69026D - Craver

[�'CAMA / - DREDGE & FILL
GENERAL PERMIT
,, New - Modification ❑Complete Reissue El Partial Reissue
A B C
Previous permit #
Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources l
and the Coastal Resources Com ission in an area of environmental concern pursuant to I SA NCAC (�, A �D
/' ❑ Rules attached.
Applicant Name �Vr' /n Project Location: County � 5 �, t
Address_ S N"e Street Address/ State Road/ Lot #(s)
City G 4n� State % 2� _2��`�
Phone # (� �� _ �(�a / E-Mail Subdivision
Authorized Agent 6,11 11N&� A, AC�ity rw 4,0r I�j(al' k zip-AIFr
4(�
Affected ❑ CW XW T*A ❑ ES ❑ PTS Phone # ( )%��
RiverBasin
AEC(s): ❑ OEA ❑ HHF ❑ IH ElUSA ❑ N/A Adj. Wtr. Body
❑ PWS• nat unkn
ORW: yes / qrb) PNA yes / Closest Maj. Wtr. Body iA/ IA I
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�Agentl&—)/plicant rinted Name G {
Sign. ' Pleas ad compliance statement on back of permit
tJ ZCr
Application Fee(s) Check #
Permit Off' er's Print Na
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Signature
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Issuing to Axpirition Date

NC Division of Coastal Mgt. Habitat Impact Computer Sheet
Applicant: ro, J W/l��/,U�,� # 1 j, C( t r�(t "
Date: i) /n /`�() /
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
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration and/or
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
Vv
Dredge ❑ Fill ❑ Both ❑ Other
a—
1
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge 0 Fill ❑ Both ❑ Other ❑

Date
Date
Check From
Name of
Vendor
Check
Check
Permit
Receipt #
Received
Deposited
(Name)
Permit Holder
Number
amount
Number/
Comments
Maritime Coastal CresCom
3/17/2017 Construction LLC Paul Craven Bank 2426 $200.00 GP 69026D BS rct. 3754D

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit
Mailing Address: ,.,(oC �i- S/
Z era /f)
Phone Number: S�,2 CII_7
Email Address: ( -
I certify that I have authorized Z�VG{iLi4e G Z61 /!
Agent ! Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /L,C(f old D/PT
at my property located at 9,07
in IJ 6.'-5 C-& County. 6
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
,o Signature
V
Print or Type Name
Title
�2 3 l,!�' -3l 7
Date
This certification is valid through �l - d 1

3/14/2017
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Tracking Number: 70150640000360090027
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Updated Delivery Day: Monday, March 6, 2017
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Postal Product: Features:
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9590940213645285913601
March 6, 2017 , 12:05 Delivered, Left with SUPPLY, NC 28462
pm Individual
Your item was delivered to an individual at the address aL � 6. p­ -1,v«
SUPPLY. NC 28462.
March 6, 2017 , 8:24 am Arrived at Unit SUPPLY, NC 28462
March 6, 2017, 3:22 am Departed USPS Facility FAYETTEVILLE, NC 28302
March 5, 2017 , 10:54 Arrived at USPS Facility FAYETTEVILLE, NC 28302
am
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3/14/2017
DATE & TIMF
March 4, 2017 , 11:09
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March 4, 2017 , 9:46 pm
March 4, 2017 , 2:15 pm
March 4, 2017 , 11:41
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CHARLOTTE, NC 28228
CHARLOTTE, NC 28228
OCEAN ISLE
BEACH, NC 28469
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BEACH, NC 28469
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3/14/2017
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Tracking Number: 70150640000360090034
Expected Delivery Day: Monday, March 6, 2017
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See tracking for related item:
9590940213645285913618
DATE & TIME STATUS OF ITEM LOCATION
March 6, 2017 , 3:17 pm Available for Pickup MONROE, NC 28110
Your item arrived at the MONROE, NC 2811 n nnct nffirP �t z 17 nm nn nn�rnh P. ')017 in
is ready for pickup.
March 6, 2017, 3:16 pm Arrived at Unit MONROE, NC 28112
March 5, 2017 , 10A6 pm Departed USPS Facility CHARLOTTE, NC 28228
March 4, 2017 , 9:46 pm Arrived at USPS Facility CHARLOTTE, NC 28228
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DATE & TIME STATUS OF ITEM LOCATION
March 4, 2017 , 2:15 pm Departed Post Office OCEAN ISLE
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