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Home My WebLink About68065D - HarrisCAMA / El DREDGE & FILLS y O'ENERAL PERMIT m��Lt u) Previous permit # A B ;New DModification ❑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 n Rules attached. Name ' �' a ( rn� Project Location: County ('yyY1 S1,1n t K A V1I ✓ p v✓Street Address/ State Road/ Lot #(s) j7 lip✓p StateN( ZIP27205 (et 'a �✓ (� 241. 4131 � E-Mail Subdivision ed Agent L o V �(➢� S V C h J City r-4^ S-p t Gi C ZIP ' (s ❑ CW [*W �( PTA ❑ OEA ElHHF IH ❑ PWS: yes / �%� PNA yes / f Project/ Activity L G k Z' S T [7 ck) length atform(s) Platform(s) I6 )ier(s) mgth amber id/ Riprap length g distance offshc ax distance offsh hannel ! ibic yards 3ulldozing ne Length 00 not sure yes >rium: n/a yes ,. yes Attached: yes ❑ ES El PTS Pho # (910) � 1 1' q01 River Basin 1-t- " � ❑ UBA ❑ N/A Adj. Wtr. Body cet I At (nat h Closest Maj. Wtr. Body hi WW t 1(I Cc 1 UR�N� o ` .��-, � L~J rt '> Ci L41 1� ( a V,�. 1AA (, (Scale: I ling permit maybe required by: ❑ See note on back regarding River Basin i 9105799096 GRICE CON 7/2012 09.16 �s r\ MAMA V I DREDGE a FILL GENERAL PERMIT Partial Reissue XNew "'Modification L.Xomplete Reissue Drized by the State of North Carolina, Department of Environment and Natural Coastal Resources Commission in an area of environmental concern pursuant t II............ k �� Pro nt Name G�a� Sm �y�6,0 StateAtt ZIP27W5.. # (gy� GI-1- 41TI E-Mail � �,�(� Sub Ized Agent L' ^u L "" C ir ! CW )�w PTA I in N PTs 'd 1 OEA J NNf S IN i.. I USA I' I N/A Ad i Pws; Clc yes / PHA yes I of Project/ Activity jar i, d«*) "m I platfurm(s) _t............ 1. ins Platforms) ar pler(s) n1"h number head/ Rlprap length an distance offs y meth distance offs e I n, channel .. _.._ .........._._7� I cubic yards i t ramp chouse/ OR ch Buildozinp t i 5 I ...... (reline Lenjch 0 V. not sure yea watorium: rJa yes taros: yesriver Attachad: yes xMing permit may be required by: Jose Local Planning Jurisdiction) n I�� --A ___L_I /'__JI►l�..e (� PAGE 01 N? 68065 A B C Previous permit # Date previous permit issued__ esources _ - yo o C� I SA NCAC 01 11 Rubs attached. tt Location: County &V&SWU, t Address/ State Road/ Lot vision_.. �`A^s? 6GA c ZIP # (qlD) J1 ,D"�" River Basin Li� z6 INtr. Body. (�� "M (nat / est Maj. Wtr. Body ww (scale: I "r - c! P I i i` kf, -el I I w a I ( ll to, �L n 1 tt. 1200 Jr 077 S00 i 0 [.._.J See note on back regarding River Basin i Division of Coastal Mgt. Habitat Impact Com Applicant: 67 tiv�t Date: p Z%C " Z.o t� Describe below the HABITAT disturbances for the application. CDaits L All values should match the name, and units of measurement found in your 1- TOTAL Sq. Ft. FII MNCDO L (Applied for. (Ar L DISTURB TYPE Disturbance total c r Habitat Name Choose One includes any E Tyler Crumbley L anticipated restoration or LPO r tem impacts) irr L Dredge ❑ Fill ❑ Both ❑ Other Tara [ Dredge [IFill ❑ Both ElOther El DW Review Dredge ElFill ElBoth [IOther El Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ElFill [IBoth ❑ Other ❑ Owner. Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management at McCrory Braxton C. Davis 3ovemor Director John E. Skvarla, Secretary AGENT AUTHORIZATION FORM AGENT AUTHORIZATION FuKm Date: /- /0 — / 7 me of Property Owner Applying for Permit //,, 4- mer's Mailing Address: kS y e,i- e'.I— //Y1,�e 6a.c IV C' me Number ) w11 5' - ;,/-?7 Name of Authorized Agent for this project: & r i 4i C O.v f` ,L L4 i c�— Agent's Mailing Address: DOH a ,•� ..� s �.� �-Pc �< .y � .?� v G Phone Number �' i o) s -7 1_ �rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying and obtaining all LAMA Permits necessary to install or construct the following (activity): ✓CP�� Flue. � i iy T G� G (/� iyl / f, /- l/.� Ge %`L�v� l� •.. ,L / my property located at NO Cf1.v<, s certification is valid thru (date) - Prope VWner Signature i7 Date /-- / 0 -i7 U.S. Postal Service'" M CERTIFIED MAIU RECEIPT rq Domekic Mail Only rq T 75 2— �2 ru Certified Mail Fee 1. 3 7 M $ Extra Services & Fees (check box, add fee ayffroff-_- a) 7_ _ff El Return Receipt (hardeopy) $- E:3 ❑ Return Receipt (electronic) $ 1*1 Postmark E3 ❑Certified Mail Restricted Delivery (I1) Here M Ej Adult Signature Required [:] Adult Signature Restricted Delivery Postage $ C 47 $ r3 Total Postage and F2 01/18/2017 .47 Ln $ r-q C3 Sen ---------- R 61 -75 TV-0 ----- �!W 2 ----- ----------------------------------- 4 lf. . a-) tY, Q L4 U.S. Postal Service" t CERTIFIED MAILP RECEIPT Domestic Mail Only IMOUAN MR FAYETTEVIL�Ej r 2FIR' L U ru co Certified Mail Fee $3.30 0470 _n M $-) 7F1 10 Extra Services & Fees (check box, add fee awTM te) ❑ Return Receipt (hardcopy) $ -. E] Return Receipt (electronic) $ Postmark 0 Certified Mail Restricted Delivery $ 111 l Here 0 Adult Signature Required $ d 0 E] Adult Signature Restricted Delivery $ Postage Ij . 4.7 $ 01/133/2017 Total Postage and F ig. 1 -7 w�Lv %w-�Qc\rA