32391_HARRISON, NEAL_20020801 (2)

KCAMA / DREDGE & FILL
GENERAL PERMIT
New Modification %Complete Reissue Partial Reissue
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 15A NCAC
Applicant Name
Address r� _ FQvc`J-
City - Nt,J ��' n 1 _ ___ State �� ZIP Z�54 L
Phone # (L5L) 6 37- 53-15 Fax # ( )__ _..
Authorized Agent SvvAt
CW X,EW j<PTA _ ES PTS
Affected AEC(s): OEA HHF IH UBA N/A
PWS: FC:
ORW: yes /(2 PNA yes / ` o) Crit. Hab. yes / nc
NY
Previous permit # 31!;H
Date previous permit issued
1 LW
32391�
--L3-Q-
A Rules attaches
Project Location: County (aJ(, e-+ - -
Street Address/ State Road/ Lot #(s) -
Subdivision
City CCd �tY — f ZIP
Phone # � �
River Basin v'"� � � e �¢ K
Adj. Wtr. Body F�yly _'c�jt&{sir. at /n a`-rl/unkn)
Closest Mal. Wtr. Body SC,wd -
Type of Project/ Activity ( rc�� �`� x IS, E,tnt VVE' a
(Scale: / )Lti'E
Pier(dock)length
Platform(s)
Finger pier(s)-
Groin length
number
Bulkhead/ Riprap length -
avg distance offshore —
max distance offshore
Basin, channel
cubic yards
Boat ramp —_
Boathouse/ ath
Beach Bulldozing -
Other -- - —
Shoreline Length
Tl�"i (.CJkCrttl
# 32.311 C.
SAM not sure yes (Droi
Sandbags: not sure yes CFio/i
Moratorium: n/a yes ino )
Photos: yes nod
Waiver Attached: yes no
i
A building permit may be required by:uv te, r-4 C, 11 See note on back regarding River Basin rules.
Notes/Special Conditions 01 i,f} S`j,C,iJ 6 COS- reed Cru v tt! pos:hie 4h7rt,ci Glatt- .4 Icy
�
��Crn t IfCu� trc� 11lLJ lCrpJi-Qr� I�lCS f e#i Sf I,Hrf (e. 1 ,-gJ, l� fltr I
li1C_OUAicix fl. 10CV�A110ae � -SIN CL kII 115.I -Jr- i1vIpp1;V'�
Agent oorr Applicant Printe'd/NNamie
Signature "Please read compliance statement on back of permiit"
AN-1
Application Fee(s) Check #
Permit O f cer's Signature
Issuing Date / Expiration Date /
Local PlanningJuriscliction Rover File Name

ADJACENT RIPAR -�N PROPERTY OWNER STATEMELYf
(FOR A PIER/MOORING PILINGSIBOATZIFTIBOATHOUSE)
I hereby cer-dry that I own property adjacent to �dpjkk !:;40 's
(Name of Property Owner)
prope y located at ' L , ,
(Lot, Block, Road, etc.) -
on c N , in ( rr,7 I_— ' 1. �11 1 e' � l , N.C.
( aterbodv) (Town and/or County)
He has desc«aed to me, as s<<own below, the development he is proposi-,: a: that location,
and, I have no objections to his proposal. I unders:G:d that a pier/mooning
pi.linz5,'boa&L/boathouse must be sz: back a minimum distance of fri"Leen fee.: from my area
of roa-ian access unless waived by me.
I dn nnt wish to wa:v- the setback requirement.
I d_n wish to waive t ..at setback requirement.
DESCRIPTION AND/OR DRAtiVLNiG OF PROPOSED DEVELOPtifENT:
(To be filled it by individual proposing development)
S�..nature
Print or Type Name!
Telephone Numbz-
DaEe: `7` — ��

ADJACENT R.rPA.RL- .N PROPERTY OWNER STATE-NIEL
(FOR A PIER/MOORING PILINGSIBOA TLIFTIBOA THOUSE)
I hereby cer-tify that I own property adjacent to �t'' V 's
(Name of Property Owner)
prom.. ,y located at
(Lot; Block, Road, etc.)
on r4 , in �P ;1, i% P% LjqA ff)Pr , N.C.
( aterbody) (Town and/or County)
He has described to me, as s<<own below, the development he is proposi-.: at tiat location,
and, I have no objections to his proposal. I understG:d that a pier/moorinE
puirns:s,'boa,:LfL/boathouse must be se: back a minimum distance of fl--Lec.i f-: ( 5') from my area
of ripa-ian access unless waived by me.
I dn rint wish to wane the setback requirement.
I �Ln wish to waive tzt setback- recuirement.
DESCRIPTION AN-D/OR DRAWr G OF PROPOSED DEVELOP%fE\-T:
(To be filled in by individual propos-ing development)
0 � T-C 11�tl
SiQnat6re
1,
Print or Tyne Name
Tz?zonone Number
Date:- l �`s