI`t-T ADJACENT RIPARIAN PROPERTY O'9�► 4ER STATErySELIU I hereby certi:f r that I own property adjacent to 7a iw- S e-,�, k� p 'S j �- ame of Property Owner) PmPerlocated Y Z r f c c,4 on � o ] o Road, etc) N.C. r o ) _ (Town and/or County) Applicant's phone #: ' /(�') �i� 2; Mailing Ad(res Nl� ti He/She has descrbed to me as shown below the development he/she is. proposing at that location, and I have no objections to the proposal DUCRIMON A- D/OR DRAWING OF PROPOSED DEVELOPMENT: {Individual proPosing development must fill in description below or attach a site drawing) y If you have objections to what is being Proposed, you mast notify the Division of Coastal Management (D in wiitin within 10 days of receipt of this notice. Correspondence should be mulled to L7 Cardinal Drive Ezt Wilmnnngton, tYC 9 DCM representatives can also be contacted at (910) 796_7215. NO 0111003e is considered the same as no obiedion if voa have been notified by Certified Ma>i (Property Owner I�`nformation) lj \ 2y xct Signature Print or Type Name Mailing Address <- I Iv c af�y c� Lnty / State � Ln� Telephone Number Date i I—t(,—(fc> (Riparian Property Owner ,0!J=boon))) Signature Ak\�e Print or Type Name j- f / L i"ff SCL i-iY % S i C `0,,e Mailing Address e1C C �02 City /State ip Telephone Number qlq ` (qT " q 2 � 2 Date 1 fa No v ?mot& ■ Complete items 1, 2, and 3. e 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: Mrs, Gt Ck <. ' _t C)Lk M I cct TC). o?c g zto A; x B. F Ad C3 Ag Nam) C. Date of I D. Is delivery address different from item 7? O Yes If YES, enter delivery address below: 0 No � � ��I'�� '�� dultagnatwe Friaft Mail FXM ❑ Adult Signature Restricted Delivery RRegtstered Mail- 9590 9402 2021 6123 2.934 78 0 Certified Mail�e stered Mall F% ❑ Certified Mail Restricted Derive Delvery El collect on Delivery -Ivory d rnRdeceipt for 2. Arkeie Number (TMnsfer} SerVIQe labeq n Collect on Delivery Restricted Delivery b Signature Confirm. 7 01, 6 0910 o Signature Conflrm 0002 1222 7187 Restricted Delivery PS Form 3$1 1, July 2015 PSN 7530-02-000-9053 Domestic Retum Re II Reconditioned floatfng� it it dock II II II II II I) II New Aluminum Ramp I� I I II New Stationary Doc II _j I�I it TI 11 New 4ft wide Pier s I) ry dock EXI bulkhead k*,Wll II II II II In alignment with ramp „ I 2s 3ftx16ftAluminum Gangway $2,400.00 ..' .. ... c...:, ,: lock with existing pilings ------ ------------------- ----------- ----------------- 123 Salisbury 5t up Holden Beach NO