HomeMy WebLinkAbout71826D - HilamanDCAMA / C DREDGE & FILL NO 71826
A C
GENERAL PERMIT Previous permit# I U
�Nevr ❑Modification ❑Complete Reissue El 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 1 1 V V
❑ Rules attached.. �s
ApplicantName �1,(,��(V�(1� Project Location: County-
Address—
U ,1!/ ` Street Address/ State Road/ Lot #(s)
City A State ZIP
Phone # O E-Mail -
Authorized Agent
Affected ❑ Cw ❑ EVN ❑PTA is ❑ PTS
❑ OFO n M14F n IN n 11 e n N/A
AEC(s): El
ORW: yes(nf._l PNA
Type of Project/ Activity _
Pier (dock) length_
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length law
avg distance offshore max distance offshore
Basin, channel_
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes /n'o)
Moratorium: n/a yes no
Photos: yes no
Waiver Attached: yes n¢
yes N no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
�IVW U) 1W- 0 V\W§7A
Agent or rAppli'cant� Printed Name
Sig alurre� l Please read compliance statement on back of permit
T **
3►k �� 1 11 f
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Application Fee(s) Check #
Subdivision
City ZIP
Phone # () River Basin
Adj. Wtr. Body n man unkn
Closest Maj. Wtr. Body v
✓h
(Scale: 11 - C> )
❑ See note on back regarding River Basin rules.
Expiration C
6UTHO L ATlbiy FOR CIWA PEEtMI ARP CQ
TIQN
Name of Pmperty Owner Requasting Penmi: �1
Mailing Address: � ,,31 2— ILyiy
Phone Numoe: _ — -
Email Address: iY1tl�+�.. iQm rs+n rY1�cn�4 • t- �_
I oartitj that! ;lave authorize G.Allt r'fsY► "`� ►�+FG� lrYAa'iild •° -✓v�
AgerA Contractor
to act on my ".ilalf, for the puepcse of &Aping for and Obtaining all MANIA pemift
necessary for the fbilo a+ing propLtsea develops? ext:
at my property located ja`t � � —
M
f furthermore uartif}► that i am authorkzed to grant arxf do en fact grant pray *ssian to
Division of Coastal Management staff; ttre Local Permit Officer and tt;-air agents to enter
on the sforemealkned lands in connoctor, vW(h evWuating prr wnetion reialed to this
,perramrt applicetiar:.
Projwrty Ownee Information:
r
Print or Typo Ada
Cr U_A'I -eit
Twe
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Deb
l"Itis certiticatiarr is valid :tircx�€ih _ _ � _
6adi•ueos
6 LOZ/£ 6/Z
■ Complete Items 1, 2, and 3.
• 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 mallpiece,
or on the front If space permits.
1. Ankle Addressed to:
LO+h r 0 P
ch'Arlolle, /VGC�Mlo
A. Signatures
X r:�G,,,..Go ❑ Agent
8 ecelved b dnted ame Q Addre�
y V 1 C. of Deu
LN 2
Is dery address ifferent from ftern l? ❑Yes
If YES, onter delivery address below: ❑ No
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3. Service Ty
❑ Adult s gnature
o Ma
9590 9402 3542 7305 6422 49
❑ Adult Signature Restricted Delivery
❑ Certified Mall®
Re�ghstyered *p�
❑ R istered Mall Restricted
D,
Datum
�. Article Number (Transfer from service (ebe/)
❑ Certifed Mall Restricted Delivery
❑ Collect on Delivery
❑ Collect an Delivery Restricted Delivery
l very
❑ Receipt for .
Merchandise
C2 Signature
7017 3380 0000 8628 4243
add M,aj,1
ConfnneUon*u
Ili S1 tu�o COn}vM ton
ResPS
Form 3811. July 2015 PSN 7530-02-000-9053
_
Domestic Return Receipt
■ Complete Items 1, 2, and 3.
• 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 maiipiece,
or on the front if space permits.
1. Article Addressed to:
4 s 1�
G
Td7,_ 11 `1 0 Agent
�'f/� �1 ❑Addressee
by (Prlrd Nape C. Date of Delivery
D. Is delivery address diffeflghi'from Item 1? E3 Yes
If YES, enter delivery address below: ® No
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13 Service
S
9590 9402 3542 7305 64,22 32
13 Adultg Restricted Delivery
0 Cartes Mall®
Registered
13 Malll- ed
Delivery
0 Certifed Mail Restricted Delivery
O Collect on Dovery
❑ Return Recelpt for
Merchandise
2. Artinin Numhsr !Transfer from service /aheg
❑ Collect on Delivery Restricted Delivery
❑ Signature confnnatlonTM
17 3380 0000 8628
4236 rstrlcted Delivery
❑ Signature Confimation
Restricted Delivery
PS Form 381 1,duly 2015 PSN 7SM-02-000-9053
Domestic Return Receipt
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"��-)0 `) Brunswick County GIS Data Viewer
Southport
http://brunsco.maps.arcgis.con/apps/webappyiewer/index.html?id=6dt283e I aa634006baeedf6daac40d38/
-78.002 33.925 Degrees
1/1
Date Received
Date De sited
Check From(Name)
Name of Permit Rolder
Vendor
Check Number
Check
unt
Permit Numb —Comments 4
Receipt or Refund/Rea—
Column?
Column2
Co/umn3
Column)
Column5
Column8
Column?
Co1umn8
Column9
6/52019
McPherson Marine
Hi—
First C ns Bank
571
d00.00
GP it]1826D
Tm rct 8459