HomeMy WebLinkAbout57360D - FletcherCAMA / f-7 DREDGE & FILL 1
1,EN E RAL PERMIT Previous permit #
Vew nModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
)astal Resources Commission in an area of environmental concern pursuant to I SA NCAC ���• ��G G %%� 11 DG
�~ E�fftles attached.
Name
..S -.5-1 3.J ? e c; ✓!l .
State �+� ZIP
t2y_3 Fax # ( )
dAgent wc-J; —
* CW EW _L PTA aES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ URA ❑ N/A
❑ PWS: ❑FQ
es / no PNA yes Crit.Hab. yes / no
Project/ Activity
Oz
Project Location: County
Street Address/ State Road/ Lot #(s)
Subdivision
CityS� _'✓ f e � _640C `j ZIP 2
Phone # ( ) River Basin L
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g permit maybe required by: _5 "0"S/ Q �P� (� ❑ See note on back regarding River Basin ru
.0111 Vt5:1iAn LU'l oull Z.3 IV% M- , - , L- .% U*j 4.; :It
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Nurth-CaMina Depar*W-,i, E-EnvimmmAt ana Nauai mdsGuiiicr.
rAV � n of Coastal Mir' zqcmicri
uvvy E.m*1 pe(dus
Macw
Ar.,vKftA1jTWQFa(7ATt0NF PPA
Property Owner Apply I iilrig for Feral 11L Nand of Au*hhorlzaO Agent i-jr ihis rxo**
f-.-t.F;14`4 M*1;rjg Add,ess'.
15
IL 0
I oadify that I iisve muihcmizmd the spent lie kto 9.�qvo.to %cl op my.b4half` for the pirpot & of Qkppjykn�
loriandoMiNnin. a LAMA Perrn4$mace q. to instvii or coristrud the foilowing (Alfiv ty),
Pip (il h1ol C,
Ail— e.7
his cortificall.0 13. vrwd !N+j '0j
Prop" 0mrier S19,71dom 1-171"!
Certified Mail t
Keturn. Receipt Requested Date:
wear Mr.- v _RL�1 Q-c----
This letter is to notify as an adjacent landowner of Mr./M-rs.
plans to construct
= -- ier property, y �9_ in
the sketch on the reverse side accurately depict the proposed con-
_ =r,-,ct ion,
Should you have no objections to this proposal, please cnec:
^.e statement below, sign and date the blanks below this statement
;:-',u return to: Grice Construction 6618 Beach Dr., SW; Ocean Isle
3eac:n., NC 28469 as soon as possible.
Should you have objections to this proposal, please send yo
w=:tten comments to: NC Division of Coastal Management 127 Carinal
-_-_ve Extension; Wilmington, NC 28405. Written comments must be re -
within 10 days of reeceipt of this notice.
Failure to respond in either method within 10 days will be
::�:erpreted as no objections.
Sincerely,
-I have no objections to the project as presently proposed
and hereby waive that right to objedtion as provided in
General Statute 113-229.
I have objections to the project as presently proposed and
have enclosed comments.
Signature
�--
CERTIFIED NLUL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL NIANAGENIENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
lame of Property Owner: , 1 'o`l al 'P�
address of Property: I
(Lot or Street #, Street or Road, City & County) 1.
applicant's phone #:,
Mailing Address: `313� Ucl, bf`
hereby certify that I own property adjacent to the above referenced property. The individual applying for this per
tas described to me as shown on the attached drawing the development they are proposing. A description of drawi
vith dimensions must be Provided with this letter.
,
I have no objections to this proposal. I have objections to this proposal.
Iyou have objections to what is being proposed, you must notify the Division of Coastal Management (DCD
n 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
•onsidered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
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 15' set back requirement.
'�4fLC I do not wish to waive the 15', set back requirement.
(Property Own r Information)
C -
Signature
Print or Type Name
\3Q3- QN-"�C vv - -
(Ripirian Property Owner information)
Signature
cam, r�,�w, G G/�av��nge►'
Print or Type Name
/-393,0 ?'0(/eL✓l /V/ P--4
Mailing Address
Mailing Address
-rzified Mail
eturn Receipt Requested
ea r
Date
This letter is to notify as an adjacent landowner of Mr./Mrs.
pie `T`n u �1ans to construct a nQ.�i
n^
p operty, \� �9 re-e in
.,-te sketch on the reverse side accurately depict the proposed con-
_—ction,
Should you have no objections to this proposal, please chec
.e statement below, sign and date the blanks below this statement
nc return to: Grice Construction 6618 Beach Dr., SW; Ocean Isle
eac: NC 28469 as soon as possible.
Should you have objections to this proposal, please send youlf
r_tten comments to: NC Division of Coastal Management 127 Carinal
rive Extension; Wilmington, NC 28405. Written comments must be re-
E!-'ved within 10 days of reeceipt of this notice.
Failure to respond in either method within 10 days will be
erpreted as no objections. . to
V 1 have no objections to the
and hereby waive that right
General Statute 113-229.
Sincerely,
�,13 cv"-C��
project as presently proposed
to objection as provided in
I have objections to the project as presently proposed and
have enclosed comments.
Signaturefzz
0,(
J,(
N
)plicant: ' I om TC Permit #: S
ite:
ascribe below the HABITAT disturbances for the application. All values should match the name, and units of measureme
ind in your Habitat code sheet.
bitat Name
5 6--
DISTURB TYPE
Choose One
Dredge ❑ Fill�Both ❑ Other El
TOTAL Sq. Ft.
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft. TOTAL Feet
(Anticipated final (Applied for.
disturbance. Disturbance
Excludes any total includes
restoration any anticipated
and/or temp restoration or
impact amount) temp impacts)
so
FINAL Feet
(Anticipated fir
disturbance.
Excludes any
restoration anc
temp impact
amount)
SW
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Dredge ❑ Fill ❑ Both ❑ Other
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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 0 Both ❑ Other ❑
GRICE CONSTRUCTION OF BRUNSWICK
COUNTY INC
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
DATE
PAY _
TO THE ( l
ORDEROF
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BRANCH BANKING AND TRUST COMPANY
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'ostage & Fees
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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:
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A. Si nature
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❑ Agent
Addressee
B. Received by (Printed Name)
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,,Date of Delivery
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D. Is delivery address different from item 1?
❑ Yes
If YES, enter delivery address below:
❑ No
3. Service Type
Aertified
Mall ❑ Express Mail
❑ Registered Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee)
❑ Yes
2. Article Number
(Transfer from services 7009 1680 0000 2205 9434
PS Form 3811, February 2004 Domestic Return Receipt 10e595-02,101-1540
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For delivery information visit our website at w%vvv.usps.com4,
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niPostage $ `� �5� I C
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� (Endorsement Required) �/ R°f9cy[[,J ✓\
C3 Restricted Delivery Fee \`
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Total Postage & Fees $ �S
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PS Form :rr August 2006 See Reverse for Instructions
•THIS SECTION
■ 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.
X :'gure
�n ❑ Agent
7 ❑ Addressee
B. Received by (Printe Name� - C. Date of Delivery
LbJS tfF1/��/ZHL'
D. Is delivery address different from item 1? Yes