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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 y cr. -' $i!,ltLi sled Delivery Fee ;ementRequired) Postage &Fees I $ t( !t I f13/21i2013 � e 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 EF, IZ:3 - Tu Postage $ ru Certified Fee .Ll 14 ED p Return Receipt Fee Postmark p (Endorsement Required) Here 1=1 Restricted Delivery Fee f.11,l1(,I (Endorsement Required) ED CO -p Total Postage & Fees �P '6.1 S -3/21 / 2111 J rqQ� D"' Sent o ` 20 l 1 C3------------------------------- 0 Street, Apt. N \ Qox N- l� --PO late, ZI 4 -�, - � a PS Form :11 August 2006 ❑ Agent B.,ep@iveMy (Pr'nted Narrje) Dade of