General Permits (2449)

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as authorized by the State of North Carolina
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Department of Environment, Health, and Natural Resources and the Coastal Resources Commission
in an area of environmental concern pursuant to 15A NCAC ! ;�_ .) 1)
Applicant Name r� r' S ! €.• —, ,-� roc �.
Address
City V � State
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Project Location (County, State Road, Water Body, etc.) c-0
Type of Project Activity
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Phone Number ' f 13-
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Zip D` _ '
PROJECT
Pier (doc�) length
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Basin, channel dimensions
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cubic yards
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Boat ramp dimensions
Other. —
This permit is subject to compliance with this application, site
drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine,
imprisonment or civil action; and may cause the permit to be-
come null and void.
This permit must be on the project site and accessible to the
permit officer when the project is inspected for compliance.
The applicant certifies by signing this permit that 1) this pro-
ject is consistent with the local land use plan and all local
ordinances, and 2) a written statement has been obtained from
adjacent riparian landowners certifying that they have no
objections to the proposed work.
n applicant's signature
permit officer's signature
issuing date expiration date
attachments +
In issuing this permit the State of North Carolina certifies that
this project is consistent with the North Carolina Coastal
Management Program.
application fee

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GENERAL PERMIT APPLICATION INFORMATION
APPLICANT'S NAME:
KING ADDRESS:
(PERMANENT)
ONDMIQUG.-I
0ei STATE ' (G ZIP
WORK ( ) HOME
CONTRACTOR'S NAME: TELEPHONE NUMBER
PROJECT LOCATION: N.C. Hwy. I1 J SR 41 � Road/Street Name ?,,��
Waterway Name rLJ h u y �
���' ��,-�� Count a << /
Town �� ( i z��, f ) - �' Subdivision
PROJECT ACTIVITIES:
PIER: Total dimensions of pier from MHW to platform
(Length) (Width)
'T' or 'L'-head platform
(Length) (Width) (Number of Mooring Piles)
Water depth at end of pier
RQLT HOUSE/BOAT LIFT: Length
Number of Piles
BULKHEAD: #1 Total length
Average distance waterward MHW
Maximum distance waterward MHW
#2 Total length
Average distance waterward MHW
Maximum distance waterward MHW
Number of Mooring piles
Width
Water Depth
RIPRAP: Total length Base width from MHW
EXCAVATION: [MAINTENANCE 'ONLY']
Length Width Depth of Cut
Adjusted water depth on MLW Existing water depth(s)
Estimated Cubic Yards (length x width x depth/27)
0 Type of spoil: Sand Mud
Dragline Backhoe Hydraulic
OTHER STRUCTURES:

A
PART AN PROPERTY OWNER S
(FOR A PIER)
I hereby certify that•1 own property adjacent to
's property
Name'
located at
C
on
(Lot, Block, Road, etc.)
(water Body) �
(T wn and/or County)
lie has described to me as shown below the development he -is
proposing at that location and I have no objections to his
pxoposa" I Understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
Unless u'aived by me.
1
do
not wirh to ""give
that setback xeguirement.
I
do
wish to waive that
setback xeguirement.
Description and/or drawing of proposed development: (To BE
FI3.I.F.D IN BY Ih`DTVIDUAL J'RDPJ57NG 7)nrf DPYMh'T)
Sidnalure �� /
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ADJACENT RIPARIAN PROPERTY OkNER STATEI;ENT
(MR A PIER)
I hereby certify that•I own property adjacent to
Wr's property
Name
located at 4 L ,� . , i / �)i , on
{Lot, Block, Road, etc.)
water Body) — (Too n and/or County)
He has described to me as shown below the development he -is
proposing at that location and 3 have no objections to his
proposal. 3 understand that a pier must be set back a minimum
distance of fifteen feet (151) from my area of riparian access
unless waived by me.
3 do not wish to waive that setback requirement.
1 do wish to waive that setback requirement.
Description and/or drawing o! propDsed development: (TO BE
FILLED 3N BY 3KDnUDUAL PRDPOSING DnIZWPYJa,-T)
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