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Home My WebLink About63181D - MarinelliCAMA / PftFJ:?GJE & FILL 3ENERAL PERMIT Previous permit# —-- �New Modification DComplete Reissue -Partial Reissue Date previous permit issued_ irized by the State of North Carolina, Department of Environment and Natural Resources / Zoastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0,711 A' Y� M� � ! ! W ❑Rule ttached it Name /�. t-V /G / / State P Fax # ( ) :ed Agent ❑ CW 'AEW PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FQ yes PNA ' es no f Crit.Hab. yes F Project/ Activity Dic yards np ise/ Bo Project Location: County /__J � Street Address/ State Road/ Lot #(s) SubdivG!" U CiZIP z�y Phone # ( - River Basin Adj. Wtr. Body o 50-:t" Z Gam-- ' na Closest Maj. Wtr. Body oF - ■■ ■■■■■�■■ ■■■■■■■NIMMKIN■ F1 NNE moon ■■ ■■■■rA■rM11 rl ►k1 pAmrI I■■■■■Ia■'®I lil�i■NMI IBM ■■/ME■I 111110M= ��■/l"l ■��■■■E our"; ■u■■r\�®i IC %711'r� (Scale: /"' ❑ See note on back regarding River Basin r ALLIED MARINE CONTRACTORS, LLC 08-03 910-367-2159 92 HAROLD CT. HAMPSTEAD, NC 28443 PAY TO THE ORDER OF i � �t o i wy k � lI MEMO �a r•/� Q ll � v � �v J � � l Bank of America 6520 ACH R/T 053000196 66-19/530 NC 58754 $ 2bo 2 z /y W m DOLLARS a�! v� U !i Division of Coastal Mgt. habitat impact Computer Sheet plicant: �1� k� t 1 `�� I Permit #: J te: j q scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen ind in your Habitat code sheet. bitat 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 amoount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated fin, disturbance. Excludes any restoration and, temp impact amount ) [A) 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 0 Both ❑ Other ❑ APA NCDEW North Carolina Department of Envtfoment and Natural Resources Dlvh4on of Coastal Management eery Esv" Perdue Go,,wm imms H. GrsQw, Diroetor Dee F+eww Seovtan Date Name, of Prepert� Owner Apphing for Permit: _--------- MaWng Address: -- 1 certih that 1 have authorized (agent) _1__0 ,...__ s1 !_�,4u3V, to Oct on my behalf, for the purpose of apphing for and obtaining all O AMA Permits necessary to install or construct (activity) at (m% proptrto located al) This certification Is valid thru (date) 6/11tl._j� 1r) 1q PropeM Owner Signature Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 14,0 f �Z e is (Name of Property Owner) property located at 1371 6 G ✓� (Lot, Block, etc.) on �ll�x c,Q Greece , in 17� , N.C. (Waterbody) own and/or County) #.C/ Aaa 11:e Applicant's phone #: f/0 3(P 7 Z l59 Mailing Address: 9 2 ff v 1(d Ct .vie �{�i.►/�s fc��, A)c. 284%(3 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) p6r\s are- OCcrt_P�C-b�e as lclrv� aS ► S ' , 5 Ma, r\'�% nC4 (Information for Property Owner Applying for Permit) fL �alaP Gf Mailing Address (Riparian P perty Owner Information) X Signature 9CEtV� Um7e �e MAR 7 u /J14 PENEW E N' ."," oeFT. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to Al a r u e s 'Name of Property Owner) property located at 137�� ►' / T _ Address, Lot, Block, Road, etc.) l &PS4, � C(Pe rC in -_ N C. on _. _ (Waterbody) (Fepsei4 Bed , Ponder County) He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, I have no objections to his proposal (APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) alete items 1, 2, and 3. Also complete t if Restricted Delivery is desired. your name and address on the reverse it we can return the card to you. h this card to the back of the mailpiece, the front if space permits. Addressed to: SI nature Print or Type Name Telpihonp NitmKor A Sin ;re ❑ Agent ❑ Addresses B. Re delved by (Printed Name C. Date of Delivery D. is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: C7 No e h12 t I,- rr124 r l G�VEmp e �6 AW Ica MAR ? ~- -A4 NFht n r - : mF '" DBPY, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT FOR CAMA MINOR PERMITS I hereby certify that I own property adjacent to �Ia i Q ,117Ao,i It s 1 / (Name of Property Owner) property located at 151 or �5 ICE/ V KEY Address, Lot, Block, Road, etc.) on ( cpia, I Cin N C. (Waterbody) Pender County) He has described to me as shown in the attached application and project drawing(s), the development he is proposing at that location, and, i have no objections to his proposal (APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED) iplete items 1, 2, and 3. Also complete i 4 if Restricted Delivery is desired. t your name and address on the reverse hat we can return the card to you. & this card to the back of the mailpiece, �n the front if space permits. ;le Addressed to: A. St nature Print or Type Name M9 -6l7 - TelenhnnA Nirmhor ❑ Agent B./Received by ( Printed Name I C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No l eKR t 1' G i Cd'r.IW�s RECEIV COv�p� � "M MAR - 2014 ----- PWWM. DRPT. o .. M1 tta N- rn ru vreeM i A 02 CnNRM rae ` 1 Ratan R�Ce' i 0 (ErIX'r>enuM hp 're�i' SZ.%� Nx� �_---__ C3 Re.bletetl o.+..r, FM ; sn.00 C— rmairo.mp.& F-. $ f6.44 i 03/24/2014 ri .......... Postal Setvi( TIFIFD LU -4-7110.4 REOLOM Colrn PNNMPUVWWDVT. 'iAL U C,-- m I L- ru XF r-I rq C3 im 13 00 03/24/2014 -NIV �Q- ni C3 rZ or--- jg cm: Nc q 3 A 5 ft n� 2le v.2 xa2 psoeo'd 1 1 1 I 1 I ■ 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. I. Article Addressed to: �,1 L ct .I '1 L Ca q (a,,-C -, l q (q Co-e--,e7 l ,rr7 Svc 2&yif3 A. Signature X �' ❑ Agent f ❑ Addressee B. Receive by (Printed Name) C. Date of Delivery D. Is delivery address di rent from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type 4Q Certified Mail® ❑ Priority Mail Express- 0 Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ Collect on Delivery 4. Restricted Delivery? (Extra Fee) ❑ Yes 'G. Article Number (Transfer from servfce label) 7012 1640 0 0 0 0 1123 7 8 7 0 PS Form 3811, July 2013 Domestic Return Receipt U.S. Postal Service,r., U.S. Postal ServiceTM CERTIFIED MAILT., RECEIPT CERTIFIED MAILTM RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) (Domestic Mail Only; No Insurance Coverage Pr For delivery inforrrat!r-r •; ; At our website at www.usps.com® For delivt+r r inftxmPt±or visit our website at www.usps n M Certified Fee O Return Receipt Fee O (Endorsement Required) 0 Restricted Delivery Fee M (Endorsement Required) -3- , �4 ! M I)6 r—1 Postmark Here 02/25/2014 —0 Total Postage & Fees $ ru Sent To f%lI Fast, /y ruiS'e5 of Wt le— L`c. O Street, Apt No.; -- -------- - r,— or PO Box No. 1 qj (OaA 1!Y y G I,b Ciry, State, zip, I w c rYi r PS For 3800, August ,e.See Reverse for Instructions Postage I 4 J� Ilb 0 Certified Fee Return Receipt Fee t2.70Post E3(Endorsement Required) He Restricted Delivery Fee E3 (Endorsement Required) - 02/25/20 —D Total Postage & Fees $ ,a ru Sent To e• O Street, Apt. No.; ---------- q--------- ►� or PO Box No. 1�t' L LO: G✓!) e lr - - City, State, ZIP+4 - -- ------- PS Form 3800, August 2006 See Reverse.