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Home My WebLink About63109D - DavisICAMA / OREDGE & FILL � IENERAL PERMIT ]New —Modification ❑Complete Reissue ❑Partial Reissue -ized by the State of North Carolina, Department of Environment and Natural Resources .oastal Resources Commission in anareaof environmental concern pursuant to 15A NCAC_ t Nme Lrv" "�� C 7 1�;� d r r Project Location 3CJ6_XtL >ltt-% Street Address/ State Road/ Lot #(s) I &U State N6, ZIP L�?J 7�-Z02-Ar j�VC.Pt Fj,A_L4 0)�lp 2-It 9 Fax # Subdivision F�7O A- ed Agent JJA1 FP,6-f E114 Aj1( Au'1 rS)_ City `D Lf-p Cl ZIP_ 71 CW ,NEW XZPTA ❑ ES ❑ PTS Phone # ( ) River Basin �. ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A VU) ❑ PWS: ❑ FC: yes /� PNA <1yes no Project/ Activity /` ! r�rriSTAI� :k) length (s) er(s) igth nber I/ Riprap length distance offshore K distance offsh annel I i is yards P ;e/ Boatlift i dldozing Length. S not sure yes <S not sure yes Previous permit # "y Date previous permit issued 14 f 1 oc ❑ Rules attached. County Ahi►�E/L_. `ATV Sv Adj. vvtr. Body PA IF 0 efiatm Crit.Hab. yes / rio Closest Maj. Wtr. Body S-T yM LN (Scale: ttached g permit may be required by: 'S( L(n/ ❑ See note on back regarding River Basin ri +'a'Ar. °': t` y�e*';:^ ''a!°",li'.'"`,45 Bank of America 63455 ALLIED MARINE CONTRACTORS, LLC 08-03 ACH R/T053000196 66-19/5530 NC 8754 910-367-2159 58 92 HAROLD CT. HAMPSTEAD, NC 28443 , 02o r` PAYTHE ORDER OF � " n )6- igW .n I $ 17` qq " Y1619 DOLLARS LJ MEMO 1 / C'N L / -7 iplicant: te: Z- I4 Permit #: 1 „-3) KOq ._> scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind in your Habitat code sheet. )itat 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/or temp impact amount) TOTAL Feet FINAL Feet (Applied for. (Anticipated final Disturbance disturbance. total includes Excludes any any anticipated restoration and/or restoration or temp impact temp impacts) amount 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 ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ AW NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Govemor James H. Grepon, Diredor Dee Freemah, Secretary Date 1 - I " 4,014 Name of Property Owner Applying for Permit: 0044a..o .[7AyiS �-514RRorl FOktfiS 1 - aCIS Mailing Address: Z 6 ,. - A IV ot7;4 &o c,. �R4h SD?-F C n' , !� C_ ZB I certify that I have authorized (agent) L/ra Sol I �M IN to act on m behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) ID o c-k, at (my property located at) 30c,+ YA" .�►N� This certification is valid thru (date)A-4-)k"4-__.3b' zd J Property Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOA��TLIFTBOATHOUSE) I hereby certify that I own property adjacent to ' o �^ 1 ,-,vi 3 is (Name of Property Owner) property located at o on (Waterbody) Applicant's phone #: /V, ,DC)Ga 6c,,V /n , (Lot, Block, Road, etc.) V in yr (- C, f% , N.C. (Town and/or County) Mailing Address: 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 Property Owner Information) for Permit) Mailing Address Signature s, t i H i 30� � J �ra55Ya "Tck(k. I, Jason r: Hal Fogleman [hal-amc@charter. net] t: Thursday, February 20, 2014 3:33 PM Dail, Jason ject: The rest of the Davis paperwork >n, e is the other green card from today. nks, RECEIVED DCM WILMINGTON, NC FEB 2 0 2014 ■ Complete items t, an 3. Also complete item 4 A Restricted ell is desired. 11111.9mt your name ar ad _ on the reverse ton at arecane ncart! toyou. tt this card t e k of the mailpiece. the frort if sp _ permits. Addressed to: 3v,-78 1, ❑ Agent X ecelved by ' rinfad Namey 1 c. ue�� y D. Is delivery address d ftetlt m item 1? ❑ Yes If YES, enter delivery address below: 0 No 3, ServiceTpe N Certified Mail 0 Express Mail ❑ Registered ❑ Return Receipt for Merchandise 0 Insured Mall ❑ C.O.D. 4, Restricted Delivery? (Extra Fee) ❑ Yes 2, Article Number 7012 1640 0000 1123 1458 Irrmitsfer from service label) Ps For, 3811. Febru2ry 2004 Domestic Return Receipt tc+z5e5-02-nt-1so RECEIVED DCM WILMINGTON, FEB 2 0 2014 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSIBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to �N o 3 's (Name of Property Owner) property located at ZV Z A JJ (Lot, Block, Ro , etc.) on I in�j ar G N.C. (Waterbo y) (Town and/or County) Applicant's phone Mailing Address: 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 for Permit) Mailing Address City/State/Zip Telephone Number Signature Date Owner Information) r1l Signature J Printer Type Name Telephone Number Date RECEIVED nGM WILMINGTON, NC ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ 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. (. rruc(e Haaressed to: rood _ 6 IV-" Z8g4, A. Signature 0-*Ad( B. Re ei b( rinted Nam C. Dat of[ Jl�u�ARI It D. Is delivery address different from item 1 ? Yes If YES, enter delivery address below: ❑ No 3. Service Type PK Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) 2. Article Number 72 16 4 0 (rransfer from service label) — — �' - 0000 1122 7888 PS Form 3811. February 2004 Domestic Return Receipt .S. Postal ServiceTM ERTIFIED MAIL,, RECEIPT omestic Mail Only; No Insurance Coverage Provided) Postage $ Certified Fee Return Receipt Fee Postmark )rsement Required) Here tricted Delivery Fee )rsement Required) 31 Postage & Fees I $ To t, Apt. No.; ,�[- ------------------------------------ ) Box No. P E O N ' /►j/4, z �. 6 `rc, I G hate. ZIP+4 -- -- -- -- F e 3CV, Ia 300, August 200E ❑ Yes 102595-02-W 540 CO tl�l•lll(-3-9t[HiiY Ill41/1'FIC[•1t16Yr/Y•IILH=1�fU'Lafa•I=)JL•l%Ul-i•I� Cc silvery information visit our website at WWW.Usps.coms 17- t HOLM RIDGE C = 2�5ru ru $ $.49 [ [ n443 Postage r-R '� Certified Fee $3.30 04 r-3 Return Receipt Fee $2.70 Postmark Here O(Endorsement Required) O RestrctedDeliveryFea I�I).t�� (Endorsement Required) Total Postage a Fees $ 4.49 01 /31 /2014 r-i Sent To rl ,, a R � 5 5f� G'%)o r-R C3 ---------- --------------------- ------------------------------------------------------- Street, Apt No.; �^ Q or PO Box No. l ' C! t li1 8: K i Ciry State, ZIP+4 -------------------` �---------------- PS Form :)) August 2006 See Reverse for Instructions