HomeMy WebLinkAbout54513D - GriffinCAMA / DREDGE & FILL
hIENERAL PERMIT
New Modification Complete Reissue ❑Partial Reissue
Previous permit #
Date previous permit issued
r
orized by the State of North Carolina, Department of Environment and Natural Resources — i ! �7 t� i
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC 2
f O Rules attached.
nt Name N I CProject Location: County C K—
s
_AR State_W, ZIP Fbt 3
# (70 4) Zq t — Jc Q3Ci Fax # � >
ized Agent L4l.ckSS— fk MNn) ►LT
d C CW _, EW [�+TA ElES ElPTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
I:
❑ PWS: ❑ FC:
Street Address/ State Road/ Lot #(s)
Subdivision
Ciry ;�/� � ISLPt�N� ZIP
Phone # ( ) River Basin C`
Adj. Wtr. Body ff tl j Rol at
yes /OG7)leyPNA no Crit.Hab. yes / no Closest Maj. Mr. Body 1
of Project/ Activity i ale► glj�( 1?I �N W
(Scale: (��y
lock) length %�X 1►
rm(s) , n
- pier(s) fTOD-
length
lumber
ead/ Riprap length
ivg distance offshore
nax distance offshore
channel
_
i
:ubic yards
amp
ouse/ Boatlift
-
Bulldozing
I
ine Length
not sure yes (15
igs: not sure yes
orium: n/a yes n¢
yes
r Attached: yes no
ding permit may be required by: 1i 67r I S(_.OAA0 ❑ See note on back regarding River Basin
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Name el Property 4KoerApplyio= for Pe►mitr
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Miliig Addrew
1 ar ft dw I btve autboruw (Mae) ,,4S G {I' A w
bebalf, for the prlrpmr of >tp*Wg for fsad obbluba all CAMA Permits momary to
b1ohn or coistnct (activity) WC /I -- D-e fi
at {aty property booted rt) -7.< ..g z A L ail 5r
ibis oert0kotbo is valid tbn (dam) `/3 --I Q
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Pra my Owns? SWrstge r / Date
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(New ernspa Qmoar)
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taunt be a11t ba tc a Mieimwn d mom of M*n PNt i I i") fvw my Lei of option aseaat tokip
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- --- I Ie wi* to waive that Mkod roquiimelts.
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SWWP'iKW 44NDM DRAWMC OF PROPOKD DrynOP#t RTl
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ADJAUNT RVARUAN PROPERTY OWNER STATICKdNT
1 wH by mI4 rtlrt I own property n�irocnt ro F 'a
(Nine a►f trbw Oert�
iLet, Bb* R"
QundUli 2-Am., , is tl�t �, . t tr� N.C.
. urrrir ■rwww�.�..+....�
#w2 u&w C"ffw
y t Me `a Ma1ttU1K �►Idfwi ti tr Ili l
He bu de,urike,+A to rr►a. e4 Sbm blow. am devd"aw be is p opoin it dw famwm, red, I
bewr m objw,600 to his p *L ! w Asmtmd thrt 11 pkrhnooting piii V f boom ! batlpude
Imut be wet batch t minimum aineirles! of Aftmen fem ( I Y) from my ma of typeriu wku
w" 4 me. fEf tt wA 10 WOW* ON a bulk, yu wA M Mt fie gp%pbo bMAk
biw.)
.......; .. i >il.i wirh to waive
witb w waive tax IetW mjuiremeal.
Dp'.'iCRlt' MA AN>pM DRAWING (W PROPM DMLOPIMRNT:
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Division of Coastal Mgt. Habitat Impact Computer Sheet
icant:
tribe 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
q/
VV
Dredge ElFill ElBoth ElOther
e c
! a00
N
Dredge El Fill ❑ Both El Other Q�
719
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 ❑
N FINANCIAL SERVICES INC. SSUER
- I'
WESTERN IFAONEY WESTERN UNION C.kj,�d. Englewood. Colorado
—1 G—d Junction - Downtown. N A G,2nd J.,jon
u m I %p M!-
14-184172043
1, 090710
T 1342 01 0 0
141841.79-0436 L
PAY EXACTLY -11.410 HUNDRED DOLLARS AND NO
AYMENT FOR/ACCT. 0
PAY To THE /c 0 k7A/ IQ
OR OF
�DER
7 C
RCI
ADOqS S,�
C-,P51+513 C & -)
i: LO 2 L00t,001: t--O " Lat' L ? 204 361"