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Home My WebLink About61512D - Heath.'CAMA / ❑ DREDGE & FILL 'ENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued •ized by the State of North Carolina, Department of Environment and Natural Resources i j ' ( UL :oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ` ! les attached. t Name JM0V � kAA , 4 ��.{' ki�Y� V'(t' Project Location: County�- �{ X Staten"(-- ZIP I �) Fax # O ed Agent ksli I A � " t4 ❑ CW jJ(EW ❑ PTA 0ES ❑ PTS ❑ OEA 71 HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: yes / no PNA yes / no Crit.Hab. yes / no ' Project/ Activity -k)length ngth nber j/ Riprap length distance offshore Q x distance offshore cannel sic yards np ise/ Boatlift ulldozing )M OX1.) Al2C-A Is e Length not sure yes no s: not sure yes no •ium: n/a yes no* j yes/ no Attached: yes (no Street Address/ State Road/ Lot #(s) 1 a iT . Subdivision I V�G ' �Cl�-� L°` C} u City (-)a(.lV\ 1 5b ��QC� ZIP Phone # � 16 1443- u� rz River Basin �� ry Adj. Wtr. Body �/ ) V (nat r Closest Maj. Wtr. Body KloW N V- vIJ /1 (Scale: ng permit may be required by: 1own G-V VtX oay K1, Ixr L� /. ❑ See note on (back regarding River Basin r I ! iIi f_. !l .,� r` it IL' r. �r f (,_L I/ i:�,.;I i�i{ i .. 1 � ./r �Ii �-,. NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Governor Director AGENT AUTHORIZATION FORM Date: oli Jots, / F� lame of Property Owner Applying for Permit: 6)14'046�i 146W 77-i )wner's Mailing Address: Grey&a k- R3c, V, 77539 'hone Number (rl9 ) S23 - 9/y3 Dee Freemc Secreta Name of Authorized Agent for this project: JSSIE WA1(JG77P Agent's Mailing Address: P o- IkA 5624 LO9 Phone Number (!2L) 4+3 _0E21Z certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying 'or and obtaining all CAMA Permits necessary to install or construct the following (activity): ev ;my property located) at J (c)a% ,-12 *I- -1 n�35LE -�ataf NL This certification is valid thru (date) Property Owner Signature Date ® Track & Confirm https://tools.usps.com/go/TrackConfinnA English Custorn•r Service USPS Mobile Register/ Sign In ausps.com* Search USPS.com or Track Packages Quick Tools Ship a Package Send Mail Manage Your Mail Shop Business Solutions Track & Confirm GE7 EMAIL UPDATES YOUR LABEL NUMBER SERVICE STATUS OF YOUR ITEM DATE d TIME LOCATION FEATURES 7DO42890000009626205 First -Class Melt- Delivered February 01, 2013, 3:21 pm '., FAYETTEVILLE, INC 28314 Expected Delivery By: January 30, 2013 Certified Mail Notice Lek January 30, 2013, 1:58 pm FAYETTEVILLE, NC 28314 Arrival at Unit January 30, 2013, 8:40 am FAYETTEVILLE, NC 28314 Dispatched to Son January 29, 2013, 5:42 pm OCEAN ISLE Facility BEACH, NC 28469 Acceptance January 29, 2013, 4:07 pm OCEAN ISLE BEACH, NC 28469 Check on Another Item What's your label (or receipt) number? LEGAL ON USPS.COM Privacy Policy > Government Services > Tams of Use > Buy Stamps & Shop > FOIA > Print a Label with Postage > No FEAR Act EEO Data) Customa Service > Site Index > Copyright® 2013 USPS. All Rights Reserved ON ABOUT USPS.COM About USPS Home > Newsroom) Mail Service Updates) Forms & Publications > Careers > OTHER USPS SITES Business Customer Gateway > Postal Inspectors > Inspector General > Postal E>plorer > L,tra i WILL) MHILTM HtUt:IF I (Domestic Mail Only; No Insurance Coverage Provided) For delivery information visit our website at www.usps.cornb 9) - Track & Confirm https://tools.usps.com/go/TrackConfirmA English Customer Service USPS Mobile Register/Sign In ausps.coM• Search USPS.com or Track Packages Quick Tools Ship a Package Send Mail Manage Your Mail Shop Business Solutions Track & Confirm GET EMAIL UPDATES YOUR LABEL NUMBER SERVICE STATUS OF YOUR ITEM DATE &TIME LOCATION FEATURES 70051820000488076174 First -Class Mail® Delivered January 31, 2013, 2:53 pm CARY, NC 27518 Expected Delivery By: January 31, 2013 Certified Mail Arrival at Unit January 31, 2013, 6:41 am CARY, NC 27511 Dispatched to Sort January 29, 2013, 5:42 pm OCEAN ISLE Facility BEACH, NC 28469 Acceptance January 29, 2013, 4:08 pm OCEAN ISLE BEACH, NC 28469 Check on Another Item What's your label (or receipt) number? LEGAL ON USPS.COM ON ABOUT.USPS.COM OTHER USPS SITES Privacy Policy > Govemment Services > About USPS Home > Business Customer Gateway > Terms of Use > Buy Stamps & Shop > Newsroom > Postal Inspectors) FOIA > Print a Label with Postage > Mail Service Updates, Inspector General > No FEAR Act EEO Data) Customer Service > Forms & Publications) Postal E>plorer > Site Index > Careers > Copyright® 2013 USPS. All lights Reserved U.S. Postal Servimr., CERTIFIED MAIL,. RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) e For delivery information visit our welosite at www.usps.com,, _■ �l 0 4 Y 11 -4L- pplicant: Y14 �. �. Permit ate: �r GG ,�C I �L l 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) Dredge ❑ Fill Both ElOther ❑ 55 5 Dredge ❑ Fill Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other 82, Z.S 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 ❑ N MYERS CONSTRUCTION BBO 9711 P.O. BOX 5024 NORTH CAROLINA kN ISLE BEACH, NC 28469 66-112-531 (910) 575-3063 0 6 N 4- c90 c\ DOLLARS LD I I'-- AUTHORIZED SIGNAW55