HomeMy WebLinkAbout64087D - DodsonICAMA / ❑ DREDGE & FILL r 12, `g tv f� '* v co I
3ENERAL PERMIT
-!New ---]I Modification ❑Complete Reissue []Partial Reissue
Previous permit #
Date previous permit issued
wized by the State of North Carolina, Department of Environment and Natural Resources 14.
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Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 14.'ZOO
i , g� ules attached.
itName yyUkKK 1). DEASa`"� Project Location: County UKX i"ILl -
��1ytvs cct c4 0ri kit, Street Address/State Road/ Lot #(s)
` V' 1A G,.Y%� State- ZIP Z42,45S
116 `, • S ��
O Fax # Subdivi ion
:ed Agent City LV\ VX U L ,.. ZIP ��Lt
❑ CW eEW , PTA ❑ ES ❑ PTS Phdne # C Io ) �j U 6 L River Basin
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body W �0 G
El PWS: ElFC: h 1 w w
yes / no Closest Maj. Wtr. Body
PNA yes /(io Crit.Hab. yes / o )
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ng permit may be required by: 441 t I/L1`xa a, ❑ See note on back regarding River Basin r
Date
Check
Check
Received
Check From (Name)
Name of Permit Holder
Vendor
Number
amount
Permit Number/C,
12/10/2014 Sun Technologies
Sandeep Sharma
B of A
5073
$436.00 Vio#14-11 D
12/11/2014 Boatzright Inc.
Kevin Thomas
First Citizens Bank
1805
$200.00 GP 65069D
12/11/2014 Holden Dock & Bulkheads
Don & Elizabeth Whitener
First Community Bank
5955
$200.00 GP 64061D
12/11/2014 S&ME
USS North Carolina
B of A
4728
$400.00 major fee, Wilmingt
12/12/2014 Riptide Builders, LLC
same, owner Donald Bean
BB&T
7525
$50.00 minor exemption fe
12/12/2014 Holden Dock & Bulkheads
Dodson, Baxter, Mauney
First Community Bank
5958
$600.00 GP 64087D, 64088
JC Division of Coastal Mgt. Habitat impact Computer Sheet
,pplicant: �.�/�� P.��%�`✓� ram-' Permit #: Wosl_:D
)ate:
iescribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
)und in your Habitat code sheet.
labitat 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 0 Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
— I /%
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12/01/2014 03:29 9198blb991 t3 VAI
02/07/2004 19:29 92094290M GhEG F10l.DEN — T
PAGE
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. Name or Xndiv"Mai XPPlYing For Permit:
Andress -of Property:
(not 'or Strut street or Road
C ty ` County]
1 ��? �i� tLat_I �- ptoperty ad jam t4
ztlarency .
above -
to ? *bxwn . the a� �xy� for this Permit has
�houlcl be p�� i� With t�iption or dzan.i y th o axe SoPi'�ent
+ � loiter.
�--� = have no objections to this proposal.
T e�stand that a piEr
r. litc be met b& Pili s. water. boat
WlT araa of riparian accase v:flass a Wince distance of is-,
belv�r. I Y'Oa � i.ditial b7/ US - �=pWish
the��
% "+r"wlftte blank
Wish to Waive the 15•setback requirement.
199-MM Vish to Vaive the 15024tbaek requirauent,
sa 12 1
Pr tc
■ 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:
A. �tur� Agent
Addressee
X ❑ Addressee
B. Received by (Pti
rsiil Name) C. Date of Delivery
Pz� I 11 1 6
D. Is delivery address different from item'1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Maih ❑ Priority Mail Express"
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. rtestricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(Transfer from service label) 7 011 0110 8662 8 4 2 7
PS Form 3811, July 2013 Domestic Return Receipt
■ 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:
Pak-,) �yrl
j 5 / 3 - VorsCyn t;l
zebo 1°" k,r Zi s
2. Article Number
(Transfer from service label)
PS Form 3811, July 2013
7011 0110
X\ \ , I ❑ Agent
`� ❑ Ad ressee
�fle ived by (Pr ted Name) C. Dat of elivery
IZ l if
D. Is delivery address differe t from item 1? El Y
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail° ❑ Priority Mail Express`"
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
4. Restricted Delivery? (Extra Fee) ❑ Yes
000 8662 841"
Domestic Return Receipt
CD ;.s
MHCDO
Tyler Crumbley
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