HomeMy WebLinkAbout56504D - WilliamsCAMA / , DREDGE & FILL
'ENERAL PERMIT Previous permit #
!New DModification -Complete Reissue —Partial Reissue Date previous permit issued
>rized 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
[4%les attached.
it Name f>, {1ii�I Ltlr �� l�rr S 1 jo V s ..` Project Location: County 3AV W"W_r c,/ i c le
m 0, L i /'r1� w e tCo Street Address/ State Road/ Lot #(s)
'.V ire StateZY C ZIP ,2-%7S Q
( ) u6Y7 Fax # ( )
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�d Agent t`�_ ', r � � �5
Cw _,EW PTA LES PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA N/A
❑ PWS: ❑FC:
yes / no PNA yes t%� Crit.Hab. yes / no
Subdivision
City "S`P J6 /"q r ZIPS
Phone # ( ) River Basin ZU�i
Adj. Wtr. Body ,'i�� AL o /,;r "4/ 1�elltl (nat(
Closest Maj. Wtr. Body 191 Li/ Grp
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Jing permit maybe required by:
OC PAN1 r2
e 19,4%j
❑ See note on back regarding River Basin
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GRICE CON
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NOM Cw0w Depart wt
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Authorized Age
it
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;11 curter to oWein art CAMR n►(s)
Y i��1i(=} required for
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splaiic activities described in -then attached sketch.
LOCATION CF PROJECT;
n — >,w'ag�A\ A4c,
s`
PROPERTY QWNER MAILING ADDRESS:
A-LITHORMED AGENTMAIUN:i AnVR -3—
i
L#R
nvEtOrnte Mt and Natural Resources
end MNpn+.nt
wM, Dbweto.
Consent Agreement
PAGE 9i
w>M G. Ro„
18 hWeby authorized to act an rn,.
roperty fisted below. The autVrization is rirbt
PHONE NO. I U
1
CERTIFIED MAIL — RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to f �Ah1� �IQ+115 fs
_ (_Name of Property Owner)
property located at 2
c (Lot,, lock, Ro ttc..),, t
on CG�1 �b�} �� ,inC4S1tl�`�" N.C.
(Waterbody) (Town and/or County)
Applicant's phone #: Mailin Addre : fI R:6aCiI
Cz 2-1
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)
r
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
roperty Owner f mation)
Signature
vA
Print or Type Name
Arfoiiinn Orj�PPCC
(Riparian Property Owner Information)
>4
Signature
Print or Type Name
1�'J, rnt,4 1 'U—ku111 �u'r'd
Mailing Address
Division of Coastal Mgt. Habitat Impact Computer Sheet
icant: ,//�Z1�til,e �'✓.��if%M� Permit #:
tribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
id in your Habitat code sheet.
itat 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/or
temp impact
amount)
> L
Dredge ❑ Fill Both ❑ Other ❑
y
�%
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 ❑
GRICE CONSTRUCTION OF
BRUNSWICK COUNTY INC
PH.910-579-9095
6618 BEACH DRIVE SW
OCEAN ISLE BEACH, NC 28469
DATE
PAY
TO THE
ORDER OF
BRANCH BANKING AND TRUST COMPANY
1-BOO-BANK BST SBT.COM
FOR
li'00007 L9 LIl' j:053 LO L L 2 Li:0005 L999 265 2911'
■ Cfomplete items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ Print your name and address on
so that we can return the c (0/y
■ Attach this card to the ba Tie ti
A. Received by (Please Print C/ea )
I B. Date f D ivery
/v 5.;
e
Agent
or on the front if space it
Addressee
1. Article Addressed to:
�Qrc�n t f 262010
elive 'address different from item 1? ❑ Yes
4) YES, enter delivery address below: ❑ No
`°
(l PS
3. Service Type
ertseMail El Express Mail
Registerr ed �eturn Receipt for Merchandise
El Insured Mail I:J C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number(C 7009 1410 0001 8701 6931
PS Form 3811, July 1999 Domestic Return Receipt 102595-00-M-0952
Postage
1 $
1
Certified Fee
i Receipt Fee
ent Required)
I Delivery Fee
ent Required)
Aage & Fees
A
/ N.C. 28g1\
nt'e"e
ND
00. August 2006 See Reverse for Instructs ins
Postal
(DomesticCERTIFIED MAIL,,, RECEIPT
Coverage Provided)
Er
—0
USE
0
r - Postage $ / H.C. ?
84
Certified Fee r Q i �p
aostli,ark
C3 Return Receipt Fee re 1'
0 (Endorsement Required) 2'jo
O �('►
Restricted Delivery Fee LU�O
O (Endorsement Required) IL1Jt
Total Postage & Fees $ S ,S ` uses
Q. Sent �•
CI
_.... ��-� ..gym �..-.
p Street, Apt. No.;��` n; _:NN
or PO Box No.
Clty, State, ZIP+4
PS Form
:00 August 2006 See Reverse for InstrL101011
■ 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 qs^"�C�
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
B. Received by (Printed Name)
or on the front if space permits.
G Ie•nv, (3cu.ce
D. Is riAlivnnr arlrirac rl'
. ..
❑ Agent
❑ Addressee
C. Date of Delivery