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Home My WebLink About61621D - HensleyLAMA / ❑ DREDGE & FILL n^ ;''J IENERAL PERMIT Previous permit # New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources L I oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �r I Z u Rules attached. l Name Ula Project Location: County i k i r (C ► } U V ri-• Street Address/ State Road/ Lot #(s) Ql e 1 A State N ` ZI R (_) Fax # (� ) ;d Agen�� U c1 4 LLC ❑ CW [j EW L, PTA ❑ ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: FC: ees / no PNA yes % no Crit.Hab. yes / no Project/ Activity :k) len;th U A I L- (S)i fl X I (s' I+')( I G Subdivision 0 / A LL pp cityC cy\ ZIP -LLto6 Phone # j C ) 2 '' River Basin Ly r1 l bt Adj. Wtr. Body ('(°l 1tJ (rnat'_Ln Closest Maj. Wtr. Body A-( (Scale: ! �� ng permit may be required by: �)kN1rA 6i � ❑ See note on back regarding River Basin ri C"Ll (IiA L-11j�Ai It—i N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM 4/5/13 e of Property Owner Applying for Permit: avid Hensley ing Address: 909 Lakegreen Ct. ;aleigh, NC 27612 * that I have authorized (agent) Jesse Simmons to act If, for the purpose of applying for and obtaining all CAMA Permits necessary t U or construct (activity) Pier and docking facilities with boat lift property located at) 415 17th Street, Sunset Beach, NC is valid thru (date) 6/15/13 AM A L- I'ZI vAlryl p T-P, PAv i P � 1 F6l2 H6Pq.SL.C- To W� o P I %MP'rRAPI k-A"C- Li 15 �7005u�s� - rc- ?- A"L RAAI Applicant: �—Sl Permit#: Date: )escribe below the HABITAT disturbances for'the application.. All values should match the name, and units of measurement ound 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 amount) impact am 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 aourit) m W Dredge Fill Both Other ❑ ❑ ❑ �5 i ` 0 s Dredge El Fill ❑ Both El Other El 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 ❑ it McCrory, ;ovemor NC®ENR North Carolina Department of Environment and Natural Resources John E. Skvarla, Secretary .Lune 3, 2014 CAMA Field Staff Training, New Bern Check Handling Policy Change DENR Controller's Office requires removal of copies of checks from permit files. Date removed Check number Amount: W ILI Check date: 't - 13 1-3 Staff initials: --&- G P 6/ &.z 10 STATE OF NORTH CAROLINA Department of Environmental and Natural Resources 127 Cardinal Drive Extension Wilmington, North Carolina 25405 (910) 796-72 15 FILE ACCESS RECORD SECTION (Z"t\(\.( _ TIME/DA"rE 1 U ';� - t_ _ % t l - c-/ NAME C x ±�>� F�--�iLs.� <K J REPRESENTING elk -� 1) I.— — Guidelines for Access: The staff of Wilmington Regional Office is dedicated to making public records in our custody readily available to the public for review and copying. We also have the responsibility to the public to safeguard these records and to carry out our day-to-day program obligations. Please read carefully the following guidelines signing the firm: I. Due to the large public demand for file access. we request that VOL] ca11 at least a day in advance to schedule an appointment to review the files. Appointments N% ill be scheduled between 9:00am and 3:00pm. Viewing- time ends at 4:45pm. Anyone arriving without ,In appointment may view the files to the extent that time and staff supervision is av nilable. 2. You must specify tiles you want to review by facility name. "file number of tiles that you may review at one time will be limited to five. 3. You may make copies of a file when the copier is not in use by the staff and if time permits. Cost per copy is $.05 cents. Payment may be made by check, money order, or cash at the reception desk. 4. FILES MUST BE KEPT IN ORDER YOU FOUND THEM. Files may not be taken from the office. To remove, alter, deface, mutilate, or destroy material in one of these tiles is a misdemeanor for which you can be tined up to $500.00. No briefcases, large totes, etc. are permitted in the file review area. 5. In accordance with General Statue 25-3-512, a $25.00 processing fee will be charged and collected for checks on which payment has been refused. FACILITY NAME COUNTY 1.� O`� oG �e' 1 o� �31 'J �.'<-;��✓� t VAS w`1 C lC 2. ■ 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: AJ"� rYt -4o-u Ct)ArZ /o +4e //V,C //__ t?.2o2 W A. Sign ❑Agent _ /v ❑ Addressee E�-Rercelvgd 4y"(Printed Name) ) C. Date of Delivery D. Is delivery add erent fro ? ❑ Yes If YES, enter every address belo� x3 No APR c) 202' 3. Service Type tom% P-Ce-rtified Mail ❑ Mail ❑ Registered eturn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7009 1410 0001 8701 9475 (Transfer from service /, _________. PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 U.S. Postal Service,,.. CERTIFIED MAIL RECEIPT (Dornestic Mail Only; No Insurance Coverage Provided) Er a I C- Postage $ ofP i 1 r- Postage $ \ Certified Fee I D \ I Certified Fee d n Receipt Fee ryPoatrtterk TM 1 lent Required) �� 0 6 L111J C3 0 Return Receipt Fee R I�strf��J j (Endorsement Required) a 5 P O "'' _ ID Fee lent Required) O v Restricted Delivery Fee (Endorsement Required) � stage 8 Fees LI tsP 2ar7,%� Total Postage &Fees SP �rZO V C %pia /C'j L CN/��fJ%�JSQ:V O nt ............. ........ / ........_.$ireei, 1. No" No. S ��(G Sf�I� U_ TF,��r/� _ N Apt. No.: -----------------. ............ or PO Box No. �UO Ll vs4 �/�✓ �/�%�f' ZIP+L AL /�'c /V C ova �.2�p :MO August 2006 See Reverse for InstrUCtIOUIS ..................................... ZIP+4�+ U�f-4r�/�C- , 2 V " PS Form 3800, August 2006 See Reverse for Instructions ■ Complete items 1, 2, and 3. Also complete A. S' i ature item 4 if Restricted Delivery is desired. X it0 cj�w ■ Print your name and address on the reverse (/ so that we can return the card to you. B. Received by (Printed Name) ■ Attach this card to the back of the mailpiece, or on the front if space permits. , _ ... .. D. Is delivery address diffemnt from aar