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Home My WebLink About56551D - FortCAMA / DREDGE & FILL GENERAL PERMIT Previous permit# Ne,, --Modification ❑Complete Reissue El Partial Reissue Date previous permit issued ized by the State of North Carolina, Department of Environment and Natural Resources oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Egtale-s attached. Name L /9u S -/,I/. /'" ' 2 4- Project Location: County ff9a V S w/ 4 e G'.1G Street Address/ State Road/ Lot #(s) / y/ F 1,✓2 ( I-r StateSC 71P % 9Q 5_{ `, 7 (" Fax # �— ) ed Agent ;9d A- 17Jo CW EW ❑PTA ❑ES ❑PTS OEA HHF ❑ IH ❑ UBA N/A PWS: ❑ FC: yes / no PNA yes /�o Crit.Hab. yes / no Subdivision city = co, _ 'e � fc4c,{ ZIP 2 F A Phone # ( ) River Basin u, Adj. Wtr. BodyC/��/A� OJL,9�r t �2. (nat Closest Maj. Wtr. Body '47i !✓"-" Project/Activity Iu L eA (Scale: _ Irl lonarh i? . /, t ■�■■■■■■■■■■■■■■ ■■■ ■■■ ■NIN ■ IN MMEM=MEMMMM ■■■m■■■mo■■■■■■ r / ■�■■ ■:■■■■■ ■■:■■■■■■■■■E■EE !l�Ew NONE■■■■■EN■ENE, t�m1w, 6i MEN ■ME■■IE■NEENI MENY■OEOOEE■OE■�■O OM ■�■MOO■■OOOM�i■�Y■EMOO■OOMEEO■■O■I EM■■■■■■■■■■O ■■■��OEOOE000■E■EOI ■ ■��■�■■SON■�M■ [O+jiN ■■■O■■E■E■■OOI OM■■■■■O■■ONO■OOM�111E■MEND■�O�O■E■EI ■■OEM■■■■■ ■■■■■■■M� !E ■■■■■EE■■■NOMNI ■ N■■■IN■E000■M■MIIiME■EM■M■NN■M■NNI ■■■■■M■■E■■■■■■Ill MOO�OO■O■----�— E■■■■■■■■■■■■■� iw ■■E■ONE= 11ma omi ■■O■wE�'�I■Oill■1■■■1■I■■I■I�O■■I■lidm;irif gpj! ■ ■O■�lRiiO li ■E i� 1■1■■11■! ■■ IM �■ M■ 1■11 ■iiiillilEll EON■MN 1111EI■■i�lEI■■'OIiOl■■IMIOE�Is tOOMOO■I �■DOE■O�liiiil:O�iiiLiiiiiCiiiiMLJ■MMMMMI M■■E■MM■EE MEMO MEME■EE■■E■MM■■■MENNI . • 0NE■■■■■■17A ME■■OME■■■■OEOE■■E■MM►2 1�E■1 ■■■ ■■■■■■■■■■■■■■o■■M■NE�IE■■■O%r■■ ■I E■■NNEEME■NESM&M 'J[JziE�F�NO■EEME IN mom ■■OO■■■■■■■■M mom EOO■■M ■■■■■■1 ling permit may be required by: e'/P�� f ) / ❑ See note on back regarding River Basin i i e.____1 i.__�� « _:_:_,7i 4iAO In—e I. 17i- IA_: J. .n .._� �1 ,i�A I - "ejwlJ -, i1/i - ) J wlipm G. flues Jr., reel F. i;E�eY, Ga�s� Authorized Agent Consent Agrement is hWeby suthacixetl to 8d on my banal �p►r»ad warn. dA0lrA) hst�d E7elow. Tn® author ttos� is iirnited to t der to obtain any CA:MA permit(s) reque d for the Pr OP" bias dew in the Ott achW sketch. "'PERTY OWNER &WLlNG ADDRESS, PHONE NO r� HOMIENO.9 - D Q P �_,�o ��,tinrl Viafmp(:Fr� low �I -- � -�.o LwvenS �b 1� cant: L9y2f'-'S I O4 — Permit #: C / S 5 D vibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement i in your Habitat code sheet. :at 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) L Dredge ❑ Fill Both ❑ Other ❑ �j 6 C4 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 ❑ JOSEPH V. MILLIGAN LARA R. MILLIGAN NCDL 4319111 4299734 P.O. BOX 131, HWY.130 PH. 754-9345 ASH, NC 2842 PAY TO ko TF ORDER F '4- S E URiTY CAP 5�`I Shallotte, C2 8459' �" MEMO V 42S317143 0620 66-7143/2531 5400 DATE �C ' DOLLARS t mom. fec"it� y �ccou� S 2113 S 400 ■ 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: A. eived (PI Print Clearly) B. Date of Delivery 6;4-eh 1j-/ / -16 C. Signature �[O]Addressee nt X ❑ Addressee D. Is delivery a ress different from item 1? ❑ Yes If YES, enter delivery address below: 1k1�io Service Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Copy from cA—i— L-J—n 7009 1410 0001 8701 7204 PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 ■ Complete items 1, 2, and 3. Also complete A. item 4 if Restricted Delivery is desired. 14 ■ 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. 1. Article Addressed to: D. Is delivery If YES, en by (Please PAt Clefpy) I B. Date of Delivery ❑ Agent ❑ Addressee are different it 1? ❑ Yes e �4 ❑ No in 31 Service Type Certified Mail ❑ Express Mail Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Copy from service label) 7009 1410 0001 8701 7198 PS Form 3811, July 19 Domestic Return Receipt 102595-00-M-0952