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Home My WebLink About65042D - Pleasants• . - . . . �ii�rl��iii��iiil i ■■i'��■��■n0i■ ■EMNONMEMEMMEN ii InEEME■ES■■iii■ s ■�■iiaii■■®ii� ai ii i�ii■�i■iii■ ■i■.iii■■m■■■mili■mmo MEMN■■■■ • If�i� ■■■■■■■■■■■■.■ ■■■■■■ ■■�■■ME■■■■■■ ■ ■■ 2A R-26161 Allied Marine Contractors LLC I Riley Pleasants IB of A 18265 NC Division of Coastal Mgt. Habitat impact Computer Sheet Applicant: �% �L �i� S�/✓%S Date: 2 /�-� 16 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 FII (Applied for. (Anticipated final (Applied for. (Ai DISTURB TYPE Disturbance total disturbance. Disturbance dis Habitat Name Choose One includes any Excludes any total includes Ex anticipated restoration any anticipated re: restoration or and/or temp restoration or ter temp impacts) impact amount) ternim acts arr Dredge ❑ Fill ❑ Both ❑ Othe Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑- Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ALIWKWAA RCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date �2' 16 . l 6 Name of Property Owner Applying for Permit: Mailing Address: - S_0 �020 U2 I certify that I have authorized (agent) HA. to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) f at (my property located at) Q ( V-6 This certification is valid thru (date) %.)- -3 1 16o, ;��' 'e ( - r�'l _'D% p %. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSB�OATLIFTBOATHOUSE) j I hereby certify that I own property adjacent to h 1-toy PI&4,ya,V6 is Name of Property Owner) property located at 308 G W. Ql J- (Lot, Block, Road, etc.) on / LDS �a✓� , in N.C. (Waterbody) (Town and/or County) Applicant's phone #: Text Mailing Address: 35y N /l(k-lf 5'-bi44 CF. Raley �t !U� �,2 7 He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive I do wish to waive that setback requirement. ------------------------------------------------------------------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) ------------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Prope Owner Information) for Permit) a� Mailing Address V n/1 11 - / t )„--t--. Signature ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to (r(e I l eara 's (Nam of Property Owner) property located at C ! �� ¢'�� 04-Z CC (Lot, Block, Road, etc.) on Y 7a✓n� , in 7E e,5a('1 L-k— , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Text Mailing Address: dqr �i//►%�i✓ Gt. l�cle��G►,�� a7Co�i He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive do wish to waive that setback requirement. -------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) S ee AlffaC- � ------------------------------------------------------------------------------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) Mailing Address U Signature fJy�y � /�, Is 91-Y9 ■ 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, A. Signature X ❑ Agent ❑ Addressee B. Received by Printed Name) C. Date of Delivery or on the front if space permits. L„yv ri— 2 / —/'C' 1. Article Addressed to: D. Is delivery address differ from item 1? ❑ Yes ia 5 ,B�n�y .r. E! ' T. i If,YES, enter delivery dress below: [3 No 2 5 s e- r 5 H7 << 4JO - M 0 1. vY / ArC Z3 3 6 4 3. Service Type ❑ Priority Mail. Express® II I I III III II I I I I I I III II I I II II I IIIII I I O Adult Signature ❑ Registered MaitTM ❑ Adult Signature Restricted Delivery O Registered Mail Restricted 9590 9403 0737 5196 1416 85 ArCertified Mails Delivery ❑ Certified Mail Restricted Delivery ❑ Return Recelpt for ❑ Collect on Delivery Merchandise 2 A,+W. no,. k— — —i— 1-k-A n r,"-- Delivery Restricted Delivery0 Signature Confirmation" 7 015 1730 0002 1685 8244 I I Restricted Delivery CJ Signature Confirmation Restricted Delivery r PS Form 3811, April 2015 PSN 7530-02-000-9053 Domestic Return Receipt ■ 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: zi s �eJO-1, �- ,K C r I ,Afc. 2 Z ,s t$ A. Signature B. by P inted Name) ✓ C. D AWN' 2 D. Is delivery address different from item 1? If YES, enter delivery address below: ❑ Agent ❑ Addressee ate of Delivery U Yes ❑ No II I I I II IIII II I I I I I II I I II II II IIII 13. Service Type o Priority Mail Express® ❑ Adult Signature ❑Registered MaiIT^" ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted Ad'Certifieri M.HR Delivery