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HomeMy WebLinkAbout60661D - BondLAMA / --DREDGE & FILL NO. 60E 3hENERAL PERMIT Previous permit# ;New ❑Modification ❑Complete Reissue ._ Partial Reissue Date previous permit issue — rized by the State of North Carolina, Department of Environment and Natural Resources ,a� 77 f 0 6 :oastal Resources Commission in an area of environmental concern pursuant to 15A NCAC t Name ` f-) ❑ Rules h d. Project Location: County Street Address/ State Road✓/7Lot t(s) 1t%at / Ce, State�V 1P 66 Z, T � )� Fa c # ( ) Subdivision ed Agent VO.- 'geon� / iYL.C,�.— City ZIP CW W 'NITA ❑ ES ❑ PTS Op- Phone # (_) River Basin OEA ' F 1 HHF _ IH ❑ UBA ❑ N/A Adj. Wtr. Body nat PINS: ❑ FC: yes `no PNA yes /rfi3 �� Crit.Hab. yes not Closest Maj. Wtr. Body ' Project/ Activity L41 S :k) length ngth Tiber I/ Riprap length distance offshore x distance offshore cannel iic yards 1p se/ BoatPift d1dozing rIt4I ff1 Length %ol\ _ not sure yes. _ not sure yes um: n/a yes no yes i atached: yes _ ig permit may be required by: i74 SnPrial Cnnditinnc (Scale: lf'l ❑ See note on back regarding River Basin rL DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to O W K Urd 's 1 C L,� (Name of Property Owner) property located at _ � � � 1 � � e>-� C C�. (Address, Lot, Block, Road, etc.) on in Suf C Cl �L� N.C. (Waterbody) (City/Town and/or County) Agent's Name #: Agent's phone #: Mailing Address: He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) ry e If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastalmangement.net/contact_dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. (Property Owner Information) Signature H an K Bond Print or Type Name d Mailing Address \A(n 1 In ro W", (Riparian Propeoy/pwner Information) Signature I �--- Print or Type Name Mailing Address _ N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date q -M - I la Name of Property Owner Applying for Permit: Ha-n,4 Bond Mailing Address: �iA..[.� - i I I certify that I have authorized (agent) �o n t` Lvt,± 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) RJ Property Owner Signature Date 0/03/2012 09:50 9195501637 THORNTONS PLUMBING PAGE 01 16 DIVISION OF COASTAL. MANAGEMENT AQJ&QW BrAMN ERMM gMzg NOTIF!QAI CERTIFIED MAIL - RETURN RECEIPT REQUESTED . I hereby certify that I own property adjacent to r� (Name of Properly OMrrlat� Property lacatad at I ` I Z) 1 � S�[P t f (Address, Lot, Block, Row, ale.) — •" !1in cibi N.C. (tllfaWwbody) (CItyrrown andlor County) Ageffs.phona HelShe het described to me as shown bobw the develaprrie►rt Woe is propoahV at that location, and I have no objWbns W the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (In t►kJt-W pnopasiny d*wlapnHW mtrsf W in descri Wba bakw or atnch a aft drmWnyj 15 a 6 5A dy u hew abjMGHom to wowt is b*ft prOPpsed, you mwtnoft yc 17A*tnn Of c*** m*nmVwn&W ID W lfi at W Wi Ilb 10 da" of Moo" of SW np�. Coftwt bnibrmaffan !br DGII ollkrs is ► +bcf-dem.hbft or by catlw i4s8-1RCOAir mo nespornae is same m no 04mcma d you he" boom notll7ad by CiNffed Me — (Property Ownw Inf6mratidn) not AWkQ Address .l AA Q Wti I NC- G({itaYSla zip ��-� � " 1l �r - -mg- 1 r-r.-! (Riparian Proper!► Owner Print or Tywwams Tefen km Akrrober pplicant:� (� ��� Permit #: �� 6 Ott lll' ate: !scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind in your Habitat code sheet. bitat Name W DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance_ Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) Dredge ❑ Fill ❑ Both ❑ Other b�o j� I 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 ❑ 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 ❑