60651D - Farmer

CAMA / 'E DREDGE & FILL
NO. 60
GENERAL PERMIT
Previous permit # +� '
SNew ❑Modification C 1Complete Reissue ❑Partial Reissue Date previous permit issued _-
arized by the State of North Carolina, Department of Environment and Natural Resources H , ' Z Q r--r�
Coastal Resources Commission in an area of environmp-ntal gopncern pursuant
to I SA NCAC
E:1 R#s attac d.
nt Name �..
Project Location: County
s I YG TUNT `p U/,f/ / 1,41vr
Street Address/ State Road/ Lot #(s)
LU/7S Z
S7-71Fax # ( )
Subdivision
'zed Agent r C s . _
City / / ZIP
CW �&W PTA ElESQ/ ElPTS
T❑
Phone # ft )�%6i y� L,River Basin (/l
_ OEA HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body Geflkl ' A104)(nat
PWS: ElFC:
yes PNA yes Crit.Hab. yes /
Closest Maj. Wtr. Body 14
n
i
)f Project/ Activity �/y► S /�`"�
!�'- bwa7/r
(Scale:
�r
ock)length
m(ss I L x 3,01
r
ength
umber --
a�Riprap length-
✓g distance offshore_ ;
iax distance offshore_L
� 1
:hannel
ibic yards +/
imp 1 —
oatli � Lr is I Z � Z�tAt.
Bulldozing .-►...�
ne Length r r �F ■ -'-,-
r{ `f
not sure yes no
gs: not sure yes no Ap�
orium: n/a yes i
yes no
Attached: yes
ling permit may be required by: ✓ ❑ See note on back regarding River Basin
.... r --+- I/ - / 121, 1 ) .. 11 1 1

N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date of �-3/1Z
Name of Property Owner Applying for Permit:
0421 AJ ? JA'Jer /wiz N(�
Mailing Address:
Ft- ( nr- PO r N- LrA
f�LLy Sa,4,,y(,S NG cD—-7-5 0
I certify that I have authorized (agent) JUf4NJ( ('455 f'ON `%Q to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) & 1 L .9 S( AVV 4 -C ?' tom' t�2-
at (my property located at) 767,5 -71-`r Su2F C c i cl NC. t(y S
This certification is valid thru (date)
C"
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Property Owner Signature (/ Date

sum.
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: �lg/"t^'%- z2s'i1,��
Address of Property: -20 ,/ � ;7;�yJ7— c
(Lot or Street #, Street or Road, City & County) 40,
Applicant phone #: /?/V .% �6 S% Mailing Address: �r ,9
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
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
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at www.nccoastaimangement.neticontact-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.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a
minimum distance of 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 do wish to waive the 15' setback requirement.
1 do not wish to waive the 15' setback requirement.
(Propert5er Information)
r �'
S
�, -70-
or Type Name
A, � . — D i .
(Ripgrian Property Owner Information)
Signature
_d7, el) Ei/i 'I-e' /('T -
Print or Type Name y�

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is
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17
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CL V104-1k e-, (* un 4,e- c ove r<-4 --,eA

)plicant: I i�I N f J WE r' t-AC 1241E %Q'
Permit #: (0 Q 6 S
ate: ct _ _ (2
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
7 w
M
TOTAL Sq. Ft.
(Applied for.
DISTURB TYPE Disturbance total
Choose One includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
im act 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
37j�p
�J�j
Dredge ❑ Fill ❑ Both Other ❑
756
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 ❑