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Home My WebLink About56586D - SawtschenkoCAMA / ! DREDGE & FILL 1ENERAL PERMIT Previous permit# 7New -'Modification ❑Complete Reissue El Partial Reissue Date previous permit issued rized by the Stat of North Carolina, Department of Environment and Natural Resources �j /f :oastal *1—urcCommission in an area of environmental concern pursuant to 15A NCAC / A ))0a ' ESRates attached. t Namewz p',ow 0% a 'J / PC 44 5. 9" j5 t �1 n^!�'�: Project Location: County d a C _C IV. ? if, (r . Street Address/ State Road/ Lot #(s) V26 /yl9/d 4 State__ ZIP 0 I2 ( -36J67Fax # ( ) zed Agent ❑ CW _ EW PTA `, ES PTS C OEA HHF IH --1 UBA N/A ❑ PWS: IFC: yes / no PNA yes / no Crit.Hab. yes / no Subdivision Ci§R,9c h ZIP 2 x ll� Phone # ( ) River Basin L,l/,,v Adj. Wtr. Body CA,✓4L (nat( Closest Maj. Wtr. Body if Project/ Activity iiuy� t /lk%, App f -"2 (.✓ o 4 Cl O � Z x , S s �si �i� I7 G/i i 112 (Scale: ■■■ ■No ■ 1�■■■■N I ■ ■■q:■�■:OMEN ■ ■ ■■■■�■■■■■■ ■■■■■ ■■■■I zngth !�■■!imber ■■■■■■■■■■■■1■■■■!�■■:■SIC' �-�,Piprap length ■■■■■■■■■■■■■■■ii�l■■■r■■■■■■■■■■■■■■■I fg distance ' ■B■■■M■■■■■■■■■■N■■■M■■■■■■■■■■■■I ax distance ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■I jbic yards ■■■■■■■■■■■■■■■■■■■I�1■■■■■■■■■■■■■■��I mp ■■■■�■■■■■■■■■■■■1■■■■■■■■■■■N.. use/ Boatlift ■ :■■MEMO■■■II■II:l mom ■II■■I9-7 UIP I1 ■■■■■■■■■■■��.�� ■■■■■■■■ ■ ■11■ ■� 1■ ■■ I■ ■11■ � i■ill■■■■■■■■■I ie Length not sure yes . ■N■■■N■■ ■ ■11■ ■� �! ��■ ■� �■ !■ i11■■■■■■!■■I ■■■■■■■■■■ilir■■■■■■■■■■■■■11■■■■■■■■■I ■■■■■■■■■AA■■■■■■■■■■■■■■■1�■■■■■■■■■I fS: not sure yes 9Attached: ■■■■■■■■■■■■n■t■■1!l7��1l�!!■!.�!■■■■■■■■I yes no ■■■■■■■■■ ■■■fIf�i�■f(I(i1�rPi/i■■11�■■■■■■■■■I Yes no ■■�■■i■■■■■■■H■■■■■1■■■■■■■■■ ling permit maybe required by: S4�Se� S"C n 0 See note on back regarding River Basin i CCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue James H. Gregson Dee Frei Governor Director Seci AGENT AUTHORIZATION FORM Date: /s_ A0/1 Name of Property Owner Applying for Permit: Name of Authorized Agent for this project: rA 0 41e-ur) en er a,�d l��,r� � a rays c�I d\ � - Owner's Mailing Address: 1P70/ e-l2L 2.76 /3 Phone Number (9/7) qK- 3606 Agent's Mailing Address: U C� 'Zc— S�6 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): Snsfi�.il --.k hid�- (my property located) at yZ This c 'fication is valid thru (date) ov^m,nr+.t rlwnpr Sinnature Date \\Wi-� V--6"qA cant: & �� 3 .i We71O _ d S.9L✓ 5-ar',-' er Permit #: 5'� S C � ribe 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/o temp impact amount) Dredge ❑ Fill. Both ❑ Other ❑ L Dredge ❑ Fillf 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 PH. 910-579-9095 6618 BEACH DRIVE SW OCEAN ISLE BEACH, NC 28469 PAY TO THE ORDER OF A DATE-� ` BRANCH BANKING AND TRUST COMPANY 1-800-BANK BST BBT.com FOR Vb vvlcl r�\ 'v" i 11'0000 2 38 311' l:0 5 3 10 1 1 2 11:000 5 1999 265 2911■ L ■ 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: 2. Article Number (C PS Form 3811, July 1999 A. �ec jived by (Please Print Clearly) I B. Date of Delivery in W �� i i t.T:rr�a D. Is delivery address different from item- VT '❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type r 'Certified Mail ❑ Express Mail ❑ Registered eturn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 7009 1410 0001 8701 L900 ostal Service TIFIED MAIL,: RECEIPT tic Mail Only; No Insurance Coverage Provided) Postage 1 $ Certified Fee Receipt Fee ent Required) I Delivery Fee ent Required) `7... ... Postmark 1 EC 1 .5H.H10 ELI stage & Fees 1 4) 2 w- 2 �y µ% `15cj.5 -------------------------- t. o. p �Y r No. ��, 1 u r G 3800. August 20u6 ■ 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 it space permits. Domestic Return Receipt 102595-00-M-0952 Postal CERTIFIED MAIL,, RECEIPT C3(Domestic Mail Only; No Insurance Covera e Provided) Ir -0 ' �p�" o C Postage $ P Certified Fee CO O ( Return Receipt Fee (� �� C ry� ay"+ C3 Endorsement Required) G- 5 L �rre O �Bef Restricted Delivery Fee 0 (Endorsement Required) r� �- Total Postage & Fees $ Gsp 28 aio r-i �, Se �1t)11........................................ --------- - ----- fti or PO Box No. C ' P 4 - r ([ S! � Jew - --•�1-6o-----------------. PS Forin :11 August 2006 A. Received by (Please Print Clearly) B. Date of Delivery ❑ Agent Addressee delivery addregGiderebt from item V ❑ Yes