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HomeMy WebLinkAbout66327D - HobbsLAMA / ❑ DREDGE & FILL GENERAL PERMIT New ❑Modification El Complete Reissue El Partial Reissue A g Previous permit # Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources -oastal Resources Commission in an ayba f e vironmental concern pursuant to I SA NCAC YY ❑ Rules attached. it Name l Project Location: Countya (r•1�.� ' yYU N 'a Street Address/ State Road/ Lot #(s) ( N -T State_ ZI P7S�Z'9: t (J(p) 310H - [ I � `1 E-Mail ted Agent I ❑ CW PTA ❑ ES ❑ PTS ❑ OEA r ❑ HHF ! ❑ IH ❑ UBA ❑ N/A ❑ PWS: yes / no PNA yes / no f Project/ Activity )ck) length latform(s) -ngth amber id/ Riprap len h g distance offshore ax distance offshore hannel bic yards rp not sure yes / I rium: n/a yesyes Attached: yes ✓�6 ing permit may be required by: Local Planning jurisdiction) J Subdivision City ZIP Phone # ( ')"""" // -- River Basin / F Adj. Wtr. Body H Of / Lriaiil Closest Maj. Wtr. Body v,- (Scale: / if ❑ See note on back regarding River Basin r NC Division of Coastal Mgt. Habitat Impact Computer Sheet App licant: Date: i 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. FINAL Sq. T(Apt TAL Feet FINS (Applied for. (Anticipated fiplied for. (Anti+ isurbance distuDISTURB TYPE Disturbancetotal disturbancetal includes Exchincludes any Excludes an Habitat Name Choose One anticipated restoration any anticipated restc restoration or and/or temp restoration or temp tempi acts impact amount),temp irri acts amo 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 171 Fill ❑ Both 0 Other 0 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date U 44 - 1 ot -1 to Name of Property Owner Applying for Permit: �tamu-. ( {bibs Mailing Address: 314 3 T( r,6- rLr-u c),t I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) 15V .c' -- L ti. r10, �ro PoSc� i L.j L�ecK , ass a RI 3ceLf- L J+ «?oSIP �{m V r 0 61 0 -, ■ 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: C (e o m . G✓A 1 td C-% Jo4, f0 r30x 59 R -I, /rc 2 7 & z � i X /_ i ❑ Agent `(/ ❑ Addressee B. F Obeived by (Printed Name) C. Date of Delivery J Cu, 4 (4 o D. ir.,r�frii-s;erent p},item,i ❑ Yes lvel q �3c[etis`tiel0w ❑ No , M 0 1 III�III'II' ICIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 3. dutvl r/`J 5 ❑Priority Mail Mail- ❑Adult Signal u El Registered Mail*'^ ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted 9590 9403 0737 5196 1619 42 ertified Mail@ Delivery Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from -Ilce label) ❑ Collect on Delivery Restricted Delivery ❑ Signature Confirmation- 7 015 1730 0002 1686 8 311 ail ❑ Signature Confirmation ail 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 caul to the back of the mailpiece, or on the front if space permits. Article Addwe, essed to: I_r (/ k PO (� 5��� C, f`�f �!c 28yHS II I I I II IIII III I I I III II I II I I I III I I I I 9590 9403 0737 5196 1619 35 A. X Agent ❑ Addressee �Received by (Print Name) C. Date of Delivery 0. Is delivery address different from ite �21 SSA If YES, enter delivery address belot No p N n N V / o GsAs _ 9 \� � 3. Service Type ❑ Priority Mail Express@ ❑ Adult Signature ❑ Registered Mail- ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted Certified Mail@ Delivery Certified Mail Restricted Delivery 0 Return Receipt for