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Home My WebLink About60612D - Naylor,,CAMA /•'_ DREDGE & FILL ✓ No. 601 3ENERAL PERMIT Previous permit # Vi i ZNew -]Modification JComplete Reissue Partial Reissue Date previous permit issued JU -ized by the State of North Carolina, Department of Environment and Natural Resources :oastal Resour s mjs;i n a it ental concern pursuant to I SA NCAC '� r (ZOO ❑ Ru s attached. t Name Project Location: County S 'S6 a` X9z Street Address/ St to Road/ Lot A✓v State ZIP T 82 - S/�� / Ile (O5Fax # () Subdivision :ed Agent l/1MA444-6�City ZIP F Cw w >WTA J ES i PTS Phone # (_ ) River Basin OEA i HHF IH - UBA N/A Adj. Wtr. Body GQ P% D� �Ld!!J na r - PWS: ❑FC: yes / n� PNA yes no' Crit.Hab. yes no Closest Maj. Wtr. Body ✓ � � 3� U'l Project/ Activity 02 *-eA f I Jr :k)length (s) er(s) igth nber I/ Riprap length distance offshore — I K distance offshore t� . annel is yards_ p ;e/ Boatlift illdozing Length v not sure yes r=D not sure yes 0 im: n/a yes 49 yes no ttached: yes g permit may be required by: (Scale: lr= r? ❑ See note on back regarding River Basin ru ipecial Conditions : 12 1 �eA 4; f * /,.> ^ ~~ ^Track/Confirm - Intranet Itern Inquiry This item was delivered on 06/26/2012 at 09:31 Signature: \-% Pantfth 14 Enter Request Type and Item Number. Quick Search i"*'.! Extensive Search i`-) Nersiom10 Inquire on multiple items. Go to the Product Tracking System Home Pane. Query - Intranet - "Quick" Search K � _ + r , Track/Confirm - Intranet Item Inquiry - Domestic Destination ZIP Code: 27894 Origin ZIP Code: 28460-6624 Class/Service: First -Class Certified Mail Service Calculation Information Service Performance Date Scheduled Delivery Date: 06/26/2012 Weight: 0 lb(s) 1 oz(s) City: WILSON State: NC City: SNEADS FERRY State: NC Postage: $0.45 Zone: 01 Firm Book ID: 5103 OSHA T147 7310 1563 Delivery Option Indicator: Normal Delivery PO Box?: N Rate Indicator: Single Piece - Letters Special Services Associated Labels Amount Certified Mail 7010 1060 0000 8471 7424 $2.95 Return Receipt Electronic 7010 1060 0000 8471 7424 $1.15 Surcharges Non Standard Surcharge $0.20 Event Date/Time Location Scanner ID DELIVERED 06/26/2012 09:31 WILSON, NC 27893 030SGQ0749 Input Method: Firm Book Finance Number: 368648 Firm Name: BB T Recipient: 'L PARRISH' k, .�u .t L<li .Cr R c:r t iclv,; L',eIN ry ` irjn turn 211:a ARRIVAL AT UNIT 06/26/2012 09:10 WILSON, NC 27893 030SHAT147 Input Method: Firm Book ARRIVAL AT UNIT 06/26/2012 08:32 WILSON, NC 27893 030SHAT147 query - Intranet - "Quick" Search Pa D1PART USPS SORT 06/26/2012 04:46 ROCKY MOUNT, NC FACILITY 27801 Input Method: System Generated Dispatch Label ID: DS1441338333120626040928 ENROUTE/PROCESSED 06/26/2012 04:44 ROCKY MOUNT, NC 27801 Input Method: Scanned DISPATCHED TO SORT 06/25/2012 16:42 SNEADS FERRY, NC FACILITY 28460 Input Method: System Generated Closeout Label ID: CT1381929000120625154928 ACCEPT OR PICKUP 06/25/2012 15:22 SNEADS FERRY, NC 28460 Input Method: Scanned Finance Number: 367160 Enter Request Type and Item Number: Quick Search of Extensive Search Exlalanatirn Of Quick and Extensive Searche Submit Version 1.0 Inquire on multiple items. Go to the Product Tracking System Home Page. DIOSS-101 )uery - Intranet Pa X rack/ on irrnn - ntr rye N Item Inquiry "tem =lurnb r: 71 7431 This item was delivered on 06/27/2012 at 15:23 Signature: -T Address: 5U Enter Request Type and Item Number: Quick Search i.0f Extensive Search Lxi:;l n ti :n =_: Ouicic and Lxtensi� Searches Submit Version 1.0 Inquire on multiple items. Go to the Product Tracking System Home Page. Query - Intranet - "Quick" Search Tracking Label: 7010 1060 0000 8471 7431 Destination ZIP Code: 28445 City: HOLLY RIDGE State: NC Origin ZIP Code: 28460-6624 City: SNEADS FERRY State: NC Class/Service: First -Class Certified Mail Service Calculation Information Service Performance Date Scheduled Delivery Date: 06/26/2012 Weight: 0 lb(s) 1 oz(s) Postage: $0.45 Zone: 01 Delivery Option Indicator: Normal Delivery PO Box?: N Rate Indicator: Single Piece - Letters Special Services Associated Labels Amount Certified Mail 7010 1060 0000 8471 7431 $2.95 Return Receipt Electronic 7010 1060 0000 8471 7431 $1.15 Surcharges Non Standard Surcharge $0.20 Event Date/Time Location Scanner ID DELIVERED 06/27/2012 15:23 HOLLY RIDGE, NC POS7040445 28445 Input Method: Scanned Finance Number: 363704 Pcriucst L cli,rury Record Via,:L` li,•F r. Si'n7 :iur and Address's NOTICE LEFT 06/26/2012 10:55 HOLLY RIDGE, NC 030SGQ2705 28445 Input Method: Scanned ARRIVAL AT UNIT 06/26/2012 08:12 SNEADS FERRY, NC 030SGW9047 28460 Input Method: Scanned )uery - Intranet - "Quick" Search 6 Input Method: Scanned PE DISPATCHED TO SORT 06/25/2012 16:42 SNEADS FERRY, NC FACILITY 28460 Input Method: System Generated Closeout Label ID: CT1381929000120625154928 ACCEPT OR PICKUP 06/25/2012 15:23 SNEADS FERRY, NC 28460 Input Method: Scanned Finance Number: 367160 Enter Request Type and Item Number: Quick Search i.*.i Extensive Search Lxplai anon of Quick and L � transidc SeaMile Submit Version 1.0 Inquire on multiple items. Go to the Product Tracking System Home Page. N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date J" /ef_ 1 Z Name of Property Owner Applying for Permit: �W �aht-�allu 1�a,y�a� Mailing Address: sl O"Itr 12d, I certify that I have authorized (agent) r�Dr a6y � to �� = meS to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) '0 4 6� , at (uiy property located at) a a�g �S 1 Qntl r . • I ��SG,� �C�c�, :r This certification is valid thru (date) ! - 3 1, 1 Z-. "J/"1 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property property located at adjacent to Dul�'1A \At,\k k�K 's _ (Name o Property Owner) \\ (Address, Lot, Block, Road, etc.) on , in J 6':90; I �, .a 6#13 f 4 N.G. (Waterbody) (City/Town and/or County) Agent's Name #: ��Gndan �rimLS Mailing Address: Agent's phone #: /6 'S y0 - 5 f S 5 `",. (Z - e' 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) 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.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 OwAr Information) SignatuV X Q AJ6A/ Print or T pe Name A (Riparian Property Owner Information) Signature Print or Type Name V ,ov., stitt�//l� /Va /r Permit #: � 0� /�� !scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement ind 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) 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑