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HomeMy WebLinkAbout76064_Wayne Mishak_20200629 1_1 (AMA/ C1 DREDGE & FILL N� �(,064 ii-1-11 NERAL PERMIT -i`� -14 (0l0`� A. c Previous permit# /,,, New Modification C.1Complete Reissue EPartial Reissue Date previous permit issued ,v� As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources/ Commission in an area of environmental concern pursuant to I5A NCAC 27y/1pp Applicant Name / ,A ,egules attached. (� 70-4.-- --.�/_&_s _- __-.—____ Project Location: Coun , -, ____jfygle.._ Address ,-e. ,f ( ' _ 0 - _ Street Address/State Road/Lot# s / - . — 4 f u''vv y -- a_ State_&C ZIP P.2g,/Y �.,‘ , / - Phone#(70 �,,jy•.56(>�'E-Mail b✓M�S yc�k a�� �,n� �,I,r� � ubdivision � �,�� Z�.„ �A A „V./4 ,0V . / —..... City" i t veil__ ZIP 7tr/d Authorized Agent Affected [�CW f N LEA ❑ES 11 PTS Phone# ❑OEA ❑HHF L IH ❑USA �l WA ( ) - River Basin j/��., AEC(s): PWS. Adj.Wtr. Body-4-X`L✓.47 (nat ( af�'n /unkn) Closest Maj.Wtr. Body-__ v A-e- ORW: yes /® PNA yes /® Type of Project/Activity .A 4-i r,, IQ',) p,.e..— A.-;it./ €.2.o >,..2 )' /.0,/li, Pier(dock)length Q kX (Scale: /'' _Id% ) ONPlatform(s) 1 - - r 1 i Floating Platforms) -�. 1 •I --.�-..-L Finger pier(s) i (�f S 1�C r SC bt e.I�c — _ "—.� ( . 1f' ) // Gran --number1 ,�`v ./. tl�r;Lt._-} Bulkhead!Riprap length ; 41 r�_� I ,1J}/ .., . . avg distance offshore W "►' max distance offshore —1 ! Basin,channel __— _ cubic yards _ ; ! .... } • i • Boat ramp 0k t.. . . Boathouse/Boatlift —i i - . / : ' Beach Bulldozing Other Shoreline Length 7�d'� �— , SAV: not sure yes __ �_ _ _�._�_._ ,. Moratorium: t. _1 nia yes no fi� / ` , Photos: no �' I . I /-'i ilk k°` }0 '� • '' � a / Waiver Attached: yes ! ,,� ( T A building permit may be required by: /?"„ e r. See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions ` 4- / / a�w 1/ , //// �7n 4xrr-rcrr r <• �. 1�7�+ �/er. /!�!�✓L �l �l/t/t ate_ 74 u-1c'— f, /6<</ Z"e.r r ck i rl e_____ ni r S ,A.._ SIB G v'.-- r 6-/.c /„ Agent or Appl nt Printed N Permlc0 'c 's Printed Nam `- — C 7-- r Signature "Please re compliance statement on back of permit** Signature Ail Application Fee(s) Check# Issuing Date Expiration Date -�t„tSU7F a .y itets- tK,...... r_o„ , _ •::, 1 .. ..rams,'" ROY COOPER NORTH CAROLINA Governor Environmental Quality MICHAEL S.REGAN Secretary BRAXTON C. DAVIS Director June 29, 2020 Mr. Richard Walton 364 Arrington Rd Beaufort,NC 28516 RE: General Permit No. 76064-B Pier and platform Dear Mr. Walton: The Division of Coastal Management has reviewed correspondence from Certified Mail Adjacent Riparian Property owner form dated June 14, 2020 objecting to the above referenced project. The pier and platform are consistent with North Carolina Administrative Code 07H.1200 (See Attached). The project as proposed is consistent with the appropriate rules and regulations of this Division. Therefore, on June 29,2020, Shane Staples, a member of my staff, issued CAMA General Permit No. 76064-B in Hyde County, authorizing the aforementioned project, (see attached copy of permit). If you wish to appeal this permit decision, you must file a request with Mr. Braxton C. Davis, Director of the Division of Coastal Management, Department of Environment and Natural Resources at 400 Commerce Avenue, Morehead City NC 28557, within 20 days of the permit decision. (Appropriate forms are available at the Washington Regional Office). Please do not hesitate to contact me at(252)-948-3851 with any additional questions you may have regarding this matter. Sinerely, Kelly Spivey,District Manager Division of Coastal Management Washington Regional Office Enclosures Cc: Mike Lopazanski -Assistant Director, DCM £D_E Q,) NORTH CARCUNA Daps trawl a Bret rMnW uron `/ North Carolina Department of Environmental Quality I Division of Coastal Management Washington Office 1943 Washington Square Mall I Washington,North Carolina 27889 252.946.6481 NC Division of Coastal Management 11225 A{ C D Cashier's Official Receipt Date: k` 4'14 -may 20 Received From: �M` 4._ / s.l�u / r ��_'-` Permit No.: 7,6 D v (r /J /9 jf.� Check No.: Applicant's Name: `V Kr>.'e"L -r"I /GL{ / County: /�.L d it ,4/� Project Address: ?� y c{ �-c�,, rives lG , `� ���� Please retain receipt for your records as proof of payment for permit issued. -/Signature of Agent or Applicant: Date: DO / 3 9 0 �� / 'r Signature of Field Representative: - Date: �unr 9 �.� 0 __J CAMA I ❑DREDGE & FILL No. 76064 A ERAL PERMIT Previous permit# ,,,`,,.,W C D )C New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued .4. /,q As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 2 7y 42.40O . / / / rules attached. Applicant Name W tires /Q c Project Location: County /� � Address iv() ("re" is �tc/ 0d. Street Address/State Road/Lot#(s) 4,170/ 4vv�, City6i/JI State f/C ZIP o2s. / 7 ri vi- /Ve— L kc Lam, Phone# (70k' d2.3q-S6O 'E-Mail WM iShak( kpnc,/jt ubdivision hh/— ��y Z 4.,,1 d„t J p /) Authorized Agent y/i4 Y City j�Gih t -e- ZIP 27a 7v Affected ❑CW {1 L TA ❑ES E PTS Phone# ( ) River Basin ///2-,..-1 ❑OEA El HHF ❑IH ❑UBA ❑N/A AECs : Adj.Wtr. Body . —L/ AEC(s): � (nat �/unkn) ORW: yes / PNA yes /Q Closest Maj.Wtr. Body / usrya .ieke- Type of Project/Activity A 4,74 cr,0 r� ,t, p,df /r,"I ,20 ,.)`c2 ' plc!71 L ►, (Scale: /" _, ,) Pier(dock)length 80�x 6 1 Fixed Platform(s) vzp,?`�0‘ _� — . Floating Platform(s) Gt Finger pier(s) fA-cr Siti--tic Groin length I ik X ! �. h i number Bulkhead/Riprap lengthA ( J' 4) _ ____, LT avg distance offshore W max distance offshore _jam, �� Basin,channel j I cubic yards _- c I ip Boat ramp I ` / .� Boathouse/Boatlift I . _ _ Al : i Beach Bulldozing i i „ , . . Other Shoreline Length 7 c1 6I i SAV: not sure yes io ` . L----� 'l am / 1 Moratorium: n/a yes no 1 1 • r L C t �� 1 (�^ Photos: no .(C..70. �f ' •6v I • � J� Waiver Attached: yes ���Li�..-p *-j A building permit may be required by: //ye-le . See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) / ,/// Notes/Special Conditions /1't, i.-ra,,/74le/ ,/ i fZ . /h..z-.I/ d't l�oe,mfz.,/ �iar-t /vas'/ ,l / G 4a 7 �!f/�C/7- fe / ccr� Sit_4N` /-• QO/G„/ Agent or Applicant Printed Name Permit°° lc 's Printed Name / Signature **Please read compliance statement on back of permit�� ** Signature j�G /a;.r-! jos+e- 4,..e9,o a 7, a 9 .02 Application Fee(s) Check# Issuing Date Expiration Date r Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief,certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar-Pamlico River Basin Buffer Rules I Other: Neuse River Basin Buffer Rules If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office(910-796-7215)for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-648 I Fax: 252-247-3330 Fax: 252-948-0478 (Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden, Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 2CAMA/ 17i DREDGE & FILL No. 76064 A v' C D GENERAL PERMIT Previous permit# N1�� New Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued ,.•,/, As authorized by the State of North Carolina,Department of Environmental Quality // and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 0/r/ 42 6' • / RRules attached. Applicant Name G✓;7,,e „,11/ /,/,/ Project Location: County at �-r-zP"s' / t- - Address J 2 C.6 r 4., if /ir/ fr L�, Street Address/State Road/Lot#(s) I//Q T a- -„, City r tJ b«/ State,(/[ ZIP � /l 7 /3 i 67 /i/> '.4 �� -Phone#(7/i 9) 2,3 q- && E-Mail I.✓M, ,�t,,, tQ,7,tci / /fr,(Subdivision / !�i/c, Ir,- ke,y Z`' / 7��C/ Authorized Agent 7V/' �'" City /_,r/ <6-e h ZIP Affected ❑CW -EW 20TA ❑ES ❑PTS Phone# ( ) River Basin / /-/�i--+ AEC(s): ❑0� ❑HHF ❑IH E UBA ❑N/A Adj.Wtr. Body ,A J 4/47 nat /unkn) ❑ PWS: Closest Maj.Wtr. Body /�i,�y, i k' c , ORW: yes /(j) PNA Ai I ifio) Type of Project/Activity /! j/ - � 1' ' /' r.,-, ‘,., =/ ,;-)C% `,iO' //t 1/,, (Scale: / '' �(j ` ) Pier(dock)length 5,s 1 G _ Fixed Platform(s) -2 ) y U s - - 1 Floating Platform(s) i Finger pier(s) / t SA f Se i -/x c Groin length 1 '��G�/%I„ numberI I Bulkhead/Riprap length f _.._ • avg distance offshore i 1 max distance offshore Basin,channel cubic yards __________ / f • Boat ramp7 f �` �� .�I /".re Boathouse/Boatlift_ I i Beach Bulldozing1/144L-7.-- I — Other i 4 Shoreline Length I U SAV: not sure yes �o wit � �, �i ..."---., i Moratorium: n/a yes no �u p �^ 1 ;1, �c r f1,�•ei ✓ , l•'�'' Photos: yes no _ f, ,� ��! _ r Waiver Attached: yes r 1 I I i iJ /1, t./+0)ay,j I I I A building permit may be required by: /��r . I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) / Notes/Special Conditions /1'l<- ,,-�:,,•,/// /. / ,/, // .t//,,,, ../.• ` -- 1,<r ,F r • J 4 r , 5�it._14 Agent or Applicant Printed Name Permit is 's Printed Name / 1.:e......- i nature **Please read compliance statement on back ofpermit** Signature `%� Sg P g Application Fee(s) Check# Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief,certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar-Pamlico River Basin Buffer Rules Other: Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office(9 I 0-796-7215)for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-648 I Fax: 252-247-3330 Fax: 252-948-0478 (Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves: Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 eCAMA/ JJ DREDGE & FILL No. 76064 GENERAL PERMIT Previous permit# A B C D )C• E New LiModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /` -(--:''(-/-') 2 Rules attached. Applicant Name Project Location: County / ,, 71*', ` Address , Street Address/State Road/Lot#(s) '/,-" , , City State ZIP .}• - Phone# ( ) E-Mail Subdivision / J Authorized Agent City / ,- // ZIP /&' Affected ❑CW ❑EW ❑PTA ❑ES ElPTS Phone# ( ) River Basin / ,-/ ' ,-s AEC(s): ❑0� HHF E IH ❑UBA El N/A Adj.Wtr. Body / ' /.// (nat Lfnan.)/unkn) ❑ PWS: ORW: yes / no PNA yes / no Closest Maj.Wtr. Body f� , ."` • t' Type of Project/Activity p. (Scale: / ' ) Pier(dock)length Fixed Platform(s) ' r' '1= - - - { I Floating Platform(s) 4 I Finger pier(s) LA • ,,• /,. i ` Groin length `;(� Jr 1( N number Bulkhead/Riprap length 1 /�j f I avg distance offshore v W max distance offshore Basin,channel j , cubic yards i v /�t 4 , r` Boat ramp j i Boathouse/Boatlift Beach Bulldozing _ i Other S If Shoreline Length L/ Jr(s'' .' i SAV: not sure yes no _. t -._.-.i..-�..-- , Moratorium: n/a yes no 7 ' __ >j' `j J .i fi "^"-T II4.FG• "'`�._ Photos: yes no 'F l I /1. y , •" Waiver Attached: yes o--) / f i Jrl/! - / , r A building permit may be required by: /l��fer . I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions f Agent or Applicant Printed Name Permit Officer's Printed Name Signature **Please read compliance statement on back of permit** Signature J -,c.. 1 Application Fee(s) Check# Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief,certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar-Pamlico River Basin Buffer Rules Other: Neuse River Basin Buffer Rules If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office(910-796-72 1 5)for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden,Chowan, Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/17 U.S. Postal Service'' 111 CERTIFIED MAIL° RECEIPT r-a Domestic Mail Only 0 ca For delivery information.visit our website at www.usps.com . BE'COOFFt12C61AL USE Certified Mail Fee � $:3.55 _ 0654 !~ $ Extra Services&Fees(check box,add fee et;p:pr ,thte) Iw 0 Return Receipt(hardcopy) $ $I'1_' l D ❑Return Receipt(electronic) $ .$ ;• , ( Postmark O ❑Certified Mall Restricted Delivery $ - Here 0 ❑Adult Signature Required $ l"l• ❑Adult Signature Restricted Delivery$ $i'_ Postage C` $ SO"5. p Total Postage and Fees t o/I_I3/ 02l I $ $7.10 Sent To 111 el)axd (Ua..l-I-o-n f_ Street and Apt. o.,or Froh. atoi City,Slate,ZIP+ _. PS Form 3800,April 2015 PSN 7530-02-000-9047 See Reverse for Instructions Certified Mail service provides the following benefits: •A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. USPS®-postmarked Certified Mail receipt to the •A record of delivery(including the recipients retail associate. signature)that is retained by the Postal Service— -Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent Important Reminders: -Adult signature service,which requires the •You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail®,First-Class Package Service0, available at retail). or Priority Mail®service. -Aduh signature restricted delivery service,which •Certified Mail service is notavailable for requires the signee to be at least 21 years of age international mail. and provides delivery to the addressee specified •Insurance coverage Is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the ■To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. LISPS postmark.If you would like a postmark on •For an additional tee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for the following services: postmarking.If you don't need a postmark on this -Rehire receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature), of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt.attach PS Farm 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. PS Form 3800,April 2015(Reverse)PSN 7530-02-000-9047 '•. uI ' - - . - L60.-•0.-Zo-O SL NSd$IOZ I!idV 008E wiod Sd I�it- 01 'cr1 b1°F ,,A"� ,ea„S o v 'oJa o►1iW E., 01IUes .D Ulj'L8 $ 11111E/20/90 sWj pus eeelsod Ielol D SS.0$ $ e6E,SOd D 0 _"mil Pelai sea e w n eu6!S 1 nnPV❑ 11 I•�' $ Pennbea nleu6!S 7lPV❑ O eJeH 00 1.t l$ $ NeMea PeIPPlsea PIN Peyueo❑ O )ewlsod 1111-0$ $ Owo,looie)zdIeoea wNea❑ O !12 _ g I4 $ (Adoop et Idieoe8 wnza❑ i-' eleSQupd a.14 ppe'xoq)Peq4 Seed$seoL es sJ xZfi $ —`J *SG': '.;_.E$ ru Sad PIN P$!uueO p ®WOJ'SdSnI MMM le a31SQeM m O 31SIA`uo!etwo{uI AJenllap ioj Q' 1 O ,(pup Hew o(;sawoa Id13O3a ®11dw a3WWl1a33 NIaoinaas lelsod 'S'fl Certified Mail service provides the following benefirs: •A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail •A unique identifier for your mailpiece. associate for assistance.To receive a duplicate •Electronic verification of delivery or attempted return receipt for no additional fee,present this delivery. LISPS®-postmarked Certified Mail receipt to the •A record of delivery(Including the recipient's retail associate. signature)that is retained by the Postal Service"' -Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent. Important Reminders: -Adult signature service,which requires the •You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail0,First-Class Package Servicen, available at retail). or Priority Mail'service. -Adutt signature restricted delivery service,which •Certified Mail service is not available for requires the signee to be at least 21 years of age intemational mail. and provides delivery to the addressee specified ■Insurance coverage Is not available for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retail). of Certified Mail service does not change the •To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. LISPS postmark.If you would like a postmark on ■For an additional fee,and with a proper this Certified Mail receipt,please present your endorsement on the mailpiece,you may request Certified Mail item at a Post Office'"for the following services: postmarking.ft you don't need a postmark on this -Retum receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mailpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, complete PS Form 3811,Domestic Return Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. PS Forth 3800,April 2015(Reverse)PSN 7530-02-000-9047 SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signature : ■ Print your name and address on the reverse X ��_ ❑Agent so that we can return the card to you. ❑Addressee • Attach this card to the back of the mailpiece, B. Received by(Prinntte�d Name) C. Date of Delivery or on the front if space permits. S� ( ,i/yQ et. 1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes -p �1 �\n�1�`I l If YES,enter delivery address below: 0 No arci i c3cL- oxr►ilc:AA-01N I2 act_U-( (-E CSC 2 VS 1 1p 3. Service Type ❑Priority Mail Express® 0 Adult Signature 0 Registered r I III' III II I III'IIIIIII I I III I I I I ❑0 Adult Signature Certified Mail®Restricted Delivery ❑Deglst elivery MaiiRestrlcted 9590 9402 5153 9122 6946 72 O Certified Mall Restricted Delivery ❑Return Recelpt for ❑Collect on Delivery Merchandise 9 Article NI imher(Transfer from service IaheIl ❑Collect on Delivery Restricted Delivery 0 Signature Confirmation*'" a 0 Signature Confirmation 7 019 0700 0001 7204 8 015 ailll Restricted Delivery Restricted Delivery L PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt USPSTRACKN a4 ?r:'`;:'t'•}F First-Class Mail . 1111111 Postage&Fees Paid USP III I ,M;y;` PermiS t No.G-10 9590 9402 5153 9122 6946 72 United States • Sender:Please print your name,address,and ZIP+4®in this box' Postal Service 1'4 0 C Yr(LI\-- Ca2.Q-L ('( Sal►S LLtLj OC. 2Ytu ,III„1�,�,II,IIlII�ilili„lII,II!!,IlI!l,�,,,IIlilll!!I'III!'!I' a\ \ it ha ai 3 6 t/ I—rc ,' ri� CERTIFIED MAIL • RETURN RECEIPT REQUESTED � 6e01/41AC()(1.- ' " 1(� 5—DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM vl Name of Property Owner: (NCk y 46 iS Address of Property: 4 76 /= IA nfereoc\�/ L c i 6e/'4 Ve i 4,6 oZ 7r/0 (Lot or Street#, Street or Road, City& County) Agent's Name #: k0P Mailing Address: " Agent's phone #: /v h- I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing_the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. I have no objections to this proposal. I objections to this proposal. 00 If you have objections to what is being proposed,you must notify the Division of�l Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at http:/; ww.nccoastalmanagement.net/web/cm/staff-listing or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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 wish to waive the 15' setback requirement. C/0o /J lJ"- I do not wish to waive the 15' setback requirement. (Property Owner Information) (Riparian Property Owner Information) Signature t Signafure /4 f d L &,Jet � p e /'i i-ski C AI'c� f ern [itki_TO Print or Typ/Name Y Prin or Type Name / 1/Q ret (&eei1 n 4 t 3 6 y 4/'Pr/) 76/0 144 Mailingil� Address f Mailing Address 3 a,, 1 ..j rJ!�// 1/Il 1 ( i 2 /'7 / e(/1%r7 /UG ;857.4 City/State/Zip City/State/Zip 76 1/- � - ,5 (' asa- 7.26-li8 Telephone Number/Email Address Telephone Number/Email Address a6 - O ifX,27 nate Date 'Revised Aug. 2014) ' f t W U1 V) O 6/26/2020 USPS.com®-USPS Tracking®Results ALERT: DUE TO LIMITED TRANSPORTATION AVAILABILITY AS A RESULT OF NATIONWIDE CO... USPS Tracking® FAQs > Track Another Package + Tracking Number: 70190700000172048008 Remove X Your item has been delivered to an agent for final delivery in MIAMI, FL 33182 on June 8, 2020 at 11:38 am. m m ✓ Delivered to Agent n June 8, 2020 at 11:38 am Delivered to Agent for Final Delivery MIAMI, FL 33182 Get Updates \/ Text & Email Updates Tracking History June 8, 2020, 11:38 am Delivered to Agent for Final Delivery MIAMI, FL 33182 Your item has been delivered to an agent for final delivery in MIAMI, FL 33182 on June 8, 2020 at 11:38 am. June 7,2020, 11:04 pm Departed USPS Regional Destination Facility MIAMI FL DISTRIBUTION CENTER https://tools.usps.com/go/TrackConfirmAction?qtc_tLabels1=70190700000172048008 1/3 6/26/2020 • USPS.com®-USPS Tracking®Results June 7, 2020 In Transit to Next Facility June 6, 2020, 7:57 am Arrived at USPS Regional Destination Facility MIAMI FL DISTRIBUTION CENTER June 3, 2020, 9:39 pm Departed USPS Regional Origin Facility CHARLOTTE NC DISTRIBUTION CENTER June 3, 2020, 7:04 pm Arrived at USPS Regional Origin Facility CHARLOTTE NC DISTRIBUTION CENTER June 3, 2020, 5:47 pm Departed Post Office CHINA GROVE, NC 28023 CD CT m June 3, 2020, 9:29 am USPS in possession of item CHINA GROVE, NC 28023 Product Information See Less ^ Can't find what you're looking for? Go to our FAQs section to find answers to your tracking questions. 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ArUn7q Murry o>ar ['Adult SI signature rr 9722 6946 v c enaikt R ❑Prrcrr 7O9 9 fl3 a,e22 yin 89 O cenlRed Mall me%emoted D Del:verY Q Re en F? help ss0 b700 00 �coltectonDe; ad De eMa;1R p8 Form 3811, 01 720 4 G't' „a; °ell Den o Retwn R Restricted July2015p �008 �etYRestr)ctedDep�e Menh 7a error 3N 753p'�2-OOp testrlcted ry �SiBnatur '9058 DeCve 1J Sienatu a Con9r7pationn,, re Co nR f Restricted Dsi:veryatton 1 Domestic Return Receipt NC Division of Coastal Mgt Habitat Impact Computer Sheet Applicant: w< /.'J/41� Date: J t 2 q General Permit#: 7c. g y I • Describe below the HABITAT disturbances for the application. All values should match tie name,and units of measurement found in your Habitat code sheet TOTAL Sq.Ft. FINAL Sq. Ft. ! TOTAL Feet FINAL Feet (Applied for. (Anticipatedfioal (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance Disturbance disturbance. Habitat Name Choose One includes any Excludes arTi total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or trap restoration or temp impact temp impacts) impact am cut) temp impacts) amount) O�pe� ►'r'�r� Dredge❑ Fill❑ Both ❑ Other (to grO Dredge❑ Fill❑ Both El Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ • Dredge❑ Fill El Both ❑ Other ❑ • Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill D. 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 ❑