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Home My WebLink About61681D - RuffCA*/IA / ❑ DREDGE & FILL VO ` 61 GENERAL PERMIT Previous permit# F1New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued orized by the State of North Carolina, Department of Environment and Natural Resources I ! .� `1. Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC f { C•( t� ules attached. nt Name : Project Location: County 1/ ilI (��.• wam Street Address/ State Road/ Lot #(s) State KIC ZIP G�'i( ` �-� + # ) Fax # O Sub ivision � � t zed Agent �` Ci / ,ul. ZIP ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # tk) LIB River Basin d ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body nat ❑ PWS: ❑ FC: yes / no PNA ye / no Crit.Hab. yes (no Closest Maj. Wtr. Bod, A Project/ Activity ock) lengt�h� m(s)� -- - pier(s) length umber ad/ Rill length vg distance offshore_ iax distance offshore channel ubic yards_ imp fuse/ Boatlift Bulldozing ne Length not sure yes igs: not sure yes >rium: n/�Yes yes Attached: yes ling permit may be n i J (Scale: I C Division of Coastal Mgt. Habitat Impact Computer Sheet )plicant: rj��Qp " Vorp rt Permit ite: 1 ;scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement and in your Habitat code sheet. ibitat 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 fina disturbance. Excludes any restoration andh temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other l 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 0 Other ❑ L CONSTRUCTION 1952 BORO ST -1, NC 28462 ,(7 --- DATE /'�� /�., - 66-456-531 ANA-NNK DOLLARS IORTTHHCC)ARO S `{ ^ �41.J\ 211■ i:053 i04568l: 79 LOO i i91u. ___-- _-- NP FWA HDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Governor Director Dee Freemai Secretar AGENT AUTHORIZATION FORM Date: A Jame of Property Owner Applying for Permit: Name of Authorized Agent for this project: /1 e-4�l �� 4�r� -' Chri5 Z- 1`'1� )wner's Mailing Address: 3/ 9 F-r v.ri 'hone Number (/ /O % (e Y- eel P,! 5,1�' Agent's Mailing Address: 1#791.5atLdil c-jQod oLe<-,� Z6 2 c 8 taj,, .2$ V &<? Phone Number QV (d ) a.3'40 - ( vC C 3 Cw40--nz5@Q--r)c,nt-I- 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 or construct the following (activity): J:3'(41.5 r �l'� Cd S �'eGC-"' --<A t` 'or my property located at %8(0 �) t.5 f � (�G �, Spc � � ALC 'his certification is valid thru (date) % - 3/ - l 3 lv - a.;?- - /.T Property Owner Signature AA, eL APIL- Date <_ .» , z RECEI! 1/09/2013 09:45 82826483GO SOONE DRUG GREENWAY PAGE 02/0 ADJACENT RIPARL4N PROPERTY OWNER STATEMENT (FORA P1E"00RING PZUNGS/BOATUFTIBDI OUSE) f hereby certify that I own property adjacent to f4G�� t 's (Name of Property owner) property located at OLot, Block Road, eta) in �Cer`a ` 1C a.`� , N.C. (Waterbody) (Town sod/or County) Applicant's phone #:'Z isL3 ' Mailing Address He has described to me, as shown below, the development he is proposing at that location, arid, I have no objections to his proposal. I understand thata pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15) from my area dfriparian access unless waived by nx. (If you wish to waive the setback, you must initial the appropriate blank below.) - I do not wish to waive -- 1 do wish to waive that setback rcquiretnent. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing devefopmetti) Air^ (Information for Property Owner Applying for Permit) Mailing Address >p io �-,i9xfj I / <-- . ?V Z City/State/Zip► (Riparian Property Owner Information) Signature Print or Type Name ® - Track & Confirm https://tools.usps.com/go/TrackConfirmA English Customer Service USPS Mobile Register/ Sign In "USPSCOM- Search USPS.com or Track Packages Quick Tools Track &Confirm Ship a Package Send Mai Manage You Mail Shop Business Solutions Find Find (ASPS Locations Buy. Stamps Cek�k & Confirm Find a ZP Code - Hold Mai Change of Address GET GiT EMAIL UPDATES YOUR LABEL NUMBER rtified SERVICE STATUS OF YOUR ITEM DATE A TIME LOCATION FEATURES 701030900007716211704 First -Class Mails Delivered July 8, 2013, 8:47 am BLOWING Expected Delivery By: ROCK, NC 28605 June 27, 2013 Certified Mail Available for Pickup July 2, 2013, 7:31 am BLOWING ROCK, NC 28605 Notice Left June 27, 2013, 1:25 pm BLOWING ROCK, NC 28605 Available for Pickup June 27, 2013, 8:26 am BLOWING ROCK, NC 286M Arrival at Unit June 27, 2013, 8:25 am BLOWING ROCK, NC 28605 Processed at USPS June 26, 2013, 11:43 pm GREENSBORO, NC 27498 Origin Sort Facility Depart USPS Sort June 26, 2013 GREENSBORO, NC 27498 Facility Depart USPS Sort June 25, 2013 FAYETIEVILLE, NC 28302 Facility Processed at USPS June 25, 2013, 5:53 pm FAYETTEVILLE, NC 28302 Origin Sort Facility Dispatched to Sort June 25, 2013, 3:05 pm OCEAN ISLE Facility BEACH, INC 28469 Acceptance June 25, 2013, 2:56 pm OCEAN ISLE BEACH, NC 28469 Postal , A CERTIFIED • • I Ir eCoverageProvided) - j 7 Postage $ " Ce Fee Postmark ON ABOUT.USPS.COM OTHER USPS SITES Return Receipt Fee Here About USPS Home > Business Customer Gateway > ] (Endorsement Required) Newsroom > Postal Inspectors > ('�r Mail Service Updates > ] Restricted Delivery FeeE/11� o Inspector General > (Endorsement Required);�}„t'� 9 N 1 1 I Forms & Publications , Postal E>ilorer > ] r Careers > ] Total Postage & Fees.t. - �I I Y11'!'A V100 n W - Track & Confirm https://tools.usps.com/go/TrackConfimi/ English Customer Service LISPS Mobile Register I Sign In JOVSPS.Co II • Search USPS.com or Track Packages Quick Tools Track a Confirm Ship a Package Send Mad Manage Your Mail Shop Business Solutions Find Find LISPS Locations Bvy Stamps �a�Turk & Confirm Find a ZIP Code — Hold Mail ChangeAddress GETET EMAIL UPDATES YOUR LABEL NUMBER SERVICE STATUS OF YOUR ITEM DATE d TIME LOCATION FEATURES 70103090000371628696 First -Class Maim Delivered June 27, 2013, 9:51 am CHARLOTTE, NC 28208 Expected Delivery By: June 27, 2013 Certified Mail~ Arrival at Unit June 27, 2013, 8:55 am CHARLOTTE, NC 28208 Processed at USPS June 27, 2013, 12:12 am CHARLOTTE, NC 28228 Origin Sort Facility Depart LISPS Sort June 26, 2013 CHARLOTTE, NC 28228 Facility Processed at USPS June 26, 2013, 7:45 am CHARLOTTE, NC 28228 Origin Sort Facility Depart LISPS Sort June 25, 2013 FAYETTEVILLE, NC 28302 Facility Processed at USPS June 25, 2013, 5:53 pm FAYETTEVILLE, NC 28302 Origin Sort Facility Dispatched to Sort June 25, 2013, 3:05 pm OCEAN ISLE Facility BEACH, NC 28469 Acceptance June 25, 2013, 2:59 pm OCEAN ISLE BEACH, NC 28469 =Fell•iru-7.ia.1l5Y•uLM/7n%/er lur.7nY•r.cK%;tei.lI%iY•vc- - 0 1 .c- I 3 For delivery information -- visit our website at wvvw.uspsxom�� Postage $ f a , F—R Certified Fee ✓ C I. A `Afl L I�,`! f I I G't0 % N C I s a ON ABOUT.USPS.COM Return Receipt Fee Here About LISPS Home > (Endorsement Required) ri 1 i Nww oom , Restricted Delivery Fee (Endorsement Required) U 3 Mail Service Updates, Forms & Publications) Careers t Total Postage & Fees $ Sent To Street, Apt. No.; orPO Box el uCDl...-- -_--------- .. ........................... +4 City state. ZIPes PS Form .... . jj N < a a 6 OTHER USPS SITES Business Customer Gatemey , Postal Inspectors > Inspector General > Postal E)Wer ,