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Home My WebLink About56659D - WimmerCAMA / ❑ DREDGE & FILL 'MhE N E RAL PERMIT Previous permit # New -Modification ❑Complete Reissue El Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources J Q D :opstal Resources Commission in an area of environmental concern pursuant to 15A NCAC / [files attached. t Name Project Location: County k 3 t i� Street Address/ State Road/ Lot #(s) 7 D, x %mac k,All StateV C ZIP,' %Z F ;— # (- `?') /1'/ (iS Fax # ( ) zed Agent _ f_ t'� /CL" 446 r'S i624c.) E -' Cw C OEA ❑ PWS: yes / no E W - PTA E4 ES ❑ PTS HHF IH ❑ UBA ❑ N/A ❑ FC: PNA yes /A&_ Crit.Hab. yes / no Subdivision city /Je, '9.0/9 e-� ZIP Phone # O /River Basin L u Adj. Wtr. Body_(: � Ul �/Z (nat Closest Maj. Wtr. Body �/ ✓w Project/ Activity /: pl/70-- C X `i �•.- c /�fi L �S .DuLlf/74 /0 V i LA io., k ■ S■ ■■■�■■■■�■■■■■■■■■ ■MEN MM MM■MM ■■■ ■■■ ■■■ ■■■M length i ■�MN■M O■■ MEN ■.■■■■■M■MMMMIE ■MM ■■■■■■■■■■■■�■:�/1E�71■■■■■■■■■■■■■■■ ■■■■■■■■■■■r�CSiIML■■W i�■NEME■■MEMO vg distance offshore EEE■O■NE■EOM®OEEEEEONEM■E■NENEMEMO iax distance offshore _rc—, channel NONE ONE 0 IMMMEM I...ME■.....IC9O■E.■■�M■NE■mom 0�M■■■ME SIEMENS ENE■E■■N■E■EMEEE� IE1 i■NE■ENNEENEE■EEE■I ■MEE■■■NE■■ENME■� ill E■■EEE■■■N■■EENEEI MEM■M■E■ ®1■■■■■■■■■M■■■■MNEI ENNEM■ mom ■M■■MMErm "01-ENIMMME■OEM■E�■1 N■ IMMI NONE ■1 Bulldozing NO■M■■ MEN E■MOMME11M MMMM■■■■M nalI I■MIII�E■INEME■MM■■■■M■■N■I ■MOM■ UNIM IILIUNME■I LSM111 I■■MM_■■N ■■N��I ��i��!llli■iL�■ :iiii� �ii l�ii �� I■I �I `_ 1■EE■OMMEMI not sure yes •■■■■■■OMEN■■N■ErMr■■mom gs: not sure y • • yes noM Attached: yes ..��Iiill■ IIN�■�I■■IEI■N■■EMI AM■■MM■ME■I NNEE■EOM■ d 1■I IEN 1■■ I■!N ■N E ■! r IM■NE■NE■EI ■■NE■■E■■ 11EI Et IE.IN■ INN ■■ E O111■NEEEE■■■I ■■E■MN■E■ 11■��1■IIE�!NNMNM■ ■ 11■EN■■ENEEI l■■■■EEO■E MEMO ■MESON NE�NONE ■NMEMO INEME■■MEMI ■■■E■NNNn 110 EME■■■■ONE■On EEEEEI N1d ■Em■■EM■■E■■M<"11E ■■■■EMI ENONE NE■ ■■MO■E■■■■E■E■�I■■■■EENE■I ling permit may be required by: #oCdo, 40O.4Cn ❑ See note on back regarding River Basin --' -' ^-- .:�:--- Al /%I _ ' -1 .►'),. i t D f Affi-*WAW� CCDEHR North Carolina Department of Environment and Natural Resources Division of Coastal Management ri Beverly Eaves Perdue James H. Gregson Dee e Governor Director Se' AGENT AUTHORIZATION FORM Date:1 9-�- ) 5 - IC Name of Property Owner Applying for Permit: Mime of Authorized Agent fppr this project: Owner's Mailing Address: <r a� A `�`�' % inn 9j Li2vA-o J 1\1 Q o- 7dS S Phone Number Agent's Mailing Address: c 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 PerTits necessary to install or construct the following (activity): (my property located) at This certification is valid thru (date) <— - v 1() Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Q(w('i e(- _ Is (dame of Property Own(err) property located at (Lot, Block, Road, etc.) on cA--\ctl � �� e.BwA:� l , in-1A��W\CV c6g r%�-Q > N.C. (Waterbody) (Town and/or County) I Applicant's phone #:�'l�d'�J �0 Mailing Address: l T�eCtCK L-�-c� (-,V-eu nT--5QC l�C z-o1(Oct He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. ------------------------------------------------------------------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) ----------------------------------------------------------- (Information for Property Owner Applying for Permit) / /f Mailing Address ---------------------------------------------------- (Riparian Property Owner Information) Signature / CERTIFIED MAIL — RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY ONVNER STATEMENT I hereby certify that I own property adjacent to property located at . \ M1G..a s (lame of Property Owner) Y\ (Lot Block, Road etc. on Cu n�A p� U-;u , in � ct, �L� r1% , N.C. (Waterbody) (Town and/or County) Applicant's phone Mailing Address: I n1a u<<'1 CC`U r 1� ci C�L W 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 wri 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 roperty Owner I,pfQrmation) Signature Print or Type Name Mailins Address (Riparian Property O er Information) Signature reQ �COV Print or Type Name `fP 7 UBro � >� — Mailing Address F ) b�-A `Vv:� "`��y� -ql -k vz,� C-�� %4 k\ licant: G�.�%� L� /'J P2 Permit #: .31� ribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement id in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated fina itat Name DISTURB TYPE Choose One Disturbance total includes any disturbance. Excludes any Disturbance total includes disturbance. Excludes any anticipated restoration any anticipated restoration and/c restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount) 57 L Dredge ❑ Fill,. Both ❑ Other ❑ 4/- Dredge ❑ Fill ❑ Both ❑ Other, Complete items 1, 2, and 3. Also complete A. item 4 if Restricted Delivery is desired. Print your name and address on the reverse so that we can return the card to you. C. Attach this card to the back of the mailpiece, X or on the front if space permits. Article Addressed to: Z:I Received by (Please Print Clearly) B. Date of Delivery Sign r� ❑Agent Addressee Is delivery address dif"below: If YES, enter delivery 3. Service Type ,,2t-eertified Mail ❑ Express Mail ❑ Registered ,2614eturn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (EKtra Fee) ❑ Yes Article Number (Copy " 700 9 1410 0001 8701 6870 Form 3811, July 1999Domestic Return Receipt 102595-00-M-0952 Urecige Lj Fill Lj Both Lj Other Dredge U.S. Postal Service r�., . ■ Fill ■ Both ■ Other ■ CERTIFIED MAIL.., RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) For delivery information visit our website at www.usps.com,, GRICE CONSTRUCTION OF BRUNSWICK COUNTY INC 6618 BEACH DR SW BS. 910-579-9095 OCEAN ISLE BEACH, NC 28469-4710 :J ' DATE L 7435 66-112/531 PAY (� N TO THE ORDER OF \ \) �- `� I $ It •� -/ mBRANCH BANKING AND TBBT COMPANY QV 5U(L� (�)O �') "A, r 1150000743Se i:053 l011 2 Li:0005 L999 265 29"m ^ ❑F.c-. , e.luif D.caila on en tip--- NP