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Home My WebLink About61517D - McRorie❑1DAMA / ❑ DREDGE & FILL nn GENERAL PERMIT / V� QNew ❑Modification ❑Complete Reissue ❑Partial Reissue orized 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_ nt Name ' KOyr F VqV �.(5 t j� t �' � (4 All Project Location r Previous permit # Date previous permit issued County s I L t:f.(r, &I t rAi a U A IU LL�y£ Street Address/ State Road/ Lot #(s) "'t^ V 1 i" State N L, ZIP/-Y /—) kP 1 ik 'v f F !- Rules attached. # (�% )- ; (C - Fax # ( ) Subdivision r' Al ized Agent 'v ✓k l 7Gi(. J City r f �i t� ( ZIP Ag �, ( 1 �.....�,' '� s c .f , Ci is (.lv� 1 CW Q EW , PTA El ES PTS Phone # ( j ( River Basin d ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ; ❑ PWS: ❑FC: �( ' Adj. Wtr. Body Ike►`! U 1I A F,V k. (nat yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body I A Project/ Activity : , i ock) len h, k m(s) X G V pier(s) 'ength umber ad/ Riprap length vg distance offshore iax distance offshore :hannel ubic yards imp ruse/ Boatlift Bulldozing ne Length , 100 not sure yes no gs: not sure yes no mum: ', n/a ye5s� no ye/ Attached: yes no ling permit may be r (Scale: �/ A4A NCDEN North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue ` Braxton C. Davis Governor Director Dee Freem� Secreta AGENT AUTHORIZATION FORM Date: dam e of Property, } Owner Applying for Permit . Name of Authorized Agent for this project: )wnees Mailing Address: 'hone Number Qc ?06 Agent's Mailing Address: Phone Number (33U�) 34�r-Z?7 fv certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying )r and obtaining all CAMA Permits necessary to install br construct the follovAng (activity): or my property located at Iq C; � ;c7itt A S,% L, ids t1 C- - ,5s (s;�j his certification is valid thru (date) 6Sze,�- 2� • ( 3 Property Owner Signature Date DB F,tclusive Flower (Girl .Athletic Jer�y - pe ' t� CERTIFIED MAIL -� RECEIPT (Doniestic Mail Only: Provided) Postal Store For delivery information visit our website at www.usps.com, SALISBURY, North Carolina 281445113 �` 3612814454 -0097--...__� _____._�b /2013 (800)275-8777 05:02:25 PM ru Posgefs Sales Receipt Q Certnied Fee $3.10 07 o Rc Postmark Uct Sale Unit Fi nal (Enat,eetummexRt`Ragred) fOUe ription Gty Price Price' o Restricted Delivery Fee MOO (End)rsement Required) ever) 2 $0.46 $0.92 a ed with rU Total Postage & Fees �$ �3.56 1 02/14 /2013 PSA ru IGH NC 27613 Zone-2 $0.46 tTa — t-Class Letter 0 oz . o ected Delivery: Sat 02/16/13 r%- or - `� Certified $3.10 Crty State, ZlP el #: 70122210000025677716 �+ ae PVI: $3 56 TTEVILLE NC 28305 $0.46 , • -2 First -Class ar -1 CERTIFIED MAIL, RECEIPT )oz. m (Domestic• .•Provided) acted Delivery: Tue 02/19/13 rU ;ertified $3.10 N a1 #: 70122210000025677723 ae PVI : $3.56 ►n Postage $ ni I: $8.04 C3 certteed Fee ' ` I 0. Postmark Return Receipt Fee #•ft , tiJij � Here by: o (EndorsementRequired) $8 . 04 Restricted Delivery Fee tj, I) fj C3 (indorsement Required) )r tracking or inquiries go to a t3,Sb 02/14/2013 corn or cal l 1ru -800-222-1811. iL Total Postage &Beer: $ rW XWIC X7tX •X 7t 7rX XXXXXWWWWWWWWXWWWXXWXWWW .. CXWWWXXXXXWXWXXXXX1fXXXXXXXXXXXXXXXXX ru Sent O ` • ' iTEN SOMEONE'S MAILBOX. Greeting cards o saeee,;.,� _--- ----- —_--------- I abl e for purchase at select Post or PO Box No. \ '� [WX XX XWWW XXXWWXX X X X W X XX XXWXWX XX WWWXX � � C r YC YtXW7t Yt Yt YC YC Y(YCX WWWWWWWWWXXWWWWWWWWWWXX A hurry? Self-service kiosks offer and easy check-out. Any Retail - ;iate can show you how. stamps at usps.com/shop or call t )-Stamp24. Go to usps.com/clicknship 'int shipping labels with postage. For information call 1-800-ASK-USPS. rYc'XWXXYCWWWXXXWWWWWWXWWWXWWWXWWXXXWWX rW YrX WXYt YCX YCW WWWXXWWWWWWWWWXWWWWWWWXXW your mail when and where you want it a secure Post Office Box. Sign up for c online at usps.com/poboxes. cXWWW*WX*WXXXXWWxXXWWWXXXXXWXWWWWXxW tY(7CWWXXYtWWWXWWWWWWWWWWWWWWWWWWWWWWXW :JSPS.com® - Track & Confirm Page 1 of Engl,0 Customer Service USPS Mobile Quick Tools Track & Confirm GET EMAIL UPDATES PRINT DETAILS YOUR LABEL NUMBER 70122210000025677716 Check on Another Item What's your label (or receipt) number? LEGAL Privacy Policy , Terms of Use, FOIA , No FEAR Act EEO Data , CopynghtO 2013 LISPS All Rights Reserved Ship a Package Send Mail Manage Your Mail RegisterI Sign In Search USPS.com or Track Packages Shop Business Solutions SERVICE BTATUS OF YOUR ITEII DATELINE LOCATION FEATURES Firet-Class Mails Delivered February 16, 2013, 11:15 am RALEIGH, NC 27613 Expected Delivery By: � ebrr.lary 16 _-01 CerLhec Yar:' ON USPS.COM Goverment Services , Buy Stamps & Shop, Print a Label with Postage Customer Service) Site Index , Arrival at Unit February 16, 2013. 8:20 am RALEIGH, NC 27612 Depart USPS Sort February 16, 2013 RALEIGH, NC 27676 Facility Processed at USPS February 15, 2013, 10:43 pm RALEIGH, NC 27676 Origin Sort Facility Dispatched to Sort February 14, 2013, 5:09 pm SALISBURY, NC 28144 Facility Acceptance February 14, 2013, 5:00 pm SALISBURY, NC 28144 Find ON ASOUT.USPS.COM About USPS Home , Newsroom , Mad Service Updates , Forms & Publications, Careers , OTHM USPS SITES Busness Customer Gateway > Postal Inspectors, Inspector General Postal Explorer � US MAIL CERTIFIED MAIL — RETURN RJCEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT r _ Name of Property Owner: Address of Property: �Ci t� UJ ,-t3•-1 �.� , �j �j 1� .(� , ��•cfjQcS (Lot or Street #, Street or Road, City & County) Applicant's phone 4:_ 3 � (o - Mailing Address: _ 273 � w Ue- __—. L-eac_�n�`� Ni✓ 7;6,7 I hereby certify that I own property adjacent to the above referenced property. The individual applying for this perm has described to me as shown on the attached drawing the, development they are proposing. A description of drawin; with dimensions, must be provided with this letter. X I 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 (DCM; in writing within 10 days of receipt of this notice. Correspondence Ahould be mailed to 127 Cardinal Drive Ex Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is considered the -same as no objection if you have been notified by Certified Mail. � WAIVEit SECTION I understand, that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance c 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.) . X I do wish to waive the 15' set back requirement. I do not wish to waive the 15' setback requirement. (Property Owner Infe rmation) (Riparian Property Owner Information) Sign tune 'Signature Print or Type Name Print or Type Name - -�Iq (3(*- DY Mailing Address Mailing Address 9' - 1 I I 1 V V v IV 01' NO 1pplicant: C �� Q Q� yu�t Permit #: )ate: lescribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement )und in your Habitat code sheet. abitat 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) C� Dredge ❑ Fill ❑ Both ❑ Other S uU tWDredge ❑ 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 ❑ Ct,J 73101537 lers and Construction, UC !NMQeC.�MUNA 175 Nottingham Drive Linwood, NC 27299 —,bokof—mm 66-1203-531 3 B DOLLARS 1 An .f 1 r,� IZED SIGNATURE