HomeMy WebLinkAbout69281D - Hill�CAMA / �:] DREDGE & FILL
'ENERAL PERMIT
New Modification ❑Complete Reissue
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'Partial Reissue
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Previous permit # LO k
Date previous permit issued
rized 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 CJ ,% j Z C'
, rrRules attached.
t Name 4 � Nc !� I W Project Location: County eu-ilc>r' -
r [' A 1 i/l% Street Add ress/ State Road/ Lot #(s) 561 1 ��S
lt'rtY� /"5 JY� - - State AJC- ZIP z �` 3 lib T -5;(�/ C1
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:ed Agent Ci i S (.ON uavt�u' City '14 pQj +�U ZIP Z
❑ CW $aW ^A ❑ ES ❑ PTS Phone # ( ) River Basin c�.'/--"/g
❑ OEA ❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body
❑ PWS:
yes nv PNA/ no Closest Maj. Wtr. Body
f Project/ Activity
ck)length
atform(s)
Platform(s)
iier(s)
:ngth
tuber
d/ Riprap length
g distance offshore
ax distance offshore
hannel
bic yards
np
ise/ Boatlift
Vidozing
ie Length Z�
not sure yes
rium: n/a yes gno
yes Attached: yes
tm5 4// 7'��va
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/61 (Scale:
ing permit may be required by: ❑ See note on back regarding River Basin i
■ 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.
. Article Addressed to:
/( g SOtrt/.j t.I U.%L j) bt-,\,AL
A. Signature
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'y ❑ A "
B. Mceived Uy (1 ri ed rarrm�) D to of
1�I4T/1� ,A F_I
D. Is delivery address different "M em 1? ❑ Ye
If YES, enter delivery addr
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Type
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❑ dervice
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It Signature Restricted Delivery
❑ Registered Mall Restricted
9590 9402 2378 6249 0093 30
Certified Mail@
❑ ertified Mail Restricted Delivery
Delivery
❑ Return Receipt for
2. Articlo nip,.-.1-- l- -014
2710 O 0 01
2 7 9 elivery
elivery Restricted Delivery
Merchandise
❑ Signature Conflrmation^
❑ Signature Confirmation
7 016
❑ Insured Mail Restricted Delivery
Restricted Delivery
(over $500)
PS Form 3811, July 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 6qdressed to:
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/��hnps��l4'L
z �y3
A. Signature p
X
❑ Agent
❑ Addressee
B. Received by (Printed Name)
C. Da of Delivery
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D. Is delivery address different from item 1 ?1
❑ Yes
If YES, enter delivery address below:
❑ No
Service Type
❑ Priority Mail Express(g)
IIII
III
II
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IIIII
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❑ Adult Signature
❑Regiegistered MailT^'
Adull_51@nature Restricted Delivery
❑ Registered Mail Restricted
9590 9402 2378 6249 0093 47
Jred Mail@
Delivery
ertI ed Mail Restricted Delivery
❑ Return Receipt for
❑ Collect on Delivery
Merchandise
2. Article Numher !Transfer from service laheh
❑ Collect on Delivery Restricted Delivery
❑ Signature Confirmatlon-
7 016 2 710 0 0 01 0140
2806
l
ril Restricted Delivery
G Signature Confirmation
Restricted Delivery
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Receipt
CAMDREDGE & FILL
iENERAL PERMIT Previous permit#
New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
3astal Resources Commission in an area of environmental concern pursuant to I SA NCAC
❑Rules attached.
Name/11
State`! ZIP�`t�`
5 Fax # ( id Agent
Agent
❑ CW 0 EW ❑ PTA ❑ ES ❑ PTS
❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS: ❑FC:
es / no PNA �r)/ no Crit.Hab. yes / no
Project/ Activity _
r -
L° 's 7
Project Location: County_ e *a
Street Address/ State Road/ Lot #(s)
Subdivision ('i t >
City /414,r ZIPa'�%r
Phone # 13 River Basin
Adj. Wtr. Body d 12
Closest Maj. Wtr. Body
(Scale:
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distance offshore
distance offshore
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ig permit may be required by:
❑ See note on back regarding River Basin n
NC Division of Coastal Mgt. Habitat Impact COMF
► i
Applicant: U�
Date: („ • 23 1Z
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. Ft.
TOTAL Feet
FIN
(Applied for.
(Anticipated final
(Applied for.
(AN
DISTURB TYPE
Disturbance total
disturbance.
Disturbance
dish
Habitat Name
Choose One
includes any
Excludes any
total includes
Exc
anticipated
restoration
any anticipated
rest
restoration or
and/or temp
restoration or
tern
temp impacts)
impact amount)
temp impacts
am(
b
11
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 ❑
, Jason
r Shane Hill <hillshane@verizon.net>
Friday, June 23, 2017 8:18 AM
Dail, Jason
Shane Hill
ect: Re: Agent Authorization
n,
se allow Chris Connaway from Connaway Marine Construction act as my agent for obtaining any CAMA Permits
installation of the proposed floating dock and boat lift.
nks
ne Hill
n: "Dail, Jason" <jason.dail@ncdenr.gov>
'hillshane@verizon.net" <hillshane@verizon.net>
;: Friday, June 23, 2017 8:14 AM
ect: Agent Authorization
)d morning Shane. Please reply and confirm/consent allowing Chris Connaway (Connaway
ine Construction) to act as your agent for obtaining any CAMA permits for the installation of th
)osed floating dock and boat lift.
nk you,
on Dail
V Representative
Department of Environmental Quality
Division of Coastal Management
'Cardinal Drive Ext.
mington, NC 28405
>ne: (910)796-7221, Fax: (910)395-3964
on.Dail()_ncdenr._gov
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