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HomeMy WebLinkAbout62591D - JennngsNOD 625 'AMA / ❑ DREDGE & FILL ENERAL PERMIT Previous permit # Jews Modification ❑Complete Reissue El Partial Reissue Date previous permit issued red by the State of North Carolina, Department of Environment and Natural Resources estal Resources Commission in an area of environmental concern pursuant to 15A NCAC I U- Rules attached. 4t/N�1.11 l,�A Name � �, yt 7 41. Project Location: County Street Address/ State Road/ Lot #(s) State —, ZIP=ALL ZS WIIMtn4�tM.S�' � .12 Fax # (_) Subdivision �P dAgent ` City 11c1a,�i�s1.�L- �L ZIP �� �� ❑CW EW 1)yPTA ❑ES ❑PTS A4'rie # (110 )5j+-9095 River Basin "04 i ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body &4X (nat /n ❑ PWS: ❑ FC: Af ww ' Closest Maj. Wtr. Body res no PNA yes /(no Crit.Hab. yes no Project/ Activity y v LT- r u I/ (Scale: 1 sL ngth •nber d/ Riprap length_ distance offshore_ uc distance offshore cannel bic yards np ise/ Boatlift `KAM10 X ie Length not sure y gs: not s,we y mr um: 1 n/a v ling permit may be required by:— U W i� h� \ �l��lA t5U /L %l ❑See note on back regarding River Basin ..-'i ► ► A .. A n A F r. C17: 1.,, ;: ,,, /1 1A n „A f Applicant. }I1 ermit #: Date. - Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement 'ound in your Habitat code sheet. labitat Name I DISTURB TYPE Choose One 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 ❑ TOTAL Sq. Ft. FINAL Sq. Ft. (Applied for. (Anticipated final Disturbance total disturbance. includes any Excludes any anticipated restoration restoration or andlor temp temp inmpuacts) impact amount) W TOTAL Feet FINAL Feet (Applied for. (Anticipated final Disturbance disturbance. total includes Excludes any any anticipated restoration andlor restoration or temp impact lemo impacts) amount) Dredge ❑ Fill ❑ Both ❑ Other ❑ ( I —(I 1_c/ RICE CONSTRUCTION OF BRUNSWICK COUNTY INC 6618 OCEAN 09ISLE BEACH, NC 2B469-465 N c> BRANCH BANKING AND BBTT BBT.c'MMPANV _- )9L50li' 1:053LOLL211:00...... 265 9150 R` ` 66-112/531 DATE nnl I AR �CC/ DREDGE & FILL �V V 62M EYAL PERMIT Previous permit # eModification nComplete Reissue Partial Reissue Date previous permit issued horized by the State of North Carolina, Department of Environment and Natural Resources '' II ie Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC_ 7—N . Z I ules attached. ;ant Name pN �n��►�vV � A& Project Location: County Bfyn�yice - as __.1_ 5 Y 11�� Street Address/ State Road/ Lot #(s) G�IW_S V(�k _ State ZIP24-009__ ZS wit m,^ # Fax # O— -_ -- _ :. Subdivision (- rized Agent O11. . - city ___C v of �ru &1u — ZIP_ (Pet ed ❑CW XEW PTA LIES PTS P ne # (j0 )%-90S River Basin D OEA HHF ❑ IH ❑ UBA N/A /��� �, PWS: -1FC: Adj. Wtr. Body--_ L.. VL41 _— ___ nat man yes no PNA yes I no Crit.Hab. yes no Closest Maj. Wtr. Body of Project/ Activity l� .5WJ & V\tw (Scale: = dock)length )rm(s) 18 f -' _' -- -- r pier(s) i length -- } - _-- number --___ _ .___ . ead/ Riprap length- C��'�`�t`Sti �✓D _ #— - avg distance offshore ns I 4 max distance offshore channel -- cubic yards amp — --- Ouse/ Boatlift Hne Length 5 C) 4 notsure yes no ags: not yes orium' n/a no s: n r Attached: yes no ding permit may be required by t/ Special Conditions M A� �� :, f V7 A614 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Dee Freer James H. Gregson Secre Beverly Eaves Perdue Director Governor AGENT AUTHORIZATION FORM Date: for Permit: ame of Authorized Agent for this project: game of Property Owner Applying ��� rN E -k C." AR D W . SE PJ I'J t CS i n1 C. �• Owner's Mailing Address: o l2CGE�'L A cRP PitIlC45 MC '1009 Phone Number (��) 41 Agent's Mailing Address: > y Phone Number AAK) I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct the following (activity): nlG t:1 ,�aTtnlG S p, VL Ari0 2A tSTt -?%-A 4Xt6 2a,�Q �3Xlo` F-,UkT% I- Dor U S1 n) G C1ClSTc G t-1 (my property located) a 2,S k,3kLPAtNGTON ST,rtEETNG t This certification is valid thru (date) ( 2-_�-D, S --- l -�) U5 MAIL CERTIFIED NI4IL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATE MENT I hereby certify that I own property adjacent to �idrur6s (Name of erty Owner) property located at ---S 1 w A M C l R 5��00e�,n OULlock, Road, e ) on Cyr _ , in C\nwz - (Waterbody) _ (Town and or Co ty) eV 1 Q� Applicant's phone #: 0(ko- S"1C01gCt5 _ ailing Address: t< Cat n u S- He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. - -------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (individual proposing development must fill in *q*tion below or attach a site drawing) 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 Ext. Wilmington, NC DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no obiectiotl if you have been notified by Certified Mail (Property Owner I f mation) Signature �,Act Print or Type Name gbr3 �)e ec- \AkA Mailing Address e\es. CNe-e� �4c 2116614 (Riparian Property Owner Information) tgnature ) E. ks".1 III Mailing Address ,,( f4v/CtatP/7.in , q� MAIL CERTIFIED MAIL - RETURN- RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to property located at is (Name of4.aperty Owner) `(tot lock,�Road, etc.) on in— �1�JK..�. cs-�- q et , N.C. (Waterbody) (Town and or Co y) Applicant's phone #: %6— S")q-%Y _ t _ ailing Address: ts d 1 DrSw Mailing n 1� u $ Y(a He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. ----------------- ----------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Individual proposing development must,T11 in description below or attach a site drawing) if you have objections to what is being proposed, you must notify the Division of Coastal ylanagemcnt (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC DCM representatives 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 (Property Owner Inf oration) Signature �r,. n. �\c Print or Type Name %F7-3 Mailing Address 'C3e\ems Cr-e�� 1�1c 2106� (Riparian Property Owner Information) W ; Signature Te�1 elasfer ,Cc,- — Print or Type Name Mailing Address mil`-15- 3513 Cc.rvAc ■ 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: 2�7 o�d �er►�,y2, Rc1t Z� A. Signature Agent 4a4,dressee B. Received by ( Printed Name) Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No (AUG 6 V 13 �a k r\ 11 �. Z� 3. Service Type ertified Mail ❑ Express it ' Ll Registered �Ret Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7009 1680 0000 2205 9908 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 10259e-02-M-1540 Postage $ Certified Fee Postmark m Receipt Fee ;2 Here nentRequired) JUL 3 i r�ld ne d Delivery Fee nt Required) )stage & Fees $ 3800. August 2006 See Reverse for Instructions ■ 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. Postal CERTIFIED IVIAIL,�., RECEIPT U-) (Domestic D- Ir C . $ 1 lQ rtJ Postage fU Certified Fee 3 rC ED Postmark Retum Receipt Fee (Endorsement Required) Here ?013 C3 Restricted Delivery Fee (Endorsement Required) O cc Total Postage & Fees $ r t ..0 1 r-i 0' Se �` � `� , an---------•---•---------------------- C3 Sheet, A �- o O or PO Bo , 17� ------- - --- ---------- C to ZIP - - — --'----------------__.---'------.. PS Form :r0 rr. See Reverse for Instruction A. Signatur ❑Agent X ❑ Addressee B. Recei Printed Name) C. Date of Delivery li� cress different from item 1? ❑ Yes 1 4r?irlo AH'I'. H to