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
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0'
Se �`
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, 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