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Home My WebLink About54573D - RichterLAMA / i ! DREDGE & FILL 1ENE'RAL PERMIT Previous permit # Blew JModification ❑ vomplete Reissue ❑Partial Reissue Date previous permit issued •ized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to 15A NCACLjAwSs attached. Name-` 4t?- 4-^� c� ?/*04 Project Location: County j 2 f / „��l �✓fig�d . Street Address/ State Road/ Lot #(s)�310 �� '✓ State- _ ZIP, �G t S G✓ Fax # () Subdivision ed Agent G' �� P d /tea � ^r City 5 4-ZIP 2 7Y - CW ❑ EW ❑ PTA Elfs PTS OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A PWS: ❑ FC: yes / no PNA yes / f Project/ Activity )ier(s) ;ngth ember id/ Riprap length ,g distance offshore ax distance offshore :hannel ibic yards imp Bulldozing AG klo C ne Length not sure yes no igs: not sure yes ng, Drium: n/a yes 4LISjf Crit.Hab. yes / no Phone # () River Basin Adj. Wtr. Body rl-;Irl L-y �✓ (nat Closest Maj. Wtr. Body fr z"q t ,4 (Scale1 v yes (np> r Attached: yes See note on back regarding River Basin ding permit may be required by:^,� is •• S w �tC ` Gar •� ?` ❑ �ce.Ie l\)D-t" -(-v F- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to C-11414 i'e,-W e 4 C 4 � 's (Name of Property Owner) property located at t� (Lot, Block, Road, etc.) on f C , in S `'�' ry , N.C. (Waterbody) J AW"-4- ( wn and/or County) Applicant's phone #: �JL-- 36-1-1 Mtrailing Address: Qf-) ` 1—AyN —HOPP 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 (l 5') from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below r / t 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) 11 >� lq ffAC � P� (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) , � Z 1 _ , r,/ Mailing Address NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Govemor James H, Gregson, Director Dee Freeman, Secretary Date (D�' J < 6 — l 0 Name of Property Owner Applying for Permit: �� Rr2CM F 21C-4�-r GR- Mailing Address: �-5 :�o�4)4 Mc M(LL-AQ l I certify that I have authorized (agent) SAL. Fr7G9L.titA&l .4 uab MAVN6 my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) -bpC,(,(, Af-. l) -RDA•T L 1 r'r , at (my property located at) 3110,q 5 und,'j 'P, I r� + 5 W s50??L$ C- X34&4. This certification is valid thru (date) 6111 ,7&321 d Property Owner Signature Date Division of Coastal Mgt. Habitat Impact Computer Sheet � dicant: /��,� Permit �L A 2 Pr'' e � scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen Ind in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated fin; DISTURB TYPE Disturbance total includes any disturbance. Disturbance Excludes any total includes disturbance. Excludes any bitat Name Choose One anticipated restoration any anticipated restoration and, restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount) (� Dredge El Fill El Both [I Other 0 22.36 192,0 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ , SENDER:••N i; THIS SECTION ON DELIVERY ■ Complete items 1; 2,`and 3. Also complete A. SI L is desired. El Agent item 4 if Restricted Delivery , / ` a P6nt your name and address on the reverse ❑Addressee so that we can return the card to you. id`b printed Nam C. Date f Delp `y t ■ Attach this card to the back of the mailpiece, /J r7V G a or on the front if space permits. D. Is eliveryaddras5 dYes 1. Article Addressed to: If YES, enteFdpllvA aiddrbsgvel ❑ No �~ /J \ Ci A11 ffe-r 31z)q !aI4 BJUN 24 2610 w [ Z l 6G�� 3. Service Type [ ❑ Certified Melt ❑ Express Mail ❑ Registered -'❑ Return Receipt for Merchandise t ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes l 2. Article Number (Transfer from service tab 7010 1060 0000 8472 3999 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge [I Fill El Both ❑ Other ❑ ALLIED MARINE CONTRACTORS, LLC 08-03 910-367-2159 92 HAROLD CT. HAMPSTEAD, NC 28443 ORDER OF Al Alb MEMO r ii'00L. L L3i1' I:053000 L961: Bank of America ACH R/T 053000196 41 66- 7 $ Di THOVGNAT6W_ --- 000 68 L. 7 4 3 811'