HomeMy WebLinkAbout57321D - Teachey;,AMA / DREDGE & FILL
E N E RAL PERMIT Previous permit #
Jed _� odification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
ted by the State of North Carolina, Department of Environment and Natural Resources r
)astal Resources Commission in an area of environmental concern pursuant to 15A NCAC
pules attached.
Name ZV ez L / < ,t 7Project Location: County /z SSG✓/r'K
Z - Cu y%i L r ` Street Address/ State Road/ Lot #(s) JS ` /✓i9�/Ir�
M , A s ��, • State/V (f ZIP 1 v y0�
-')%-?/ Fax#( )
d Agent
❑ CW ❑EW ❑ PTA ❑ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑ FQ
Subdivision
City %(p.!1N TSLP 6aacA ZIP Z�y�
Phone # ( ) River Basin Lcs".,
Adj. Wtr. Body �'fl.� !� ( a �4 14/ IW J (nat �;
4 J yv `-,,l
es / no PNA yes / r(!�-7 Crit.Hab. yes / no Closest Maj. Wtr. Body
'roject/ Activity P 1
7 !a c C x , S �' r t % - , c, �U L /l ti r� c✓
(Scale: /
;) length
,th
ber
J.
)Liprap length 5,�
listance offshore
distance offshore
nnel
yards
V Boatlift
Idozing
A.J)P,,, fLo,4/
Length
not sure yes
no
not sure yes
no'.
m: n/a yes
no.
no
tached: yes
no
g permit maybe required by: (/� P,A ./ �S P ��9 /1 ❑ See note on back regarding River Basin rul
'011-04-M 17•1p r.IxMfprt-:1
9196774444 >> Q 1 OY MN6 P 1 i 1
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MCI
'ADD
North c'JaroUna Department of Enviro
Division of Coastal M
Severly Eaws Perdue James H, G:e
G'-wernor t>ire&..r
Date:
Name o1 Propeftt:Jv�tte'r
J
r
t and Natura Resources
:re Fre vrz
St etd!
}
v arne cf pd:.hcrud Ags nt far this prO;ect'
the ilk. nt ! niR:f '% 113"A tc) ?ct
Fvr anu Obtairiiriy oil COAM,A?eMI% --e0SSary tO i"stall or
D
`.V'. . .- ..�+.-1 �� ice.^_: S � '�.+� _ ♦Sr'Yra.?7J �L
trny P; aporty i000tcd) of
Th 5 tlifinMinn it valid thru fdatel
:foparej Jw� ar slyriat;AZ
ISLE BEACH NO 28469
NU
my behalf, for the purpoSe of applying
�vu t .1
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to is
(pia e of Property Own r)
property located at � 1\C-m ln\yi t-2 � 1 ,
AS(Lo Block, Ro etc.)f,,on C'� LJc.I C �>JSl , in ��2C 1'1 - )Q Cl (- 1 , N.C.
(Waterbody) (Town and/or�c o�unky�
Applicant's phone #: °�Ip - ��c -q Q C1 S nqq-(An-T:;�EiA��
ling Address: 1 2 Cl
0
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 writ
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, N(
DCM representatives can also be contacted at (910) 796-7215.
No response is considered the same as no obiection if you have been notified by Certified Mail
(Property Ow er Information)
U- -J I/
r a eccc���
Signature
�leWkt 1 e(tch eQ
Print or Type Nam
7�_!;J-:� (:�Oqt I
(Riparian Property O�ff-erformation)
A/
Signature
i, vt e) L-L
Print or Type Name
Mailinp, Address
Mailing Address
(ka
icant: jye Xx 4 y Permit* S
-ribe 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
S L
Dredge ❑ FillA Both ❑ Other ❑
/
Dredge ❑ Fill ❑ Both ❑ Other
Q
S�
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-„vss,
6618 BEACH DR SW BS. 910-579-9095
OCEAN ISLE BEACH, NC 28469-4710
DATE D-TO THE
� )
PAY
ORDER OF INC
C % ��1 � � aCJ
OCI.
m BRANCH BANKING AND TRUST COMPANY
1-800-BANK BET BBT.com
_...__ ^P
1110000758211' l:0531011211:0005L9992652911■
■ 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 �z�
A. Si nature )
X l/ ❑ `
B. Received by ( Printed Name) C. Date of
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mail ❑ Express Mail
Registered P449eturn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number (Transfer from set 7009 1680 0000 2205 5955
PS Form 3811, February 2004
livery information visit our website at www.usps.com .
OFFICIAL
Postage $
Certified Fee
Postmark
irn Receipt Fee Here
rent Required)
Td Delivery Fee
nent Required)
ostage & Fees
Thy ! . ......................
of
-
x
ZIP+4
:r• August 2006 See Reverse for Instructions
Domestic Return Receipt
102595-02-M-1540
Ln (Domestic Mail Only; No Insurance Coverage Provides
Er- For delivery information
tul �
u.�l M t
O -
I-L] Postage $
rU
Certified Fee
O
Postmark
E3 Return Receipt Fee Here
O (Endorsement Required)
C3
Restricted Delivery Fee
E3 (Endorsement Required)
CID
-D Total Postage & Fees Is
r-i
Er Sent a' I
p Street, Apt. �/
,�----------------------
17 -
■ 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.
In Attach this card to the back of the mailpiece,
or on the front if space permits.
PS Form 3800. August 2UUb bee reeverse Tor instructions
A. Received by (Please Print Clearly) I B. Date of Delivery
C. Signature
/�IJ Agent
X Addressee
D. Is delivery addr s different from item 1? ❑ Yes
If YES. enter every address below: ❑ No
1. Article Addressed to