42859D - Ferrante

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LAMA/ DREDGE & FILL A
3ENERAL PERMIT Previous permit#
'1Vew Modification I IComplete Reissue r Partial Reissue Date previous permit issued
rized by the State of North Carolina, Department of Environment and Natural Resources / p
:oastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC 7 /1 OU d` 1300
ules attached.
t Name A h r✓4„4-c. Project Location: County 4n 1Pd co,
/vie / ,/'i4. ,f4 Street Address/State Road/Lot#(s)-
►tt State ie ZIP Z ,t
`(q/b) Z76 • D l ax#( ) Subdivision
ed Agent Pei
ZIP
CW L4W i �y`
TA �e5 ❑PTS Phone# ( ) • River Basin t
OEA HHF IH UBA ❑N/A r
❑ Pws: ❑FC: Adj.Wtr. Body Aiiiiiii (flat k
a, no PNA OP no Crit.Hab. 46.41 .10 Closest Maj.Wtr. Body ekederl
'Project/Activity no fe4O) /t/Nlei ) ref hie en,f'#T f cf. Ali 1t A.nrya rt.,0 he-e
(Scale: N
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ck)length
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ngth }' !441
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Riprap length 2.rja b',
distance offshore d l 1
x distance offshore I
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)ic yards P a
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se/Boatlift ;'It, v/91 ry
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Length 7 2 Z e _ - - - f -
sue
not sure yes
;: not sure yes /0/ O(J/e ,4 419r 4
cum: n/a yes
yes
attached: yes 9 _
ig permit may be required by: Ai f01 4! See note on back regarding River Basin rt.
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E 111111 L�r•.n •.... a
APPLICATION
(To be completed by all applicants)
b. City, town, community or landmark
1. APPLICANT rY
c. Street address or seco iary road 'somber
a. Landowner: C' ,
•DOE' a�.t/ /�
Name Jf NR$vu :r; 9'/�1. -c yvc ff7-6.45 d. Is proposed work within city limits or plat
f0. ( , c x '7J / jurisdiction? Yes No
Address i G/ OLDS %A'7' I3 . e. Name of body of water Wiest project (e.g. i
City /-/g41 S 7E 40 Stately C creek, sound, bay) 1 L VV
Zip V3 Day Phone 9/& ?,3a- 3
Fax 3. DESCRIPTION AND PLANNED 15.
OF PROPOSED PROJECT
b. Authorized Agent:
Name /✓IG ,�/iR AN i E a. List all development activities you propose
building a home, motel,marina, bulkhead,pie/
n Q` excavation and/or filling activities.
Z-L
Address 3 3-3 f) � o/A/% 0) 43e' Erg Sr/We:es,Li ir.E
Rnfn �/<:•�a':�c �/�rrt Lac rJ
City bin/ 'S7 E4 0 State A( . rY= lex" f rih'C A:tt-A'' t,
Zip p1/y3 Day Phone 70 077Y b. Is the proposed activity maintenance of an ex:
project, new work, or both? £X/S ii/c.-
Fax
c. Will the project be for public,private or commi
use? it:2 'r//A-7:E
c. Project name (if any) R.6,1- 4- ar,T
"- ae�it-i( d. Give a brief description of purpose,use, mho
construction and daily operations of prof
NOTE: Permit will be issued in m ntate of lando er(s),and/or project. If more space is needed, please a
additional pages.
P^olecY name. �XC'fft% rE Y /►,vinc�j� XrST,
C° eNGET:
2. LOCATION OF PROPOSED ✓c4 ,
PROJECT s i ec LL- Air 8aLie/11g
if,ad,tc s7 l/s.
,

• Form DCM-MP-1
m. Describe existing wastewater treatment f.
4. LAND AND WATER . .r p 7—/ S y.5
CHARACTERISTICS
a. Size of entire tract 4/0f.14'ck. .> A, n._ Describe location and type of discharges
of the state. (For example, surface runt
b_ Size of individual lot(s) /00 ` X c rie-7:- wastewater, industriallcommercial efflue
down" and residential discharges.)
c. Approximate elevation of tract above MHW or s N/f Ac"o'V aFf
NWL S����s up ,Ran r 1r 1-,ice �t3
d. Soil type(s) and texture(s)of tract o. Describe existing drinking water supply
e. Vegetation on tract
f. Man-made features now on tract
5. ADDITIONAL INFORMMATIO!
g. What is the CAMA Land Use Plan land
In
classification of the site? (Consuls:he local land use pion.) addition to the completed application
following items must be submitted:
Conservation Transitional
Developed Community A copy of the deed (with state applicatic
Rural Other other instrument under which the applicant
to the affected properties. If the applic
h. How is the tract zoned by local government? claiming to be the owner of said prop
forward a copy of the deed or other instrui
which the owner claims title, plus written
i. Is the proposed project consistent with the applicable from the owner to carry out the project.
zoning? ✓ Yes No
(winch zoning compliance arnficrue, if uppnci e) • An accurate, dated work plat (including
and cross-sectional drawings)drawn to sea
j. Has a professional archaeological assessment been ink on an 8 I2" by 11" white paper.
done for the tract? Yes r No Coastal Resources Commission Rule 7J.t
If yes, by whom? detailed description.)
k. Is the project located in a National Registered Please note that original drawings are pre
Historic District or does it involve a National only high quality copies will be accepted.
Register listed or eligible property? prints or other larger plats are acceptable
Yes r No adequate number of quality copies are pi
applicant. (Contact the U.S. Army
I. Are there wetlands on the site? Yes No Engineers regarding that agency's use
Coastal (marsh) _ Other drawings.) A site or location map is a p
If yes, has a delineation been conducted? requirements and it must be sufficiently
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•
SENDER: COMPLETE THIS SECTION COMPLETE THIS SEC7'ICN ON DELIVERY
• Complete items 1,2,and 3.Also complete '-,
item 4 if Restricted Delivery is desired. T ' 4r 0
• Print your name and address on the reverse `— �; `•� ` 0
so that we can return the card to you. ed . (Prin ,. ame) C
• Attach this card to the back of the mailpiece,
or on the front if space permits. .,
1. Article Addressed to: D. Is delivery addres •A:,--:I.' lit ? El
If YES,enter d: 1(0 d``d�ss be •w: C,�
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❑Certified Mail ❑ Express Mail
{ s �i T� �`' v ' / El Registered ❑ Return Receipt for M
Ps .�Yj��f -3 Cl Insured Mail El C.O.D.
• 4. Restricted Delivery?(Extra Fee) El
2. Article Number
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E,., ; (Transfer from service lab 7005 0390 0003 3400 3542
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o PS Form 3811, February 2004 Domestic Return Receipt 1025
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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
N • Complete items 1,2,and 3.Also complete . Signature
V j item 4 if Restricted Delivery is desired. D
• Print your name and address on the reverse X /� �'
so that we can return the card to you. 7B. Re ved by(Printed Name C. Dat
■ Attach this card to the back of the mailpiece, �` j`��
Q. `` * or on the front if space permits. �� '
"I D. Is delivery address different from item 1? E
t•If1. Article Addressed to:
' If YES,enter delivery address below:
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r1u - �� El Insured Mail ❑ C.O.D.
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7 v 4. Restricted Delivery?(Extra Fee) [
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NI �No=‘, •a 2. Article Number 7005 0390 0003 3400 7595
i I d o¢ ..T (Transfer from service label)
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U.S. Postal Services.,
'_ CERTIFIED MAILrr., RECEIPT
1 (Domestic Mail Only;No Insurance Coverage Provided)
1
For delivery information visit our website at www.usps.com
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Postage 1 , MpS),.
1 Certified FeeEwa ,,¢4kj, �O
1 Retum Receipt Fee EME ' Hare (7
(Endorsement Required)
1 Restricted Delivery Fee 745%
(Endorsement Required) :Q•�� _
1 Q+ ,
1 Total Postage&Fees $ $4.42 --
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1 ant To /e
Street,Apt.No.; D D� q,, /e/APT �d
or PO Box No. / � �-[J
City,State D +4
PS Form 3800,June 2002 Sro Re''r,f for In f111 GIlrns
U.S. Postal Service,
CERTIFIED MAILTM RECEIPT
uj (Domestic Mail Only;No Insurance Coverage Provided)
N
For delivery information visit our website at www.usps.corn,,,
o Ht3IPSTEAD NC 284Z I A L 11
ftl Postage $ $0.37
'mil $2.30
CI Certified Fee
CI Return Receipt Fee $1.75 I I - r
(Endorsement Required) H 'CI
Iii O Restricted DeliveryFee0 N
D"- (Endorsement Reuired) sQ• N m
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Total Postage&Fees $ $4.42 08/16/20-.,p
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p Sent To
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1` Street,Apt IvY10�
orPOBoxNa(rr/ .4idCS iad/rt 40-
City,State,ZI1,44
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PS Form 3800,June 2002 See Reverse for Instruction,