55065_KORNEGAY, DAN AND SUSAN_20091218 (2)

t4•GAMA / u-DREDGE & FILL `'`"t • j1d'r_- ' F'r` t re r �/ j�a-r3�y o��-S- N0 5 5 0 6 e
GENERAL PERMIT �,Y4.� OW/JvZYZ Previous permit #
IX'ew DModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources �
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC� 1 (2oon " r e1
1r3n,
u es ttached. r
Applicant Nam_9N Project Location: County �. Q
Address Street Address/ State Road/ Lot #(s)
City State_. zip q
Phone # () Fax # () Sun!N
Authorized Agent Ci ZIP
Affected ❑ cW A ❑ PTS Phone #
() River Basin
AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body_�� _fat
❑ PWS: ❑FC:
ORW: e
no PNA yes /nn- Crit.Hab. yes / no
Closest Maj. Wtr. Body -
Type of Project/
Pier (dock) length
Platform(s) -`
Finger pier(s) i
Groin length f
ber
i
jj, t fi
Bulkhead/ iprap length
��=� l
avg distance offshore_'
max distance offshore-5
Basin, channel
cubic yards C
Boat ramp I ��
Boathous Bo tlift 7
Beach Bulldozing
Other
.i
NrIfG�
- - ■ �►�i■ SIG
-as
Shoreline Length
SAV: not sure yes no
Sandbags: not sure yes
Moratorium: n/a yes
Photos: yes no��—j—
I
Waiver Attached: yes no
A building permit may be required b
Notes/ Special Condit]:�=
ions
.4 5 'Zl-� .i
Agent or App is
ignature
1-0Q_
Application Fee(s)
Name
read compliance statement on back of permit **
Check #
Sv x I ✓ I
><1
—L---Barring a major shoreline change due
SeEto a storm or other significant event,
the alignment of this structure must be
approved by a DCM Rep. within 120
l ays of the onset of construction.
Mime period requirement for this
development is suspended until 12-31-
2010, pursuant to Senate Bill 831. The
effective date of expiration for this
permit is_— ��(

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(A'uR A k1Ei(/M)()RING PrUNQSIBOATLIFTIBOATHO USE')
,w ' 3 1 a PC) IPh;v, Sf
I hereby C4Wfy that I own property adjacent to �o'1r1iP.,� �1_ 1'►r11Ct �[]ti l ��r �
N (Nome or Property Owner or Applleanl)
Mailing addre.is if different from locatlon address YJ p►� . `
(town, state and zip) C— �� � -
.phone numb't3.rs you can be reached at '
- 1
proporty locatl;d at _ � 0 Dot ►0h'i n
(iLol, Block, R00i CIL)
on
(Waletbutly) (Town And/or County)
u y)
He has described to me, as shown below, the de' ►elopmant ho is .proposing A that locatlon,
and, I have no objections to his proposal, Iunderstand that a pier/mooring pilings/boatlift/boathouse
must be set back a mihllr,um distance of ftftff6i feet (I Mom my area of rlparlan access unless
waived by me,•
I do not wish to walvo the setback requirement,
I do wish to waive that ietbaek requirement,
,
DMCRI�TY0N AND/OR MAWINC OR PROPOSED DEVELOPMT:
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Print'or Typo Narita
Ttlaphone Number