HomeMy WebLinkAbout61606D - FeltonCAMA / `❑ DREDGE& FILL A4
ENERAL PERMIT ✓"
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
M 61
Previous permit #
Date previous permit issued
w _ ` ,® Rules attached.
nt Name t V►,(y [t. A�A Project Location: County VUn `�WkCG -
s Street Address/ State Road/ Lot #(s)
lU rt, Li d�" Stat -�:a ZIP �f�
#)�c'�`� Fax #O Subdivision N A
ized Agent Iyi u
),C-rs i` x. 1 '
City ''-UWZr 10 t',eG ('— ZIP
❑ CW ❑ EW ❑ PTA ❑ ES EiOTS
Phone # (1 i
) 5>- 1q 109 S River Basin W m
�d
❑ OEA ❑ HHF ❑ IH UBA ❑ N/A
,+
Adj. Wtr. Body l'it,hi,i. (nat
- PWS:
❑FC:
yes / no PNA
yes / no Crit.Hab.
Closest Maj. Wtr. Body
yes / no
Df Project/ Activity
;t ; i , 2 , .v L i
J
Y t 1 I A n�A-�
�' i i 1'I L+ i\
41 TYi C r• V(Scale.
lock) length
m(s)
j
pier(s)
length
camber
-ad/ Riprap length C
vg distance offshore_
nax distance offshore
channel
ubic yards
amp
case/ Boatlift
Bulldozing
P15-rUl1& D At
5o x 15-'
ine Length r Q
not sure yes
igs: not sure- yes
:>rium: n/a yes
yes
r Attached: yes
ling permit may be required by: 1Qj,�! it (�')Urlse - bir i'— ❑ See note on back regarding River Basin
I— . .— -1-1I III.IN r.,.,l All / L1.. , 1—�, i r'l-1 _ A (al
Ali,
NCDENR North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson
Governor Director
Dee
AGENT AUTHORIZATION FORM
Date. '2
o.... � Owner Applying for Permit: for this project:
Name of a .:,rc:ty e. _ .p, , ... �m;eof.Auth�0,r*lzedo;,,ARgteint
L.
Owner's Mailing Address:
Phone Number
Agent's Mailing Addres�SLi
Phone Number
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
for and obtai all; AMA
(rr iy prope, ►y 'located) at
This .certification is valid thru (date)
necessary to install or construct the following (activity).
S�
/}' % 2 v 13
-:,....,+.,.o Date
UL
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to C,h�� �1 �L l�t� t1 `k - 's
e (N me. Property Owner)
ty located at
(Lot Block, Road, tc.)
in tl,s1;,,1L N.C.
(Wate ody) (Town and/or Coun \\
.ant's phone #: �u— �� �1-�U`A 5 ailing Address:
�--e4n �1 «ch l� C `i (� �
has described to me as shown below the development he/she is proposing at that location,
ave no objections to the proposal.
DESCRIPTION AND/OR DRAWING OF-P-ROPOSED DEVELOPMENT:
(Individual proposing development must) -ill in description below or attach a site drawing)
Ste Q-�\CtCh ect
have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing
10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
-epresentatives can also be contacted at (910) 796-7215.
No response is considered the same as no obiection if you have been notified by Certified Mail
arty Owner of rmation)
ure
-k A
)r Type Name
ig A— ddresi
(Riparian Property Owner Inform n)
Signature
Print or Type Name
Mailing Address
iIL
CERTIFIED MAIL - RETURN RECEIPT REOUESTED
DIVISION 'OF COASTAL MANAGEMENT
ADJACENT RIPANRN PROPERTY OWNER STATEMENT
iereby certify that I own propartya4ecent to (3)qc� �1 �LI TL r� �J _ Is
l 1 e (N me. Property Owner)
:y located at `-C w` 1 i \,� sun-
(Lot Block, Road, tc.)
`�-`-- - - in - , N.C.
(Wate ody) (Town and/or
ant's phone #: �xU-1-S-IctcWC15 ailing Address: �D �� �ICI'1 �• ram' �`'
s) c i 1 N ' b '7
has described to me as shown below the development he/she is proposing at that location,
the no objections to the proposal.
-----------------------------------------------------------------------------------------------------
DESCRIPTION AND/OR DRAWING OF -PROPOSED DEVELOPMENT:
(Individual proposing development must fill in description below or attach a site drawing)
�1 d"A4 , ( (
tste objections to what is being proposed, you must notify the Division of Coast iY anagement (DCM) in writing
1t days of receipt of this notice. Correspondence should be mailed to 127 Cardin rive Ext. Wilmington, NC
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
;rty Owner of oration)
are
A t-(:� \A
�r Type Name
ig Addt'e
1"1.b�q ��� Z q 2c�
(Riparian Property Owner Information)
S
Print or Typ6 Name
5II�- La -"ham
Mai ' g Address rr_ --__�
Vim-
zgzo(�
I \A\S
-)Aci
pplicant: Permit #: (Q I �p0111 O
gate:
H/I f5 /13
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
ibitat 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 final
disturbance.
Excludes any
restoration and/or
temp impact
amount)
5 P Dredge ❑ Fill Both ❑ Other ❑
S(�
56 Dredge ❑ Fill Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other x
�V
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 ❑
GRICE CONSTRUCTION OF BRUNSWICK
COUNTY INC
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
8888
L(,� ��,}} 66-112/531
DATE 1 -18 13
�$;
LKtf DOLLARS
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
1\
m
■ 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:
r(A
A. Sign re
X nt
Addressee
B. Received by Printed Name) C. Date of Delivery
D. Is delive7nddress differeft m item 1? ❑Yes
If YES; enter Ivery 64*ssss'tZelow: ❑ No
3. Service Ty'pe, -':: �
l ❑ Certified Mail O-Express Mail
XRegistered `return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 1680 0000 2205 9755
(Transfer from service lat
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
U.S. Postal Service
CERTIFIED MAIL RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
t . iVFT0 L
70
I
Postage $
CertlBed Fee
Postmark
i Return Receipt Fee,Z `7 Here
(Endorsement Required)
Restricted Delivery Fee *k
(Endorsement Required) I !
� !!mot
Total Postage & Fees $
9
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orPOBox No.5111 ��..t2. ����:.---�1 �------------------
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Postal
CERTIFIED
MAIL RECEIPT
Ln
(Domestic.Mail Only;
No Insurance Coverage Providei
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Ln
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Postage
$
rL
Certified Fee
CD
p
Return Receipt Fee
Postmark
Here
CD
(Endorsement Required)
C3
Restricted Delivery Fee
Required)
El(Endorsement
co
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Total Postage & Fees Is
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Er-
Sent o
5 V . h �� a
Street, Apt. o.
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or PO BoxIVo.�._`..[.l1-
11
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�L 6
PS Form 3800. August 2006
See Reverse for Ins!