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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 G