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Home My WebLink About61697D - KonradyCAMA / ❑ DREDGE & FILL i.ENERAL PERMIT Vew Modification ❑Complete Reissue %'Partial Reissue Previous permit # Date previous permit issued zed by the State of North Carolina, Department of Environment and Natural Resources ,Zdd )astal Resources Commission in an area of environmental concern pursuant to I SA NCAC �� • // les a hed. Name h Project Location: County_ 6 ��! p,r,?� r� ��,�i Street Address/ State Road/ Lot #(s) �hfr State zip /Fax # () w""� Subdivision / A Agent 'Ir/p City ZIP 2 r CW p t?W U? OTA ❑ ES ❑ PTS Phone # �""_ ( ) River Basin- ❑ OFA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body � (. fiat rr PWS: ❑FC: ,. � + � 1,/�✓�' �� ice: ,es / no PNA 5/ ? no Crit.Hab. yes / no Closest Maj. Wtr. Body Project/ Activity cU length 6 i gth fiber / Riprap length distance offshore c distance offshore innel is yards p ;e/ Boatlift / Length ' not sure yes !n� not sure yes s um: n/a yes +'' es' no _..(Scale:, .�� attached: yes no 60 ' I I L I 1-101 ig permit may be required by: /��^Gf�✓ L/�. y/�fL%flli�lfC See note on back regarding River Basin rL i 1 /_ A —7)/ 1, "? plicant: fe: �fl--� 13 f oo r'oe�y Permit #: ;// scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. dtat Name qG 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/orternp 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 ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ? Z ?Z Dredge ❑ Fill ❑ Both ❑ Other [ ?� 1� 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 ❑ RUCTION LLC 9fz 66-987-531 1994 !l7 20L3 -J $ Dollars ae.d i L785 L 3Ej L994 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: -WA/f De, Mailing Address: �05kx&0 s �- I certify that I have authorized (agent) A/A to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) el//Y �y' %1�I�a�6��Q ' s -542140,55S-7— c,,,(IA 144,4, /VZ— 2 V,� el- �16 10/ 10 CO .. ❑- ru rij Ir m Postage $ CO Certified Fee r-1 p Return Receipt Fee O (Endorsement Required) 0 Restricted Delivery Fee (Endorsement Required) 0 a Q Total Postage & Fees $ a nu SON To F_ - --'---: or or PPO, ApLN. O Box No. 0 m ro 6[9& wv Er M Postage $ cc Certified Fee r-i Q Return Receipt Fee r3 (Endorsement Required) i-3 Restricted Delivery Fee (Endorsement Required) O a- -.- . -- .. _ ___ 1\1-� 3,10 1ft + N _.00 6 ?(�rje"` 0 l,)tl1 J #b. ULWI21113 / �o 01-/701'�L4 on Postrnark ��p JUN b '2013 0 ,11k 061A -M1? / WRIGHTSVILLE BEACH MAIN PO WRIGHTSVILLE BEACH, North Carolina 284801748 3613950480 -0099 O6/06/2013 (910)256-0159 09:57:28 AM Sales Receipt Product Sale Unit Final Description Oty Price Price WILMINGTON NC 28409 $0.46 Zone-1 First -Class Letter 0.70 oz. Expected Delivery: Fri 06/07/13 Return Rcpt (Green Card) $2.55 00 Certified $3.10 Label #: 70121010000183928304 Issue PVI: $6 11 WILMINGTON NC 28409 $0.46 Zone-1 First -Class Letter 0.70 oz. Expected Delivery: Fri 06/07/13 Return Rcpt (Green Card) $2.55 00 Certified $3.10 Label #: 70121010000183928298 Issue PVI: R E C E 1 V E D $6.11 DCM WILMINGTON NC Total: JUN 1 7 203 $12.22 Paid by: VISA $12.22 Account #: XXXXXXXXXXXX5115 Approval #: 017386 Transaction #: 97 23 903231975 00 For tracking or inquiries go to USPS.com or call 1-800-222-1811. Order stamps at usps.com/shop or call ■ 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: L2-fi�/ 0/ 119 A. Signs re X 6�1 � Agent ❑ Addressc B. Received by ( Printed Na e) C. Date of Delivery k— D. is delivery address d0dient rom itern (r�❑ Yes If YES, enter delivery address below: CE1 No JUN 1 7 26113 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service 7 012 1010 0001 8392 8298 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 Is Complete items 1, 2, and 3. Also complete A. Szuj�' item 4 if Restricted Delivery is desired. Agent print your name and address on the reverse ddressee so that we can return the card to you. B. Rece' ed by (Printed Name) of Delivery ■ Attach this card to the back of the mailpiece, FDate or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes El No /. "- Zzw/S� �%A's'CA j`57'Vi, If YES, enter delivery address below: ; 1e_"-"EiVLD DC10 WILMINGTON, NC r^/ All' 3. Service Type ❑ Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article NumbE 7012 1010 0001 8392 8304 (Transfer from s-ar vn,v ,—.,j - PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540