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Home My WebLink About62700D - WyrickCANSA / kDREDGE & FILL ENERAL PERMIT Previous permit # INew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources ' �L.� o Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC • ulps attached. t Name Project Location: County V n �V j Cltl DrIvc A r Street Address/ State Road/ Lot #(s) State ! V G ZIP 1) ✓ fi Ltit ci u V o2 i Fax # ( ) Subdivision zed Agent _ / ✓_�.�C —__.- --- Ciry F n ZIP �D Im EW PTA ES ❑ PTS Phone # I ) 1 "I 5 River Basin ❑OEA HHF CIH UBA ❑N/A Adj. Wtr. Body nat ❑ PWS: FC yes V no PNA yes / no Crit.Hab. yes no Closest Maj. Wtr. Body W W f Project/ Activity y ' (Scale: lock) length pier(s) length _- -- -- -- -- camber gad/ Riprap length vg distance offshore nax distance offshore channel ubic yards amp )use/ Boatlift BNlldTLq�� ig '. - ne Length not sure yes no ,gs: not sure yes no I_. >rium: n/a yet no yes no Attached: t�"yes no T ling permit may be required by: W 117i�1 U CA IkAk 1 ,!�U r-W&" ❑ See note on back regarding River Basin NC Division of Coastal Mgt. Habitat impact Computer Sheet Applicant: �1OAO- W y t vW Permit #: �Z�Go Date: tZ` t- l Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremenl 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 fina disturbance. Excludes any restoration andh temp impact amount 1 Dredge ❑ Fill ❑ Both ❑ Other �� l 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 ❑ — 9319 RUCTION pF BRUNS�NICK 66-112/531 T i10E CONSCOUNTY INC 661E BEACH DR SW BS. 910 579 9095 OCEAN ISLE BEACH, NC 28469 4710 DATE s OLLARS 8 C--' J k BRANCH BANKING 0BT BAND TPUST COMPANY NP � 1-B00-BANK BT.com -- J— .-_--_--,^r----�—' qol D -- CR ccl IZ4 qqq 26S 2qui O 5 u 3 L O 11 L _—��--__ ---- .. :. -- p i�ii�iiii�i�iiii VJyr,rc col S- L`s b2— yA-(�3-(0sm AZT`---,-O._._. ODENR ntl Natural Resources North Carolina Department of Environment a Division of Coastal Management Dee Freen Beverly Eaves Perdue James H. Gregson Secret Director Governor AGENT AUTHORIZATION FORM Date: I I - —13 -- Owner Applying for Permit: Name of Authorized Agent for this project: Name of Property (� � tC4 C Oi Owner's Mailing Address: Phone Number_�-3� Agent's Mailing Address: Phone Number L•14` I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applying truct the following (activity): for and obtaining ail CAMA Permits necessary to install or cons (my property located) at ��a` � e This'certification is valid thru (date) U5 MAI L � - CERTIFIED MAIL - RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to L-.'� ter. .l t)• WU (- i ctl Is (Name of Property Owner) property located at�t4 r (Lot Block Road etc.) on �n cu`C�ts \ VJa�tc t , in6-S2q N I.C. (Waterbody) 7 (Town and/or County) Applicant's phone #: %Q>- S�l�t-olOyS __� =,,T1!4—k Address: tr`t�ti�� q 2�4 y He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. -------------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, NC 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 (Property Owner Information) (Riparian Property Owner Information) ) � A W. (-%! Co. 4-14:7 7-70-9!�� Signature Signahre !yam �' •t�oY, r Print or Type Naine Print or Type Name \\\ \-;�OtiS �ce mac' �`� e 20 6 Mailing Address Mailing Address — . rt ry /State / 7.in C\r\Q.n2l\ 4' 4� oA j3 J �� J� ■ 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 aq front if space permits. 1. Article Addressed to: A. Sign e ❑ Agent ❑ Addressee B. Received ,pyu(Printed Name) C. Date of Delivery Di Is delivery address different from it 17 111 Yes J If YES, enter delivery address belo ❑ No Q��d 1 0 170 3. Service Type ertified Mail ❑ Express Mail Ll Registered 6,Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (transfer from service 7009 1680 0000 2205 9984 PS Form 3811, February 2004 Domestic Return Receipt 102595-C2-M-1540 nestic Mail Only; . Insurance Coverage Provided) ri I. r • �. . ..--.•.-. irr .elivery information visit our website at www.usps.com, Ir For delivery information visit our website at vv".usps.com , Ir Postage $ $0.46 0472 ED rij Postage $ $0.46 0472 Certified Fee ; ?,10 04 fLl Certified Fee 134 ,turn Receipt Fee ement Required) Postmark $2.55 Here C3 0 Return Receipt Fee Postmark Here (Endorsement Required) :ted Delivery Fee ement Required) ' 0.01 O Restricted Delivery Fee (Endorsement Required) C3 Postage & Fees S i{1/2E/2013 co Total Postage & Fees $ $6.11 10/28/2013 r3 Se To ti 3arA)iLif -�--�---i �� ---`--�l--�------?-�--l---------------------------- ox ` •r•--- --- MQ-- or Box t`� e,ZIP+4 .................. .............................` S` �1�� QC7jr\ D J jlv :r. 00. 800 ... SeeReverse for Instructions ■ 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. A. Signature X^ ❑ Agent ❑ Addressee B. ReC2iy�c# by (Printed Name) C. Date of Delivery K )eo 31 D. Is delivery addr s different from item 1? Ye