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HomeMy WebLinkAbout55897D - Sears(Scale: / �- ;AMA / DREDGE & FILL JENERAL PERMIT Previous permit # Jew ❑Modification Complete Reissue ❑Partial Reissue Date previous permit issued ted by the State of North Carolina, Department of Environment and Natural Resources �� //OG )astal Resources Commission in an area of environmental concern pursuant to 15A NCAC u es attached. Name of. % SEi,',t S 26 3 �" .S, 4,4 a State ZIP 2 .713 (719)'96y6 Fax#(—) A Agent 4�2 < C-e ea,- S-1Q a c7/,- r ❑ CW 0{w Efp" fl'ES ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ❑ FC: Project Location: County,VeZw�v Street Address/ State Road/ Lot #(s) r ,f ,Arfivision City ZIP Phone # O River Basin L M Adj. Wtr. Body �/61/1,, k-' (nat� Closest Mai. Wtr. Body � ty al (es / io PNA yes no % - Crit.Hab. yes / no Project/ Activity P.t!�C�y /*A�'g � ^' -S9M ngth nber i ;V)Riprap length distance offshore oc distance offshore I cannel bic yards np ise/ Boatlift lulidozing ie Length not sure yes gs: not sure yes rium: n/a yes [�— ling permit may be required by: �� OA,✓ ��.P >�la C /f ❑See note on back regarding River Basin - - - - M , 7 / M,,r r- P, /,✓ fo9.s7,e 11) 05 59P EL LE FE%444y. a*jmvr 919 596+2696 P. 1 . 7% me M, North Caroba I Zvi NAhlra? P Ice, C-bwiw a.' jcmmDhow Main G Authorized Agent Cmeent AUrverrtent Is hweby aut)-vized to act o� in order to obtain any CAMA permt(s) required for the property I-sted Wow. The autho'rization is spiciffic activities described In.the attwhOd sketch. PROPERTY 9 WN 1 R tn\ yn)- A� L PHONE NO.��q--S'I-QV2f6CXA "-AUTHORIZED AGEk4T.XULJ40 ADDRESS: —W. ......... 0Cwm PIN w low t Signature of Authorized Agent CERTIFIED MAIL RETURN- RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to `-- \Q(4 �s c- (Name of Property Owner) property located at y� ( (Lot, Block, Road etc. on �C�rG, �� ` SCw� , in a �cuy' Ta, �,q, 4) , N.C. (W aterbody) (Town and/or Coun ) , ne #: ��,. � _ � _c � � `� e s:[�Q4c.�1 Applicant's pho .� Mailing Addr 4 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. ----------------------- - ------------------------------------------------ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in wr within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, r DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if You have been notified by Certified Mail (Property Owner Infer ation) Signature \-- SQL rs Print or Type Name (Riparian Property Ow er Informatiion/) sad � Signature Print or Type Name L�- c-� �� c v -M 0 � �' Mailing Address Tifnilinn �!jljfPCC CERTIFIED MAIL — RETURN RECEIPT REQI ESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER STATEMENT � �"�� 's I hereby certify that I own property adjacent to `---.at��-1 �`� [Name of Property Owner) located at�q`r%' property (Lot -Sz� Block, Road etc.) on in V CYl _ `{ t , N.C. (Waterbody) (Town and/or County) is hone #: ���- S� ' RV Mailing Address: Applicanp </ He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. ----------------- -- ------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (Individual proposing development must fill in description below or attach a site drawing) If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in wi within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext. Wilmington, r DCM representatives can also be contacted at (910) 796-7215. No response is considered the same as no objection if you have been notified by Certified Mail (Property Owner I fo mation) Signature L SQUt-� Print or Type Name M.dina AridrP.SS (Riparia qwner Information) Sign re ' f Print orTypeName Mailing Address cant: - , L • S-eR z S Permit #: J— S 0 9' D 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 final disturbance. Excludes any restoration and/o temp impact amount Dredge ❑ Fill % Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other �Q Q j�761 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 PAY TO THE 'I c ORDER OF i BRANCH BANKING AND TRUST COMPANY 7168 66-112/531 DATE DOLLARS 1-800-BANK 88T 88T.com q NP 11'0000716811' 1:053 1011 2 11:0005 1999 265 2911' ■ Complete items 1, 2, and 3. Also complete A. by(Pleitem 4 if Restricted Delivery is desired.■ Print your name acid address on the reverseso that we can return the card to you. ■ Attach this card to the back of the mailpiece, r! 2 1� or on the front if space permits. %-, 1. Article Addressed to: 0., Is delivery addrKs different If YES, enter deiiveiy,addu B. Date of Delivery Ll Addressee I❑ Yes ❑ No 3. Service Type jWCertified Mail ❑ Express Mail ❑ Registered IiiiAzeturn Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Y.. 2. Article Number( 7009 1410 0001 8701 6962 PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952 Postal CERTIFIED MAIL RECEIPTEr (ti (DomestiCoverage r, Provided) Ir S •OFFICIAL r-i us Q �Postage $ Certified Fee i Q Q(Endorsement Return Receipt Fee Required) Restricted Delivery Fee Po"Prk Here Q (Endorsement Required) ri ^� Total Postage 8 Fees $ 1 L ' Q3 �vC��u ll QQStreetApt I- nn N No., --kY or PO Box No. 4 �..� � LIYl Z l ------------------- � - S te,... rt 0� 2� ' :r, August 2006 See Reverse for Instructionc— • 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. by (Please Print Clearly) Date of Eal 1. Article Addressed to: N"Ad e� D. Is delivery#d(JAI different from ite l? ❑ Yes If YES, enter delivery address below: ❑ No