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.LAMA / DREDGE & FILL H • It .14
3ENERAL PERMIT Previous permit# —
(New -Modification ❑Complete Reissue CPartial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources j�
-oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC H •
is
ules attached.
t Nam f,4, '0 Project Location: County kyumh(j Uc_.
tx' _ ✓ Street Address/ State Road/ Lot #(s)
a�� ! State ZIP 2� 2.t i7 F%Q t 1 CA.Yl Owr+
Fax # () Subdivision
,ed Agent {Y7, ityUZIP 1z9+U
CWEW PTA ❑ ES ❑ PTS ne # ) River Basin
OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ) a
Adj. Wtr. Body nat
PWS: ❑FC:
yes /,no PNA yes / no Crit.Hab. yes /t"no) Closest Maj. Wtr. Body
' Project/ Activity
v /r
�/ f (Scale: ( s
ck) length
ngth
tuber
I/ Riprap lengt
t distance offish re
x distance offs ore
cannel
>ic yards_
ip
se/ Boatlift
Aldozing
r
Length
not sure yes
;. not sure
yes
um: n/�
yes
yes
atached:
yes
ig permit may be re
GRICE CONSTRUCTION OF BRUNSWICK
COUNTY INC
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
PAY
TO THE
4' ORDER OFc: a
9544
66-112/531
DATE
la
BRANCH BANKING AND TRUST COMPANY
y 14W-BANK BHT BBT.com
Iw
FOR��`i�iy5(,)
GRICE 091 PAGE Hl
AMA / i DREDOE i FIL,L.
GENERAL PERMIT
Nlew , Modification 'Complete Reissue Partial Reissue
fthorrsed by the State of North Carolina, D urttnent of Environment and Natural
he Coastal ftesacrcos Commission in an area of environmental concern F,Ur"m o
kmnc Name (.A iA.i !. ty � .__S.N^ ��kt!iPrcj
�.j.-�.1$' ,��i ... A1�11�14_ 1t'.d� .... — — Stir
State, ZIP
e #). �-_ i.LKA.. Fait # Sub,
orixed Aigettt yi{l--.00-,aYVzft-P--.----- itY
ted ' CW )CtW YPTA ES "S
,S) ! SEA NNF I" UBA I 'N/A Adj,
yes l 4o PWA yes I no ' Cr1t.Hab. yc Yno C,OI
e o9 Project/ Activity
(cfatk) length �
rorm(9) J x b �� 605 .Jtr ,
er pier(s)
in length
IM1LW p Y
iwmber
p
rK
head/ Alprap lengt , AAA ID
avg distance offs re �eb
-ax distance oft ore
n, channel
cubic yards
ramp
;house/ eoadirt
:h auedoz�g .Sii� AJh 14
ekne Leosth -- r
neat atee yes
beds! not sure yes
wo its" F—D yes no
oa:no
erAttache& yes nq
Ndng permit may be required
N° 6;311
Previous permit #—___
Cate previou- permit issued ----
Resources
I$A . (. I SA NCAC —��, _
./�/"u03 detached.
!ct l-ocatiom County ac t W,
st Address/ State Road! 1_rt #(s)
o PA I ca.h CwY+
ZIP Z%f V!
Ri
ver Basin Lvvu w r
r- AodyY 44i i^at /man
Maj. Wtr. Body
1 Y
(Scale:
0
�T&t?af-is�1�r_
1 PXAL WAty!
C.
Sea note on b ck regarding R.-ver Basin rules.
es/ \ Cond``itions
�r1'A.tatn�. "
C Division of Coastal Mgt. habitat Impact Computer Sheet
plicant: (J,,�i G '�Ca Permit* U
te:
ILI
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
ind in your Habitat code sheet.
bitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts
FINAL Feet
(Anticipated fin
disturbance.
Excludes any
restoration and.
temp impact
amount
Dredge ❑ Fill ❑ Both ❑ Other
��
I
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 0 Both ❑ Other ❑
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
;Crory Braxton C. Davis
rnor Director
AGENT AUTHORIZATION FORM AGENT AUTHORIZATION F
Date: A_Z
John E. Skvarla, II
Secretary
of Property Owner Applying for Permit: Name of Authorized Agent for this project:
NRiZO SONSALL �01 %� cilgn/Ei ,U2 / QN 6,e / GE
,C�aNs%a� L
�r's Mailing Address:
03 Wiarz w« K C/,e .
A//a/2LvTTf _ Nr—
,;:?-
e Number 70
Agent's Mailing Address:
66/B A/z, _5_ ✓
DC /t/<'
-9*7z
Phone Number(
ify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
id obtaining all CAMA Permits necessary to install or construct the following (activity):
ny property located at -A�E j5� /E.cr/cAA/ e-2T. Oc4,!F/-+H
certification is valid thru (date)
3 /
Property Owner Signature Date
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
Rl&tr'E�
Name of Property Owner:
Address of Property: CO t L�\ca r1 Coi 1- OCQQr� S� e Goc61
(Lot or Street #, Street or Road, City & County)
Q
Agent's Name #:&k, ��iS C_� 1� Mailing Address: U �A
Agent's phone #: Q G - -1 Y6 a OCl P Qq(h M Z
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this perm}t has described to me as shown on the attached drawing the development they are proposing.
I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext., Wilmington, NC, 28405-3845. DCM representatives can also be
contacted at (910) 796-7215. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
minimum qrstance of 15' from my area of riparian access unless waived by me. (If you wish to waive the
setback, ou must initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
V"Aju
Signature (�
Print or Type Name
g � w
Mailing Address
c\-aA')W
City/State/Zip
(Ad* ent operty Owner Information)
- o
Signature,
Y Vl J
Print or Type Name
TO fwu ecyiV<I�
l� �
Marlin Address
L VL
City/State/Zip
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner.R Icha r,�5Q I I
Address of Property: (0 t" \Ca r) Cojr 1 , 6COQnT-31 e h
(Lot or Street #, Si
Agent's Name
Agent's phone#:
or Road, City & County)
Mailing Address: uw C IectcY 1 o sJ
Ocoan sl e �eg(h N( 2 y
I hereby certify that I own property adjacent to the above referenced property. The individual applying for
this permit has described to me as shown on the attached drawing the development they are proposing.
I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive Ext, Wilmington, NC, 28405-3845. DCM representatives can also be
contacted at (910) 796-7215. No response is considered the same as no objection if you have been
notified by Certified Mail.
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 do wish to waive the 15' setback requirement.
I do not wish to -waive the 15' setback requirement.
"V"L
(PropeertOwner Information) 1 �cfq e r1 f
Signature
Print or Type Name
Mailing Address
ON-vaAoW 2i11C�
City/State/Zip
djacent P operty Owner Information)
4Cam+ J4b� �/1esl��
Ltgnat ureZ W�II la eld
G Da4 r 1(I CL M Sb�l
Print or Type Name
�l CAU5eoa`/ � R
Mailing Address 1
City/State2ip
hl 11
y / 1,
toAAQ
yRd I
■ Complete items 1, 2, and 3. Also complete
A. Si ture'`' 3-f
item 4 if Restricted Delivery is desired.
a�/ ❑ Agent
■ Print your name and address on the reverse
6L ❑ Addressee
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
Received by (Printed Name)
C. bat of Delivery
or on the front if space permits.
/V
1. Article Addressed to:
D. Is delivery address different from item 1? ❑ s
•{�rk (v�CtUC�
If YES, enter delivery addres ❑ No
L��EU
JJ
uCM WILMINGTON, NC
\
A0 9 20141
'-
2-VA L
3. Service Type
Certified Mail ❑ Express Mail
❑ Registered A }Return Receipt for Merchandik
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number -- - -r.--
(Transfer from service label) 7 013 1710 0 0 0 0 3407 0253
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
■ Complete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ 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:
2 -b
A. Si nat re )
C , Lent
t/ ❑ Addressee
13 ceived by (Printed Name G. uate or ueuvery
I-Nnnvr) S f v 3/)
D. Is delivery address different from item 1? ❑ 'Y�
If YES, enter delivery address below: o
<ECEIVED
DCM WILMINGTON, NG
3. Service Type `" r " II U Gli ll_u
016ertified Mail ❑ Express Mail
❑ Registered turn Receipt for Merchandise
❑ Insured Mail El C.O.D.
4, Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number '7 n 1. 1.71. n n n n n u r17 n 7 li t