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Home My WebLink About61612D - Haley"CAMA / DREDGE & FILL EN ERAL PERMIT j p Previous permit # New Modification - Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC UY1r Y I i� L j P L Rules attached. t Name E Project Location: County "i - u (_ '�' ►'�� { `'��4 Ci (.� taW l `•d4 Street Address/ State Road/ Lot #(s) __-_-- State N(. ZIPZ-4 ...,°' r Fax # (�) Subdivision zed Agent i ��(y/1 �-, . Ci�AV E: >� ZIP_ 2-811 CW EW PTA ;ES `PTS P ) 9 4t River Basin I! r Y C OEA HHF ❑ IH ❑ UBA I N/A Adj. Wtr. Bod(nati C PWS: FC: � yes / no PNA yes no Crit.Hab. yes •, no ��i1 Closest Maj. Wtr. Body T�� ,V :)f Project/ Activity lock) length X ! •m(s) length lumber :ad/ Riprap length vg distance offshore iax distance offshore channel ubic yards imp >use/ Boatlift ByUdozin ne Length not sure yes no igs: not sure yes no >rium: n/a yes no • yes no Attached: yes no ling permit may be requirec (Scale:' �� N�DENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Eaves Perdue Braxton C. Davis )r Director AGENT AUTHORIZATION FORM Date: Property Owner Applying for Permit: Mailing Address: (n n)2.. umber(33&i�'--(r,'� Dee Name of Authorized Agent for this project: 00'oe-, C--LUPaS Agent's Mailing Address: YPiT'1: a _ C ► V C j V Phone Number ( i L iat I have authorized the agent listed above to act on my behalf, for the purpose of applying btaining all LAMA Permits necessary to install or construct the following (activity): ,-iL V'a `GC 2, 6C r t�I!_r)rl. .P, G!`Ct iroperty located at %�_��,� ;- ��-r�F-t-i G., Ix 9,,-cj4. fication is valid thru (date) t Property Owner Si ure Date OUJ rRA7- t� V-o xa oieQ r -- !aX y CERTIFIED MAIL - RETURN RECEIPT R.EQLESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STA'TENIENT Property Owner C—.c'�----- of Property; T (Lot or Street 9, Street or Road, City & Country) is phone #: ��` � - �t% _�,J�0 Mailing Address: ��y ��y (-�4r - bk�^S-)Ia H t40 certify that I own property adjacent to the above referenced property. The individual applying for this per -ibed to me as shown on the attached drawing the development they are proposing. A description of drawl ens .ons. must be provided with this letter. I have no objections to this proposal. 1 have objections to this proposal. ave objections to what is being proposed, you must notify the Division of Coastal Management (DCf ig within 14 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive E ,ton, NC 28405-3845. DCM1 representatives can also be contacted at (910) 796-7215. No response is ,ed the same as no obiection if you have been notified by Certifier) Mail WAIVER SECTION and that a pier, dock, mooring pilings, breakwater, boathouse,. or lift most be set back a minimum distance my area of riparian access unless waived by me. (If you wish to waive the setback; you roust initial the ate blank -below.) I do wish to waive the 15' set back requirement. I do not wish to waive the 15' set back requirement ty Owner Information) e �-�- Type blame Address X(Rian Pro erty €3 ner nfor ation) Print or Type Nacne Mailing Address M. how �plicant ID�4 � l ate: w \. Permit #: I n 1 6 1 1 f3 scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind in your Habitat code sheet. Atat 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 (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other cp 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 ❑ i;t; rrrK BWLT INC. CAROLYN AVE ILLOTTE, NC 28470 512-3946 First Bank Shallotte, NC 26470 66-468/631 5/2/2013 **200.00 002634 10/100******DOLLARS ■ 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. 1. Article Addressed to: Erma B. Pinkston 1880 Brookwood Ave 4504 Buffington, NC 27215 A. Signature X ❑ Agent I GALkl?_ ❑ Addressee B. eceiv d by (Printed Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Ser4Ze Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7 010 3090 0001 1222 6138 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595.02-M-IW Postal Service,, RTIFIED MAIL,., RECEIPT estic Mail Only; No Insurance Coverage Provided) j Postage $ Certified Fee Postmark stum Receipt Fee Here cement Required) cted Delivery Fee sement Required) Postage & Fees J1 e Erma B. Pinkston e � 1880 Brookwood Ave #504 Bullington, NC 27215 ■ -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. Postal CERTIFIED MAIL� RECEIPT 7 (Domestic rq ...D IU fU Postage $ rq Certified Fee r_3 O Return Receipt Fee (Endorsement Required) Postmark Here O Restricted Delivery Fee 0 (Endorsement Required) C3 Total Postage & Fees M C3 Sent To -- — John F. Munroe, Jr. _ r- �, ........... :t, or PO Box N c/o John F. Munroe Sr. city sisie,"� P. O. Box 667 Whiteville, NC 28472 ❑ Agent &<m— 11 ❑ Addressee ( Prnted Na(ne) C., Date of Delivery