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,MA / ❑ DREDGE & FILL
NERAL PERMIT �`�� Previous permit #
✓ ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
1rized 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
/
It Name(.. 4 f'•
�`� �'Yr
D (�'} lye
Rules attached.
Project Location: County �_� j✓�, r 1�,(v ! C. i �.
j
�t + 41 LW V 01 jr
C�� LW
J
Street Address/ State Road/ Lot #(s)
_ J State L"L_ ZIP G
�.:� 'l 'I 1 1► 1 11 � 1 � i1% I � 1�E E
r JJ rr
Fax #(—)
( )
`�
Subdivision N P
:ed Agent Y-I t Z.,_,
City -)Cc U �5
y
11�((� �1 ZIP ZN
7 CW d EW ❑ PTA ❑ ES - PTS
Phone # I <
(/ ) S � River Basin U )VO
OEA ❑ HHF - IH ❑ UBA ❑ N/A
(
Adj. Wtr. Body r ILA (nat
❑ PWS: ❑FC:
I i,v
yes / no PNA yes / no Crit.Hab. yes / no
Closest Maj. Wtr. Body
�f Project/ Activity
✓ �J I ti
lock) length X (Scale:
y
I
pier(s)
length CID
— - —
i
umber „
!ad/ Riprap length
vg distance offshore
iax distance offshore
Channel —
ubic yards
imp
,use/ Boatlift .7 )4 i !j
Bulldozing_
ne Length
not sure
yes
no _
gs: not sure
yes
no
,rium: n/a
yes
no
Attached:
( yes
yes'(
no
ing permit may be required1 1 by. 1/ V! O, k U r cu ��'pp� �{ k _1 r❑ See note on back regarding River Basin
r SnPrial Cnnelirinne 4 h. t2tV (I 1 A a! FppI:h-f, i I i 7,, 1 d, i� A M, La
,OCAMA I DREDGE & FILL
GENERAL PERMIT
'New Modification 7-Complete Reissue Partial Reissue
NNE' 6154
Previous permit #
Date previous permit issued
horized by the State of North Carolina, Department of Environment and Natural Resources
e Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
j� Ules attached.
ant Name C/o R
Project Location: County
von
ss_�� e;S Street Address/ State Road/ Lot #(s)
\J
State__ ZIP 25_
t # (%t) U% Fax# Subdivision,
rized Agent Olyl'u city 0a ZIP 69
ed LJ
q
CW �6W YFPTA OES E-1 PTS Phone # w r _ftS River Basin
[I OEA HHF lH CUBA FIN(A Adj. Wtr. Body -
yes /(no") PNA yes � no Crit.Hab. yes no Closest Maj. Wtr. Body---
of Project/ Activity __AAYj)1YVL Y U-U UP UiAfAk,U-A-7-
.t / . . / (Scale: — Z—(
(dock) length
4
3rm(s)
w pier(s)___
i length
number
iead/ Riprap length
avg distance offshore
max distance offshore
i. channel
cubic yards
ramp W
house/Boadift -2,
h Idozing
w
alineLength_ /
not sure yes G:)
bags: not sure yes no
\13
itorium: n/a yes no \4
AR,
Twtt/)
er ttac e :yes
ildingperrnitinaybereqL)ired,�,—f See note on back regarding River Bas rules
N uk' �Su &'),
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,3/2011 22:31 9105799096 GRICE CON
PAGE E
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North Carolina Department of En,
Division of Coast,
Beverly Eaves Perdue James H.
RirE
Governor
Data,
Name of Property Owner Applying for Permit: .
b r 3 N Z8'{bi
owners Mailing Address:
�z�er Vo n ss
Z 0-7 Vu'1 '6 o A
" f✓c_ 2153%
Phone Number 9t G 9 6 L y,Q
I Certify that I have authorized tale agent listed above
for and obtaining all CAMA Permits necessary to Ins
(my property located) at 5-3
This`certification is valid thru (date)
ient and Natural Resources
of
a
Name of Authorized Agent for this project:
l� 0 c e
Agent's Mailing Address:
(obi 8 6EL � p" -, Lll
Fhane Number�,1111 c, �79 ' 90 �s-
act on my behalf, for the purpose of applying
or construct the following (activity):
Nc Zky67
Zt�I
Date
n1gr.Lra.
;4iiI IV.46S -:i06" xeaa
1►�. 4 1 $ ,
riww. of rrol T °'^�'
�f7-_4
r ax server
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M.
OF CC M.TAL AG '
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* r i1sl ivi -al appr NMI fos TW$ pntmit
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iJ♦ w►ifi�aL• wi#b:11 10 dw� d rtceipc of f�4
wEl�nsaytae, NC 2605-36457 i�M t'ip►v
i •!^%nk:rwQ,',�'#/ • pier, ftco . unarlai pilm
Is, from my acaa of : iptriv acem "ito v
Imm.-I•fi Dag btm* below.
i do'.10 o waive. the 13' .et
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US MAIL
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMEN
Name of Property Owner: �e V n ---
Address of Property: �'�J l�� n � v� vMA
(JLott Street #, Street or Road, City & County)
,�,�
Applicant's phone # �V ��k` ` t1� Mailing Address: V� 1� ,0 l
TISLe N( Z,jq�
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this perrr
has described to me as shown on the attached drawing the development they are proposing. A description of drawin
with dimensions must be provided with this letter.
�ve 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 R
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
considereUthe same as no obiection if you have been notified by Certified Mail. _
WAIVER SECTION
I understand that pier, dock, mooring pilings, breakwater, boathouse,.or lift must be set back a minimum distance i
15' from my area of riparian access unless waived by me. (If yqu wish to waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the 15' set back requirement
I do not wish to waive the 15' set back requirement.
(Property Owner I fo mation)
r�
Signature
�.k
Print or Type Name
Mailing Address
ocp-(cA ��Ve
(Riparian Property Owner Infprma ion)
Signature
Print or Type Name
Mai ling Address j
US MAIL
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANI AGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
Address of Property:
li n
A\ i-�',
(Lot
Applicant's phone #: �1 \V r S� — ul,
Street #, Street or Road, City & County)
n�n
Mailing Address:
ocyn�s�dn IBC Zgg
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this perr
has described to me as shown on the attached drawing the development they are proposing. A description of drawir
with dimensions, must be provided with this letter.
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 (DCN
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive E
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response is
consideredTthe same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand_ that a pier, dock, mooring pilings, breakwater, boathouse,.or lift must be set back a minimum. distance
15' from my area of riparian access unless waived by me. (Ifyqu wish to waive the setback, you must initial the
appro rate blank below.)
I do wish to waive the 15' set back requirement ---
I do not wish to waive the 15' set back requirement.
(Property Owner I fo mation)
Signature NJ
� k
Print or Type Name
(Riparia roperty Owner Inforniatio )
J�ignature
ej 6e V, a�� �, CICry Jl-.
Print or Type Narne
lizq3 ll�j d
kA
y ,\
a
%IJ
`LS
LE
W
�q
applicant: elvtY Ilwv V41+ us l�� Permit #:
late:
escribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
iund in your Habitat code sheet.
abitat 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)
O C") Dredge ❑ Fill ❑ Both ❑ Other x
353
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 ❑ Both ❑ Other ❑
Sxl� �2ib
GRICE CONSTRUCTION OF BRUNSWICK
COUNTY INC
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
IN
i
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BBT BBT.com
8772
�-7 ` 66-112/531
DATE .,-T I 1
R
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it
s-
■ 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:
t-A �cl
A Sigpature ^�/
�l A jM/
X ❑Agent
❑ Addressee
B. eceived by (Printed\Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
�ertified Mail ❑ Express Mail
❑ Registered `turn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number
(rransferfrom service /M 7009 1680 0000 2205 9748
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
9&MgWWiWWW0
W.4a U4
Postage a
Certified Fee 6.10 "
Return Receipt Fee fl.
dorsement Required)
astricted Delivery Fee SQ�01i
dorsement Required)
U.S. Postal Service,,.,
CERTIFIED MAIL,I RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
r
For delivery information visit our website at www.usps.com
31
Certified Fee
Postmark �
Here Return Receipt Fee
Postmark
E3 (Endorsement Required)
? y5
Here
Restricted Delivery Fee
(End
otal Postage & Few I $ 1,6.11 I U21061 *2U13
it To \
W6f,-------- ---- ---- ----............� .. ._..................-
eet, Apt. Nii.;
PO Box 1
-------------------- -
Y, S te,l`Zr ��C� L l'�
300, August luut
■ 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.
0 orsement Required)
ro
-D Total Postage & Fees $ _
r 7 zr 02 ? ff/20
Sent o
-- -- �
$,rear. Apr-N----------- ---
or PO Box No 5 t
----.
S te. Zl +4
`��5"�ch, `- ----------------------
rr.
A. Si t e
❑ Agent
Z ❑ Addressee
B. Rrei _`MMW
3PI C. Date of Delivery
t _ ArtirlA A irl--rl t— I Dil"e1ivi6 address differeefro7K jtV 1? ❑ Yes