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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 ant`� n - —�- -----------•------'---' ubw1jr, Apt 1Vo.' - orPOBox No.5111 ��..t2. ����:.---�1 �------------------ Slau..................................... ihAte, ZIP Postal CERTIFIED MAIL RECEIPT Ln (Domestic.Mail Only; No Insurance Coverage Providei Ln N - E' Ln OI'Li Postage $ rL Certified Fee CD p Return Receipt Fee Postmark Here CD (Endorsement Required) C3 Restricted Delivery Fee Required) El(Endorsement co _a Total Postage & Fees Is r-R Er- Sent o 5 V . h �� a Street, Apt. o. � �`o`: or PO BoxIVo.�._`..[.l1- 11 ` 1 rl ��� --- -- ......------ �L 6 PS Form 3800. August 2006 See Reverse for Ins!