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Home My WebLink About60657D - SockoCAMA / DREbGE & FILL NO. VC ENERAL PERMIT Previous permit# -New (Modification El Complete Reissue Partial Reissue Date previous permit issued rized by the State of North Carolina, Department of Environment and Natural Resources _ / 4 Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC LJ i jL _ t Name I� WAI�2 17 J s - ❑ R es attached. Project Location: County '�/V - SZ w 4 l pc �p • Street Address/ State Road/ Lot # s (/ -'YY d A- S� State Zl'/ act '/ (y-3 Z-- K- ► ►'I '� s l ,.yl�► C r ((�) Y/ Fax # O Subdivisipn / l� t zed Agent �l�y�-®Iti[��'�� `� x� City 5�� ZIPZ �� CW `,gEW \,PTA s,�ES ::1 PTS �❑ Phone # River Basin -' OEA / HHF IH - UBA N/A Adj. Wtr. Body A / w A.) (nat PWS: -iFC: Closest Maj. Wtr. Body I o1' 'q"�L SUJP �es� no PNA yes /,'no) Crit.Hab. yes ( of Project/ Activity ubic yards amp )use/ Boadift Bulldozing ... ne Length _ _ _-- I + _ — notsure yes no —I gs: not sure yes no rrium: n/a yes no yes no 1 Attached: yes ! no - ling permit may be required by: / Snarial Cnnrli*inns A 1I' CIA ❑ See note on back regarding River Basi! U. / 7 r pit -- — — 1. v t V di �. J�n�5 �y c-� SocEo - r I PJAV DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to �1h Soc-,Ko 'S (Name of Property Owner) property located at,/00 (Address, Lot, Block, Road, etc.) on _ ZG� in -1 Co.N.C. (Waterbody) (City/Town and/or County) Agent's Name #: Mailing Address: X& WALLHOPE" Agent's phone #: !! O S 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.nccoastalmangement.neVcontact 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 Owne I formation) Signature Print or Type Name Sot (Riparian Property Owner Information) Signature �Y Print or Type Name i �,, 33 KIr�lCkS Mailina Address DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to ��A 'J so9c "6 ,s (Name of Property Owner) property located at _ZP43 kl- lits (Address, Lot, Block, Road, etc.) on TGI.C% in Ti �. N.C. (Waterbody) (City/Town and/or County) Agent's Name #: Mailing Address: �� LOALL14 Agent's phone #: S 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) fr` ,C/ 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.neticontact—dcm.htm or by calling 1-888-4RCOAST No response is considered the same as no objection if r"ve been notified by Certified Mail. (Property Ouwnel I formation) (KI 1 Signature S" natu -3 Print or Type Name P .. . Maili n n Propj�tY OwnoMformation) Type Address 00 N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date �I— 14 / Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized (agent) 67 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) 7 / 2= f v..,,--wt„ (lwnPr Cianature Date LAMA / DREDGE & FILL NO. 60E 'ENERAL PERMIT Previous permit # !New Modification ' 'Complete Reissue Partial Reissue Date previous permit issued •ized 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 ❑ Rules attached. t Name Project Location: County Street Address/ State Road/ Lot #(s) State ZIP - - - - O Fax # O Subdivision ad Agent City- - - ZIP CW EW — PTA _ ES _ PTS Phone # ( ) River Basin OEA HHF - IH - UBA - N/A Adj. Wtr. Body (nat /r — PWS FC: — — yes / no PNA yes / no Crit.Hab. yes / no Closest Maj. Wtr. Body Project/ Activity :k) length (s) er(s) igth - - nber I/ Riprap length _ (Scale: ' See note on back regarding River Basin r g permit may be required by: pecial Conditions scribe below the HABITAT disturbances for the application. All values should match the name, and units of measurement nd in your Habitat code sheet. iitat 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 im act 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 KI /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 ❑