60781D - Hardin

CAMA / DREDGE & FILL
No. 60 i
.ENERAL PERMIT ✓ Previous permit # v=�
]New ❑Modification ❑Complete Reissue Partial Reissue Date previous permit issued 4:4l-
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 �% H j O t 12- O
I-1 R..1— att.,K.,4
t Name M I t.T W
�PCC?S r �j'i State 4JZ- ZIP 75;'IU
V-0 )7 - koo IIFax#(/ /)
ed Agent
❑ CW )bEW k; PTA ,RSS ❑ PTS
OEA ❑ HHF _ IH ❑ UBA ❑ N/A
❑ PWS:
yes '[ 1 PNA
' Project/ Activity
:k) length
ngth
nber
y,/
�Riprap len Q
distance offshore
x distance offshore
cannel
)ic yards
ip
oatlift
Aldozing
41
Length
not sure yes
not sure yes
um: n/a yes o
yes 0)
attached: ` no
Ig permit may be required by: 4(1N /D Of (✓//o -
Special Conditions C&L- i ( A-IL,A ! ( isp_ Tr ./1/ti
Project Location: County r',�,U<,ujW
Street Address/ State Road/ Lot #(s)
Subdivision
City ► eeu,r,qw4a,f ZIP Z5r yG
Phone # (f River Basin �A,
Adj. Wtr. Body a/u� rVS7/L_
yes (ji Crit.Hab. yes Po Closest Maj. Wtr. BodyAAw'FAACdK
(Scale:
❑ FC:
❑ See note on back regarding River Basin n

X
•

AWKWJ
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue Braxton C. Davis
Governor Director
Dee Fre(
Seer
AGENT AUTHORIZATION FORM
Date: /4a Z
acme of Property Owner Applying for Permit: Na-me of Authorized Agent for this project:
I, I-Ar, /14; �, in -"IQ AQn Yoez
vner's Mailing Address:
19 c,„4 r ,
I{f{ 4r0
Agent's Mailing Address:
S✓ cads Ferf-v ti.c 0?gy4 0
one Number( 9/0 ) .38 9 -- :2332 Phone Number(IJO ) 389-7(rJq
3rtify that I have authorized the agent listed above to act on my behalf, for the purpose of applying
and obtaining all CAMA Permits necessary to install or construct the following (activity):
�lkhPp ,% do�f C.
my property located at f' / C� ^ Clr J
s certification is valid thru (date) ---�-
1� 11,01 e-c l 2 la q / l Z-

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: /4AX
Address of Property: / �'un :ve . ;V. ^/f % en'Y
(Lot or Street #, Street or Road, City & County)
Applicant phone #: 9/` 3 8 9 - 233 Z Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions must be provided with this letter.
re
I have no objections to this proposal. I have objections to this proposal.
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.nccoastaimangement.neticontact-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
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
waive the setback, you must initial the appropriate blank below.)
►/ I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signatu//ree/ A /
IA
Print or Type Name
// 9 l We-.
(Ri/ipparian Property Owner Information)
�C 96Z� o� 4z—
Signature
Print or Type Name
3S.2 S, /Y)� Cu l/�n Ra"

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
Address of Property:
(Lot or Street #, Street or Road, City &
Applicant phone #: 216 _, 3 1?% --," 3 3 Z Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions _must be provided with this letter.
V I have no objections to this proposal. I have objections to this proposal.
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.nccoastaimangement.neticontact-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.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to
waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information)
/Z'�-
Signature// ��
1W, /ton Ile, o/ , i,
Print or Type Name
//9 ca / cle.
Mailing Address
(Riparian Property Owner Information)
Signature
Print or Type Name
/6/ Rct ton b-/
Mailing Address

iplicant:• /?/1 I L TDN f'/al!
Permit #: 46 Ll � $�
ite: /2--//—/�—
scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
ind in your Habitat code sheet.
Atat Name
TOTAL Sq. Ft.
(Applied for.
DISTURB TYPE Disturbance total
Choose One includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet FIN ALicipaFeet
(Applied for. (Antted final
Disturbance disturbance.
total includes Excludes any
any anticipated restoration and/or
restoration or temp impact
temp impacts) amount)
W
Dredge ❑ Fill Both ❑ Other ❑
6
Dredge Both ❑ Other ❑
g ❑ ,
Dred�[Ellill❑ 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 ❑