HomeMy WebLinkAbout57341D - ByerslCAMA / - DREDGE & FILL `
EN ERAL PERMIT Previous permit #
New f Modification El Complete Reissue El Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
[Rules attached.
nt Name �t/) i Tip 3yl of-( Project Location: County ��t+^O5 to
�l A C e Street Address/ State Road/ Lot #(s)
L_v % State %Y C ZIP.;
# (- --) --7 ! F -d 5`k y Fax # (_—)
ized Agent / , s r
C6- C "�
d _ , CW 1 EW - ,PTA DES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FC:
Subdivision
CilP,f, - ie, 90,4,ii ZIP 2 7 y
Phone # ( ) /y River Basin
Adj. Wtr. Body C114 A Off/ n 091 LiJGu/ (nat
yes / no PNA yes / • no Crit.Hab. yes / no Closest Maj. Wtr. Body G"
A Project/ Activity ��=;is ACP � � � fT•.�. �iPi! I%�aD7`•.
lock) length 7 �( rio AC(y.£� lQ.-IJe J y (Scale:,/ �-
length
umber
ad/ Riprap length
vg distance offshore
iax distance offshore
channel
ubic yards
imp
)use/ Boatlift
Bulldozing
ne Length
not sure
gs: not sure
wium: n/a
Attached:
yes
yes tq -
yes
�% no
yes IfIT1
ling permit maybe required by: /� /,7,J 4 S L p See note on back regarding River Basin
?licant:
:e:
5/ / 2
Permit #: C '% (1/ , 1
Scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremer
ind in your Habitat code sheet.
bitat 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 fin.
disturbance.
Excludes any
restoration and,
temp impact
amount
CA/
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 ❑
Dredge 0 Fill ❑ Both ❑ Other ❑
0/FN110-1570iAfi'U,S1IC -Hi_NL HCANE SYcTEVs 1N
No.1,?87 F. 1: e;,
Beverly Eaves eeraue
North CmIina Oeraranent cn�iidri�tler�ti any �iatural %e3 ;u
Cri'icri 0 coas"s, N13�,��rr�r►t
far
9"aa {1. V11iwrW„
ri,r,.rtnr ltl
Dee 1=f6ema
Secretal
Own-- 4,41Ying for F'-'rmit Na a _f e;pthnrized anent `cr this project:
J ° rit's Mailing Address-
IAA-N ISLE B
rc;fP IJR1..
r •iii'y tl�f i ,isV@ aUtt7uri.eC� rl�t_ i1�3,'?( 1irs�'c dE::i'dE �U lbC!
r n my hAhalf for the. purPOSC Of &PP1Yir19
� < tv tyr►sn� a:: != A%AA-, Fei*t , ne!nvssary to iiistwi or �mRtNc the failowing cadivityi=
;:;ijl pfR 7cft� iH4ctic jai
This ce tifica+►"�
/ � r
Prc 1na1 u
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL NIANAGENIENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
Address of Property:
r—
(Lot or Street #, Street or Road, City &
Applicant's phone #:�i`1'2.i`�j' �D D� Mailing Address: �G NL S—k\ A-114 U
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pe.
has described to me as shown on the attached drawing the development they are proposing. A description of draw
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 (DC:
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response h
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 distanc,
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 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owper Information)
Signature
",ccki
Print or Type Name
(Ripirian Property Owner Information)
Signature
OV-4 ,4
Print or Type Name
Mailing Address
3� ,U)/,FT hWZI OiE
Mailing Address
H C-9 / I --
CERTIFIED MAIL — RETLr%N RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
3W
Address of Pro 3,
(Lot or Street #, Street or Road, City &
Cn
Applicant's phone #A\R-2\16— "A Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pei
has described to me as shown on the attached drawing the development they are proposing. A description of draw
with dimensions, must be provided with this letter.
V 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 (DC]
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive 7
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 distanci
15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initiallhe
appropriate blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
(Property Owper Information)
12
Signature
",cc\Q,
Print or Type Name
0� e� Actu
(Ripdrian Pro erty Owner Information)
IJ
Signature
/14.4le 1
Print or Type Name
Mailing Address
Mailing Address
.(�UC,u!
i
,� i
icant: '
Permit #:
tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
itat 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/c
temp impact
amount
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
GRICE CONSTRUCTION OF BRUNSWICK 7582
COUNTY INC ss-„vs31
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
DATE 5I i
PAY
TO THE
ORDER OF INC. �) �t6 S , 1 $ 0 a0 !—
BRANCH BANKING AND TRUST COMPANY
1-800-BANK HOT BBT.0 m
11400007582110 COS 3LOLL20:0005L9992652911m
■ 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:
A. Received by (Please Print Clearly) B. Date of Delivery
C. g urer
X ❑ Agent
❑ Addressee
Is delivery addre Iff nt from item 1? ❑ Yes
If YES, enter ery address below- ❑ No
J
3. Service Type
❑ Certified Mail ❑ Express Mail
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ yes
2. Article Number 7009 1410 0001 8701 6 917
PS Form 3811, July 1999 Domestic Return Receipt 1025954-M-0952
Postage $
Certified Fee
i Receipt Fee Postmark
ant Required) Here
Delivery fee
ant Required)
sage & Fees I $
C._`_ �a(fy��_Q� eQ-----------------
t� I��J
No.
ZIP 4
100 August006sem
■ 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.S. Postal Service,,.:
CERTIFIED
MAIL,,., RECEIPT
(Domestic Mail Only;
No Insurance
Coverage Provided)
For delivery information
visit our website
at www.usps.com;,
to
1 •
�
PS Form 3800. August 2006
See Reverse for Instructions
A. Receiv by(PI ase Print Clearly) B. Date of Delivery
C. Signature
. �❑ Agent
X�� L�� ❑Addressee
D. Is delivery adolKXerent from item 19 ❑ Yes
14 VCo ..... -J-.1 .-.... —A-- -.-.-. n Aln