HomeMy WebLinkAbout70697_Bulkhead and platform_201804037 -
X6AM^ DREDGE & FILL'%N270697
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WOENERAL PERMIT Previous permit #
New I ElModification E]Connplete Reissue 0 Partial -Reissue Date previous permit issued Al I 1A
As authorized by -the State of North Carolina, Department of Environmental Quality ff
and the Coastal Resburces Commission in an area of environmental- concern pursuant to 15A NCAC 06 J_ 1-1. 1.200
Pais attached.
Applicant Name 'RIAJ 140))ARD Project Location:`. County WASH oc'm'd
Address 10) 1 SA4)—A MAZT-A COU91- Street Address/ State R6dd/ Lot #(s) O I A) E Id GG'12 �-Y
City_Y_J 6WIA 9F-ACI-I State VA zip LA A-) D JJ L, 6K Alt, 3 '1-
Phone* E-Mail Subdivision /V,[[d2F_
Authorized Agent City- zip W
El CW XEW 1,0TA -YI-ES- YPTS Phone# River Basin PAS WAA
Affected
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AEC -Nlman
Adj. Wtr. Body Al SOwJ9 Qat /unkn)
0 PWS: LE EMKILE' S o�lVo
ORW: yes no PNA yes a
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
hign.Zre ease read complianc"e statement on back of permit
Tp
,Application Fee(s) Check #
VIA
PermitOfficer's Printed Name
Signature
AF-RIL
-A 1A
Issuing Date Expiration Date
Applicant: �RI/VJ (�61JA2(i
Date: q A?(1(L ZD(%
-General Permit #: i 0 G S7`13
Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL Sq. Ft
(Applied for.
Disturbance total
includes any
anticipated
restoration or
temp impacts)
FINAL Sq. Ft.
(Anticipated final
disturbance.
Excludes any
restoration
and/or temp
impact amount)
TOTAL Feet
(Applied for.
Disturbance
total includes
any anticipated
restoration or
temp impacts)_amount)
FINAL Feet
(Anticipated final
disturbance.
Excludes any
restoration and/or
temp impact
s' OP-s („J E
Dredge ❑ Fill V- Both ❑ Other ❑
100 0-
h o o f- i
$NALLOtJ 9679
Dredge FillPN Both ❑ Other ❑
voFI Z
200F( Z
G 2orw0
Dredge ❑ Fill ❑ Both ❑ Other g
j Uo0 r- T 'z-
UhrLjL
Dredge [IFill ❑ Both ❑ Other
1D0 F/ z
00 F %*'4
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
; ,
APR 0 2 2018
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT \RIIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVE� VED
pQ Name of by nerD:
Lv&, Address of 804201��Z � �•�,eH , n /�z ���6
(Lot or Street*, Street or Road, City & C nty) �(��-►��
0 _WAS®
Agent's N �e Mailing Address:
Agent's phone #:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying -for this_permit has described to me as shown on the attached drawing the development
- .sa-';;;> -- �,r.x - .'si:.' ::.z=::3: .;#;:.'fief'�T7';> •..:: :':<'""';=x;,F-.- J:x. cnz.r%Y �T,,-ti_,—
they are proposing. P3ecrat[on_.ordrarfvrxiuuaiFi-l[x[wens[x[stmusheorileduai's1tr.
V- I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 943 Washington Square
Mall, Washington, NC, 27889. DCM representatives can also be contacted at (252) 946-6481. No response is
considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back.a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.) .
9( 1 do wish to waive the 15' setback requirement:
I do not wish to waive the 15' setback requirement.
(Property Owner I oration)
Signature
I'80y!✓ 0 r < e--�
Print or Type Name
Nq
Mailing Address
k-dAep1�/��
City/State/Zip
_q .5'C2 -76 -7
Telephone Number
3r.�7-IS)
Date
(Adjacent Property Owner Information)
Signature
Print or Type Name
Mailing Address
d//�i�i,-
City/State/Zip
,7g2 .58-9 o?-S
Telephone Number
3/.z1//Y
Date
Revised 611812012
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RECEDED CERTIFIED MAIL • RETURN RECEIPT REQUESTED
APR 0 2 2018 DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
® Ri f operty Owlner: �H)qN• k P R 65S
L4 Address of Property: ` ke41, � 0. t-�v �, _ 4��a
(Lot or Street*, Street or Road, City & C
Agent's Name: Mailing Address:
Agent's phone #:
I hereby certifyL that. I own property adjacent to the above referenced property. The individual
` 'apptyiri =for fhis`p ririit'has-,described tome as shown on the attached draWng-the:cieveloprnent
�_F ,d
they are proposing. A d6scribtion-oc dii' r a,• th`I be" rcivi tsd.witti tE>i l fter.
FD V- I have no objections to this proposal. � I have objections to this proposal,
Of you have objections to what is being proposed, you must notify the Division of Coastai Management (DCM) in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 943 Washington Square
Mail, Washington, NC, 27889. CGM representatives can also be contacted at (282) 946-6481. No response is
considered the same as no ob ecdon if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (if you
wish to waive the setback, you must initial the appropriate blank below.)
I` ,U 7- l do wiAh to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement,
(Property Owner i ation) (Adjacent Property Owner Information) -
Signature Signature
Print or Type Name
Mailing address
_ f
City%st te&, ip
Telephone Number
Date
Print or Type Name ~ F
Mailing Address
City/staterzip
59-9
Telephone Number
Date
Revised 6118/2012
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