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Home My WebLink About52481D - DavisCAMA / MEDGE & FILL GENERAL PERMIT Previous permit # ❑New ❑Modification [-]Complete Reissue El Partial Reissue Date previous permit issued orized 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 C�RtrtEs attached. nt Name ' Project Location: County �/n/- S s Street Address/ State Road/ Lot #(s) � — State ZIP Fax # ( _) rized Agent d CW ❑ EW PTA DES ❑ PTS OEA ❑ HHF ❑ IH ❑ USA ❑ N/A PWS: ❑ FC: yes / no PNA yes / no Crit.Hab. yes / no Subdivision City,'')Cr A✓ 7fZo �oA�� ZIP 27 Phone # ( ) River Basin L <r ,, Adj. Wtr. Body (—"7" (nab Closest Maj. Wtr. Body / a/ 4J of Project/ Activity < 1 �u //Z`i A� (Scaler ■■■■■■■■■■■■■■■■■■■■■■■■■■■■NONE OEE■NO■■O■OIS NE■■■■■■■■■■■■■■■■■■ ■�■NONO ONE NEMS! ■ON■■■■■■■■■■■■■■■ length number 5�adlAiprap lengthO■ Tvg distance offshore-nax ■■■N■■■■■■■NONE■O■■ONO■■■■■■■■■■■ NNE■■■E■E■ 'EN ■O■■■■■■■■■■■ ■■■■O■■ MEMO ■ENE N■■■■■■NN■■■■N■ ■■■E.:'■■■■■■■■■■■■■■■EOM'IN= ■ distance offshore channel ■■■■■■ MEN ■ON■■ ONE N■EN■■■E■■■EEEEN ■EN■NN ■E■ E■ 'r��'7■E■EN■EEE■E■O■ -ubic yards_■■O -amp■■■■■■■E�.■■l1�E■IO■■■■■NEE■■■ONE ESN■■■■ENI il�l�� 1■■■■■■ON■E■OE■ ■■ Ilfiifi"9OMIN ■NO ■■■■N■ Bulldozing_ ONO■N■■■■■■ 11 l■■■■■N■■■N■NNO■N■ ■ ENE■EMEN■■ N■■11111■EEE■E■EE■■EE■MEN ■■...■■..... ENE ■O■■■.....■...■ ■■■NONE IS ■•■■■111■.■. NONE ■. ME No ■ EEEEE■■■■■■hil■■■O■E■OO■EN■MEN N■EI i11EEEEOE■EEENEEEME■ .■■MEMO NEE:NMI ■■■■■i9i�A1� HEEEE■EEEEEE :NONE ine Length notsure yes (.no�O■O■■E!'�■■_■■■1��1_■_■■_ 1gs: not sure yes • 0��■ yes NONE -UM N■O®■■I111■■O MEN ■■■■ONMEMO ■■O/■OON■■■■■1l11■■O MEN ■■O■NRMJ■Il.EE MEN EEO■OE�il�iiliil ■NE ■■ram ��...� r r■■■■■OOO■■■■■EII■N■NENIN a, 0 11 WE ding permit may be required by: _yC 6'R,,, -7-S L P 04, ` it El See note on back regarding River Basin ;/ SDecial Conditions � 1 / r-., -J � - .,-r 7'S Z/l) n Fl e f _:.o // A 'e "ROM : SREA FAX NO. : 4105311989 Mar. 10 2009 12 : 39PM ;'2 Q�VOi/Ot) 16:Ot1 1D'919�50962d PGI 4tJU0 Ito- 51-qa 6 1 1 AVA North Carding DepwUnwnt of Envisaunent and Nature! Resources • DMIllon of Cossul Management bi0t w F. Enleev, Gave= crmb* S. Jong, Dlee"r NfiNlem G. Roes j. Authorized Agent Consent Agreement is hereby outhorized to as ,n my be in order to obtain any CAMA perntlt(s) requited ibr #w propt � listed glow_ The authorization limitea apgcifiic activities described in the attached sketch. LOCATION OF PROJECT; ac�rl , N L. PRO.PE;RTY OWNER MAILING ADDRE88: 1 PHONE NO. i THORI ED AGENT SAIUNG ADDRI!39: altA WCH ca om" ism Ex"M me Sm PHONE 0. ttnoture of Proparty Owner: $19natur• of Authorized Agent LLO..04a DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Individual Applying For Permit:J' Address of Property: C Cl ram` (Lot or Street 9, Street or Road) (City and County) I hereby certify that I own property adjacent to the above -referenced property. The indivi applying for this permit has described to me as shown on the attached drawing the development are proposing. A description or drawing, with dimensions, should be provided with this lette fs' I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Co, Management, 127 Cardinal Drive Extension, Wilmington, NC 28405 or call 910-395-: within 10 days of receipt of this notice. No response is considered the same as no objecti you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boat house or boat lift must b bck a minimum distance of 15' from my area of riparian access - unless waived by me. (Ii wish to waive the setback, you must initial the appropriate blank below.) . ,i I do wish to waive the 1 5' setback requirement. I do not wish to waive the 1 5' setback requirement. gn Name /_%._ '-a-7 r'-� //_, Date 6WN14 o) t I V% GRICE CONSTRUCTION OF BRUNSWICK COUNTY INC PH. 9M579 90956618 EACH DRVE SW CC OCEAN ISLE BEACH, NC 28469 4855 PAY 66-11P/531 r� TO THE DATE ORDER OF A AV <� BRANCH BANKING AND TRUST COMPANY R.C. 1 -800-BANK BBT BBT.com FOR C-ll F1__ _, 93 000048 S 5 r ilo .053 101 1 210005 1999 265 2911■ NP ■ Complete Rems 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: Chq A. 77ature �j l��ent X / �L"� (� , ❑ Addressee B. Received -Iy (Printed Name) (� `� C. D to of elivery -N -1 C kt -" ) V D. Is delivery address different from item 1? ❑ Y If YES, enter delivery address below: ❑ No 3. Service Type rtified Mail ❑ Express Mail Registered A�Retum Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7003 1,680 0004 9790 7243 (Transfer from service labe� PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 . Postal Service, RTiFIED MAILT�. RECEIPT estic Mail Only: No Insurance Coverage Provided) w ,:C I A kZ Postage Certified Fee :um Redept Fee ment Required) ted Delivery Fee 'merit Required) postage & Fees $ Postmark Here $ �h��l 1�OL �-e ------------------------------------------- PAt.N3 tox No. ` ------�p�\-----`---------: ------- l ------------------------- �D Kait, - - m f'_ For delivery information visit our welosite at www.usps.com; ft Er Postage $ ED Certified Fee C3 Return Reciept Fee Postmark (Endorsement Required) Here ED Restricted Delivery Fee �0 (Endorsement Required) —0 r-a Total Postage & Fees is m o sent c a L e - ---- - rti Street, Apt. No.; or PO Box No.� tt ve i N ------------------------------ l 9UU. June 20C ■ Complete items 1, 2, and 3. Also complete A. Signature' item 4 if Restricted Delivery is desired. X [3Agent ■ Print your name and address on the reverse r/ ❑ Addressee so that we can return the card to you. B. ,Received by (printed Name) C. Date of Delivery ■ Attach this card to the back of the mailpiece, j ' ' IC 2 20 or on the front if space permits. 'r D. Is delivery Address diffbrent from Item 1? 0 Yes