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Home My WebLink About67942D - Mabe�PAIVIA DREDGE & FILL GENERAL PERMIT G Nlew --,Modification E]Complete Reissue �,,�/,� 1\1 -]Partial Reissue "7942 A Previous permit # Date previous permit issued B -ized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC_ 00 El Rules attached. Name CQ VI) I\-/ Project Location: County On'<'Utv -7 3 r d1 t", Street Address/ State Road/ Lot #(s) �0'-N\Nvz YN State ZIP V\ dis-) I _CM] E-Mail --k— Subdivision W Agent h- Ce rt'v\ ZIP City 4 ( '14 (4f A/T 5 ( 'I 10 )!S_1 Vq River Basin , o Cw PNW t—dPTA El ES El PTS AI _ Phone fF (' � LAv — EJ OEA El HHF 0 1H 0 UBA 0 N/A Adj. Wtr. Body �n K/v\/ El PWS: Closest Maj. Wtr. Body fes / ho., PNA � �e / no Project/ Activity -YI/ -11 o k) length L v 7_1 71 Y ck�A (Scale: I " = L N-ORMEM-PREEMLORRM"NEMN mm MMMMMMOMMOM tform(s) 'latform(s) -r(s) WIN ;gth I iber � MIMMINIM MINIMMEMEN = NM=====VJ �w Riprap length distance offshore ............. IMEEMPIORNMOT412111010111111 MENNEN 0N EMEMEMM"EM11 Now rkle w4affill I 1101111 IN .1111 I MENNEN .:c yards ?I e/ Boatlift NINE EMOMMIMENNIMMEN MENEM MEEMENS MENEM MIN UFAMMEAVERMEM11 M 0 WE 9 0 w M 2 a 0 ME = = "ON LN IN IN MENEEI wMNNEW! 6a IFFN I EMEMEM 0 BROWN JS ocal Planning jurisdiction) 11 - i I 1 11 1 P NC Division of Coastal Mgt. Habitat Impact Computer Sheet Applicant: CC' ,V (`/ i,, M ,�,, Date: , 2/c q / Z a L Permit #: G 71 cj2 _, Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL feet (Applied for. (Anticipated final (Applied for. (Anticipated fins Habitat Name DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/ restoration or and/or temp restoration or temp impact -temp impacts) impact amount) I temp impacts amount Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑. Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both E] Other ❑ Dredge ❑ Fill ❑ Both 0 Other ❑ 'ayment Proccessing Confirmation )ate Received 11/23/2016 :heck From (Name) Grice Construction of Brunswick County Inc flame of Permit Holder Carolyn Mabe fendor BB&T :heck Number 10886 :heck amount $1,000.00 Aultiple Permits Yes Aajor/Minor 'ermit Number/Comments GP 67942D ($200) teceipt or Refund/Reallocated SF/2845D WA W6" 4* North Carolina Department of Environment and Natural Resources Division of Coastal Management Pat McCrory Braxton C. Davis Governor Director AGENT AUTHORIZATION FORM Date: I�me of Property Owner Applying for Permit: ►wner's 10ailing Address: \ � hone Number John E. Skvarla, III Secretary N7a of Authorized Agent for this project. 6L �DY Phone Number q0q certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying it and obtaining all CAMA Permits necessary to install -or construct the following (activity): U or my property located at his certification is valid thru (date) Property O ner Signature Date ■ 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. Article Addressed to: � � WQ z Lc Z A. jynature ent X ddressee 'v by (P ' t d Name) 51 C. D e of Delivery D. Is delivery address different from item 1? ❑ Y s If YES, enter delivery address below: ❑ No ice Type 0 pdority Mail II'IIII'I I'll I'lll III III I'I I'III'll I I Illl II'll3. ❑ Adult S gnat Signaturere Restricted Delivery ❑ Registered red MaiPResricted 9590 9403 0603 5183 4336 05 p Certified Mail® ❑ Certified Mail Restricted Delivery Delivery ❑ ReturnReceipt for El C llect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise ❑ signature ConfirmationT" 2, G,tirlo Nt imhPr (Transfer from service label) r ❑Signature Confirmation Restricted Delivery 7015 0640 0006 3682 iestricted Delivery 2383 Domestic Return Receipt PS Form 3811, April 2015 PSN 7530-02-000-9053 m Domestic CO m For delivery information, , ru H t+ ,b N w- c:0 Certified Mall Fee $ 3 . 311 0470 —0 $ 11 Extra Services & Fees (check bar, add ree e) m [IReturn Receipt (hardtop» $ ❑ Return Receipt (electronic) $ I I-/ I I I Postmark 0 []Certified Mail Restricted Delivery $ $0 •{III Here C3 ❑Adult Signature Required $ �� []Adult Signature Restricted Delivery $ p Postage 07/ 14 /.2 116 Total Postage and Fes C3 $ r7 i Sent T n' ° C etc M1 °�i`-,orPO P� . r bLO.LZ �C a(UtAa --"'a \Wo 'j L \is \),a l\� 1' M jx b 1