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Home My WebLink About59209D - BirnbachSIr-AMA / DREDGE & FILL GENERAL PERMIT Previous permit# EPJew. . ❑ Modification ❑ Complete Reissue []Partial Reissue Date previous permit issuedAYT- 5rized 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 r � / ❑ ZZlesched. nt Name Z</I 1 ✓�h ✓P/�l Project Location: County OA e� -&4.— s Street Address/ State Road/ Lot #(s) r ' ��Os Fax # zed Agent ❑ CW W:gW PTA ❑ OEA ❑ HHF" ❑ IH ❑ PWS: ❑ FC: yes / no PNA t�/ no A Project/ Activity —ES i I PTS ❑ UBA Cl N/A Crit.Hab. yes /Frio f -7 City ZIP -.1n3` Phone # 10 z0 "`fS—DS River Basin �l Adj. Wtr. Body,N l Closest Maj. Wtr. Body (Scale: ock) length length =OEM ■■■■ umber ad/ Riprap length ■■■■ offshore_ =■■ ■■■ vg distance iax distance offshore— INIMME1111111 channel M■■■ME■■■ ■■■■■■■■■ ubic yards r. n■�� a ■lll�� r ■�i 11■� II �■■I 1 �■I I an II ■■■I I ■■ Bulldozing 1 j�� li II�11 G01 ■■■ ■■c ■■■m ■..MR.■ M■■ ne Length not sure Jnoyesn gs: not sure ■■■■�■■■■■■■�■ ■■ ling permit may be required by: aleA ❑ See note on back regarding River Basin "I // •-r _ DIVISION OF COASTAL X4AN,A Or- T ?T A AI Dn/ln. - PWAIN Name of individual applying for permit ------------- Address of property: I hereby certify that I own property adjacent to the above -referenced propertY. applying for this permit has described to me as shown on the attached drawing the deveotpment they are proposing. (A description or drawing_ with dimens letter.) Ions. should be provided with this x �Ive no objections to this r p oposal. If you have objections to what is being proposed, please write the Division of Coastal Management, 127 Cardinal Drive Extension, Wilmington, North Carolina. 28405 or can (910) 395-3900 within 10 days of receipt of this notice. No response is considered the same as no objection if you have been notified by Certified Mail WAIVER SECTION (Does not apply to bulkheads or rip rap) I understand that a pier, dock, mooring pilings, breakwater, boat house, gs must be lift or sandba set back a minimum distance of 15' from my area of riparian access unl wish to waive the setback, you must initial ess waived by me. the appropriate blank,below .) (If you I do wish to waive the 15' setback requirement I do not wish to waive the 15' setback requirement. X Signature I1ate Print Nam„ x I elephone number with area code Letter of agent I Z,-,, have retained Mark Clements DBA, Clements Marine Construction Inc, to make application for any and all permits needed to start construction on the work requested for our property or properties. By allowing Mr. Clements to make such applications I do understand that this will in no way relieve me of any obligations to perform all work according to the building codes of North Carolina, CAMA, DWQ or, any other state and or county ordinances. Print name Signature s ilt,✓a..� C' ��'I/c , e,,� date 3 Z 3 /. Contact information 910 - 617 - / eery - Intranet - "Quick" Search Page 1 o: Track/Confirm - Intranet Item Inquiry - Domestic 'racking Label: 7007 1490 0001 8396 4203 Destination ZIP Code: 27703 City: DURHAM State: NC Origin ZIP Code: 28443-2174 City: HAMPSTEAD State: NC ;lass/Service: First -Class Certified Mail 'service Calculation Information service Performance Date scheduled Delivery Date: 03/24/2012 Veight: 0 lb(s) 1 oz(s) Postage: $0.45 Zone: 01 lelivery Option Indicator: Normal Delivery PO Box?: N Late Indicator: Single Piece - Letters ipecial Services Associated Labels Amount :ertified Mail 7007 1490 0001 8396 4203 $2.95 teturn Receipt 7007 1490 0001 8396 4203 $2.35 vent Date/Time Location Scanner ID LIVERED 03/26/2012 14:40 DURHAM, NC 27703 030SHCJ615 Input Method: Scanned Finance Number: 362196 �I: %e q§t Delivn Record I View D+eiiveru Sjoature and `Address tRIVAL AT UNIT 03/24/2012 05:57 DURHAM, NC 27703 030SGW6247 Input Method: Scanned ISPATCHED TO SORT 03/23/2012 16:38 HAMPSTEAD, NC 28443 \CI LITY Input Method: System Generated Closeout Label ID: CT1366090000120323155123 -rr-DT nD DTrV1 ID n'l/-)Z V7n11 17•`27 I-IAMDCTCAM hir ')QAAI !uery - Intranet Page 1 o UNITED STATES POSTAL Track/Confirm - Intranet Item Inquiry Item Number: 7007 1490 0001 8396 4203 This item was delivered on 03/26/2012 at 14:40 Signature: � — - 3 Address: i �I Enter Request Type and Item Number: Quick Search ro Extensive Search Explanation of Buick and Extensive Searche4 Submit Version 1.0 Inquire on multiple items. Go to the Product Tracking System Home Page. • 0 fy7o-;�Q (rf-, plicant: te:, q tz'l r Z,' Permit #: c3yZ v l scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. )itat 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) tA) Dredge ❑ Fill ❑ Both ❑ Oth C� Dredge ❑ Fill ❑ Both ❑ ther ❑ 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 ❑