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Home My WebLink About60673D - HarringtonJPAMA / r116REDGE & FILL No. 60 GENERAL PERMIT Previous permit# ;New ❑Modification ❑Complete Reissue _. Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources r L G Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC l ❑ Rules attached. t Name LLE Vf"k jIyGTVN Project Location: County �jC r<,� N1 C,)i (j[ s-_ u m[ �' z Lx/O Street Address/ State Road/ Lot #(s) Z Q 2 LC,K State �G ZIP Z� — # ( (6977Q Fax # ( ) Subdivision zed Agent fb.{ jUD rilwll ?, it,,�. -c iM bl City ^-'f3'iC- 1 SLAWO ZIP—Ah - CW F'�fw -; A ❑ ES ElPTS Phone # (_ ) River Basin ❑ OEA HHF - IH ❑ UBA ❑ N/A Adj. Wtr. Body DfiV I S (fiT JA L ❑ PWS: ❑FC: yes / o , PNA yes / Crit.Hab. yes / no Closest Maj. Wtr. Body 1 )f Project/ Activity UTA L-L E L CO-n N G L, C k .L�f>'Yl L I LT A70T t' t�iVT 1�1 (Scale: ock) length 4 ' 9 sA i6' ength — _ umber_ _- ad/ Riprap length ig distance offshore iax distance offshore :hannel ibic yards ` __---- mp use/ atlif jc(� 3ulldozi g 1jAT I V ie Length It i ing permit may be required by: C r-i'� j SLA-NYJ ❑ See note on back regarding River Basin ' Special Conditions Al J / !1A ICl 1-n )AI IF i - -70 - 1 ) !11 1 f , `3-1 Division of Coastal Mgt. Habitat Impact Computer Sheet Acant: � �i Permit -75 #: W b Icribe below the HABITAT disturbances for the application. All values should match the name, and units of measuremen nd in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FINAL Feet (Applied for. (Anticipated final (Applied for. (Anticipated fins DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. )itat Name Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and) restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount) Dredge ❑ Fill ❑ Both ❑ Other Er", Dredge ❑ Fill ❑ Both ❑ Other ❑ ■ Complete Items 1, 2, and 3. Also complete item 4 if Restricted Delivery Is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: LL-C- 9111 IX, 00kT-sta-d AIL ❑ Agent ❑ Addressee C. Date of Delivery D. I ry address cll ferent from Rem 1? El Yes I S, enter delivery address below: ❑ No 3. S ce Type LZI Certified Mail ❑ Express Mail ❑ Registered ❑ Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number 7011 3500 0000 2494 3421 (transfer from serv/ce labeo PS Form 3811. February 2004 Domestic Return Recelot ,m�oan�_u_�ren Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill 0 Both ❑ Other 171 coql El 1 '�-' inn sw aa� (41 CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: Address of Property: In I (Lot or Street #, Street or Rgad, City & County) f J �� j,��5 J Agent's Name #: �7//IC 'nl� Mailing Address:(( ��/l/y c Agent's phone #: 70-2�-22S 2 � �!.-' ZL-, I 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. 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 ,ccoastalmanac, rnent.nef/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. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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.) do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) 41 �4/4�,. Signature Print or Type— Name (Adjacent Property Owper I Print or Type Name ion) G 5�(oD/ Duf� ls- De- N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date U j D Name of Property Owner Applying for Permit: e �-l�rrl Mailing Address: Ir-l1rell ele- "Y=:� C&ds v I certify that I have authorized (agent) /�l�l/ S- i 4, 4 to act on my behalf, for the purpose of applying for v/) obtaining all CAMA Permits_') necessary to install or construct (activity) ►'tJ � I i4/04"�f at (my property located at) This certification is valid thru (date) / a 131) 0 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 & Agent's Name #: Z4' �'lc� L44 Lg�- Agent's phone #: Mailing Address: /9 S kJW .207—' 5 %. a .1 LJ 1, 9L 2(sL&!�: 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 ar proposing. A description or drawing, with dimensions, must be provided with this letter. 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.nccoastalmanagement.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. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin 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. j�l do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Zee , zl.,l Print or Type Na e (Adjacent Property P nt or T/pe NamPh^ (L�(��r �/ U-