HomeMy WebLinkAbout61554D - WilliamsCAMA / �, DREDGE & FILL n I
3"ENERAL PERMIT
iNew Modification --Complete Reissue ❑Partial Reissue
Previous permit #
Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources I `
-oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC �1 1 R ��
1 ] Rules attached.
it Name A, ill/': y/ i,A �"il (( Iaor S J Project Location: County
��1
i'�h E ,� ,lV�I 1 I Street Address/ State Road/ Lot #(s)
�L ffi11 State2_ ZIP 2 `i 3 2. U U t l 1 -C 4-
Fax # Subdivision N
,ed Agent C `1V1a L i�S+n-7+t� City �,'CIAli\ 5�.I � ZfGl 11.� ZIP
❑ CW ❑ EW ❑PTA [ ES ❑ PTS Phone # (L') - tc River Basin 01
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body L ti1 b'l) (nat�
❑ PWS: ❑ FC:
yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body ��,�' f.ti� F Project/ Activity L f 10 : , A
V ;"1A�1r
ock) length
n(s)
>ier(s)
mgth
amber
id/ Riprap length
g cKitance offshore/ T
ax distance offshore_
hannel
bic yards_
mp
ise/ Boatlift
Uldozing
ie Length to
r
not sure yes l no
gs: not w yes no
rium: n/a Yes no
('yam no _
Attached: yes no
ing permit may be requirer
— i
(Scale: j
A**
Enment and Natural Resources
RCDE
North Carolina Department of Enviro
Division of Coastal Management Dee F
Beverly Eaves Perdue James H. Gregson S
Governor Director
AGENT AUTHORIZATION FORM
Date:
i?P of Prope Owner Applying for Permit: Name of Authorized Agent for this project:
A
GnPnt's Mailtna Addtess:
Owner's Mailing Address: Q
� O
� 13 �•1�-����, P Id �i i L
Phone Number Iu, 1 Y
Phone Number
-
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):
imy property located) at 2 C t'Sfi
Ocean TsIP NC
This•certification is valid thru (date)
— Date
,IL
CERTIFIED MAIL — RETURN :RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
iereby certify that I own property adjacent to f e Is
C (Na a of Pro Ow r)
y located at Cad I.
V�-�CI '
(Lot Block, Ro d, etc.)
�-- , in N.C.
(Waterbo y) (Town and/or C u )
ant's phone #: ��i` �('���� ailing Addres : (D
C
has described to me as shown below the development he/she is proposing at that loca ion,
ive no objections to the proposal.
DESCRIPTION AND/OR DRAWING-AF�OPOSED DEVELOPMENT:
(Individual proposing development must fUl in description below or attach a site drawing)
se� cx�ached ��-Uwvl .
lave objections to what is being proposed, you must notify the Division of Coastal iYlanagement (DCM) in writing
10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
•epresentatives can also be contacted at (910) 796-7215.
No response is considered the same as no objection if you have been notified by Certified Mail
arty Owner Information)
NVAQt �C.1
:ure
)r a Name
ng Address
N k�,\\ 4!7�'C Q Z
iparian Property Owner Infor ation)
Signature
Print or Type Name
Matting Address C��
AIL
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENXT
iereby certify that I own property adjacent to (- Q- W ��V �115 is
�y (Na a of Pro Ow r)
:y located at '1 ��d E� �)A
(Lot B1ocic, Ro d, etc.)
in N.C.
(Waterbo y) (Town and/or C u
ant's ph o ne #: - q� ailing Addres : �D
� C
has described to me as shown below the development he/she is proposing at that loca ion,
ive no objections to the proposal.
- -- - ----------------------------
DESCRIPTION AND/OR DRAWING-AF-PROPOSED DEVELOPMENT:
(Individual proposing development must f i11 in description below or attach a site drawing)
Sep ct�ached ��n�j .
lave objections to what is being proposed, you must notify the Division of uoastai managwucu. w-%-vxj
10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC
-epresentatives 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
arty Owner Information)
-
ure
)r a Name
ig Address
(Riparian Property Owner Information)
Signaturf
Print or Type Name
Mailing Address
`1A�X)VA.1
pplicant: 0 kar
/� �,p W f Permit #:late: � ��l'�"r t� Vv�.n
J-A/a)
escribe below the HABITAT disturbances for the application.. All values should match the name, and units of measurement
,und 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)
3VADredge ❑ Fill jV Both ❑ Other ❑
b
0
Dredge ❑ FillX Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other'X
Cl oO
goo
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 ❑
;mt
GRICE CONSTRUCTION OF BRUNSWICK
COUNTY INC
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
8839
66-112/531
DATE
m BRANCH BANKING AND TRUST COMPANY
1-800-BANK 88T 88T.00m
100
■ 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:
U\'j �V ? VZ Ll(,
❑ Agent
❑ Addressee
cLLeceived by ( ted Name) C. Date of Delivery
1 C\c—
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
'�Gertified Mail ❑ Express Mail
❑ Registered j�5-Eeturn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 1680 0000 2205 9786
(Transfer from service label
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
Postage
$ ='Q,46
if4iil
Certified Fee
)turn Receipt Fee
;ement Required)
Postmark
Here
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$i!,ltLi
sled Delivery Fee
;ementRequired)
Postage &Fees I $ t( !t I f13/21i2013
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rya
---................................................
Apt No.;
9ox No.
9uu. August 2UM
■ '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
MAIL RECEIPT
CO
(Domestic Mail Only;
No Insurance Coverage Provided)
f�
For delivery information
visit our website at www.usps.com
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Postage
$
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Certified Fee
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14
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p
Return Receipt Fee
Postmark
p
(Endorsement Required)
Here
1=1
Restricted Delivery Fee
f.11,l1(,I
(Endorsement Required)
ED
CO
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Total Postage & Fees
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Street, Apt. N \
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PS Form :11 August 2006
❑ Agent
B.,ep@iveMy (Pr'nted Narrje) Dade of