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Home My WebLink About65149D - EPCCAIVIA / ❑❑ DREDGE & FILL iENERAL PERMIT Previous permit # New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources „71-4 , 1 Zo v Dastal Resources Commission in an area of environmental concern pursuant to I SA NCAC � El Rules attached. Name �k�G iric� c'a INoss �L+� L-L-C Project Location: County V-2*' Lj- a `T 0 LA izc-S 6Qf eVL - ty j Street Address/ State Road/ Lot #(s) � E� LL. -: V 0 G: State \NA ZIP 9 k C) 0 S Lfrs- 0 % W 601re o p12 (910 )'l rl - 12 /r !� Fax # (-) Subdivision id Agent �{.1 �= iV�t t< 11 -- 4{ MNV\1 t1ZtiCi, �j City 0 t 5 E. irli%� ZIP k ❑ CW [1IW [}PTA efS ❑ PTS f Phone # ( ) River Basin Lv �";l ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body 12)S'M-k2P C f 1w hV Mom- nat /n 1-1PWS: ElFC: ,es /6 PNA yes Crit.Hab. yes / no Closest Maj. Wtr. Body I W Imo/ Project/ Activity Q v � ionurh 7C' x 1„ G (Scale: I��ia!1'JJfi'�1�17�11'�■■■ illiilir ■■n■ ■�..;'lNN�Cli!,r.R� �i�■■■■■■ • E ■■■■ ■■■■liliililiiiiiiirr�Y�Y■■■ ■■■■■■Ii\ . ■�■■■■■■■■■�■■■■■■■■■■■■■■■�■■■■■■M ber ■�ii■■i■i■■�■�■■■■■ii�■■■ ■■■■■' 'Riprap length ��■��ill�iil�i��■V'lWG►T',�7�L�r■�■� iistance offshore ■�■■■■E■■■■M1►1L ■►1 __.. wra". !M'�1/ ,1, !'!7■■■� ■�■■■■■■■■■■i►._�i.`ii ■■■■■�!l�i�'�ii0Ml"ii■■■■■ nnel MEMO MEN ■NIlli;l��IsNEIMMIS yards■■■ rrr-- ..� VBoatlift Ar.■■■�Ai■■■n1■■1■I■!1■■�r�■■=■■■I■rv■■■vmw ■■!!►■■■■ciai■i■!i■■■■■■■■wri■I■c:��ii .dozing■ ■■iJ■■■■■■1■1■!1■■■■■■a►�%■M�1i1lll9iii�■ ■��■■■■■■■■■■1II■11■■■■1�1�1■■■■■ M�i�IGiliiWl■I�iY • ■■■■■■■■N!!I■!li■■■�■■■■■■■■�■tie■■'� Length iii�ii�ii■■■■��■�i 'ii■ii■iiii � ImEr not sure yes (io M■■■■■■I■■■M■■■■■1■■i,m■■■■�.I��■■�■i�u. ■_T_'.'cli'r�L�■■ I■■■ii■■i■i■ I■1•:3�i..+19■■■� not sure yes®It■�11R.!,I■■■■■■■■■■■11r.1`7�i■■■Y�iilr%A■■■ .n: n/a yes MI. 1111"i milli wo WOMEN WMAIM yes M 00.1 goo ,--ched: yes permit may be required by: ^OAA -e (S L ❑ See note on back regarding River Basin rut 5/29/2015 Forest by the Sea HOA Inc same B of A Wells Fargo Bank 10676 $100.00 renewal fee, 1 5/29/2015 Mark Armstrong _ same 1070 $100.00 renewal fee, 5/29/2015 Allied Marine Contractors, LLC EPC Holdings 846 I-L-C B of A 2005 $400.00 GP 65149D James McGhee GP 63278D (� NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant; L--L_ ( Permit #: (0 S I `f eq Date: Describe belowthe HABITAT disturbances for the application._ All italues.bould match_the_name, and units of_measmrement found in your Habitat code sheet. Habitat Name TOTAL Sq. Ft. (Applied for. DISTURB TYPE Disturbance total Choose One 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/or temp impact amount L Dredge ❑ Fill ❑ Both ❑ Other ET � ?J W Dredge [I Fill [I Both El *Other 3 37 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 [I Other [IDredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ (CHANGE CORPORATION mber ry Vonprofit Inactive if Incorporation ng Date :ion Date e Date )n !red Agent Information flame s Address Information S ing Persons !nt,Secretary,Treasurer,Chairman 602437460 REG Profit Active WA 10/14/2004 10/31 /2015 Perpetual MARY FOSTER 40 LAKE BELLEVUE DR STE 275 BELLEVUE WA 98005 Name FOSTER, MARY esident KING, KAREN Address 1425 E BOSTON STREET SEATTLE , WA 98112 14111 REINER ROAD MONROE , WA 98272 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: GG& Mailing Address: �0 b, &6uez RA Na I certify that I have authorized (agent) 4&ed A —x, to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) - at (my property located at) � 3,96�— This certification is valid thru (date) / &I Date its, Heather n: Randy <captrandym@yahoo.com> t: Friday, May 29, 2015 2:14 PM Coats, Heather ject: Fwd: Cama form from my Whone in forwarded message: From: John Magee <jma ee ,Capel.net> Date: May 19, 2015 at 6:31:29 PM EDT To: Randy <captrand ayahoo.com> Cc: Marlene Albright <MAlbrightLaCapel.net> Subject: RE: Cama form Randy - In reading the form, I see that no response is the same as no objection if the owner has been notified by certified mail. Accordingly, we will simply not respond. That shold meet your needs perfectly well. If not please so advise Thanks John Magee for the Capel family -----Original Message ----- From: Randy [maiIto: captrandymwahoo.com] Sent: Tuesday, May 19, 2015 12:24 PM To: John Magee Subject: Cama form Thanks, Randy Scanned with TurboScan. P✓9 VJCSi 6P-vL 4Y CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: %G Address of Property: LAG (Lot or Street #, Street or Road, City & County) Agent's Name /l%a� �on�ja iS Agent's phone 0?ka-a5_�� Mailing Address: p � I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing_the development they are proposing. A description or drawing with dimensions must be provided with this letter. have no objections to this proposal. I have objections to this proposal. —Z If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.) do wish to waive the 15' setback requirement. ,,/ I do not wish to waive the 15' setback requirement. (P erty O ner Information) Si n u e ir� P 'nt or Typelvame Po toy Sit (Riparian Property Owner Information) A)5�, ;;�,v� - U Signature *Vona (MoAcc n l vvi Print or Type Afame ete items 1, 2, and 3. Also complete if Restricted Delivery is desired. our name and address on the reverse we can return the card to you. this card to the back of the mailpiece, he front if space permits. addressed to: A. Signature X ( a ❑ Agent 1 i—� Addressee B. Received by (Printed Name) E. to o1Delive D. Is delivery address different from item 1? ❑Yes If YES, enter delivery:address below: ❑ No 3. Service Type gf-Certified Mail® ❑ Priority Mail Express- 0 Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes Number ,r from service label) 7 014 0 510 0001 9113 0 8 6 3 3811, July 2013 Domestic Return Receipt )fete items 1, 2, and 3. Also complete i. if Restricted Delivery is desired. your name and address on the reverse it we can return the card to you. n this card to the back of the mailpiece, the front if space permits. Addressed to: ,Q L� A. Signature ❑ Agent X ❑ Addressee B. Received by (Printed Name) C.�¢ of �i�Y, D. Is delivery address different from Item IF u Tx; If YES, enter delivery address below: ❑ No 3. Sery eType CPaits Certified Mail° ❑ Priority Mail Express- 0 Registered ❑ Return Receipt for Merchandise M H C DO ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes Tyler Crumblev :Number 7014 0510 0001 9113 0870 ;fer from service labeq - - L P O 13811, July 2013 Domestic Return Receipt DW Review C C C C Owner_ ato"C v' ,