General Permits (6648)

Jun-14-2007 12:01pm From -PROPERTY CONTROL [phone] T-517 P.002/005 F-655
6G"EN&AL PERMIT Previous permit #
few ElModiiication DComplete Reissue ❑Partial Reissue Date previous permit issued
As authorlied 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 15A NCAC�17 s'[rc
` � „Rules attathod.
Applicant Name �' �� fProject Location, County ,4.r
�T
Address _ _ f 1 eA':_f'1 ► Stree ddress/ 5ta Road/ Lot #(s)
City _'�✓�'r� ��ii titat�l[9� Llr�'�C.7�' lj
Phone # {) _ Fax # _ (�_ )
Authorized Agent
Affected ❑ cw .mow _VITA DES ❑ PTS
AEC(s)- ❑ OFA ❑ HHF ❑ IH ❑ UBA ❑ N/A
0 PWs: ❑FC'
ORW: yes 1 no PNA yes 1 io' Crit.Hab. yes / no
Type of E rojer-V Activity 6 d[ , c,
Pier (dock) length � i� f
Pladorm(s)_ _
Fingor pitr(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
asl channel-3a'
cubic yards
Boat ramp / s
P,aathous oatli(t�
Reach Bulldozing
Other
Shoreline Length
5­7
SAI/: not sure
yes n
Sandbags: not sure
yes nai
Moratorium: n/a
yes
Photos:
yes
Waiver Attached:
yes noJ
A building permit may be required by:
Notes/ Special Conditions
.0 ( C Ll-G''I
Agent or p icant printed Name
$lgniture lease read compliance statement on back of QPi;&Q1l-
N4�
Application Fee(s) Check #
7
S` ) 0' j .44.4"-,r
Subdivis
City ��_ .. zip d /7
Phone # (�) River Basin
�M�Cr� at / unkr
Adj. Wtr. Body �
Closest Mal, Wtr. Body J(-4 w
(Scale: .4.1 —r� )
_ See note, on back regarding River Basin rules.
Pormitpf s SEnatu e ' `^
c' 17 r rT C
IssuingDa[a ,� �c ratio ate
LocalPlannin un•dlcCian Raver File Name

Jun-14-2007 12:01pm From -PROPERTY CONTROL +91057i2548 T-517 P.003/005 F-655
i (FOR A P1, RfMOOR1xc PIUVGS/BOATLdMB0.4THOUSE)
I hereby certify ,hut I own property adjacent to —1,4 M/ -T, vt'r
V +�t� A/1� i 64►,•- 00a 4 O..t (Name of Property Owner or Applicant)
�I, Mailing address it ctttterent from location address ate ! L,f r � Cover 4-
(town, state and zip) 4-et- �y "tJ • G . , 'r.s'7
© phone numbers you can be reached at'7
property located at 4a l ie-, k-
(Lot, Stock, Road, etc.) j D
n sQa�,if_�.--i of e �¢Ar� L. , lit '00,'d R ifa/ 4 t�. j!
% . N.C.
wuttrtody)
(Town and/or County) i
He has described to rae, as shown below, the development he is proposing at that location,
and. I ve no objections to his proposal. I understand that a pierimooring pit irigshtoatlift/boathouse
must be t back a minimum distance of fifteen feet (15� from my area of riparian access unless
waived by
I not wish to waive the setback requirement.
.aiva �
I do wi to waive � u that setback requirement. �,4■,w� �y�
initial: t�
---- ---------- .--Joe ;cri, -----------------
DESCRIP'TION AIND R DRAWING OF PROPOSED DEVELOPMENT:
-TTo be filled i y individual proposing developm all Ott <
3W till
k
-- --- - -- • Y
L� I ry
k Pant or Type `.irrr
f * 0?
)20 n 7
•r�l�?none ��,T��:
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Jun-14-200T 12:01pm From -PROPERTY CONTROL +9105TT2548 T-51T P-004/005 F-655
{,FOR A PIER/.'1 GORING PILINGSIBOATLIFT/BOATN0USE)
I hereby certify :hat I own property adjacent to _. � L � o�✓ ,_ rf
i � 04►
(Name of Property
� .rt� a/A/ � +�4 it -OK Owrser or Applicant)
Mailing address it dirterent from location address X, ao1 sj4 r -
(town, state and zip) fy' ., r-f Lee,/ �• 4,
.4, < 4
phone; numbers you can be reached at
;o erty located at
(Lot, Block, Road, ate.)
in A oe 4 1 Bn?
Waterbody) (Town and/or County) -
has described to me, as shown below, the development he is proposing at that location,
and, Ih veHe no objections to his proposal, I understand t} at a pierlmooring piiingslboatlift/boathouse
must best back a minimum distance of fifteen feet (15) from rry area of riparian access unless
waived by
\�oaiv
aive the setback requirement. Sr,a<<r' 40
Tr c�j ��•r �"�
that setback requirement_ k tw �rPM
------
DESCRIPTION R DRAWING' OF PROPOSED DEVELOPMENT;
n by individual proposing developm
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Jun-14-2007 12:01pm From -PROPERTY CONTROL [phone] T-51T P.005/005 F-655
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