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Home My WebLink About55803D - Guy:AMA / DREDGE & FILL ENERAL PERMIT Previous permit # lew Modification Complete Reissue Partial Reissue Date previous permit issued ad by the State orNorth Carolina, Department of Environment and Natural Resources istal Resources Commission in an area of environmental concern pursuant to 15A NCAC 2V12 60 // P-Rules Jame lNi�ll j9,t U/' 4,, Project Location: County-6OZ&„4-re-*C.0 / 1 2, p CktG2c kc), Street Address/ State Road/ Lot #(s) State ZIP 2 22( Z 3,6) 9'8'2-,0 Fax # ( ) Subdivision I Agent ;#Zi C e i'a.�S�iLye- -/, • City<��.9C% ZIP_f ❑ CW N&Wp.PR%— �4w ❑ PTS Phone # ( ) / , -River Basin �u ElOEA ❑ HHF ❑ IH ❑ UBA El N/A Adj. Wtr. BodyDL[d � ..c/ YL r L? no_ ❑ PWS: ❑ FC: s / no PNA yes, / no Crit.Hab. yes / no Closest Maj. Wtr. Body �y L✓ G./ 1_.. 'roject/Activity fitl'd% /%F: '; r)Ai• ilength '< 0 i(s) th >er Riprap length istance offshore _ distance offshore inel yards / Boatlift dozing g' e TLO _ength i 14-1 JI not sure yes no 1 not sure yes no r: n/a yes no .... ... ...... yes no `_+ p F :ached: yes no permit may be required by: zc tt ,~ P .-J i (Scale/ [' See note on back regarding River Basin rul es/R2i?8? E i3: 3_ 3: r479b@46 GRICE CON f +:'i:, 01 North Cantina Depe omit Enftvm t turd Newral Rmureat► %W dor 97 ossbl Itle! agmm it ,IonIli. Olmlr,r ,1:i:a: G. RCS f Authorized Age it Consent Agreement Is hereby a,!ftdzed to act on m In crver to obtain any CAMA permk(s) required for t e property Noted twlow. "he iusFicnzetior is firm; specific activltlee dew ib, ed jn.w0 .;`cached sketch. 1 � PROPERT' Q1A N-R MAILINQ AIDUR Z .Y G _ `At1THORiZEO AGr-N'r..iAAIUNO ADDRESS: 681E BEACH Oft PH DKE NO. Siynsture of Property Owner-y Sigh@,L�fe of Authortze3Agen:: ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to W A G �—\ is (Name of Property Ow er) property located at -s k �� u (� CQC� V)�� cLc\ (Lot, Block, Road, etc.) on . in Q�klk!&_, N.C. (Waterbody) (Town and/or County) Applicant's phone #A\d�TR36C6 Mailing Address: 1 � V l 2NU( 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 (Riparian Property Owner Information) for Permit) Mailing Address kSignature ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to W,1%0� &'s (Name of Property Owher) property located at (Lot, Welt, Road, etc.) on in h iC� �-I , N.C. (Waterbody) (Town and/or County) Applicant's phone #:QMJ-Tn-Q0q& Mailing Address: & He has described to me, as shown be!ow, 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) Mailing Address %\Z t�AVor-d -1�occ (Riparian Property Own ormation) ture ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1I -T C-usA .s (Name of Property Ow er) property located at ITc mn C q r`0 T51 (Lot, Block, Road, etc.) on , in CY- l w t u C-A%A N.C. (Waterbody) (Town and/or County) Applicant's phone #AL - ,3-J'A-QLRS Mailing Address: U (D� ,,\ He has described t me, as shown below, the have no� PPbjec . s to h' propos'al. n n > JU he is proposing at that location, and, I 'TION AND/OR DRAW,1G OF PROPOSED DEVE& (To be filled in by prope owner proposing development) ---------------------------------- (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) i C)A\k tMailing Address �� Signature Jet 2,c> cs b \Ile�� l�►\\�a t XP, x \ a� �- i icant: h✓, L 9 6�N/ 2�2�14 Permit #: —90 ? _-,b tribe 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 fina disturbance. Excludes any restoration andh temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other 1 2-1- 12 d 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 ❑ GRICE CONSTRUCTION OF BRUNSWICK COUNTY INC PH.910-579-9095 6618 BEACH DRIVE SW OCEAN ISLE BEACH, NC 28469 DATES PAY W \\ 1 '� � I �\ TO THE ORDER OF DOLLARS i BRANCH BANKING AND TRUST COMPANY � � ♦ 1-000.NK 8ABHf 86f.cam r FORD II9000070 L611' 1:053 10 L L 11:0005 L999 265 2911' Postal "DomesticCO CERTIFIED MAILTr.I RECEIPT 1-11 Only; Fu Ir rn Postage $ m Certified Fee $2. $Qru M Return Receipt Fee 3� I Postmark Here MEZI (Endorsement Required) Restricted Delivery Fee p (Endorsement Required) $0. on Total Postage & Fees I $ $`, 54 I-. S o ,---- ;z( ---------------------------------------------- tCSheet, 4pr. \ ,F-�n - orPO B-----• (� ( - 1 j-7 ----------- `--------------------- C , tate, Zl + PS Form :rr August 2006 See Reverse for Instructions Postal Service,,, CERTIFIED RECEIPTU.S. MAIL,,,, (Domestic Mail Only; No Insurance Coverage Provided) nj CO For delivery information visit our website at www.usps.com,,, m 110 R tAG' 5" a, r\-- m Postage $ r �a.4t ru Certified Fee , �} O Q(Endorsement Return Receipt Fee Required) Postmark Here Restricted Delivery Fee (Endorsement Required) CO Total Postage & Fees Q. p To Street, A,$ \ j �.............. . N or PO Box No. 1 ................ X II�JJJ City, Sta , P+4 ------------ --------•--- ---------------- q... PS Form r, August 2006 See Reverse for Instructionq U.S. Postal Service,,., CERTIFIED MAIL RECEIPT (Domestic Mail Only; No Insurance Coverage Provided) _� For delivery information visit our website at www.usps.com,. ■ 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 fhe card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. I. Article Addressed to: WgC-A� St- rJy� ��ciEc�►��S ��=+� ehQ A6, Z UL`1 ❑ Agent ti ❑ Addre Received by ( Printed Name) I C. D4e of Qey D. Is delivery address different from item 11/ ❑ Yel If YES, enter delivery address below: ❑ No 3. Service Type AI�Certified Mail ❑ Express Mail ❑ Registered j> Retum Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7009 1680 0002 3793 8258 (Transfer from service lab PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ■ 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. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1.t�Article Addressed to: tJC'r)Amr-0%ncai eme4)A ❑ Agent ❑ Addressee byfUWted Name) C. Date of Delivery D. Is deliverycl"rrt frt4 f YES, deliv delivery address JUL 16 2010 L 3. Service Tyl*, ?'q, Als-tified Main " - ff!FApress Mail ❑ RegisteredRetum Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service la 7009 1680 0002 3793 8241 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 ort 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. A. X m Agent B. Received by (Print6VName) C. Date of Delivery Elalt12 jonl2 s D. Is delivery address different from item 1? ❑ Yes Artirlw Arm--..l f-