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Home My WebLink About55885D - MasonCAMA / DREDGE &FILL 'ITO IiENERAL PERMIT Previous permit # New Oodification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 2 izad 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 �/ Rules attached. NameWL `� �/r ��n Project Location: County /(/�1'Y ,ly�Dl�f✓ ��jj N`J SGIh Y�S 0 ! Street Address/ State Road/ Lot #(s) Statee_ ZIP Fax # — Subdivision O �d Agent / City ZIP /+r ❑. CW ❑ EW IjPTA LYCS ❑ PTS Phone # ( ) River Basin i �' r OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body r at ❑ PWS: ❑ FC: L(/ yClosest Maj. Wtr. Body am/ no PNA fifes / no Crit.Hab. yes / no -ie Length !1 OU I I not sure yes no �--? gs: not sure yes nr mum: n/a yes n yes Attached: yes o ling permit may be required .by: A t L ❑ See note on back !/ (Scale: I -' J Y of I e River Basin CANIA OREDGE & FILL GENERAL PERMIT Previous permit # _ZNew OModification OlComplete Reissue 0 Partial Reissue Date previous permit issued iorized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ZqRules attached. ant Name Project Location: County S5 Street Address/ State Road/ Lot #(s) f 1,44-11 ar -7 State -W ZIP t # Fax # Subdivision ,rued Agent City "' ZIP 0 CeW 34V OVTA El ES 0 PTS �ed Phone # — ) . kyl-I River Basin 41 1 _ L1 0 OEA 0 HHF 01H C3 UBA 0 N/A Adj. Wtr. Body Op ef 'o w 14 lzvjow .06V at ma 0 PWS: 0 FC. � e�sj/ no PNA es,'/ no Crit.Hab. yes no �F Closest Maj. y Wtr. Bod of Project/ Activity (dock) length A fy ;er ,in n (h in, at ath or 'V: nd 0 10 lai 1, JA (Scale: jr r pier(s) length 14 umber ead/ Riprap length avg distance offshore idol max distance offshore channel cubic yards ramp 1w ous<�O-111K-w-'t2P Cw; r h Bulldo ing 4- ;2 e1i ne Length _7 L 7� L not sure yes f�no�) bags: not sure yes C; atorium: n/a yes V ver Attached: Yes NC Division of Coastal M1gt. Habitat Impact Computer Sheet Applicant`. Lew e /,"W G 14t Keo-9 Permit #: Date: I ///'//1) Describe below the HABITAT disturbances for the application. All values should match the name, and units of measuremenl found in your Habitat code sheet. Habitat Name T 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 U V" 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ ■ Complete items 1, 2, and 3. Also complete A. Signature item 4 If Restricted Delivery Is desired. ■ Print your name and address on the reverse X ' ' so that we can return the card to you. Rec nt d Name) ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 7-4l'Mu( =S C . Cju V% ytp: d d' 1�0 LI kYelivAty address different frorry m e: YES, Inter delivery address below: No 3. Service Type Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. Restricted Delivery? ■ Yes 2. Article Number (Transfer from service labe/) 11" 3410 0001 3384 FebruaryPS Form 3811, 0i Domestic Return Receipt 102595-OZ4&1540 Postal Service U.S. Postal ServiceTd., RTIFIEoil MAIL ,RECEIPT 3 CERTIFIED MAILTI RECEIPT mestic Mail Only; No Insurance Coverage Provided) (Domestic Mail Only; No Insurance Cr•rPra.,e o. IAL USE Postage $ Certified Fee ` Qy ,turn Receipt Fee -77 Postmark cement Required) Here cted DeliRevery Fee tcl 1, ill I Dement quired) Postage & Fees $ $ ' • 554 (IS/03t201i 1 r Apt. lVo.; - Sox No. ------ �h y t = �•nN��-•----•------ -.... inJL, 900, August 200E ■ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ■ Print,your name and Pydress 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. ro m m Postage $ r-3 Certified Fee 0 O Return Receipt Fee (Endorsement Required) 0 ED Restricted Delivery Fee (Endorsement Required) r-q mTotal Postage & Fees $ Sent T� M/ O rl- Street, Apt. No.; or PO Box No. (� Su. -----------••--•---- City, State, ZlP+4 - --- -- --- '-'�r A. Signature � /f7/ r. . v . Postmark Here ❑ Agent D. Is dei�address different from O I YI'42'Ye: 1. Article Addressed to: If YES. enter delivery arlriragq hAl— L'�l Kin