55896D - Gibson

CAMA / af)REDGE & FILL
55
1ENERAL PERMIT Previous permit #
Flew ❑Modification C'Complete Reissue `'Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resource"s "7 ' /
aastal Resources Commission in an area of environmental concern pursuant to 15A NCAC //• ��a0
P-Wes attached.
Name Ra N (T , 6 1 Project Location: County IR Nrf w . c le
�/ y0 /77 ,Q a ,✓ �7 , Street Address/ State Road/ Lot #(s) 2 J
INa Q stateNC 71P 2735 / -s .
A Agent
G2 + e -v eu rs�iiCr c c
❑ CW
MEW 1_1 PTA B+ES ❑ PTS
❑ OEA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
❑ FC:
,es / °�
PNA yes / oF� Crit.Hab. yes / no
Subdivision
City 6260 ^-J pwch ZIP .2
Phone # ( ) River Basin L•i�i�.
Adj. Wtr. Body CA,,O ( d //yWw (.at�
Closest Maj. Wtr. Body
Project/ Activity pD�Ac P '(, SST i` f� << s Co rcAl
e,,.) L Zo e "9Z l- (Scale: / `
k) length
s)
:r(s)
igth
fiber
l Riprap length
distance offshorel+l: �- 'a✓r� l f)
i
(distance offshore / lU F• e. fj %/
annel
is yards
ip
;e/ Boatlift
dldozing
i
Length
not sure yes (now
not sure yes Cno
um: n/a yes n � r �7 7tr
yes �_Od ' _.. i _ J I' C N (/C: /L
atached: yes &RY7
/ _
ig permit may be required by: LCODr / SC -O b PAG %I
- - - - " . - i 1 t l /,*)P �..
010 e
❑ See note on back regarding River Basin rL

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06/191 2310 05: 40 9105799096 GIICI CON PAGE
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AUthwiZed Aps I Li, �k As"o-i A61i'(01.0 I mc-im
ell
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in order to obta1n any CAMA pmrgo) noq% Prowty IWW Im1mv, The alAhc;rb,a.I,,rI L
L"O'VATION QF PROJgCT.,
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PROPERTY (?WNER AWL4'NC; ADDRM,-
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olvi&� .
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL NIAI AGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATENIENT
I herebycertify that I own roe adjacent to I ,"-m &, -`-3q �s
�y property J
(Name of Property Owner)
property located at
r-
,� (Lot Block Road, etc.)
on 0. nd L 6 � 1? , in G'C & , N.C.
(Waterbody) (Town and/or �gou�ty) cJ
Applicant's phone #: �l�O 5-1 Ct q6� 1V ailing Address: 1_`� ' M, riiN
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)
se� aic(&e1 � CQ-\"
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in wr.
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Eat. Wilmington, N
DCM representatives can also be contacted at [phone]_
No response is considered the same as no obieciion if you have been notified by Certified Mail
(Property Owner Inlrprmation)
Signature
Print or Type
Name
(
(Riparian Property Owner,'Information)
Signature
Print or e N e 3 Y o)L m g d o rtw
Mailin¢ Address
Mailing Address

ai4;
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to I OOrQCI & l'tsoo 's
11 (Na e of of Property Owner)
property located at
(Lot, Block, Rad etc.) Q \
on CCkv-Nq\ J" _,in dCP—�n N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: © K �`lq-q0� Mailing Address: L p�
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)
Spy a}fciCh.e� Ci�wt�'nj
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in we
within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, P
DCM representatives can also be contacted at [phone].
No response is considered the same as no obiection if you have been notified by Certified Mail
(Property Owner I for ation)
Signature
Print or Type Name
g3'-tD m ov-,-A(a n 5�-
(Riparian Property Owner Information)
Signs re
�-o�5 m�V-a\f-\
Print or Type Name
\324k�, m,4L41
Mailing Address
Mailing Address

)licant: V ` �b,5 Permit #:
.e:
Scribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen
nd in your Habitat code sheet.
oitat 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 fins
disturbance.
Excludes any
restoration and,
temp impact
amount
SL
Dredge ❑ Fill Both ❑ Other ❑
C%
SG)
Dredge ❑ Fill Both ❑ Other ❑
N
Dredge ❑ Fill Both ❑ Other ❑
S O rl
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
11,Are(. t
rBM7T
BRANCH BANKING AND TRUST COMPANY
1-800-BANK BST BBT.com
I
FOR_C) p to q r l ( L:,,, ✓�---
- _ _'10000071%811' 1:0531OL1211:000519992652911'
DATE
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Postage
v
Certified Fee
Return Receipt Fee (j Postmark
EndorsementRequired) V
Restricted Delivery Fee
;Endorsement Required)
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Total Postage & Fees $ S P 2
S'-7aQ
Sent o I V
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Street, A- t. r 1 � !r
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or PO Box No. -- - Nola d
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300, August 200E
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0
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$ i
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0
LFI Certified Fee
O
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1=1Return Receipt Fee
0 (Endorsement Required)
ctJ p
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Restricted Delivery Fee
(Endorsement Required)
201 Un
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� Total Postage &Fees
$
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--------
C State+ `\.:� 1 c( z6 i -----
3UU. August 200E
U.S. Postal Service
CERTIFIED MAIL,.I RECEIPT
(Domestic Mail Only; No Insurance Coverage Provided)
USE
P06'a
$CertiFee
Return Receipt Fee

■ 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:
3y�z mah��WJfl� 1�1
A. Sig ature rLl , J I
X 1 ❑ Agent
t �)W�k❑ Addressee
B. Received by (Printed Name) C. Date of Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
uO 2 5 VC
3. S rvice Type
itified Mail ❑ Express Mail
❑ Registered %Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 1680 0002 3793 8272
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt
■ Complet@ 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:
�-OlS -Q t (l
V3 L4 m,'A N-� �)A-
102595-02-M-1540
A. Signature
s t ❑ Agent
X �•Ok ddressee
B. eceived by (Printed Name) C. Date of Delivery
/d - S -/D
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
6e-dified Mail ❑ Express Mail
❑ Registered J94Retum Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? lExha Fee) ❑ Yes
2. Article Number
(Transfer from service le 7 0 0 7 0 710 0005 417 4 0 0 7
PS Form 3811, February2004 Domestic Return Receipt 102595-02-M-1540