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
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ll
QQStreetApt
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No., --kY
or PO Box No. 4
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-------------------
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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