HomeMy WebLinkAbout66697D - HarrisCAMA / ❑&
DREDGE FILL
I�I�RAL PERMIT
E Previous permit #
New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued
iied by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
j � Rules attached.
Name J 0 �� `A� %�S Project Location: County_ .& /h` f
Street Address/ State Road/ Lot #(s)
V l +< fy State ZlP ()+- -2-z
F!(.! P72-1 3'9 E-Mail _ -
ed Agent !)<K4 i ►^. C; ! /U G,
❑ CW ?q EW A ❑ ES ❑ PTS
❑ OEA ❑ HHF ` ❑ IH ❑ URA ❑ N/A
❑ PWS:
PNA
f Project/ Activity
ck) length --->
atform(s) �{ ' AIV5
Platform(s)
Iier(s)
:hgth
iniber
id/ Riprap length
g distance offshore
ax distance offshore
:hannel
ibic yards_
.mp
'use/ Boatlift
ine Length
not sure yes
orium: n/a yes
;: yes
r Attached: yes
Subdivision
City ✓'{ 1t�ry�Gt r `,J ZIP ���' �o�•
Phone # ( `)""""""' River Basin
Adj. Wtr. Body fi] > n1�a.•�, nat
Closest Maj. Wtr. Body
V NL
(Scale: (li
1 �
ding permit may be required by: i/? �� ❑ See note on back regarding River Basin
o I . teal Plannino hirisdiction)
NC Division of Coastal .i qt, Habitat lm.Pgkct. Computer Sheet
/-
! 'r-rj
Applicant: b
p U/
Date:
Describe below the HABITAT disturbances for the application.
All values should match the name, and units of measurement found in your Habitat code sheet.
TOTAL Sq: Ft.
for.
FINAL Sq. Ft.
(Anticipated final
TOTAL Feet
(Applied for.
M
(An
DISTURB TYPE
(Applied
Disturbance.total
disturbance.
Excludes any
otal include
total includes.
dx(
Exc
Habitat Name
Choose One
includes any
anticipated
restoration
any anticipated
res
ten
restoration or
temp impacts)
and/or temp
impact amount)
restoration or
tern im acts
am
Other
I , /
W- -
Dredge ❑ Fill ❑ Both [I
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ . Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge El Fill ❑ Both ❑ Other [IDredge.
❑. Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Properh Owner Applying for Permit:
2Xk
Mailing Address:
I certify that I have authorized (agent) i '
( C� to act on my
behalf, for the purpose of applying n
for and obtaining all CAMA Permits necessary to
eT
install or construct (activity)
at (my property located at)
This certification is valid thru (date)
-711L-,
Property Owner Signature
Date
■ Complete items 1, 2, and 3.
■ 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:
Sig V�0 1 vGt'
�,A ,ALS
A. Signatu
X ❑ Agent
❑ Addressee
B. Recei by (Print. me)
D. Is delivery address different from item 1 . Ye;
If YES, enter delivery address below: ❑ No
111111111 I'll llllllllli II IIIII IIIII III IIII1III 3, Service Type
❑ Adult Signature Priority Mail Express@
❑ Adult Signature Restricted Delive Registered Mail-
0 Certified Mail@ ry Registered Mail Restricted
9590 9401 0007 5071 2204 58 0 Certified Mail Restricted Delive Delivery
❑ Collect on Delivery ry Return Receipt for
2. Aticle Number (Transfer from cervira lahcn ry Merchandise
❑ Collect on Delivery Restricted Delivery ❑Signature ConfirmationT^'
7 013 3020 0002 0025 6908 ❑ Signature Confirmation
Restricted Delivery Restricted Delivery
PS Form 381 1, April 2015 PSN 7530-02-000-9053
Domestic Return Receipt
■ Complete items 1, 2, and 3.
■ 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:
Rb �erv�6
N'Df SGjl �CCct4,1 k& 2 Mob
Illllllll IIII IIIIIIII I IIII II III' I I i I
9590 9401 0007 5071 2204 89
2. Article Number (Transfer from service label)
7015 0640 0004 6608
Signature
❑ Agent
❑ Addressee
B. R eived by (Printed Name) C. Date A Delivery
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
J. Service Type
❑ Priority Mail Express@
❑ Adult Signature
❑ Registered MailT.
❑ Adult Signature Restricted Delivery
❑ Registered Mail Restricted
❑ Certified Mail@
Delivery
❑ Certified Mail Restricted Delivery
El Return Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
❑ Signature Confirmation-
0 Signature Confirmation
57 3 6 Restricted Delivery
Restricted Delivery
PS Form 3811, April 2015 PSN 7530-02-000-9053 Domestic Return Receipt
I, Jason
n: Dail, Jason
t: Tuesday, July 05, 2016 1:48 PM
Stephen Antinori (antinori_construction@yahoo.com)
ject: General Permit drawings
rchments: GP Pier Pkt 2016.pdf
Jenni,
:eived the paperwork for Robert Harris, but I need some additional information on the drawing. Can you refer ti
vings in the attached "GP pier pkt" and complete the drawings in accordance with those shown in the packet? I
't mean to nit-pick you, but if we (DCM) or Antinori Marine Construction have to end up in court defending our
sion to write a permit, and the application does not include the necessary information, it could come back on a
irn the revised plan back to me when you can so I can get this one issued.
from now on, please make sure ALL DRAWINGS SUBMITTED INCLUDE ALL OF THE INFORMATION DETAILED IN
,WING(S) DEPICTED IN THE ATTACHED GENERAL PERMIT PACKET.
ik you and let me know if you have any questions.
in Dail
I Representative
)epartment of Environmental Quality
Xvision of Coastal Management
Cardinal Drive Ext.
nington, NC 28405
ne: (910)796-7221, Fax: (910)395-3964
rn.DoilCDncdenr.gov
Nothing Compares..-%-,--
.
it correspondence to and from this address
be subject to the North Carolina Public
-ds Law and may be disclosed to third parties.