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HomeMy WebLinkAbout69281D - Hill�CAMA / �:] DREDGE & FILL 'ENERAL PERMIT New Modification ❑Complete Reissue �O bb , ` 'I 'Partial Reissue A 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 Y) >e>4 ' 3,FZ 3//E-Mail Subdivisio L• E S G�//t % /f- :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 0 /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 0 '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 C 284Q% Type ® IIIIIIIIII'llIIIIIIIII I I III( IIIII III ❑ dervice u Signature 0RegisteredlMail- 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: S (c0 tents Gt�� f' /��hnps��l4'L z �y3 A. Signature p X ❑ Agent ❑ Addressee B. Received by (Printed Name) C. Da of Delivery 3l7 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 I IIIII I IIIII I II I I I I El ❑ 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: rii.r�[�171 r.� r�%*II�Iiiir�■■■■■■ gth ■■■■■■■il■ii�ir�■■■■■■■11iber ►:ttilGlillll��■■■■■■■■ Riprap length_' distance offshore distance offshore ■■ic ■■■■■■■■il�Ir��I�ItHI'i ■■N■■■■■!■■ yards E ■■■■■■■M■■■ ■H■■■■!■■�■■■■■■!■i■■■�l ■■■E■■■■■■■■■■■■ ■H■■■■■■■■■■■i■w l■■■■ ■■�v ■■■■■■■■■■■■■■■ ■■■■t■■■■■.■■■■■■■■i!■■■�■■■■■■■■■■■■ ■■■■■IN■■■■■■liw■-■!�: a■1■'/■■■■■■■■■■il■ ■■ ■■II■ ■i■■■■!■■■■■i@!lnot ■■■■■ Length ■■ ■■II■■■■�_ ■1N■Grp ■i■■i■■ sure yes .not ■■■■i!■■Yl��■■■■■■■■ ■■!■■ ■■■■■■1■■■■■!�l�C!!i7■■1!■I!!�■!!�■■■■�■!■ sure yes , 'POD■IEEE■■■■■1■■■■■■■Leii■'i■fOWEAMM , U :!%■■■■■■■■ I..■■■■■■1■■U■■■. . ;.N0■i■■■�■■■■■■■■■■■W■■■■■■■ 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 L"% (�mmmarac _ 70 uiA 01 x62, Z X� �V'S� 3!� girl# 02 X 02