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Home My WebLink About50277D - Schwahn,I CAMA / E DREDGE & FILL N9 5 GENERAL PERMIT Previous permit # fvlA- :]New El Modification ElComplete Reissue El Partial Reissue Date previous permit issued --4 orized by the State of North Carolina, Department of Environment and Natural Resources -7 4. IZ60 Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 Rules attached. ntNameVOh)AUf) -- KNTWE94'SC+(-V\JA" Project Location: County G�jL--O C&) LA-Nu- Ll A' o L) AJ r-- StateNC-ZIP; -1905 it V (6 ) 3 8 1 -`51 � Fax # (—) zed Agent —POL 1-k 144 T U L- LJ CW ',I JZJEW PTA El ES Ll PTS El OEA El HHF E 1H [I UBA El N/A El PWS: 1-1 FC: yes Q� PNA yes / no Crit.Hab. yes / no )f Project/ Activity C V-),\ S Street Address/ State Road/ Lot #(s) L I (- ) I - A a I T72 til I ' Subdivision City501E-N� eAq zip Z'?q Phone# fLf O )N-5�3-4 River Basin C-FA Adj. Wtr. Body ki V) Vol (n Closest Maj. Wtr. Body ALLI&;A-Tof- ock) lenpth re- � Y, 5-n , : , I-, / /_1 (Scale. g e" ength 4 imbe. ad/ Riprap length vg distance offshore■■V�■■®■■■��■■■■■■■■�■■■■■■1!!AI■�� iax distance offsho, :hannel jbic yards "P Boatlift 'ulldozing ne Length not sure yes r5p gs: not sure yes wium: n/a yes yes Yes ling permit maybe required by: El See note on back regarding River Basin Division of Coastal Mgt, Habitat impact Computer Sheet )licant: � /GrK,fC=� S�rh✓�.J scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind in your Habitat code sheet. ibitat Name DISTURB TYPE Choose One Frestoration TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated 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/oi temp impact amount Dredge ❑ Fill ❑ Both ❑ Othe 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 ❑ Other ❑ I J V C, query - Intranet Pa Track/Confirm - Intranet Item Inquiry Item Number: 7008 2810 0001 0492 4923 This item was delivered on 03/08/2010 at 13:19 Signature: f Address: L L Enter Request Type and Item Number: Quick Search C Extensive Search C Explanation of Quick and Extensive Searche Submit Version 1.0 Inquire on multiple items. Go to the Product Tracking System Home Page. Query - Intranet - "Quick" Search Track/Confirm - Intranet Item Inquiry - Domestic Tracking Label: 7008 2810 0001 0492 4923 Service Calculation Acceptance Date/Time: 03/04/2010 11:45 Destination ZIP Code: 27501 City: ANGIER State: NC Origin ZIP Code: 28460-6624 City: SNEADS FERRY State: NC Class/Service: First -Class Certified Mail Anticipated Delivery Date: 03/05/2010 Weight: 0 lb(s) 1 oz(s) Postage: $0.44 Zone: 01 Dely Rqmt: Normal Delivery PO Box?: N Rate Indicator: Single Piece - Letters Special Services Associated Labels Amount Certified Mail 7008 2810 0001 0492 4923 $2.80 Return Receipt 7008 2810 0001 0492 4923 $2.30 Event Date/Time Location Scanner ID DELIVERED 03/08/2010 13:19 ANGIER, NC 27501 POS1920510 Input Method: Scanned Finance Number: 360192 Request Delkery Record Viaw Deliyery Signature and .address NOTICE LEFT 03/05/2010 11:52 ANGIER, NC 27501 030SGS4768 Input Method: Scanned ARRIVAL AT UNIT 03/05/2010 08:18 ANGIER, NC 27501 030SHW02DR Input Method: Scanned ACCEPT OR PICKUP 03/04/2010 11:45 SNEADS FERRY, NC 28460 Input Method: Scanned Finance Number: 367160 )uery - Intranet - "Quick" Search Pa Submit Version 1.0 Inquire on multiple items. Go to the Product Tracking System Home Page. ■ 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: Jowa SRu.Q GRP-aER ion K►t_TkzA1� D%) ZNAM � C L 2. Article Number (Transfer from service label) A. Signature X Agent Addressee B. Recved qy (Print Name) Date o livery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 's (Name of Property Owner) property located at 1 AL V.a � n R Zg%? (Lot, Block, Road, etc.) on i . C. L3 , in _ _ 'SNFAp 5 —{ i , N.C. (Waterbod y) (Town and/or County) Applicant's phone #: Tom- y �{�- p`� Mailing Address: 4n:Z J f< 5r P014D uQ. 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.) I do not wish to waive ?Zk� I do wish to waive that setback requirement. -------------- - - -------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) (Riparian Property Owner Information) 104S 5T1►� PolaD L Matlmn AririrP.� ANA NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management el F. Easley, Governor Charles S. Jones, Director Authorized Agent Consent Agreement William G. Ross Jr., Sec ►-Jn-9I Cpt��T��x�'�nr.� is hereby authorized to act on my beha (Printed Name of Agent) �r to obtain any CAMA permit(s) required for the property listed below. The authorization is limited to 1 c activities described in the attached sketch. ,TION OF PROJECT: =4D-:f> p T C . f ,I)V94 0 'ERTY OWNER MAILING ADDRESS: ai U3 PHONE NO. - y 42 - D& &C IORIZED AGENT MAILING ADDRESS: Foy &14Wt1'-j1'&V1 PH NE NO 9/c- 3a?-3y 75 IC Division of Coa§tal Mgt, Habitat Impact ComPutar Sheet pplicant: DOMAw AfirD KATll Af SCi k JINM ate: '5 1'3I -,?-o (O )escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ound in your Habitat code sheet. FINAL Feet I DISTURB TYPE Habitat Name Choose One Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ;C1 :O:ter ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ BothEOther❑Dredge ❑ Fill ❑ Both❑ 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 ❑ FIII ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill 0 Both ❑ Other ❑ TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet for. (Anticipated final (Applied for. (Anticipated final (Applied Disturbance disturbance. Disturbance total disturbance. Excludes any total includes Excludes any includes any anticipated restoration any anticipated restoration and/o restoration or and/or temp restoration or temp impacts temp impact amount tem impa is impact amount ANTINORI CONSTRUCTION 145 VIRGINIA LANE SNEADS FERRY, NC 28460 (910) 327-3475 BankofAmerica. ACHWr05Mi96 66-19-530 PAY TO THE ORDER OF: %� . i J�` "y ,� $ al i CzP aa�� (on) MEMO U PSoa� C.on) AUTHORIZ SIGNATURE / 11§008 26411, 1:0 5 3000 1961: 0006 SOS 2 199011-