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Home My WebLink About63169D - Grubb;!AMA / 1'6REDGE & FILL t 3.ENERAL PERMIT Previous permit# `- NeW Modification ❑Complete Reissue ]Partial Reissue Date previous permit issued - rized by the State of North Carolina, Department of Environment and Natural Resources . 00 Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC / FlUes attached. it Name 4h grua Project Location: County Alai t/ I{h -f • u/TL ?Yt� Street Address/ State Road/ Lot #(s) fzia 4 State ZIP Fax # ( ) Subdivision 'F16Ile-e :ed Agent y` i d n ! L)r} III City / A1i/�c h ZIP ❑ CW [jitW VK* ' k ❑ PTS Phone # ( ) - Z River/Baasi-n ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body ElPWS: ElFC: es no PNA yes /� Crit.Hab. yes / no Closest Maj. Wtr. Body F Project/ Activity fir ' ck) length +^ 1(s) ier(s) ngth mber 2/ Riprap length/ distance offshore uc distance offshore 2-1 cannel -- sic yards np r se/ Boatlift r ulldozing 3 Length not sure yes �o s: not sure yes /� f cum: n/a yes no (ge no lttached: yes ; i I. :/ix, /h,! I.'L�-/(Scale: C rl�CiaMe- ig permit may be required by: /� a(U, i-H5/�irCf��7 S •%�l/J ❑ See note on back regarding River Basin r PIPPIN MARINE CONSTRUCTION, LLC P.O. BOX 11291 WILMINGTON, NC 28404 PAY TO THE NCDENR ORDER OF ____..__- Fargo Bank, N.A. mWells North Carolina wellsfargo.com 66-21 /530 10141 3/4/2014 **400.00 Four Hundred and —---__.---._---- DOLLARS NCDENR Grubb, Figure 8 i /� AUTHORIZED SIGNATUFiE " appilicant: Permit#: 11,13 V— b escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement )und in your Habitat code sheet. ibitat Name DISTURB TYPE Choose One TOTAL 5q. Ft. (Applied for. Disturbance total includes any anticipated restoration or impacts) FINAL Sq. Ft. TOTAL FTL Feet (Anticipated final To fipated final disturbance_ Disturbanbance. Excludes any total includdes any restoration any anticipation and/or andlor temp restorationimpacttemp impactamount temp impant Dredge ❑ Fifl Both ❑ Other ❑ r t. Dredge❑ Fill O Both ❑ Other ❑ Z54-0 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 ❑ Mar. 4. 2014 9:59AM GRUBB VENTURES No. 8151 N. 3 N.C. DPASION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applyingt_4� jfor Permit: t ! A ` t4. &Drdc�n 1%Wi ag Address: G ✓U 6L 31106 o) he, S 2- 33C I certify that I have authorised (agent) T Z,OP/Y/to act on my behalf, for the purpose or applying for and obtaining all CAMA Permits necessary to install or construct (activity) �/,rf/��z at (my property located at) 3/ This cent¢cation is valid thru (date) �9h% llj� P fit Properly Owner Signature 62te Mar, 4. 2014 9:58AM GRUBB VENTURES No. U/5/ F. 1 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY //OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner. Address of Property: (Lot or Street #, Street or Road,City Agent's Name # _ /YJ ./J�/�/ Mailing Address: Agent's phone 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 aftached drawirg_the d:'na Ten they are proposing. A 46e diot'oh orzir vifirfct. ►her�sions.`m st k5e r ided' '' V Z have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCbV in writing within 10 days of receipt of this notice. Contact informadon for DCM offices is available at ww�v.nccoastalmanagemenLnet/contact dcm htm or by calling 1-888-4RCOAST_ No response is considered the same as no objection if you have been notified by Certified Mai/ WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or -groin must be set back a minimum distance of 15' from my area of riparian access unless waived by tyre ((f you wish to waive 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. (7'�ral �h � ✓v N� (�V-'iliTyv= r[t —37_06 &-(�uo�d Mailing Address n („, 1 n- 1 , (Adjacent Pro erty Owner Information `'P irrt or Type Name Mailing Address Mar. 4. )U14 9:�90 UKUH VLNIUKLS No. $!51 P CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NLLOTIFICATIONWAIVER FORM Name of Property Owner. G011 611) gj`Gc U// Address of Property_ S / (Lot or Street #, Street or Roa , City & Cou ) Agent's Name #: ,� Mailing Address- ', �. ,fix_/ ?// Agerffs phone # �/ 0,3 --�r/��19 o� "-y _29 I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing~the development they are proposing. A desarn 3ioRnr:elC4Tin iri `�i�ylt;a ail lensioi s:_must'be..;pravaeleo :wiih:u�is:Ibkk (VN_ I have ❑o objections to this proposal, I have objections to this proposal. ff you have objections to what is being proposed, you must notify the Division of Coastal Management (DCAV in writing within 10 days of receipt of this notice. Contact Infoarra?ion for pCM ones is available at www.nccoastarmanagement neVcontact dcm.htm or by calling 1-888-4RCOAST. No response is considered thesame as no olection if you have been notified by CeAtdied Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me, (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Property Owner Information) Sig9wiwee�, J /� _ J j , C-,rVV t.4N C-rVIL P�9nt ov�t.�r,rypVU$WT j C7 3-70 0 ( 4 Mailing Address (Adjacent Prvperfy OvYtRformation) Signature V W V \J v Ch ►tpdr_s 114&9w Pont or Type Name 3� n a 6 16 f+u d. L- 6 o N fiAl Ve Mailing Address ►AI',_,_.L_. C,_1_ __ A] I' 1plp9y_y11lll�F �1(11-43