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Home My WebLink About62600D - WilsonLAMA % ❑ DREDGE & FILL , / 'ENERAL PERMIT ��/// Previous permit # �Nevv ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resources Commission in an area of environmental concern pursuant to I5A NCAC �'� • `�Lt AM\ � ules attached. t NameV 1J Project Location: County (� i'�n(l �JL v6hil `� Street Address/ State Road/ot #(s) StatelVC. ZIP-� - Ai , f_ Fax # ( ) ed Agent ' AO CW �EW r-tPTA =ES = PTS G OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: yes no PNA yes LOCrit.Hab. yes no ' Project/ Activity + ck) len? `V 1(s) v ngth tuber d/ Riprap length distance offshore uc distance offshore cannel sic yards np ise/ Boatlift X ! �I e Length not sure yes no s: not syre., yes no •ium: ` n/a�j no yes�' kttached: yes no f,� ng permit may be required by: - - - - -- - 1-111 Subdivision Ci 0 a LA, t. ziP Phone # (I 1b ) � River Basin Adj. Wtr. Body nat Aj Closest Maj. Wtr. Body (Scale: r ❑ See note on back regarding River Basin r ,.. Applicant: Gw V Permit##: �Z('ObD Date: jj/vJJ� '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 TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated final Disturbance total disturbance. Disturbance disturbance. includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact bwDredge ❑ Fill ❑ Both ❑ Otherx ' 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 ❑ G AND >MES, LTD BRANCHOCEAN SN BEACCH, NC 846OMPANY 18571 )RIVE NC 28469 66-112/531 '91a i8 u $ Zm_= DOLLARS smyw. B.w s am o.ww o e. x I � AUTHORI ED SIGNATURE 1 Is? LII' i:0 5 3 LO L 12 W: L 340000 L0 74081I' REWR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue Braxton C. Davis Govemor Director AGENT AUTHORIZATION FORM Date: 9/3/i3 Name 70f7rty Ow tying f Permit: Dee Free Seca Name of Authorized Agent for this project: LkCi if5 IFoL Agent's AWft Addrees: (� (-aUSel.,a 0g1Vc- sZZ-- BEAc-fi, A)c �8 9 Phone Number( c el 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): Tx2C) ;�oCK, //x /6 t�t/7 Jx 6 p1u4fo-(*� For my property located at This certification is valid thru (date) 5-3-1 �9,- , � rL Property Owner signature Date ■ 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: Glgk! i a rT Y 1azW P,141 6c, dk,1-'L6- A. X Sign , B.RAeived by D. Is dekLerO different from item 1 f YES, Anter delivery address below: f AUG 1 J R[a 3. Service Type 1 Certified Mail ❑ Express Mail ❑ Registered P:R m Receipl ❑ Insured Mall ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) 2. Article Number - (Transfer from service fabeq 7 010 3090 0001 12.21 3565 PS Form 3811, February 2004 Domestic Return Receipt ■ 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 mail , i F or on the front if space permits. ��- 1. Article Addressed to: ti ei try ;� 3 CC 065/->',0 Nc ---� . /y (Printed NO) /address drfferent from item 1 IVr delivery address below: ed Mail El Express Mail ❑ Istered Natum Receipt Insured Mail 11 C.O.D. 4. Restricted Delivery? (Extra Fee) 2. Article Number 7010 3090 0001 1221 3244 (Transfer from service label) PS Form 3811, February 2004 Domestic Ret4, ■ Complete items 1, 2, and 3. Also complete A. S item 4 if Restricted Delivery is desired. X , ■ Print your name and address on the reverse so that we can return the card to you. B ■ Attach this card to the back of the mailpiece, or on the front if space permits. . Is 1. Article Addressed to: If 1�,N A T,k) -fP&C.d NhMBL , I C Press different fro delivery address At in 21 2013 .V.m �f ��uR ZS Moave SI- q/ia/i3 I M-- ■ Complete items 1, 2, and 3. Also complete Ueer item 4 if Restricted Delivery is desired./Agent ■ Print your name and address on the reversev/G❑Addressee so that we can return the card to you. IV r►i� C. Date of Delivery ■ Attach this card to the back of the mailpiece, ( — j3 or on the front if space permits. erent f 6m Re 14 ❑ Yes 1. Article Addressed to: address below: <No 2 z z Sy0 �7dQC- AUG 21 2013 3. Servilte Type f,S�Cer fled Mail ❑ Express ❑ Registe� `" R_�etyCirF ❑ Insured Mail L7 C.O.D. 4. Restricted Delivery? (Extra Fee) for Merchandise ❑ Yes 2. Article Number 7010 3090 0001 1221 3251 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ 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 mail ' F or on the front if space permits. 1. Article Addressed to: / �« Cj"1D14 0. ;Z 3 A0 o,eff� S � 0001'4N /S 65 ❑ Agent s dWv address different from Rem 17 LireE 111 If S;_w4Vr delivery address below: ❑ No 2013 �1 3, rvice Type Certified Mail ❑ Express Mail ❑ Registered eturn Receipt for Merchandise - -10 Insured Mail C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7010 3090 0001 1221 3244 (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ 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. ❑ Agent X Signature ❑Addressee B. eived by /il//�—'` �I P nt �rp� C. Date of Delivery D. Is e've ddress different from Rem 1? if YFR tinter delivery address below: ❑Yes 11 No 1. Article Addressed to: