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HomeMy WebLinkAbout69267D - BilheimerCAMA / DREDGE & FILL GENERAL PERMIT _'New Modification ❑Complete Reissue dA .c1 A B C C%�3 Previous permit # `` 91 ❑ Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environment and Natural Resources and the Coastal Resources Commission in an ea of environmental concern pursuant to I SA NCAC Applicant Name ! M Q❑ Rul Project Location: County-1 attached. Address Street Address/ State Road/ Lot #(s) City • J A --A ! State ZIP g S � _ /� • 7�t 'C�t -f d Y� !✓ vet Phone # ) 6 -- S Mail Subdivision Authorized Agent .. I� N J"�' w _� City TD,Ofi�.P -GO( y`' ZIP��%y Affected ElCW ❑ EW ElPTA , DES ElPTS Phone # ( "jl�Z',",-, -"`L River Basin AEC(s): ElOEA ElHHF El❑`TIH fUBA Elel:r N/A Adj. Wtr. Body �'` f �Q.4 2 e-� /Orna-tWman unkn ❑ PWS: �'- ORW: yes no > PNA yes no Closest Maj. Wtr. Body�AC-) :i ■■■MINIM ■NMINIM O■■■■■■■■■■■■■■■ O■ ■■ Nm ■■ ■■ ■■■■!1�■■■� 11�r�:� I ■■■■■■■■■NEM ■■■ 11■1111■■■■►,I■■■■■tl �i�l■■■■■I.i■■■■■■w■■■fly 11■■■■■■■■■Nell/■■■■■■�:i■■■■■R:i■■1■■■/1■■■ 11��■11�■■■ ■■■■Y■■■■■H■M i■ ■�w�'J��� M . , 'III►�■■■■■■i�/'/■■■■■■■■■■■■■■■■■■■■Ili■■■■■ � I11■■■■■■w�■I�R�I�lR'! Jil1►r*I■■■■■■■■■■■■11■■■■ MENIMMINIME RI VI-A-0- Agent or Applicant Pnn et d Name Signature **Please read compliance statement on back of perni Ap lication Fee(s) Check # tOfficer s Pfinted Name .� , ;g &-e Issuing Date Expiration Date ■ Complete items 1, 2, and 3. IF 7R7eceive ■ Print your name and address on the reverse so that we can return the card to you. Agent Attach this card to the back of the mail iece,y(PrintedName Addressee p b )7777- •.Date of Delivery or on the front if space permits. 1. Article Addressed to: t10t� 11111 Hill III 11111111 fill I 1111111111 9590 9403 0258 5155 4733 50 2. Article Number M,---- 7016 1370 0002 2610 6480 PS Form 381 i , April 2015 PSN 7530-02-000-9053 D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Adult Signature ❑ Priority Mail Express® N❑ Adult Signature Restricted Delivery ertified Mail@ ❑ Registered MaiITM p Registered Mail Restricted ❑ Certified Mail Restricted Delivery Delivery ❑ Return Receipt for n Delivery Merchandise n Delivery Restricted Delivery ❑ Signature ConfirmaiionTM ail El Insured Mail Restricted Delivery ❑ Signature Confirmation Restricted Delivery (over $500) - Domestic Return Receipt cx,-,rwN - o P s fi-► ri I� �/�z-►'�� N L S LJ 1 ' _ Fa R--- Zo 0 , kj -b'f" 0,L) nn � 2 �pN 1� gyp P DCM RECEIVED NC NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: � � (�" I Date: Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Name Choose One includes any anticipated Excludes any restoration total includes any anticipated Excludes any restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts amount) ❑ Both ❑ Otherl EDredgel ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to o o � ✓L L7 1 L' k1.-� 4—_'s (Name of Property Owner) property located at -3 Zo (� K) ,�-Q A o,2 AL-tj b �. (Address, Lot, Block, qoad, etc.) on to i�- ,v in A— N.C. ( aterbody) (City/Town arid/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 AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, 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""� I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. rope,rW'O- vner Information) ,4i�nire Print or Type Name P. o . bok 31-1y __Wiling Addres 22+ City/state/Zip oo- elephon Number Dat roperty Owne o atio —/� Print or Typt-Name 16D.2 iYle.n Z) Mailin Addr ss '071 , (.y C>G . s-� 7 Cityista /zip Soy- spy s—,-o0 Telephone Numb r —�3 7/ Date (Revised 6/189IVED XM WILMINGTON. NC JUN 19 2017 WIRO Date Received I Date Deposited Check From (Name) Name o/ Permit Holder Vendor Chock Number Chock amount Permit Number/Comments Receipt or Refund/Reallocated 6/21/2017 6/21/2017 6/21/2017 6-1/2017 6/21/2017 6/21/2017 6/21/2017 Grice Construction Backwater Marine Construction Inc. Allied Marine Contractors Backwater Marine Construction Inc. - - Backwater Marine Construction Inc. 1 Roger Bilheimer or Courtne r�Muller CourtneyMuller -- H&H Builders LLC Robert Northington BB&T James Wiggins BB&T Russell Davis First Citizens Bank Jose h Mainous BB&T - Jim Treadwell BB&T same Wells Faro Bank - Bill Sanderson First Citizens Bank 11285 _ $400.00 GP 69237D _ $200.00: GP 69236D $200.00 GP 69145D $200.00 GP 69250D - — $2 00.00 GP 69251 D $200.00 GP 69267D - - — $200.00 GP 69139D SF rct. 4270D SF rot. 4659D BS rct. 4630D SF rct. 4657D - SF rct. 4658D JD rct.3872D - BS rct. 3774D 2910 5641 2912 -- 2911 7151 — -- 3918