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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 �✓ �--� Street Addrer/ State Rgad/ Lot #(s) ;b �� StateNLZlP -7 g `� 1G" f N "We 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 � 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 ■I (Scale: a See note on back regarding River Basin i r� PS.com® - Track & Confirm English Customer Service USPS Mobile lick Tools "rack & Confirm ,ET EMAIL UPDATES PRINT DETAILS YOUR LABEL NUMBER 70092250000381696738 :heck on Another Item Vhat's your label (or receipt) number? AL icy Policy > is of Use , NI :EAR Act EEO Data HER USPS SITES ,mess Customer Gateway ,tal Inspectors > )actor General > dal Explorer > inghtCP 2012 USPS All Rights Reserved Ship a Package Send Mail Manage Your Mail Page Rsglster/ Sign In Search USPS.com or Track Packages Shop Business Solutions 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 ON USPS.COM Government Services, Buy Stamps & Shop , Print a Label with Postage Customer Service > Site Index > ON ABOUT.USPS.COM About USPS Home, Newsroom , Mail Service Updates Forms & Publications , Careers r 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