HomeMy WebLinkAbout60704D - TysonCAMA/ DREDGE & FILL No. 60
IIENERAL PERMIT Previous permit#
Vew -Modification Complete Reissue —.'Partial Reissue Date previous permit issued
zed by the State of North Carolina, Department of Environment and Natural Resources
)astal Resources Commission in an area of environmental concern pursuant to I SA NCAC
ules attached.
m
ca"lut
Project Location: County 1iiU I' Sb�(l Ck,
Street Address/ State Road/ Lot #(s)
(?l(� State'`tL ZIP— 1 L r1 �
GG
(M) p2. 5Fax # ( ) Subdiv' ion 1`►
d Agent City (A [ ZIP
[I CW IXEW PTA ES PTS P f o�n�e# (�) " C s River Basin UYn
❑ OEA ❑ HHF IH ❑ UBA I I N/A Adj. Wtr. Body- (A�i nat
El PWS: ❑ F
e Lno PNA yes no Crit.Hab. yes no Closest Maj. Wtr. Body
Project/ Activity
(Scale:
<) length 1 h—fw V
s) 1Z� ' G,./ F T
Bth _
fiber
Riprap length__ -
distance offshore
distance offshore
innel
c yards
P
e/ Boatlift
Ildozing
- Length tv
not sure yes �Dno
not s ,n yesno
im: n/a �' yes no y
yes no
ttached: yes no —
ig permit may be required by: 11VK tlT- C7� lLCh
1.Y11.
t
12,c
p
ILI
❑ See note on back regarding River Basin r
111 i7nn A,.A A4 rUra.i jKa..f
x Wit
' �ICDE.-R d Natural Resources
North Carolina Department of Environment an
Division of Coastal Management
Beverly Eaves Perdue James H. Gregson
Governor Director
Dee
AGENT AUTHORIZATION FORM
Date: g
1• Name of Authorized Agent for this project:
Name of Property OwnerAppiving for remit. .
Owners Mailing Address:
�! 7- G
r 1 /14() r!, �1J.G- �-R�O%
Phone Number( ?,o�n
Agent's Mailing Address:
1�rt�
Phone Number lil-19-q(�
I certify that I have authorized the agent listed above to act on my behalf, for the purpose of applyinc
for and obtaining all CAMA Permits necessary to install or construct the following (activity):
(my �y property located) at <
This certification is valid thru (date)
Date
-US MAIL
CERTIFIED MAIL - RETURN, RECEIPT REQUESTED
DIVISION OF COASTAL TMANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
Address of Property: l�(j S Ca mod` zk_
(� (�` � � �'(Lot or
Applicant's phone #: `jl�lUq(;--
n
tri—et #, Street or Road, City & Co�ufttry) i�--
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this pt
has described to me as shown on die attached drawing the development they are proposing. A description of drav
with dimensions must be Drovided with this letter.
3�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 (D(
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response i
considered the -same as no ob'ection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse,.or lift must beset back a minimum distant
15' k= my area of riparian access unless waived by me. (if you wish to waive the setback, you must initial thi
a pi blank below.)
I do wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement / 1
roperty Owner In r ation)
ignature ,
Print or Type Name
Mailing Address
Nv, A-N� 1A( 2'W 0
tion)
it 10
Nk#2kW,4?AbT1Z MUN
Prtiit or TypiNaje,,,, . j
�9
ailing dress ST
'US MAIL
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Name of Property Owner:
Address of Property:' C dC ' �
(� (Lot or
Applicant's phone #: `� S�l-7 q- g,Uq�
n
tr et #, Street or Road,LUS—L&,--�—Cav
City & COIL*ty)i �—
Mailing Address: ch `"'
�. e Ie�cl1 IBC 2%9
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this Pe
has described to me as shown on the attached drawing the development they are proposing. A description of draw
with dimensions, must be provided with this letter.
1/ I Dave 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 (DC
in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive
Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. No response i
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, or lift must be set back a minimum distant
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_de wish to waive the 15' set back requirement.
I do not wish to waive the 15' set back requirement.
roperty Owner In "ration)
ignature
Print or Type Name
(Ivtailing Add1re`ss l
Print or Type
LJName
,J i • / J f/ � �r
ailing Address
Ml
I(DI
\z
ILDI
it McCrory,
)ovemor
NCDENR.
North Carolina Department of Environment and Natural Resources
John E. Skvarla,
Secretary
June 3, 2014
CAMA Field Staff Training, New Bern
Check Handling Policy Change
DENR Controller's Office requires removal of copies of checks from permit files.
Date removed: (o J
Check number: $CP
Amount: !�.�0
Check date: -�
Staff initi s:
CAP 66-7OV.D
STATE OF NORTH CAROLINA
Department of Environmental and Natural Resources
127 Cardinal Drive Extension
Wilmington, North Carolina 28405
(910)796-7215
FILE ACCESS RECORD
SECTION C o mlk
TIME/DATE (l - (L4
NAME
REPRESENTING CIA.
Guidelines for Access: The staff of Wilmington Regional Office is dedicated to making public records in
our custody readily available to the public for review and copying. We also have the responsibility to the
public to safeguard these records and to carry out our day-to-day program obligations. Please read
carefully the following guidelines signing the form:
1. Due to the large public demand for file access, we request that you call at least a day in
advance to schedule an appointment to review the files. Appointments will be scheduled
between 9:00am and 3:00am. Viewing time ends at 4:45pm. Anyone arriving without an
appointment may view the files to the extent that time and staff supervision is available.
2. You must specify files you want to review by facility name. The number of files that you
may review at one time will be limited to five.
3. You may make copies of a file when the copier is not in use by the staff and if time permits.
Cost per copy is $.05 cents. Payment may be made by check, money order, or cash at the
reception desk.
FILES MUST BE KEPT IN ORDER YOU FOUND THEM. Files may not be taken from
the office. 'To remove, alter, deface, mutilate, or destroy material in one of these files is a
misdemeanor for which you can be fined up to $500.00. No briefcases, large totes, etc. are
permitted in the file review area.
5. In accordance with General Statue 25-3-512, a $25.00 processing fee will be charged and
collected for checks on which payment has been refused.
FACILITY NAME COUNTY
z. 3 791�. 3�948 1 3 97750
3. 3Gg5�7 . `� z�`�� y a3a9 ti 333a, ti yD7
4. D2.
iy 0 'rD y Io t (o 1
mputer Sheet
Permit #: Vh+b
es should match the name, and units of measurement
q. Ft.
FINAL Sq. Ft.
TOTAL Feet
FINAL Feet
for.
(Anticipated final
(Applied for.
(Anticipated final
e total
disturbance.
Disturbance
disturbance.
any
Excludes any
total includes
Excludes any
,ted
restoration
any anticipated
restoration and/or
)n or
and/or temp
restoration or
temp impact
acts)
impact amount)
I temp impacts)
amount
f
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
■ Completp items 1, 2, and 3. Also complete
item 4 if Restricted Delivery is desired.
■ -Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
2-S3c�
v"w Q)14! �
❑ Agent
.$Addressee
�Received b�( Prr^ ted Naer
C.
ate of Delivery
D. Is delivery address different from item 1?
❑ Yes
If YES, enter delivery address below:
❑ No
3. Service Type
'Okertlfied Mail ❑ Express Mail
❑ Registered XReturn Receipt for Merchandise
❑ Insured Mail ❑ C.O.D.
4. Restricted Delivery? (Extra Fee) ❑ Yes
2. Article Number 7009 1680 0000 2205 9670
(Transfer from service label)
PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540
Postage
$
WAS
0470
Certified Fee
$2.95
fly
Postmark
im Receipt Fee
ment Required)
$2.35
Here
td Delivery Fee
ment Required)
$1),1111
ostage & Fees I $ $5.75 1 10/26/2012
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Provided)
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a
For delivery information
visit our viebsite at
www.usps.com
°1
W 11, 161
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0470
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Postage
$
ru
Cerfified Fee
$2.95
clip
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Return Receipt Fee
Postmark
Here
$2.35
p
(Endorsement Required)
C3
Restricted Delivery Fee
(Endorsement Required)
$Il�Ill1
Ej
rO
_a
Total Postage &Fees
$
$5.75
10,t26/2012
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Sent To
D-'
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1
Street, Apt No.j
or PO Be,,No.
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............. r --------------------
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---- ----
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- '\,
U
PS Form :0 .r.
■ 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.
A. Si ure
X / Agent
(fir Cl Addressee
Received by ( Printed Name) C. Date of Delivery
I/t ,a /J
D. Is delivery address different from item 1? L l Yes