HomeMy WebLinkAbout54498D - NCC ' CAMA / ❑ DREDGE & FILL
GENERAL PERMIT Previous permit#
`❑ New ❑ Modification ❑ Complete Reissue ❑ 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 15A NCAC 2// .G �J 0 U
L;�ROfes attached.
ant N
amed. C , /V i Ct 1, �� ro nV ,» , Project Location: County342 4.4^1s 4✓, c %C
ss % / 2 Q /T'Qi L ..Sort u 1 c -e irp Street Address/ State Road/ Lot #(sp,. c%,i N p/4 44
ALA,{ h Statel✓L. ZIP �F A d,Ac�..� ?F S®h�iS�aa o ✓Zc.
#) pp�- O/ Fax # ( ) Subdivision
rized Agent sCity;`U C r%� E��A �► ZIP
d ❑ CW eEW E�PTA DES ❑ PTS Phone # ( ) River Basin DNA
). ❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body
❑ PWS: ❑ FC: �7
yes ,/�Pi; PNA yes./.no Crit.Hab. yes / no Closest Maj. Wtr. Body �`J
of Project/ Activity /C p9L /a c �� 5,,• < f LG A 7`,.. _ �G c ��
(Scale:/_
dock) length
irm(s)
r pier(s)
i length
number
read/ Riprap length
avg distance offshore
max distance offshore
,channel
cubic yards
ramp
louse/ Boatlift
i Bulldozing
-�L o 9 fd x
,line Length
not sure yes 5YQ1,.
gags: not sure yes `:: o
:orium: n/a yes Chd
s: yes
x Attached: yes n
Iding permit may be required by: g0c ❑ See note on back regarding River Basir
Division of Coastal Mgt. Habitat Impact Computer Sheet
licant:
y/a 7//a
Permit #:
cribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
1d in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated fina
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
disturbance.
iitat Name
Choose One
includes any
Excludes any
total includes
Excludes any
anticipated
restoration
any anticipated
restoration andh
restoration or
and/or temp
restoration or
temp impact
temp impacts)
impact amount)
temp impacts)
amount)
LJ
Dredge ❑ Fill ❑ Both ❑ Other ;
L/Q
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
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:
.a«r:� N
2*11V6'Z
A. Signature
❑ Agent
❑ Addressee
B. R Ned b t n 1Vame) C. Date of Delivery
�.� �i i AID
D. Is delivery address different from item 1? ❑ Yes
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
_ _ -1nna -1 i 1,n nnnn 1. -1 i,n 11nr 13
6, 2010 11:06:15 AM
AP DOCUMENT GENERAL INFORMATION
DGI
T FUNCTION: ACTION: HISTORY: 04/06/2010 11:06:01
ENTITY 17PT VENDOR/EMP NUMBER: 566000372 40
D/EMP SHORT NAME: DENR DOCUMENT NUMBER HOLDEN032910
JMENT DATE : 03/29/2010
PROL NUMBER : 0668
JMENT TYPE : INVOICE
JMENT STATUS : PD—FULL
RENCY CODE
3S DOC AMOUNT
JNT PAID
VTY CDE/TRIP NBR:
ZEFERENCE
4 APPROVAL CODE
,S APPROVED
CONTROL DATE : 04/01/2010
APPLICATION AREA : LM
DATE ENTERED : 04/01/2010
DATE LAST UPDATED: 04/01/2010
200.00 PROV ACCTG DATE
200.00
IT MESSAGE: CAMA GENERAL PERMIT FOR NCWRC HOLDEN BCH BOATING ACCESS AREA
■ 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:
LXX Signature
❑ / / Agent
Addressee
B. Received y (P,nf d* • ) C. Date of Delivery
11 //
D. Is delivery addrdss different from item 17 ❑ Yes
TIf YES, enter delivery ad ress below: ❑ No
3. Service Type � u
❑ Certified Mail P7 F c KA.11 %
6, 2010 11:06:38 AM
AP DOCUMENT PAYMENT GENERAL INFORMATION
DPG
T FUNCTION:
ACTION:
HISTORY:
04/06/2010 11:06:1S
WSE:
----------------------------------------------------------------------------
ENTITY
17PT
VEND/EMP NBR:
566000372 40
D/EMP SHORT
NAME: DENR
DOCUMENT NBR:
HOLDEN032910
UMENT DATE
: 03/29/2010
PAYMENT NBR:
001 PRTL PYMT NBR: 00(
IND AMOUNT
ES TAX/VAT
ES TAX 2
ES TAX 3
IGHT
ITIONAL COST
SS INVOICE 200.00
MENT AMOUNT 200.00
UNT PAID 200.00
MENT TERMS NET PAY IMMEDIATELY
MENT DATE 04/G5/2010
MENT ROUTE CD
TOR NUMBER
SON CODE/DESC
■ 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 . mmuie Haaressea to:
Na )dr-+ Atcc.16 V N4erPr•:'JcJ
�Qr if IUD
VAT INCLUSIVE N
EXPENSE IND
GL EFFECTIVE DATE: 04/05/2010
EXTRACT DATE
ACCRUAL CANC DATE:
CURRENCY CODE
DISCOUNT TYPE
NOT TAKEN
DISCOUNT TAKEN
PAYMENT STATUS
PAID
PAYMENT REF NBR
0000042776
PAYMENT TYPE
ELECTRONIC
HANDLING CODE
ONE INVC PER PYMT:
YES
BANK ACCT PYMT CD:
IGO
A. S; nature
w Agent
CCCJJJ��� ❑ Addressee
Rec : 2 & nt � �� C. DD t ;f D ivery
D. Is delivery address Jditrent from item 1? ❑ YYes
If YES, enter delivery address below: ❑ No
ADA
PA)
/I
A L K
A" t 10
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