HomeMy WebLinkAbout57485D - GarnerCAMA / DREDGE & FILL
;ENERAL PERMIT Previous permit #
'New M.odification ElComplete Reissue El Partial Reissue Date previous permit issued
prized ;y the State of North Carolina, Department of Environment and Natural Resources ii
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 700
Dill Rules attached
it Name '46 by K
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�ed Agent 7,
CW _EW PTA LES L-1 PTS
Ll OEA 71 HHF L lH El UBA Ll N/A
1-1 PWS: OFQ
yes / no PNA yes rno Crit.Hab. yes
Project/ Activity
Project Location: County
Street Address/ State Road/ Lot #(s)_
Subdivision
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North Carolina Department of Environment and Natural Resources
Division of Coastal Management Dee Free
Beverly Eaves Perdue James H. Gregson Sew
Governor
Director
AGENT AUTHORIZATION FORM
Date: ZS = l
Jame of Property Owner Applying for Permit:
Owner's Mailing Address:
C7 3
Phone Number
Ngme of Authorized Agent for this project:
Agent's Mailin Address:` l
0;
Phone Number
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):
(my property located) at
T s certification is valid thru (date)
Date
CJJ --I J.J .11 .r; _7.1+./lJ 1::111 !'i J. r.�:.l .l_l t. r.11 ..:V .:U -. :'1v � -•-+ ��� •+�-�•- - -•
i 'gVISIGN OF C40, :STAL 11VONArSMENT
ArUAN PF'f- PERT'• OWJ14LR Iyf3'1'iFii:i',1'1::t1 ""'E";14i
CERTIFFF01WAiL - KEVURN l ECE-11PY RLQUE&TED -- —
,�Aii , .,..:+ �, o^� rt;' �js^n: nt tr3 J �(`(`I (Y� C ri r —
.J ... ...� ..... .. •.. .
�r\1 I � � (�'9Yt`ti'• of Property 0101n2r)
(�`►ttda'ur€a, Li)i Block, Rind, etc.)
or. f'CA Jn__�&
(City/Town and/or County)
Agents Name #:c-st'it IJr\ Mailing Address:_ --i
He/She has described to me as shown below the development fie/she `s proposing at that location,
and I have no objections to the proposal.
DESCRIPTION ANDIOR DRAINING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in dsscription below or attach a site drawing)
<�� cr��Cuj 6_1 " (�9
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. Contact infQrmetion for DCM offices is
available at www.necoastalmangement.neticontact dcm-htm or by calling 1-888-4RCOAST. No
response is considered the same as no objection if jeu have been notified by Certified Mail.
(Property Owner Information)
Slgnaturo
Print or Type NAlne
11CQ Cam' '_zr • �r
Mailing Address
tic
Citylstatemip -- —
(Ripe on perty cer Informati
S/
f' '
not or Type Name
Citylstatelzip
2 -i32
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Division of Coastal Mgt. Habitat Impact Computer Sheet
I�
icant: C'A-��SC-1'� J�1L� � �, Permit #: �'�-L-E5S r
tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
d in your Habitat code sheet.
tat 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/or
temp impact
amount)
Dredge ❑ Fill ❑ Both ❑ Other
Zt,
Z
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
PAY
TO THE
ORDER OF
DATE
11 DOLLAR
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BST BBT.com
FOR
11*0006 780 ?111 1:0 S 3 LID 1 1 2 0:000 S L ci 9 9 2 6 S 2 9iis
■ Complete Items 1, 2, and 3. Also complete A. nM ---2
item 4 if Restricted Delivery is desired. x Agent
■ Print your name and address on the reverse
❑
l/ Addressee
so that we can return the Card to you. t B. Received by (Printed Name) tCy��ate of Delivery
■ Attach this card to the back of the mailpiece,or on the front if space permits. /�
1. Article Addressed to: D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
311 L-O--Qn, ^�) \ J� KU
3. Service Type
�7�6ertified Mail ❑ Express Mail
❑ Registered Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 1680 0000 2205 9489
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1s4o
- D •. • .•.
D-.
7information
un l
1
Postage $ ED
fu Postage $
Certified Fee rU
m Receipt Fee 0 Postmark Certified Fee
nent Reuired) Here O Return Receipt Fee Postmark
CD (Endorsement Required) Here
d Delivery Fee
d D Required) Restricted Delivery Fee
(Endorsement Required)
rstege &Fees _a Total Postage & Fees $
� rl
Sent o
---- . -- .... a1_..
.---------.
Tt
Sfreei, ApF o
` `_.... .. .................... or PO Box No. �D
ZIP �1 Q r` —1 J C
Z 2 City, S te, lP;
:00 ALIgust 2006 See Reverse for Instructions
PS Form 00 AU9USt 2006
COMPLETE• • ON DELIVERY
■ Complete items 1, 2, and 3. Also complete A
item 4 If Restricted Delivery Is desired. fd�gent
■ Print your name and address on the reverse ❑ Addressee
so that we Can return the Card to you. B. Receiv by (Printed Name) C. to of Delivery
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
D. Is delivery address different from item 1? 0 Y6