HomeMy WebLinkAbout74721D - WilloughbyDREDGE & FILL No. 74721 A B C
CERJERAL PERMIT Previous permit#
ew ❑Modification ❑Complete Reissue ❑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 I SA NCAC
❑ Rules attached.
Applicant Name 1 \ ILi mXCr0 Of LLoy L44(3
Address 2— '00 ST .
CityZ—NLG( L-14 State (- ZIP 2.}LdA6—I110
Phone # (-ZOA) 218 1 ODU E-Mail
Authorized Agent C7Q \C E (4 -'SZ IL "C Z I
Project Location: County
Street Address/ State Road/ Lot #(s) 11 ZZ Lo$t A S
Subdivision
CityS✓N SF kcZIP-L'94lo19
Affected ❑ Cw [�EW ❑ PTA NLES XPTS �► Lf,,Thone # (qua) S 7 9 9 &RSS River Basin Li -AU Q.
AEC(s): [-1 OEA C HHF ❑ IH ❑ URA ❑ N/A Adj. Wtr. Body (, A YA L- (nat L-m-a-LD/unkn)
PWS:
ORW: yes / Pam- PNA yes /dw Closest Maj. Wtr. Body /'kw v�l
Type of Project/ Activity Q r PL A C F f (LC- u t V H E A 1 rf N. r o rt Pr2 N j
(Scale:
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
)Wrkh`e`aiprap length 510 ,
avg distance offshore__
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boat
Beach Bulldozing l
Other N G: / r'
Shoreline Length �U
SAV: not sure yes
Moratorium: n/ yes no (/+ ]„ 1 0 1 •
Photos: yes
Waiver Attached: yes no
A building permit may be required by: J U F So j Z ( A�,I., ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions Q f} LL r+pl "i cCi r.+ t Q f VAN • j C X-) l 6L 1 S 1 1% T F . Ar"C', f-6064-AL-
2.0 kAA-Az tyN S PPP L-`1
1c
ent or Applicant Printed Na e
Signature *B*` lease read compliance statement on back of permit a*
W1.166 4 13.;L9 -3--
Application e(s) Check#
Permit0 �N�
Signature
Issuing D;A 40 ixpirafion Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner- Requesting Permit:
Mailing Address:—
Phone Number:
Email Address:
I certify that I have authorized C'W
. Agent / Contractor
to act on my behalf, for the purpose_Df-applying for and obtaining all CAMA permits
necessary for the following proposed development: Ve CJ `QQ
-- at my property located -at
in 7�)c'Wn5-k�%a County.
CY)
l furthermore certify that / am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the LocaLPemW Officer, and their agents to enter
on the aforementioned lands, in connection vWhh evaluating information related to this
permit application.
Property Owner Information:
Signat
N 1 fv --
Pdnt or Type Nam -
Title - - - --
�1
Date
This certification is valid through `n1 wn
f 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 mailpiece,
or on the front if space permits.
1. Article Addressed to:
M "l ')Lk ek br
9590 9402 2219 6193 1043 01
2. Article Number (Transfer from service label)
7017 0660 0000 7487 1655
PS Form 3811, July2015 PSN 7530-02-000-9053
r
COMPLETE THIS SECTION ON DELIVERY
7Reei
Agent
CJ Addressee
rinted ame) C. Dace Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Priority Mail Express(D
❑ Adult Signature
❑ Registered MaiIT.
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
tified Mails
Delivery
❑ Certified Mail Restricted Deliveryeiurn
Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature Confirmation
F-1 Insured Mail
0 Signature Confirmation
ed Mail Restricted Delivery
Nestricted Delivery
$500)
Postal
a RECEIPT
CERTIFIED MAIL
rL Domestic Mail Only
--0
D '
•CHARLOTTEr'VC 2*8278 a
17— Certified Mail Fee cI-1 0470
$ 5
N Extra Services &Fees (check box, add tee te)
❑ Return Receipt (hardcopy) $
p ❑ Return Receipt (electronic) $ SO-00 Postmark
E:3 ❑ Certified Mail Restricted Delivery $ _ o 00 Here
0 ❑ Adult Signature Required $—
C3 ❑ Adult Signature Restricted DeliveryED $
Postage
-0 $ 06/10/2019
—0 Total Postage and Fees;
C3 s e.85
Sent To ll rr
Q X�_ �U
------------
4� Tj r Q�IV
Cip'S te, ZI r 1 a 1`1 P I 0
Domestic Return Receipt
LnLn
ra I WA Nr2f 1
r-
Certified Mail Fee i3 ��
I I470
$
9`
Extra Services & Fees (check box, add tee aa„proatlefe)
r.
❑ Return Receipt (hardcopy) $
s V ou
0
❑ Return Receipt (electronic) $ .
Postmark
0
❑Certified Mall Restricted Delivery $ :L. Lint
Here
O
❑ Adult Signature Required $ Sri 00
M
❑ Adult Signature Restricted Delivery $
Postage $ 0.55
C3
.11
$
06/1i1/2019
Total Postage and Fyj
a
E3
.85
$
Seri o -8 �.
------------------- ------ -- - - - -
$«� ° u �-- �c---------------------------------
` s�atdZ nnJ 1�� 25,1'�3 -g%Ocf
9/5/2019
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Tracking Number: 70170660000074871662
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June 14, 2019 at 10:53 pm
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June 14, 2019, 10:53 pm
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The delivery status of your item has not been updated as of June 14, 2019, 10:53 pm. We apologize that it
may arrive later than expected.
June 14, 2019, 8:53 am
Out for Delivery
CHARLOTTE, NC 28278
June 14, 2019, 5:02 am
Arrived at Unit
CHARLOTTE, NC 28278
June 13, 2019
In Transit to Next Facility
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June 11, 2019, 7:33 pm
Departed USPS Regional Facility
CHARLOTTE NC DISTRIBUTION CENTER
June 10, 2019, 10:42 pm
Arrived at USPS Regional Facility
CHARLOTTE NC DISTRIBUTION CENTER
June 10, 2019, 5:44 pm
Departed Post Office
OCEAN ISLE BEACH, NC 28469
June 10, 2019, 12:51 pm
USPS in possession of item
OCEAN ISLE BEACH, NC 28469
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Date Recel—d
Date DeP,.Itd
Check From Name
Name of P—nit Nokler
Vendor
Check Number
Check
unt
Permit Number/Comments
Receipt or RetundiRealkxated
Columnf
Column2
Column3
Column{
Columns
Columns
Column?
Co/umn8
Co1umn9
9/30/2019
Grice Construction
James and Diane Filer
BB&T
12911
13298
1 13297
$ 200.00
$ 400.00
$ 400.00
GP #74723D
GP #74722D
1 GP #74721 D
� BB rct. 8283
!BB rct. 8282
BB rct. 8281
9/30/2019
Grice Construction
Christopher BdtUn
I Mildred Willoughby
BUT
BB&T
9/30/20191
iGrice Construction