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Home My WebLink About54477D - CarletonICAMA / ❑ DREDGE & FILL 31ENERAL PERMIT Previous permit # IN.ew C'iModification El Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources — f -oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC rr ,, Mules' attached. t Name Project Location: County Pl-O 1E V CO Street Address/ State Road/ Lot #(s) State _ ZIP I ; b�{Lk '✓ t (, I, I I L'ayLc ( ) Fax # ( ) Subdivision ed Agent : City 5ftlu P ZIP S&✓v� 2 CW El EW ❑ PTA J ES `1 PTS Phone # River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body yl Y 9 l l i A I V jC at ❑ PWS: ❑ FC: --- yes / no PNA 'ns no Crit.Hab. yes / no Closest Maj. Wtr. Body Project/ Activity ails '`c i VVLV ; ' X FCC ICA (Scale: I _ ■_N _.. .11910No ..911111 ■■■■■■■■■■■■ �.■■■■■ ■�....■u iumber .ad/ Riprap length--vg ■■■■■■■■■■Manila■■■�� Room ■■nr�!��:�:■■ ■■■■■■■■i�l�il■_■i�iiliir■■■■�N MEMO distance offshore,r1: MEMO ME nax distance offshore Lill■EEMMM "NSM■NEM■MEr@:�4�P•' MEMENMOIN ■ channel [�1MMEMME■EMM!/■EE\�M®M■■■ MEMO E Wool No :ubic yards tmp C`�E■EM�icl rr�;��R�■r��W�E■EEME�w■■E��.■M■ l'1�j I�ilii .��fiii��■�■■■ii■I�&llllr��r ■■■E■■ M■EEMEM■■■■EE■E■��M■■I. ,iTnU174MH IAM■■M■■MM■■EMM MMI INN n�sz■■W■� 611 BulldozingMMEE■■EEMMM�E■■In IMAM WiMiEi/i�Iljl�ii■I� IN11111=11mimilES■Mt�'.�►1wi�iiiUN�■ ■■M■■■ME■EMM�M■■1HII■M■M■■MME■■MEM■■ ,ne Length not sure yes (n o gs: not sure yes 1 Attached: yes . ■■EE■■■EMEM■ ■■■IMEIIMMMM■■EENOM■NE■ ■■■■MM■ESE :.i ■EEC\��n■■■■E■■■EME MEM■■MEMMEM■M■■■■■MEN\\Emil: �M■ME PAN ■ENFEMOMMEE■N■■EE E■■■■■■■■M■■■\�\■ IN�■■ ■■■ I anI��ll•��_ . ■■ 1■E■■■■■■■■EM�■■■i■■■■■■■■■■■ ling permit may be required by: Fl/j >( O , ❑ See note on back regarding River Basin Klllf 7u 10N-, A,AA nll nLf.,,, I,,I .j_I n,,.l �,,1,,,,/ I_1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIERIMOORING PILINGSIBOA TLIFTMOA THO USE) 124 's I hereby certify that I own property adjacent to �/`lp�► �� f ► Ta I (Name of Property Owner) property located at /3 lz�r P� Block, Road, etc.) on 1&4oh C e 'in Avv)e - , N.C. Waterbody) q� (Town and/or County) Applicant's phone #: 2 - Mailing Addres : ��► �� He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (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.) l do not wish to waive I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) Ac (Information for Property Owner Applying for Permit) I // � 1�. I (� 1 r 64 Le Mailing Addres (Riparian Property Owner Information) 4-0 MAe� Signature M,. )ivision of Coastal MP tzt. Habitat impact Computer Sheet I Permit #: ant: � VI 6 ibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement I in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FIPlAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance total includes disturbance. Excludes any :at Name Choose One includes any anticipated Excludes any restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temD impacts) impact amount) temp impacts) amount) Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ ■ 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 0 ■ Attach this card to the back of t yil or on the front if space permit 1. Article Addressed to: I ION",hp �-3 I s /�►iw ✓a l W� Inn I A -��A ti6 A. Signature -1 c�ed Ijy L Print7/ya S I�15 l/ slivery Is delivery address different from Item 1? ❑ 19*1 If YES, enter delivery address below: 3140 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service labeq 7009 2820 0003 7178 6961 PS Form 3811, February 2004 Domestic Return Receipt _'-'- ___-- _ -. +_. 102595-02-M-1540 ■ 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: .. ,. A A. Signature Agent X `jG. ,G>�- ��7 Addressee Received by (Printed Name) C. Date of Delivery jp y(Li '3%31/10 D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No Bank of America ACH R/T 053000196 ALLIED MARINE CONTRACTORS, LLC 08-03 910-367-2159 92 HAROLD CT. HAMPSTEAD, NC 28443 OF E r✓_ 1./ ,�,� /,f jr) .- h� 4023 6-19/530 NC 702 U m" 'U v 0 DOLLARS B 7 A N -- � �AUIHORIZ IGNATURE 1120040231" I:OS3000L96l: 00064 87437 11,�