HomeMy WebLinkAbout60663D - Lenfestey4CAMA,,i L' DREDGE & FILL
NO. 60
GENERAL PERMIT
Previous permit # r—
Nlew ❑Modification ❑Complete Reissue ❑ Partial Reissue
Date previous permit issued
)rized by the State of North Carolina, Department of Environment and
Natural Resources
Ir�c
Coastal Resources Commission in an area of environmental concern pursuant
to 15A NCAC
W
Rules attagbod.
91- IL
nt Name
Project Location: County
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Street Addrer/ State Rgad/ Lot #(s)
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a-5'r35' Fax # ()
Subdivision
zed Agent S (%
City y�NP— ZIP 7 V
j - CW r7 EW ❑ PTA S _ PTS
Phone # () River Basin 'm"W 11'�
OEA ❑ HHF ❑ IH _ UBA , N/A
_
Adj. Wtr. Body ad�`
C PWS: ❑ FC:
yes /(no es PNA no Crit.Hab. yes t7MUT
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Closest Maj. Wtr. Body
)f Project/ Activity
` O
ock)length
n(s)
pier(s)
ength
amber_
iF�kraplength
rg distance offshore
iax distance offshore 'I:*'
:hannel
,bic yards_
mp
use/ Boatlift
3ulldozing
ie Length --
not sure yes n
gs: not sure yes
rium: n/a yes n
yes no
Attached: yes no
ing permit may be required by:
a,, A, r V V A
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(Scale:
a See note on back regarding River Basin i
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70092250000381696738
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SERVICE STATUS OF YOUR ITEM
DATE & TIME
LOCATION
FEATURES
First -Class Mail " Delivered
October 01, 2012, 10:32 am
KINDERHOOK. NY 12106
Expected Delivery B,
October 1, 2012
Certified Mail n
Return Receipt
Electronic
Notice Left
October ?1. 2012, 7:24 am
KINDERHOOK, NY 12106
Arrival at Unit
October 01, 2012, 7:22 am
KINDERHOOK. NY 12106
Depart USPS Sort
September 30, 2012
ALBANY, NY 12268
Facility
Processed at USPS
September 30, 2012. 4.54 am
ALBANY. NY 12288
Origin Sort Facility
Dispatched to Sort
September 27, 2012, 4:04 pm
HOLLY RIDGE, NC 28445
Facility
Acceptance
September 27, 2012, 12:06
HOLLY RIDGE, NC 28445
Pm
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N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date /axo7 I
Name of Property Owner Applying for Permit:
Mailing Address: / l�
I certify that I have authorized (agent) 'B" 6WA- -(4 to 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) L4 )0 % 1 9
Property Owner Signature Date
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
I hereby certify that I own property adjacent to j , 2J 's
(Name of Property Owner)
property located at
(Address, Lot, Block, Road, etc.)
on (fir �(in _(,qfad5 ���� , N.C.
(Waterbody) (City/Town and/or County)
1
Agent's Name #: �Qn -(% �5 Mailing Address: %�C, % y
Agent's phone #: q Z� ` (IL/ XZ 2 9 Y Yf
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)
1, _
/Q6
1 N
/ t)
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
Print or Type Name
Mailina Address
(RiRarian Property, Owner Information)
i cII / ( ) J/
Sign0t,bre '
oG�l .J
nt or Type Name / I //
�� 1 / /cmMoC
ailina �-
Address
pplicant: L L_ / 4-,"A
ate:
/071,L
L E N
Permit #: j 093
-scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
and in your Habitat code sheet.
bitat Name 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)
,[.
lJ Dredge ❑ Fil 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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
41.
SURF CITY
HOI_' PIDGE, North Carolina
284456555
3613950482 -0098
09/27/2012 (910)329-1427 12:07:44 PM
Sales Receipt
Product Sale Unit Final
Description Oty Price Price
KINDERHOOK NY 12106 $0.45
Zone-4 First -Class
Letter
0.50 oz.
Expected Delivery: Mon 10/01/12
*** Return Rcpt $1.15
(Electronic)
Use label # 70092250000381696738 for
in(,u ry on Return Receipt
.Ele(.-tronic).
ertified $2.95
Label #: 70092250000381696738
Customer Postage -$0.45
Subtotal: $4.10
issue PVI: $4.10
Forever) 1 $0.56 $0.56
Purple
Martin PSA
I Envelope
$4.66
$4.66