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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 c 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 r IUd 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 II I IIIIII IIII III I II I IIII I II I I I II II II IIII III 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 Il I IIIIII I'll III I II I illl I II I I II I I II I IIIIII III 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 --)nf A(j Atu -vwq-+-v�d r A-15, � ��op "��-)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