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Home My WebLink About66165D - LewisI CAMA / ❑ DREDGE & FILL 6 t5 q B iENERAL PERMIT Previous permit# 1New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued -ized by the State of North Carolina, Department of Environment and Natural Resources �rf' :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC % f f ? J n ❑ Rules/ ttached. t Name S Project Location: County (/ 'S�06 �� Street Address/ State Road/ Lot.#(s) "l State ZIP . 76 /Z.-- '4yL�z7-3 1 E-Mail Subdivision �^ ` G_ I ed Agent TI ►' I '/L City �U /'� �� ZIP ❑ CW )WW )aPTA ❑ ES ❑ PTS Phone # River Basin ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body �r�s�'"'-� ��yH (nnte, ❑ PWS: It yes f no PNA yes no Closest Maj. Wtr. Body rrro ' Project/ Activity ' NS At // z II I(--k `'e / Ll-' r-kv.— "'- (Scale: / 11 ck) length_ atform(s) _ Pktform(s) ngth tuber d/ Riprap lengt g distance offshore uc distance offshore cannel bic yards np }� ie Length V V not sure yes no -ium: n/a yes a yes n Attached: yes no ing permit may be required by: /Z4 ❑ See note on back regarding River Basin r Local Planning lurisdiction) I-------- - 10/20/2015 Dr. Jeff Morrison same First Citizens Bank 10494 10/20/2015 Antinori Construction Inc 10/20/2015' Custom Island Homes by Ken Kiser LLC 10/20/2015 Custom Island Homes by Ken Kiser LLC - y - 10/20/2015 Custom Island Homes b Ken Kiser LLC 10/20/2015 Custom Island Homes by Ken Kiser LLC _ 10/21/2015 jMoney Order for Brandon Grimes 1 10/21/2015 Money Order for Brandon Grimes 10/21/2015 Clements Marine Construction Inc - Roger Lewis B of A 3890 $400.00 GP 64767D + GP 661 $400 00,majorfee, 7404 E. Be $400 OO major fee, 7406 E. Be $400 00 major fee, 7408 E. BE $400.00'major fee, 7410 E. BE $400.00 GP 66167D Q$600 $200.00!GP 66167D @$600 $250.00 major fee, 202 Kings __ _ Ken Kiser. Ken Kiser Ken Kiser CresCom Bank CresCom Bank CresCom Bank 3844 3845 3846 Ken Kiser CresCom Bank 3847 Scott Pindell Wells Fargo Bank 59183420318 Scott Pindell Wells Fargo Bank 59183420329 Vern Hawkins First Citizens Bank 3933 DOD N y3 E v o L oU C ra = Q1 O 03 NC Division f Coastal Mgt. Habitat Impact Computer Sheet Applicant: Date: ✓ 2 cJ �S� 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 FI (Applied for. (Anticipated final (Applied for. (A DISTURB TYPE Disturbance total disturbance. Disturbance di: Habitat Name Choose One includes any anticipated Excludes any restoration total includes any anticipated E) re restoration or and/or temp restoration or tei ternimpacts) impact amount ternimpacts) ar 0 Q Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ ther ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ N.C. DIVISION OF COASTAL MANAGEMENT Eycffallil t ., '.IY .:•. . I Date i i� Name of property (honer Applying for Permit: Ri 1Z- - Mailing Address: l certify that i nave authorized (agent) AIHII to act on my behalf, for the purpose of applying for and obtaining all CA.Ntk Permits necessary to install or construct (activity) at (my property located at) IV/ IV, nit j l/'v! / ! This certification is valid thru (date) I (AL � � %j � �4-41 'r) 'e4m &V i 20/� Property Owner 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. 1, Article Addressed to: Donna P LLL as Wl l r«i . 4 KrC, )—" z4S- A. Signature X gent __ ❑ Addressee B.i�eivdby (Printed N e) C. D e of livery O _ D. Is delivery address different from tem 1? ❑ Yes If YES, enter delivery address below: ❑ No 3, Service Type i:- PriorRegistered Mail Exprvfail- sC� 13 Adult Signature � Registered M11ait"" ❑ Aduft Signature Restricted Delivery 0 Registered Mail Restricted ❑ Certified Mail* Delivers 9590 9401 0 0 3 6 5071411 9 711 47 ❑ certified Mad Restricted Delivery ❑ Return Receipt for 0 Collect on Delivery Merchandise 2. Article NumtJer (Tiancfar t^^^-- '-` ivery Restricted Delivery C Signature Confirmation'"' E Signature Confirmation 7 013 3020 0002 0025 6 8 7 8 estricted Delivery Restricted Delivery ;over 5soo} PS Form 381 1, April 2015 PSN 7530-02-000-9053 Domestic Return Receipt ■ 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. I. Articie Addressed to: - _' Adult Sigrature Prrority Mail Expressy.', o IV `14mO' 910.327.3475 N it � -•f• •,. � •, � 2 � �t� t�P�� SM