33861_PINKERTON, ROBERT A_20030620 (2)

SCAMA / X DREDGE & FILL N? 33861
' GENERAL PERMIT Previous permit #
NNew ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued
Ai 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
�� ��� � � Rules attached.
Applicant Name /1,v ke1d44b V Project Location: County ljili/u S 420 -4
Address D n G�(eSP COu 44 Street Address/ State Road/ Lot #(s) J ©Z e 6 le,S C
City-ERTFO&b State/VC ZIP Phone # igAa o24 K - S 04 Yax # (_) Subdivision L r - 41-e Ay" SA
Authorized Agent
City ZIP �1
❑ CW
49W PTA [I ES ❑ PTS
Phone # ( )
I River Basin PlIS OG10 �-tii
Affected
AEC(s): ElOEA
❑ H H F IH ❑ UBA ❑ N/A
Adj. Wtr. Body 144 hP. 't�'f i1 Z rt, �t iman /unkn)
❑ PWS:
❑ FC:
L �"'��� �� �'` `�
ORW: yes /
PNA yes / Crit. Hab.
Closest Maj. Wtr. Body
yes /
4X 66`94AP1 t LC Saczn�
Type of Project/ Activity /l% W p / r fe
I r Y /00 ' W— / 2 i
Y ! Z 1*4,=,/4 `N
(Scale:
Pier (doaW length 4 j
}( 10 D-* 1
c
Platform(O '/a I V, 12
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length C-50
19
SAM of r yes no
Sandbags: not sure yes C>
Moratorium: 6i yes no
Photos: ® no
Waiver Attached: yes
0
MEN
No
0
No
110
No
E=4
Omm
N
A building permit maybe required by: !"Q�t/ /u S �c� (1r(���! ❑ See note on back regarding River Basin rules.
Notes/ Special Conditions hi , / cZ On
90 qe A/-T , lc CJ -7� M/
Agent or p is Printed
4Sig.ture *Ple do mpli cestatementonbackofpermit"
Application Fee(s) Check #
X- �Z'-) 7Tr
Issuing Date ExpirifilonDate
pGttpe'yl"tA,<,s �o�rr�Y �a 19
Local P16nningjurisdiction Rover File Name

ADJACENT RIPARIAN PROPERTY ONAWER STATEMENT
(FOR A PIER/UIVCOVERED BOAT UM
I hereby Certify that I ow',. prc'pertY adjaccnt to Abr r er P « Is
(Name of Property Owner)
property icx ated at / 4 CocNi s E G_act.
(Lot, Muck, Road. etc.)
on _�`L! e /mil YG�- _�in.�
(Wuterbody) (Town and/or County)
He has jescribed to me, as shown below, Lhe development he is proposing at that location,
st be set
and, [ Katie r.o oiajections to his proposal. Pofs�t (15n) fromnmyharea of riparian access utlift nless wuaived by
back a minimum distance of fifteen
me.
I do not wish to waive the setback requirement.
I dja wish to waive that setback requirement.
DESCRII''TiON kNDIOR DRAANT G OF PROPOSED DEVELOPINILENT:
(To be filled in by en 'yidual proposing develop
Tie
i o
� o
i
i
S1 natt:re
�-
Print or Type Name
Telephone Number
Date: 21
- 4Q-�-
-30-