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Home My WebLink About54466D - Gore_; CAMA / DREDGE & FILL GOV-49 GENERAL PERMIT Previous permit # New 'Modification IlComplete Reissue Partial Reissue Date previous permit issued )rized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC /y 14� / [5Rules attached. it Name LcX yam',>it (tl'�2 .� Ste. /��i ert '` L .; Project Location: County �k 4-o"VJ 4,i t `/-755.4i.a �� r � . L✓, Street Address/ State Road/ Lot #(s) &,(2S'" G+�, r.✓s Nc.9Gfi State IV C ZIP ized Agent 67i1 t , .e (a N c �.� •� d CW aEW C-PTA -1E5 Ll PTS ❑ OEA ❑ HHF C IH ❑ UBA -1 N/A ❑ PWS: ❑ FC: yes / no PNA yes / no Crit.Hab. yes / no Subdivision City tB� Q�osi��7 ZIP 2F Phone # ( ) River Basin L vj-, Adj. Wtr. Body �-fL 2 -/ at Closest Maj. Wtr Body /ti/h/ of Project/ ActivityO�L� �� i _ x S ,✓�_ i L �� ... cif c �� d fJ«PS lCl,�i►l�', (Scale: dock) length � , r pier(s) i length number_ a Riprap - avg distance offshore max distance offshore■■■■som■■■ channel yards ■■■■■■■■■■■■■■W i'sENEININEIN ■■ :■■�:� I', ■■■■ ■�■■��■■. ::r///fff �.:■cubic .■■ ■■■■ ■■■■■■■■■■■M ■■■mot ■\\ ;rar�.!� ■mVQ�t�1'■■ .■■® NJ NMI ?IV ding permit may be required by: _510•,V 1Ca ,6LAI./ ❑ See note on back regarding River Basin //fI �. y AMA n_C,�s NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management 3everly Eaves Perdue James H. Gregson Director governor Dee Freer Secre AGENT AUTHORIZATION FORM Date: Name of Auth razed Agent or.this g{oject: lame of Property O ner Applying for Permit: Dwner's Mailing Add ess: Pr Phone Number��/�� Agent's Mailing Address: CL Z`1A Phone Number r9►�� y— �S I certify that I have authorized the agent listed above to act on my behalf, for the purpose of allying 1-8for and obtaining all CAMA Permits necessary to install or construct the following (activity): (my property located) at This certification is valid thru (date) i n w� NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Michael F. Easley, Governor Charles S. Jones, Director William G Authorized Agent Consent Agreement is hereby authorized to act on (Panted Name of Agent) in order to obtain any CAMA permit(s) required for the property listed below. The authorization is li specific activities described in the attached sketch. LOCATION OF PROJECT: PROPERTY OWNER MAILING ADDRESS: s/e P, '---AUTHORIZED AGENT.MAILING ADDRESS: :#E: , M-e.; PHONE NO. * D —5-7r -- (Z O C_ —1 PHONE NO. Signature of Property Owner: 4". 61) h ��,� FIED Lestic Wil Th1 MAIL,, RECEIPT Mail Only; No Insurance Coverage Provided) OLLLLx[t naLw t1R.Ultal-lA5" Postage Certified Fee turn Reciept Fee ement Required) led Delivery Fee ement Required) 'ostage & Fees 04 Postmark Here 03/W2010 ;$2.80 $ �1' q - ---La- --- tpt. No 1 r - ------------ ------------------ lox No. OYU �`�n . 1u �� 333 ----- --- ----- ----- —.- -- - - :fr June 2002 -y:lffil!CCIDW Postage $ $0' 44 0472 $2.80 :ertieed Fee 04 Reciept Fee nt Required) Postmark Here $2.30 )elivery Fee nt Required) $0.00 $ $5.54 age & Fees 03/03/2010 lo. U' \ fir! —21% - ---- t,,PL�-T �j. ]o. June 20C ostal Service,,, TIFIED MAILTf., RECEIPT tic Mail Only; No Insurance Coverage Provided) ery information visit our k is website at www.usps.com;,. :ertified Fee 1 t it Required) Reciept Fee PO=stmalrk Here I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _ �Oer J Joel ps 's (Name of Property Owner) property located at (Lot, Block, Road, etc.) on , in :&� ach QzrLt N.C. (Waterbody) (Town and/or ounty) Applicant's phone #: �)-S-79 -' )A5 Mailing Address: 6 10 �1 Dr- SW c y =P�l e B Bch NC zrn(ov He has described to me, as shown below, th 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) &-Q�1.k ,0 \�uC`lfd �r1U �l -------------------- �- e �� ------------------------------------------------------------------------------ (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) MailingAddress Signature ADJACENT RIPARUN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 6be-A J0g6 is 1 ' \ (Name of Property Owner) property located at S W e Y�\(q\n S-�� (Lot, Block, Road, etc.) on , in �tV0Q,T '61-' aC A C:? l nQ& 1,(-0 , N.C. (Waterbody) (Town and/or County) Applicant's phone #: �LSIS ��q5� Mailing Address: \`61MLy l � c nl;R� e -\ -euch Nk 2$Lf L 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) \zr �\ qc\� -e- � 6 �- aw'� 11 (Information for Property Owner Applying for Permit) Mailing Address (Riparian Property Owner Information) Signature � T VOW I -An .J ^ 3 9 �u�va fro .ha�� i cant: C/,94 a/ 2XJ2 �G//mod �t / cJoi✓� Permit y/10/.o 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/c temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other D 2O� 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 ❑ I GRICE CONSTRICTION OF -- BRUNSWICK COUNTY INC 7059 PH. 910-579-9095 66-t tv53t 6618 BEACH DRIVE SW OCEAN ISLE BEACH, NC 28469 l , PAY DATE TO TO THE N C � L- � q " s ORDER OF 1 ` DOLLARS 8 s� BRANCH BANVJNG AND TRUST COMPANY 1-000-BMW BHT BHTAX" FOR J��`�w—w.._ - C"1'�{0!0 (J�r) \l _ __ II' 0 0 0 0 7 0 5 9 II' 1: 0 5 3 10 1 1 2 0: 0 0 0 5 19 9 9 2 6 5 2 9 0 ■ Complete items 1, 2, and 3. Also complete A. item 4 if Restricted Delivery is desired. X ■ Print your name and address on the reverse so that we can return the card to you. B ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 0--\ <\Aa e. LU?�itzlr5 uk--� O\c 0-2- v J ❑ Agent R eived by (P Hied Na ) C. Dat of > 4Di (� Is delivery address different from item 1? ❑ Y s If YES, enter delivery address below: ❑ No 3. 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 (ltansfer from service label) : 7003 1680 0004 9790 7304 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ 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: SIX n � \'i-3 ,<1Q A. g lure A,X ❑Agent AVO Addressee B. RUeived by ( ted Name) C. Date of Delivery D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type �ertified Mail ❑ Express Mail ❑ Registered , return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service 7003 1680 0004 9790 7298 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ Complete items 1, 2, and 3. Also complete A. Sign 1• + ... item 4 if Restricted Delivery is desired. I ❑ Agent g ■ Print your name and address on the rev ❑ Addressee so that we can return the card toy LE B EA ■ Attach this card to the back of t pi (Pri ted Name Da of livery or on the front if space permits i7 J 6