HomeMy WebLinkAbout61561D - Willoughby.LAMA / DREDGE&FILL
3hENERAL PERMIT Previous permit #
,New Modification Complete Reissue E]Partial Reissue Date previous permit issued
-ized by the State of North Carolina, Department of Environment and Natural Resources I
:oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 411.
19 Rules attached.
t Name t"JillwOkk' (1\A5
C� vV, kavi�� Project Location: County tyv V -l 't I L
State Zip
Fax #
zed Agent
d Cw EW PTA ES PTS
OEA HHF IH C UBA F N/A
ll I FC:
yes no PNA yes / no Cil yes / no
Street Address/ State Road/ Lot #(s)
(:�c, l , � . "i r't.-
Subdivision N /A
City -A)mO, -Fjact, Zip
Phone # River Basin
Adj. Wtr. Body— A-41 (nat
Closest Maj. Wtr. Body
A Project/ Activity ____ , !(�j I (-L L L - 'v- Y Q (Iel,, e �z: d
(Scale:
ock) length 4-1
m(s)
pier(s)
length
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
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ing permit may be required by: W-nv � j( rl �a a, El See note on back regarding River Basin i
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Mellfand Nato.ral f;tesources
North Carollind DBMftOnt
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Dates
No" qf PrqWrIY Ow"Or. "M fcw
A P,- j 0 C,- P,
owees Miing Address;
'743 0
phcn� NUMber (21)
%s agent Il#%d st0ow
I comfy that I hsve somas
for surw otuini W) OAMA Pw"b nec"s" to Irw
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(MY PrOPITV bc§194 8A
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tl;ms of AuthorizW Agent for this Wdled:
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Afigilng Address:
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to Itot Qr► my, bow(P lbr th& P"Mooe of applying
all or ODr*V.A the foltoWng (activity):
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US MAIL (�PCA---
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT.
Name of Property Owner:
Address of Property:
S�
(Lot or)
Applicant's phone #:C41\- R 05
t \`
V
61-)
itreet #, Street or Road, City & County)
Mailing Address: as
0,0v►rJJ ecic�l C 2
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this per
has described to me as shown on the attached drawing the development they are proposing. A description of drawi
with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCD
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive .I
Wilmington, NC 28405-3845. DCM representatives 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. _
WAIVER SECTION
I understand that -apier, dock, mooring pilings, breakwater,.boathouse,:or lift must be set back a minimum distance
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the IS' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owner I f rmation)
wo� M-/u
Signature
Mucci L WMou 6\-� \-x
Print or Tylle Name
Mailing Address
(Ri arian Prop rty Owner Information)
Signature
Print or Type Name
l Z_e S7 c�
Mailing Address
Z-
US MAIL (�PcC-
CERTIFIED MAIL — RETURN RECEIPT REQt1TESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT.
Name of Property Owner: f
Address of Property: Las C a S
C(Lot or,
Applicant's phone #:14�—Yi�p ` 1 V
A1 rid
rl
6/)
>treet #, Street or Road, Citty( & County)
},�
Mailing Address �0�� V ��-Q�& qc� N( 2 416
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pen
has described to me as shown on die attached drawing the development they are proposing. A description of drawi.
with dimensions must be provided with this letter. U11L q t ch%ctr" 4ft4" 01&t 4101 (1
A z4css al,0Uc. "A W dwt 6vW
I have no objections to this proposal. I have object ons to this propos 1.
t �►w►ccw+s w► t o�r«� apt n deal
If you have objections to what is being proposed, you must notify the Division of Coastal 11nagement (DO
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive I
Wilmington, NC 28405-3845. DCM representatives 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.
WAIVER SECTION
I understand that a.pier, dock, mooring pilings, breakwater, boathouse,, or lift must be set back a minimum distance
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the
appropriate blank below.)
I do wish to waive the IS' set back requirement.
I do not wish to waive the 15' set back requirement.
ro erty Owner I f rmation)
Signature
ou 6�\
Print or Ty Name t
Mailing Address
\�,A v r-)C�9 N, � U� �
(Riparian operty Owner Information)
Signature
�)Gt < la 6, GY vuYY-\
Print or Type Name
( oil 40L 61 O --
Mailing Address
CAry IN G
pia'Al \ly-)-
/
0
bigm gzh
r, 1 -7
44ft
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gj- � -W Y Ye�4A
- . 1. �;
)plicant:�
ate: 31 t k j
t3
aQ-W Permit #:
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
DISTURB TYPE
bitat Name 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)
I ,
VW
Dredge ❑ Fill ❑ Both ❑ Other
rlJ�
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 ❑
pplicant: wt 1 C yUchiw �& Permit #:
ate:
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
Lind in your Habitat code sheet.
DISTURB TYPE
bitat Name 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)
4ADredge
❑ Fil oth ❑ Other ❑
ez
SL—)
13
Dredge ❑ Fil Both ❑ Other ❑
D
d
Dredge ❑ Fill ❑ Both ❑ Other
0�
Dredge ❑ Fill ❑ Both ❑ Other\4
'-21,0
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 ❑
1 `—C
Ae-) ,
GRICE CONSTRUCTION OF BRUNSWICK
COUNTY INC
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
i
BRANCH BANKING AN. TRUST COMPANY
1-800-BANK BST BBT.Com
8772
66-112/531
� 1
DATE tS—' t
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enter delive �aii ess below: ❑ No
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2. Article Number 7009 1680 0000 2205 9724
(Transfer from service Is
PS Form 3811, February 2004 Domestic Return Receipt 102595.024A-IND
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For deliver,/
information visit our website at www.usps.comi,
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See Heverse for Instructioi
�`
■ 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 Articles Arirlrpccpri to
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CERTiFIED MAIL;,,: RECEIPT
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Ill
Certified Fee $ _ ,11) (J fy
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Street, '--- -'- )
C3 No., ����
r� or PO Box No. `Z��j l X P ; ct7 -1
City Stdrte. Z%P+4--------- \--------------------------- F-----------
PS Form :rr AUgust 2006 See Reverse for
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❑ Agent
361) ❑ Addressee
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