60666D - Duke

CAMA / DREDGE & FILL
GENERAL PERMIT V
INew ❑Modification ❑Complete Reissue ElPartial Reissue
NO. 60
Previous permit #
Date previous permit issued 'r=
iorized by the State of North Carolina, Department of Environment and Natural Resources
Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �% G (1
/ El Rules attached.
nt Namer '(SAC 0K ,�Project Location: County D n 516�✓-
U i Street Address/ State Road/ Lot #(s)
/ YL' State N C2lP7 ' 3 !- -�, -1 `j
# () 7j G:;I-` Z 1 Fax # () Subdivision
ized Agent 61A 1-d AACity_ �OV zip Z `%
d ` CW kW ,-40TA S ❑ PTS Phone # ( ) — River Basin
❑ 011 - HHF C IH A BA ❑ N/A U A, � I
• Adj. Wtr. Body L fn �V+ Al / 17 KJ (nat
❑ PWS: L-1FC:
yes /G7-- PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body `�� ✓% `��' '�^ .�
A Project/ Activity IM-i 4 a � j 1/ Dr �n/AT bA
iNGi
lock) length
length
umber
as Riprap length
vg distance offshore_
iax distance offshore
=hannel
jbic yards
imp
,use/ Boatlift
Bulldozing
ne Length
not sure
yes
gs: not sure
yes
rium: n/a
yes
yes
Attached:
yes
ing permit may be required by:
.-rl—
L . /f
(Scale: ) f"--
❑ See note on back regarding River Basin
i
_ ,l ) I i /1 '-? W

ANEW
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary
Date /0-1— i �-
Name of Property Owner Applying for Permit:
Mailing Address:
Z13(, kofe5V l/e lees('
G e iCO3L:f6t . Nc 2'1587
I certify that I have authorized (agent) �� l w7, tee►-,,, .t �///� �1a��4o 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) 3 3 3 Sf Sv r�
This certification is valid thru (date) 1 Z-31-1,3
Property Owner Signature Date

Scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
nd in your Habitat code sheet.
TOTAL Sq. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
(Applied for.
(Anticipated final
(Applied for.
(Anticipated final
)itat Name
DISTURB TYPE
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)
Dredge ❑ Fill Both ❑ Other l
OG
Dredge ❑ FilBoth ❑ Other ❑
oD�
oD
Dredge ❑ Fill ❑ Both ❑ Other ❑
DredgeSENDER:
Dredge COMPLETE THIS SECTION
■ Complete items 1, 2, and 3. Also complete
COMPLETE THIS SECTION ON DELIVERY
A. g ure-
Dredge I item If Restricted Delivery is desired.
X ❑ Agent
■ Print our name and address on the reverse
y
so that we can return the card to you.
Dredge ; • Attach this card to the back of the mailpiece,
❑ Addressee
B. R ved by ( Nam
C. Date of Delivery
or on the front if space permits.
1. Article Addressed to:
Dredge[
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
Dredge l
Dredge [
"
3. Servlce Type
iCertified Mail ❑ Express Mail
Dredge[ ( ,
❑ Registered ❑ Return Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
Dredge [
2. Article Number 7012 1640 0000 1120 4353
Dredge [ M—sferfromservicelabeO
PS Form 3811, February 2004 Domestic Return Receipt 1Y7gB+0Yi t54p
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑