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HomeMy WebLinkAboutFerrell, Michael 76719C❑ VAIVIA / ❑ DREDGE & FILL N9 76719 A B C WNERAL PERMIT Previous permit # evw ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous /it/issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources CommEsion in an area of environmental concern pursuant to 15A NCAC 11 / ❑ Rules attached. / Applicant Name G e—r Fcrtr (/ Project Location: County Address ) V ` K «� Street Address/ State Road/ Lot #(s) Ci State/VCZlP a� �-, ty ► -� c 1." Phone # (� ' /G Mail Subdivision �' ZIP Authorized Agent L'4 City__ ❑ CW ❑ EW ❑ PTA -;;It ❑ PTS Affected ElOEA ❑ HHF ❑ IH ❑ UBA ❑ N/A n Phone # () River —Basin, // lam' C AEC(s): Adj. Wtr. Body l C �rl nat man unkn ElPWS: ORW: yes / no ) PNA �s / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length N---awg'dist—ante offshore 1L/ max distance offshore Basin, channel cubic yards_ Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length SAV: not sure yes l n -- -- -_ Moratorium: n/a yes no Photos: yes n Waiver Attached: yes no A building permit may be required by:, ( Note Local Planning jurisdiction) Notes/ SpeM n itions CY.A C6 r,9 �f e —7J❑//See note on back C'-i'eP(.P11?U1'1 Agent or Applicant Printed Name fu Signatu onFee(s) Check# Issui g (Scale:/V —1f ) g River Basin rules. V e" -111 ell, ADJACENT RIPARIAN PROPERTY QWNER -STATEMENT I hereby certify that I own property adjacent to (Name of Property Owner) property located at (Address, Lot, Blockt Road, etc.) on in w, N.C. (Waterbody) (CitylTown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal, DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development most rill in description below or attach a .site drawing) 2- 1�q} 10 yy 4 at �.�`'1'� ` `•1 .ate-.4`4^^�+.........,�*.+ ..�.»-�jil i 101 i[ j t.._ I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin 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. I do not wish to waive the 15' setback requirement. (Properly Owner Information) (Adja P 0 wn Information) 0zaccl __ Print or TypeNarne Phrif or Type Name Mailing Address Marling Address Ci toliip r cit}+f ttt�,lZ U 2 7y Telephone Number Iamail address TelephoneNumberla address S Dan, Date (Revised Aug. 2014) "Valid for one calendar year after signature' • Complete Items 1, 2, and S. • Print yoUritame and address an the reverse so that we.can return the card to you. • Attach this bard to the back of the mailpiece, or on the front If space permits. 1. Article Addressed to: )V- /U117 I-e e e Va X 0 Agent 0 Addressee S. Received b /(Printed10, Date of Delivery D. Is derrv;4 address 6ifferent from Item 17 ElYes If YES, enter delivery address below; [I No xle-lle 7 3. Service Type LJ Priority Mail Express® 0 Adult 8:gnaturo Ll R.9istered Me! I- 11 Adult 6 g"'ture RestActed Delivery 0 F4Wered = Restricted 9590 9402 5494 9249 0138 17 EJ Certifled KD 0 Certilled MM's�ll Restricted Delivery De Vary 1pt for 0 R Ll collect Merchandise -Return — ---- m Dellv:,y 'a OonfinationTM Q Collect Or, Delivery Restricted Delivery 0 Signature r 70 19 1640 0001 0935 5281 Isured mail 0 rAgnture Gonfirrnn.V- ResIfloted Delivery - - lMd Mall Restricted Del" '�o $500) PS Form 3811, JUIY2015 PSN7530-02-000-9053 Domestic Return Flec4t Postal Servi( TIFIFnm4 Domestic Mail Unly For delivery information. VIS11 OUT �'Iek)Slle at W—'�.U$P9-COn?t- U1 Cartlod Mail Foa t 5� M I, Ot r3 -v up r-1 Postmark 0 OC.~l.qa1RwbkWD&-Y : I Here 0 LjAd.H&Q-h.R4T**d a E3 ElA&A Mwat-R.W.WOOMY S M Postage S, 0 15 5 0 Tote P~ end 1-4 $ Er re e ------------- ;;5 ---------------------------- 0,4 1'g,3xw II I IIIIII lill lilll �IfIH�III III I � III 9590 9402 5494 9249 0138 17 United States Postal Service Sender: Please print your name, address, and /7- 9 13,-00 &1 4,e ,s h� 11/L 2 7 6 07 First-Cla§s Mail Postage & Fees Paid USPS Permit No, G-10 ,lili-0,1iiih1111-1Ilii PARCEL NUMBER: 53941.9611679000 OWNER: KELLEY,DEBRA NYSTROM TRUSTEE PHYSICALADDRESS7117 ARCHERS CREEK DR EMERALD ISLE MAILING ADDRESS: PO BOX 1062 LUCERNE VALLEY CA 1062 92356 LEGAL DESCRIPTION: L35 S2 BG ARCHERS POINT DEED REF:1528-59 PLAT REFERENCE:16-53 NEIGHBORHOOD: 560035 SALE DATE:12/14/2015 SALE PRICE: $0 ACREAGE: 0.339 LAND VALUE: $383,680 BUILDING VALUE: $0 EXTRA FEATURE VALUE: $0 PARCEL VALUE: $383,680 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that ! own property adjacent to m'.ckIs t (Name of Property Owner) property located at 1 c (Address, Lot, Block Roa , etc.) on N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) 000e__1 & -5_`"?5-- M liti L< I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin 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. I do not wish to waive the 15' setback requirement. 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