66318D - Harrigan

CAMA / ❑ DREDGE & FILL V I y A B
• � permit #
-ENERAL PERMIT Previous
New ❑Modification El Complete Reissue []Partial Reissue Date previous permit issued
ized by the State of North Carolina, Department of Environment and Natural Resources
oastal Resources Commission in
++ an area of environmental concern pursuant to 15A NCAC ❑ Rules attached.
Name f`ti1 1 C AAL_ Project Location: County
%Q @. U 7A AC Street Address/ tState Road/ Lot #(s)
�LA Ct ✓ j ,nf ✓C? State i ZIP %i �� 1 '! 1� NAC\C (:
" Subdivision
q _ �/ E-Mail _.
ZIP
25,
edAgent"YLT�Y��✓� G� Ci
t:f`/ 7
❑ CW x._ A `VS ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
yes / no PNA yes _no
F Project/ Activity
,ck) length
atform(s)
angth \
amber
id/Riprap length IS
g distance offshore
ax distance offshore
:hannel
ibic yards
ne Length
not sure yes -Frio
)rium: n/a yes
yes 7o
Attached: yes eo
ling permit may be required by:
Local Planning lurisdiction)
Phone # ( ""�j ~ River Basin
Adj. Wtr. Body. t _ �iC"✓� tilY
Closest Maj. Wtr. Body /Ltd% VV f !f E= /___
(Scale: / �� . I
)� //pW 14 ❑ See note on back regarding River Basin

NC Division of Coastal Mgt. Habitat
imp act, computer Sheet
r �D , r I t �Gc ►� ✓l �f, AM
Applicant:t/Yt
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.
FtMAt. S Ft TOTAL Feet FII
Habitat Name
DISTURB TYPE
Choose One
Dredge ❑
Fill
Both ❑ Ot
Dredge ❑
Fill
Both ❑ Ot
Dredge M.
Fill ❑
Both ❑ Ot
Dredge ❑
Fill ❑
Both ❑ Ot
Dredge ❑
Fill ❑
Both ❑ 01
Dredge ❑.
Dredge ❑
Fill ❑
Fill 171
Both ❑ 01
Both 11 01
TOTAL Sq. L.
(Applied for.
q
(Anticipated final
(Applied for.
(Al
Disturbance.total
disturbance.
Disturbance
dis
includes any
Excludes any
total includes .
Ex
anticipated
restoration
any anticipated
re,
restoration or
and/or temp
restoration or
ter
tem impacts)
impact amount
ternimpacts).art
ier El
ier ❑
ier ❑
ter ❑ I I
her ❑
her ❑

I
P ^----'-•- •---- a -_� ., �-- -----'-�-
A. Signature
IIIIIII�I I'll'I IIIIII IIIIIII II it II III IIII'I III
R
��A� ❑ Agent
r+uacn uus cars w uie uaurc ui uie niauNiece,
or on the front if
[[-w//lam ❑Addressee
B eceived by (Printed Name) a of De e rY
space permits.
1. Article Addressed to:
D. Is elivery address different from item Yes
If YES, enter delivery address below: ❑ No
3. Service Type
❑ Certified Mails ❑ Priority Mail Express'"
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ Collect on Delivery
2. Arti . t 73 ,
(Tra 70155 00{ [6609
4. Restricted Delivery? v (Extra Fee) ❑ Yes
4981
PS Form 3811, July 20# t— ,;; , t f1omestic Return Receipt

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
F
Name of Properly (wnur Applcin* for Permit:
�-2" '. i l.i'� �� i �✓ i�� yid f ! 4
J
Nlailin-Address:
3
i A
t
[ certify that i have authorrrrd (agent) to art on m;
behalf'. l'or the purlmse of apphing for and obtaining, all C:.aMA Permits necessary- to
install or construct (add •ilv)_--
at Imy propert, located at) ���'YU, U4�
This certification is valid thrn (dale)
Property 0 er :sirre
ll:ttc

CERTIFIED MAIL, RETURN RECEIPT REQUESTED
DIVISION dF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner, � i
Address of Property:
(Lot or Stet #, StrW or Roca. City h EQ n i)-
Applicant phone #: Mailing Address:
I hereby certify that I awn property adjacent to the above referenced property. Thtiii individual
applying for this permit has described to me ai sl own on the attached drawing.J.ne d nlopment
they ar"roposing
I hm%e no objections to this pmi w%al- I ha%re obIcctions to chcs proposal.
If you have objections to what is being proposed you must notify tho Division of Coastal 4+tanagement
(DCM in writing within 10 days of rocfipt of this notice. Contact information for DCM offices is
available at www necoastelmmMemerrtneticontact_ dcm.htm or by calling 1-888-4RCOAStr No
response is considemd the same as no objection ff you have been notlBed by Certiffed Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boo rouse, or I"ii# must be set back a
minimum distance of 15' from my aroa of riparian access unless waived by me, (if you wish to
waive the setback, ,you must initia! the appropriate h1ank below.)
�.__. I do wish to waive the IN settoack requirement.
i do not wish to waive the 15' setback requirement,
(Proper
-ttyOwner Information)
Zr—
►1t i �+ + �11 J: r►flrr J
(Riparian Property Owner Information)
signalure
s, 10C e-
lsrinr or Type Name
Mailing Aldan" ----

i
�V
M
I
• I
9a
LoT po[ va* b0Ro►5 �
C-Auu nrz
Ifrit �AamGun'S