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Home My WebLink About61618D - DavisC;AMA / ❑ DREDGE & FILL "EN ERAL PERM IT /� G Previous permit # New ❑Modification ❑Complete Reissue [-]Partial Reissue Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources i oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑ Rules attached. Name ttv" r5 Project Location: County �}�►S� L't� 'P(,) Street Address/ State Road/ Lot #(s) -p A 4 7 �°.V State 0 ZI P ;? f J r: w + ✓ en j r� G' . (` 1A 5q4"-'<'i,.4— Fax;# ( ) Subdivision ,d Agent � i i d '' Gr,1 Sl City "0"1 I h 0-�OL I ZIP CW E7 EW ❑ PTA [J ES ❑ PTS Phone # ( ) Ei — River Basin v ❑ OEA ElHHF ❑ IH ❑ UBA ElN/A [[ Adj. Wtr. Bod Of < 471o✓ ❑ PWS: ❑ FC: es no PNA ,yes / no Crit.Hab. yes / Closest Maj. Wtr. Body f �J/'N Oa Project/ Activity V05 7G /� r-f &441 [.�,� NSA �,r , (�-('617q �5z-x� on l <Lt, Too93E94461 H yn�� Adjacent RO TY OWNER ST Bart adjacent to I-)/ L i,..��" Of Property own sr)- (Addreas,as, Lot, B iRoad, etc. =1-1--�� tCltvlTown andtor Counq,) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposiai. DI-SGRIPTION AND/OFF DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a sdte drawing) v jq f>v1 kkrw WAIVER SE9MON 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 tvish to waive the 15' setbacl, requirement. I do not wish to waive the 15' setback requirement. (prap Owner Information) (Adjacent Property Owner Informatlon) ure Signature lip ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to an s I ! /� Name of Property Owner) property located at ��r" �Vy / 0 k-� l41Q (Address, Lot, Blo k, Road,ptc.) on J(n4`r�r/ �a, in tA/ . N.C. (Waterbody (City/Tow and/or County) The applicant has described to me, as shown below, the development proposed at the above location I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) .o (Domestic Mail Only; No Insurance Coverage Provided) Ul ro For delivery inf-�.,on visit our website at wwwusps.comL m co _ 1 Postage $ Certified Fee IT rq O p Return Receipt Fee (Endorsement Required) Postmark Here $j . 25 O Restricted Delivery Fee (Endorsement Required) O =1 Total Postage &Fees $ $4'`i r-q C3 Sent To ,� ` '3 a Sfreef, Apt. No.; p 11 �� it understand that a pier, d(� -- ___________ CityO yteNotPt4 in must be set back a minimum distance by me. (If you wish to waive the setback, y _ _ "' August r' See Reverse for Instructions I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Own Information) (Adja ent Property Owner Information) r Sq*2nature " Signature PICK 61-d ►f- SCo f+ O. Mavis Print or Type Name Print or Type Name r. A 1. 1.r.�n L 7/i ✓.L,-„ i 7// G 'S.com® - Track & Confirm nglish Customer Service USPS Mobile aK Tac!s Ship a Package rack & Confirm GET EMAIL UPDATES PRINT DETAILS YOUR LABEL NUMBER SERVICE 70101060000146083856 First -Class Mail® :heck on Another Item Vhat's your label (or receipt) number? kL cy Policy sofUse, EAR Act EEO Data, IER LISPS SITES ness Customer Gateway al Inspectors > ector General .at Explorer righKt.2013 USPS. All Rights Reserved Page 1 Register I Sign In Search USPS.com or Track Packages Send Mail Manage Your Mail Shop Business Solutions STATUS OF YOUR ITEM DATE & TIME LOCATION FEATURES Delivered April 10, 2013, 3:54 pm RALEIGH. NC 27614 Expected Delivery I April 10, 2013 Certified Mail Return Receipt Electronic Arrival at Unit April 10, 2013. 7:35 am Depart USPS Sort April 10, 2013 Facility Processed at USPS April 10, 2013, 1:40 am Origin Sort Facility Dispatched to Sort April 08, 2013, 4:07 pm Facility Acceptance April 08. 2013, 11 19 am ON USPS.COM Government Sevnces Buy Stamps & Shop > Print a Label with Postage I Customer Service Site Index , ON ABOUT.USPS.COM About USPS Home) Newsroom, Mail Service Updates > Forms & Publications Careers RALEIGH. NC 27615 RALEIGH, NC 27676 RALEIGH, NC 27676 HOLLY RIDGE. NC 28445 HOLLY RIDGE. NC 28445 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date / — % -- 9 Name of Property Owner Applying for Permit: SCo 714- 4�? �1 Mailing Address: P, �, y s ti , /,-/ C— -�''6 0 I certify that I have authorized (agent) �� .. .-ter to act on m% behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) X/ - Property Owner Signature Date 0 )WAMA / ❑ DREDGE & FILL NY 61 GENERAL PERMIT Previous permit# -48-- ANew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued —& xized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC C p nt Name ❑ Rules attached. Project Location: County U/x's 0 W s Pl) P,,vx 2—Y Street Address/ State Road/ Lot #(s) - 5 4vw State ZIP 2-tg60 b5.5 Ntw jz ✓ ri 1� 0 (1 /D� SqD S7 S' Fa�x# (�) Subdivision zed Agent ��j / � �� 6wl5r—. u City IQO✓Z In �hp�3&1 I ZIP i Cw EW PTA ` 6ES _: PTS Phone # (' ) 0River Basin v 11 OEA ❑ HHF ❑ IH _ UBA —1 N/A Adj. Wtr. Body 4✓ /fir Q-f ElPWS: ElFC: no PNA / no Crit.Hab. yes / es es'✓/►1P Closest Maj. Wtr. Body �� if Project/ Activity tAe)5 411 r L! 114'x Wad if D 1411141n- ock) length m(s) l CO V pier(s) 10 ' K_) —� ength umber ad Riprap length "/-420 vg distance offshore '$' iax distance offshore —�— :hannel ubic yards ,use/ oatlift %�Z� Bulldozing (Scale: I I'_ ■■■■■MINE � SOME ■■■■�, 1■■■■ i�I■i■ c.. s •s+ � s. IMM■■■■■■■— ®�-- mmmilim—i6i /iW �: ■■■■■INN■ -- • . ■■■■■■INNAE r1ommi ■■■■i■■■L. ■�i�. ' ■■■NINE■ ' `_�■■■■INN■■■ • ■■■N■■■M ■■R d;ft ■■■ ■■■ ■■■■■ ■■■■■■■■IN■�I■■■ �, MEN MEN ■■■■■■■NNIM■■■■■■■ il, Jason m: Dail, Jason it: Monday, April 22, 2013 10:43 AM 'bandbmarineconstruction@gmail.com' )ject: Scott Davis - CAMA General Permit ichments: File0219. PDF ached. Please take notice of the specific conditions on the permit and call me with any questions. )n Jason Dail field Representative N.C. Divi-sion of Coastal Management 127Cardinal Drive Extension Wilmington. NC2805 ".- pw PIi:(910)796.7iZI o � � � � Email:Iason.ctaitt�nc�tcttr.�ov oilxivat ccoa stall in an age m e n t.n et North Carolina Department of onment and Natural Resources ?ase note that e-mail correspondence to and from this address may be subject to the North Carolina P ords Law and may be disclosed to third parties. * icant: At ✓/--C Permit vibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement :11 in your Habitat code sheet. DISTURB TYPE at Name 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 (Applied for. Disturbance total includes any anticipated restoration or temp impacts) I FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact 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 ❑ INTERNATIONAL MONEY ORDER _ Touch the stop sign �� - ,h it fade and reappear y � +T IVA ACK BEFORE CASHING xLU ` —'Gl R / COMPRADOR, FIR �L 118kWID09 RVICE acq" AND O,jTtq Fe�1$ i`HE REVERSE 510E ju S /GIFT CERTIFICATE: RECIPIENT j i� M Qs— C1�