HomeMy WebLinkAbout62634D - WoodCAMA / DREDGE & FILL jv' V�
31EN ERAL PERMIT Previous permit #
'New ❑Modification !]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 I SA NCAC `4 � (L.L(J
J Rules attached.
t Name I A Project Location: County UltA C,�_
�7 StreetAddress/ State Road/ Lot #(s)
State 1 V t... ZI PJ�
L `
( ) Fax # O Subdivision
ed Agent
Cw EW ElOEA HHF �IHPTA
❑ PWS: ❑FC:
yes / no PNA yes / 60-
A Project/ Activity
lock) length X (0
m(s) ? X ZC,
pier(s)
length
umber
;ad/ Riprap length
vg distance offshore
iax distance offshore
channel
ubic yards_
imp
ruse/ Boatlift
Bulldozing
ne Length
not sure yes no
gs: not sure yes no
mum: n/a yes no
yes no
Attached: yes no
ling permit may be requirec
I SnPf1AI Cnnrlitinne 4
Phone # (LLV ):2 1
Adj. Wtr. Body
Closest Maj. Wtr. Body
River Basin
(Scale: + ��
:A.:
IM
NC Division of Coastal Mgt, Habitat Impact Computer Sheet
C�� U� Permit
Applicant:
Date: Lf / I "�
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
found in your Habitat code sheet.
Habitat 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 fins
disturbance.
Excludes any
restoration and/
temp impact
amount)
Dredge ElFill ElBoth [IOther
—TS
1 7)IJ
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 ❑
GRICE CONSTRUCTION OF BRUNSWICK
COUNTY INC
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
J
9227
66-112531
DATE
,11,111C..ANKING AND TRUST COMPANY
i -800-BANK BBT BBT.COM
D092271IB i:0531011211:00 0 5 L 9 9 9 2 F3 S 2 - 91, .......
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06/08/2011 16,33
9105799096 GRICE CON PAGE 01
North Carolina Department of Env% ee and Natural Resources D� Freeman
Division of Coas Secretary
James H. G
Beverly Eaves Perdue Dwtor
Governor
Date:
Owner Applying forPermit-
Na of Property Z
,a i`�•
Owner's INa lliny Address:
Phone Number�---
of Authorized Ag
ent for this project:
ne Number
Address:
my behalf, for the purpose of applying
I certify that I tiave authorized the agent listed above to a on
l or onstruct the following (activity):
for and obtaining all CAMA Permits necessary to Instal
I L
0
(my property located) at -
This cartiticaoon is valid thru (date) -
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1
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UDy�res�wr. P� SCo3 �� � r Ct��K, mac`
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■ 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:
C�at'le5 �J;11t� f4m
Nc
23469
by (
❑ Agent
❑ Addressee
tte of Delivery
D. Is delivery address different from item 1? LJ je°
If YES, enter delivery address below: ❑ No
3. Service Type
rtified Mail ❑ Express Mail
Registered JEWeturn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 1680 0000 2205 9960
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
Postal Service;,.
TIFIED MAIL,., RECEIPT
stic Mail Only; No Insurance Coverage Provided)
Postage $
Certified Fee
tm Receipt Fee
ment Required)
very Fee
Required)
ad Deli
ment
'ostage & Fees • I
A112Sl
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IIpE7vo.........
I,
ox No. 1 C(�l (L
;e(T+' zLag
300, August 20uE
(Domestic Mail Only;
No Insurance
(;overage rrovtaea)
For delivery information
visit
our website
at www.usps.com
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Postage
$
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Certified Fee
E3
p
Retum Receipt Fee
p
(Endorsement Required)
0
Restricted Delivery Fee
(Endorsement Required)
C3
Total Postage & Fees
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Sheet, �r{R� ��
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■ Complete items 1, 2, and 3. Also complete A. Sicinature
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. e, ive
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is elivery
Postmark
Here
e�
6�
r
Agent
Addressee
(Printed Name) I C. D04piDelivery
address different from item 1? ' LJ Yes