60607D - Braxton

LAMA / DREDGE & FILL ✓ NO. 6a
GENERAL PERMIT Previous permit #
New Modification Complete Reissue Partial Reissue Date previous permit issued
orized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
ii C- Rules attached.
nt Name. l.� O 0 Project Location: County
s _. c RDAM Street Address/ State Road/ Lot #(s)
State
-ZIP
# (' r .x'l6 — 5 -Fax #j( ) p Subdivision
ized Agent V pf-ti PoK✓ 6 Jam/ M65 - City '�/ r ZIP
,d ❑ CW 3QEW `y,,,PTA J ES PTS Phone # ( _) �River Basin
❑ OEA ❑ HHF - IH - UBA _ N/A Adj. Wtr. Body rcNp� ,fs( 1Ai PJ (nat
p
ElPWS: FC: GSTV M 1 St% Uri/ iD
yes �nno o PNA yes Crit.Hab. yes /�fio� Closest Maj. Wtr. Body
of Project/ Activity .02t q,CY i ;A i
(Scale: I ff,
Jock) length
-m(s) / X /S eo
length
camber
.ad/ Riprap length
vg distance offshore
nax distance offshore
channel
ubic yards
amp
case/ Boatlift
Bulldozing
ne Length _
not sure yes o
igs: not sure yes `:/"
)rium: n/a yes APh
yes n
Attached: yes no
ling permit may be required by:
See note on back regarding River Basin
/ SnPrini Cnnriitinne /:I / /

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DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to bra A-�zzLn s
property located at_
on
If �- f(Name of Property Owner)
f
(Address, Lot, Block, Road, etc.)
in C /"I e"flA;. N.C.
(Waterbody) ` ,yam
Agent's Name #: Q/Q 'J 7�/'�����i
Agent's phone #:
(City/Town and/or County)
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)
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 Informatjon)
Si,qriatfl►�
� 46Q w
Print or Ty e Name
Mailing Address
Print or Type Name
Joi 1
Mailing Address

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to ` Q� /�j/, }( n�j s
(Name of Property Owner)
property located at f,
(Address, Lot, Block, Road, etc.)
on C6+nG l , in Old 5elflers N.C.
(Waterbody)
Agent's Name #:
Agent's phone #: 4/1� 5N0 3'U5
(City/Town and/or County) p�
Mailing Address: 016 C/AWfnfl A 1�U
C hA De 1 b/V n C
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)
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.
Owner Information)
or Tvae Name
1LL/A
Mailmo Address
(Riparian Property Owner Information)
iO4 re
Print or T pe Name
1 d I L ( 'ragcJ /=dd 4%�c, �
Mailing Address

IF
uplicant: L Cl Y r
ate:
Permit#: Q ( 07
,scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft. TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final (Applied for.
(Anticipated final
DISTURB TYPE
bitat Name
Disturbance total
disturbance. Disturbance
disturbance.
Choose One
includes any
Excludes any total includes
Excludes any
anticipated
restoration any anticipated
restoration and/or
restoration or
and/or temp restoration or
temp impact
temp impacts)
impact amount) temp impacts)
amount)
I /
J Vv Both ❑ Oth
Both ❑ Other ❑
Both ❑ Other ❑
Eil
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 ❑
1 ` C-