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Home My WebLink About67250D - OceanCAMA / DREDGE & FILL ✓ '2 ' (, f `��fl A B 'ENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued irized by the State of North Carolina, Department of Environment and Natural Resources �j r ��rr LLB Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 42 A4 . 1 `.D ( ❑ Rules attached. it Name I i� t Project Location: County jmy- 'L -Q C )lA N Street Address/ State Road/ Lot #(s`) i f q Statez*' -e � `) i. Gl JSJ�AA V (! J -uE-Mail __ — Subdivision J Eed Agent ---"`"_- City (A06Lti�l -S �( T ZIP ❑ CW EW XPTA ❑ ES ❑ PTS Phone # () ver Basin ��vV ❑ OEA 1❑c HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body r(( in (nat / ❑ PWS: yes / no PNA yes // 0 Closest Maj. Wtr. Body ,f Project/ Activity fVt )ck) length_ latform(s) : Platform(s) angth / ember id/ Riprap length rg distance offshore iax distance offshore t:hannel 4 V ( Z ibicyards CV 1 mp use/ Boatlik ti ne Length not sure yes �n rium: n/a yes yes AN Attached: yes ^ i` (Scale: 1 ling permit may be required by: Town 66w\U Cf . ❑ See note on back regarding River Basin i Local Planning jurisdiction) i 11 1 i' 1 i 1 � _i ! _ / SOUTH BRUNSWICK 1587 SEASIDE RD SW OCEAN ISLE BEACH NC 28469-1029 3669930470 01e23/2017 (800)275-8777 12:14 PM ---------------- ------------------------------- Product t Sale Final Description Qty Price First -Class 1 $1.19 Mail Large Envelope (Domestic) (RALEIGH, NC 27699) (Weight:0 Lb 1.10 Oz) (Expected Delivery Day) (Wednesday 01/25/2017) Certified 1 $3.35 (a®USPS Certified Mail #) (70150920000076069266) Return 1 $2.75 Receipt (@9USPS Return Receipt #) (9590940213645285766665) First -Class 1 $1.19 Mail Large Envelope (Domestic) (OCEAN ISLE BEACH, NC 28469) (Weight:0 Lb 1.10 Oz) (Expected Delivery Day) (Wednesday 01/25/2017) Certified 1 $3.35 F (0USPS Certified Mail #) 150920000076069372) turn. 1 $2.75 Receipt (INUSPS Return Receipt #) (9690940213645285766719) Total $14.58 Credit Card Remitd $14.58 (Card Name:VISA) (Account #:XXXXXXXXXXXX1577) (Approval #:41993G) Postal CERTIFIED o RECEIPT Domestic Mail Only FU Er -0 i< ; o D PosaFee Certified Retum Receipt Postmark (Endorsement RequiHere Restricted Delivery (Endorsement Requiru I r Total Postage & F01 /23/2I 11. Sent To o sireei a ifpi n ----- - or POaoxNo."...L_?L.d.[._�j�Q__�5 Crty re, z _ nU r- m D-- U.S. Postal Service. CERTIFIED MAIL° RECEIPT Domestic Mail Only NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: O C 'ar\ Permit #: Date: /(v h p 11 Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet Habitat Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or tempimpacts) FINAL Sq. Ft. (Anticipated final disturbance. Exdudes any restoration and(or temp . impact amount TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or tempimpacts . FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount S DredgeX Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ 'Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge[] Fill ❑ Both ❑ Other ❑ Dredge ❑ Fiil ❑ 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 0 ■ 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: A)CVV i�C ) �2L) Moll Sn-o A. Signature N X ❑ Agent ❑ Addressee N B. Received by (Printed Name) C. Date of Delivery O D. delivery Ke t bleRy ❑ YesYES. en er e i o ❑ No JAN 2 6 2017 IIIIIIIII IIII I'IIIIIIII III (IIII I II I II II� I 3. SAnAce TVW I JCf'tVll,,t C.:13fti0�Yl�ail ExptessCN ❑ Adult Signature =Tmmm ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted ❑ Certified Mail@ Delivery 9590 9402 1364 5285 7666 65 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise e rrinln nh,m V,n. T nefn� f�nm mniiro hhelt ❑ Collect on Delivery Restricted Delivery Signature Confirmation*"' 2. _ ❑ Signature Confirmation 7015 0920 0000 7606 9266 restricted Delivery Restricted Delivery PS Form 3811, July 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: (�Ce�1 �s�C ectcS�,,ti� Zj�y� i CU v 7 c m A. Sign a ❑Agent V / ❑ Addressee Re a by (Printed N Date of Delivery D. isdelivery address different from i em ? ❑ Yes 77 If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Express@ ❑ Adult Signature ❑ Registered MailTM II I I I II III II I I II III I I I I I I II I I ❑ Adult Signature Restricted Delivery Mail Restricted ❑ Restricted ❑ Certified Mail@ Delivery 9590 9402 1364 5285 7667 19 Certified Mail Restricted Delivery ❑ Return Receipt for Merchandise 9372 ❑ Collect on Delivery m r-11-- -- ^-"iry Restricted Delivery El Signature Confirmation- ❑ Signature Confirmation 2. Article Number (Transfer from servira /ahall 7 015 0920 a 0 0 0 7606 e tricted Delivery ver Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt CTI 0 Cri CTI ffl O O O CD v � N (_J1 O fn Ti w On cr o' 0 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to 's / r- ) _ (Name of Propertyowner) roperty located at U - G� c �� •. zze (eMfwz,J (Ad ess, Lot Block, Road, etc.) n �., I n F- - 4-hc :7'e LL) , in D_[ e,.,l L s k Bee c h N.C. (Waterbody) (City/Town and/or County) has described to me, as shown below, the development proposed at the above locatior I have no objection to this proposal. 1 have objections to this proposal. DESCRIPTION AND/OR DRAINING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) S e"e- aAle--t-c/ ed s l -k' Aructi 1' i WAIVER SECTION 1 understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to wai 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 Owner Information) (Adjacent Prope Owner Information) 1C wc. Signature J Signaty l r 7Cfkn X'k i"aInn iI."rEf. I � 64, 8 1+ IIrLG1M�1 Pri t or Type Nab7e ((�� Print or Type In,, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to OCea,- > 's //.�._ _ (Name of Property weer) property located at C�y - /�'c ea -'I -7-S ti- aea C'h 6) C et -A^ 77;Le (eynow-,cJ (Adcfress, Lot, Block, Road, etc. on C arm 1 n F1 4-kw- rc Lu in bl' e&4 i s k Reg c h , N.C. (Waterbody) (City/Town and/p.[.Court ---- The applicant has described to me, as shown below, the development AV�1— I have no objection to this proposal. I have objections to this proposal. my at the above Ipc t 6 .cull DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawring, S 6- a' �Ie c►Cd WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set ba minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to w 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 Owner Information) (Adjacent Property Owner Information) Signature p --:K1gURtuWe /f 0C£�in /� f +Si+in.. i�Q�l�i�. i �t b pvy-14 14iC,1gn11� till�� ! ) A P Print or Type N e Print or Type Name 'KI9f �l� �60t- -- So ---� 2� Z' #Z' I � Are«. 4o the \-i\k"c e 6v e4 y Ao I� 3yI.GG is yarAs a 10. �v /lqe�S Vb LIME +o 1p !Q r tic �o rna� 10 desired deP S ) '70 . L XISTlAij lac /v►A2s,q u)