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Home My WebLink About68513D - GroatLetter of agent I Katherine Groat 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, CAMA, DWQ or any other state and or county ordinances. Katherine Groat ri t n zne Signature 910-398-4863; katemQroatOgmail.com date 6/1/2017 Contact information From: Hal King Subject: CAMA request Date: Sep 2, 2017, 10:58:04 AM T. clementsmarineco(@bellsouth.net Is this sufficient? Or should I mail hard copy? Hal King ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to �� (( (Name of Property /Owner) Property located at )�{- U�rin>7�,� �r k) (Lot, Block, Road, etc.) �— on - in _—KZ_ 1'1I P�---- -- N.C. (Waterbody) (Town and/or County) Applicant's phone#: glt7b7Qgd)657 � Mailing Address: 11Z C)r �a t7/ He has described to me, as shown below, the development he is proposing at that location, and. I have no obiections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet 0 5') from my area of riparian access unless waived by me. Of you wish to waive the setback, ,you must initial the appropriate blank below.) Ov— 1 do not wish to waive 1 do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be_illed in by individual proposing developn:en/) ,fee A6a01u.4� ---------------------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) ■ 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 rticAddressed to. A Signa e X ❑ Agent ❑ Addressee B. Received by (Printed C. ate of Delivery D. Is delivery address different from 1? ❑ Yes If YES, enter delivery address below: ❑ No Il I'III'I I'll I'I I IIII'�I' IIII Ill'lI I l l l Ii I III 3. Service Type ❑ Adult Signature ❑ Priority Mail Express® ❑ Registered MaIITM 9590 9402 2377 6249 9969 07 ❑ Adult Signature Restricted Delivery Certified Mails ❑ RegIZad Mail Restricted 2. Article Number (Transfer from servlCe labeq 0 ❑ Certified Mail Restricted DeBvery ❑ Retum Receipt for ❑ Collect on Delivery Merchandise R:ru ❑ Collect on Delivery Restricted Delivery ❑ Signature confirmation- 7016 2.710 0001 0137 7203 nsured Mail nsured Mail Restricted Delivery ❑ Signature Confirmation Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 over $500) Domestic Return Receipt I U.S. Postal Service'"" CERTIFIED MAIL° RECEIPT Domestic Mail Only For delivery in visit our website at www.usps.come. MUM *11111111111111mi -Liam m Certified Mail Fee 1i�.3 ct i t443 r-i $ c (12 C3 Extra Services & Fees (cneck box, add fee VIJ . fq�jate) 7rJ� 1 �� t ❑ Return Receipt (herd $ Return Receipt WeWe oni0) s �,1. t it t Postmark 0 ❑Certified Mail Restricted Delivery $ fir--— Hera 0 Adult Signature Required— I3 Aduk signature Restricted Delivery $ -- O Postage $[I.49 � $ 08/29/2017 rU Total Postage and;ega t: 9 6 $ ..a � Sent To /' � ��----- --- e'�----------------------------- C $rlBBI a dApt. No., PO Box o. tuOeAlti �,' ---------------- - 7 3PS Tracking® Results -king Number: 70162710000101377210 USPS.com® - USPS Tracking® Results Track Another Package FAQs > (http://faq.usps.com/?articleld Delivered ated Delivery Day: Friday, September 1, 2017 IQ )duct & Tracking Information al Product: Features: Class MailO Certified Mail'" See tracking for related item: 9590940223776249996754 (/go/TrackConfirmAction? tLabels=9590940223776249996754) RE See Available DATE 8 TIME STATUS OF ITEM LOCATION )ptember 1, 2017, 1:44 pm Delivered, Front Desk/Reception WRIGHTSVILLE BEACH, NC 28480 AIIIII Your item was delivered to the front desk or reception area at 1:44 pm on September 1, 2017 in WRIGHTSVILLE BEACH, NC 28480, )ptember 1, 2017, 9:17 am Out for Delivery WRIGHTSVILLE BEACH, INC 28480 )ptember 1, 2017, 9:07 am Sorting Complete WRIGHTSVILLE BEACH, NC 28480 )ptember 1, 2017, 8:36 am Arrived at Unit WRIGHTSVILLE BEACH, NC 28480 See Moi ailable Actions mt Updates mail Updates � � I sr I NUJ Yxzo' 1 V IIP e I � r , —P, eO N(tV St' Q-1 h $'reJ-I-ri c�nc UiNgI VOW � Meo � �IArotd �1tf)q c.hAntt n e, I�Oc Z��aJ _Pro 1�a5�.� IJeI) Y, r 9 zl leo-A w A� .• 1 if i A 1 NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: # (V" V Date: 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 FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) ternimpacts) amount Dredge ❑ Fill ❑ Both ❑ Other I v V v Dredge ❑ Fill ❑ Both ❑ Other I I 0 Dredge ❑ Fill 9Both ❑ Other ❑ LH Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑