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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 # ( ) S a �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 if Project/ Activity IC P GAS e j C /✓ O y /�N `�� �P Q I- .�P� kylYiA�n �oiC �� /���L,�%fa/a ✓AS lYc�C7JE/� (Scale: r L � ■■■■■■■■■■■�■■■■■■■■■■■ iIiII MR. lmE■■■E■ ■■■■■■■■■■■ ■■■■■■■■■■■ ■■ME■■■O■ length .....lengtl............t•••■.■i■!illllll�..i■■■riVINJEW I■■ vg distance ochannel ..........E■11■■ ■■■ I■ i�E■■.iLJ�ri*)�ili1% ■E nax . . . ■■■■■■■■C!EE111�■■■■1■iirl��l■■■1■:f%iliN■■■ ■WN=W1111■■■Oi1011. o�a;'I���!1�7E�'■■�■■■ ■►i%7/�t111r■■NOR! iEI � �i2� I MIER I■! ■■■■■■■■ ■■ �. -ubic yards Orl1 NEE■■..■�1 1■ �`�■ %DOE■■■.■.'!■■ .■.........■1.`..�■�■ �r�■■■■..■.'■■ muse/ Boatlift Bulldozing■ ■■■■■■■■■■■■■'Y■■Alm■! a..a■■■■■■■ ■■■■■■■■■■■■■�i■■iMEN M_.1■■■■E■■■■ i■m _■�■■NON■■■■il■■ -� 111 ■E■l�IO■E■■■■■■IIII ONE NONE ■■O\1: 11 MMENIA ■■■E■■■1 ENEE■■■■■■■■■■■ H IN'! ®.aai1E■■■■■■■ I■O, ■■■■■■■■■■■■■■■■E�1�; ����■■■■■■■■■I■E! ■■■■■■■■■■■■■■■■OEl"�mmq ■■■■■■■■i■EI Length not sure yes .r.gs: not sure yes yes C. Attached: yes,r. ■NEE■■■■■■■■■'ne ■■■ �■■EIIEE■O■ENO■■I■■i ■■■■■■NEE■O■■E■■�■■■E■■■O■O■■■■!O■I :�■■■■■■■■■N�:■■�■■■NON■■�a�l■�I ■■■■ENO■■ENO■■■■ O■A�EE■Ol.�:71lZ■■■IE■I ■■■■■■EE/II�OO E Ii1�i/G1f[L�J�illi��J■■■I■OI O■E■■■OOL/ i�■■■ENOO■�■/■E■EOO �f11�■■ I■■I EEO■■■E■■■ ■NOON■®■EO■O■E■El�O■■w■■I Jing permit maybe required by: OC PAN1 r2 e 19,4%j ❑ See note on back regarding River Basin ' l ) / J' �,•/84t293 �8:33 6�� O7 GIf,7000�GG. GRICE CON ..1 �E NOM Cw0w Depart wt olv4ioe a +�r F. ENy, cos+srrar cuft J Authorized Age it t ;11 curter to oWein art CAMR n►(s) Y i��1i(=} required for E 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