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 •
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Phone # ) 6
-- S Mail
Subdivision
Authorized Agent
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City TD,Ofi�.P -GO( y`'
ZIP��%y
Affected ElCW ❑ EW ElPTA , DES ElPTS Phone # ( "jl�Z',",-, -"`L River Basin
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❑ PWS: �'-
ORW: yes no > PNA yes no Closest Maj. Wtr. Body�AC-)
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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
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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