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Home My WebLink About70663_Manitenance exuvation_20180313I.CAMA / C�M1DREDGE & FILL. ' Z. Q G.6NERAL PERMIT Previous perm/'✓/� it.# [New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality-f-/�f-�� " and the Coastal Resources 'Commission in'an area of environmental concern pursuant to 15A NCAC T , • [X Ules atfached. Applicant Name \�/?Gii �{'i�il/1 /,J %'/G/] "7—Gj Project Location: County. /` Address(r" e��/ /,�) / rGG- 1 ^qe-' Street Address/ State Road/ Lot #(s) � �a! City N/,f, r t State ZIP 40 4/� Phone # ) �(/�f " n ��E-Ma'I Subdivision 44W Authorized Agent ' - �`�� G1�/% City ZIP = O CW XEW- PTA } ES ) PTS Phone # ( ) River,Basin . /!�f Affected ❑ OEA ElHHF ❑ IH / ❑ UBA ❑ N/A AEC(s): Adj. Wtr. Body r.��i� �o �' ' (nat A %unkn) ❑ PWS: ORW: yes / ,t�% PNA yes / no Closest Maj. Wtr. Body f Type of Project/ Acti ity _ Pier Fi:e Float Fing Groi Bulk Basil Boat Boat Beac Othi Shor SAV Mor Phoi Wai, G t. (Scale: �/I�;'/7 ■■e■eI■■■■■■e■■ee■ e e■®■MEN i length ■e■®i■i■■ee■e ■■■■■■■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■■■ number ■■■M■max ■■■■we■■■■ee■■■w■■■■■■■■■■■■■■■■ avg distance offshore ■■■■■■■■■■■w■■■wr�w.�.��■■��■■■■■■■■■■■■■■ distance • ■w■■■■■■■■■ww■■�er�e!�c�.�,e■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■r�■■■■■■■r�■a■■■■■■■■■■■■■e �J■ee■■■■■■■ A IMIGe VWHMM■■■■■■■■■ee■■■ cubic yards ��► ramp ■■■■■■■■■■■■■■■e■■■■"■en■■■■■■■■■■e■■■ ■■■■■■■■ ■■�■j�lil/�!l��!■mil► .7f■■■■■■■■■■■■■■■ ■■■ ■■■■■■■■■ ■■■■■■■■■■■ ■■■■�■■�■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ fline Length .■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■®■■e■■■■ ■■■■■■■■■■■■■■■■■■■■■■e■■■■■■■■■■■■■■■■ not sure - yes n •■■■■■■■■ ■■■■ ■■■■ ■■■■ ■■■s■ ■■■■MEE .■■■■■■■■■■■■e■■■■■■■■■■■■■■■■■■■No _ .... ■■■■■�■■e■■■■■■■■■■■■■■■■■■■■■■■■■■ v / A building permit may be required by: Note Local Planning jurisdiction) Notes/ Special C ditions > tf , r AgentorApplicant Printed—NaJme - '�,S gnature Please read co npRiance statement oh"- ack of permit App ication Fee(s) Ch ck # ✓ i Issuing Date [See note on back regarding River 4aa%mJe n rules. M iration Date - s I I NC Division of Coastal Mgt. Habitat 91rr>lpact Computer Sheet Applicant: 5 /Va/4� �1/GzZcc Date:1j? /iT 2h p%j/0 General Permit #: 2046 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) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) �ry Dredge,$ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill [4 Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ i 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 ❑ 252-808-2808 :: 1-888.4RCOAST :: www.nccoastaimanagement.net revised: 02/03/10 k1a El i 4selection , 3 61 9 If, �lGi� far- ��f Q� _Z3 VI: '00d Tj 0/1 F :es3t?0 R E TOtfMSHIP 7 ts MBL 66810054 go�v 1 feature(s) selected on 1 layer(s) 1: 140.845 (" V 132.77 x �� ,F`•T M�r.s }t�l, `� , r ` • , e; 114 vt�'f ti 0*1 jk ''l? a � :,' �a��'�r l 0� T lei � �; '�•�, {,l�i(j '��•��t�;, a ,ri'� j �, �� ,v�`.e►:, i s,t i �]' f:� i' y lit 'n/�^�;` q r ! �l e ka - rrr J •'r „' ! �� s o i t x� •,R {, .t 1 i H � 5 1 �l r• .s _ �S'�f } " r � !�. 6, i+ t, F Its J•.pk�i 1 ° ' 't .. i�l '�' ` to t � � �• f.,a ',.�� ,' + ��y� � ,A. 1, ta, ° t•; • A„d R ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to''-��"�Ai✓ /c3r'c eG�.f�'�� 's (Name of Property Owner) property located at 7-7 cleon.'D (Address, Block, Road, etc.) } (Waterbody) (Cky/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRA%NING OF PROPOSED DEVELOPMENT oi trirlual;pi' p % =40 4/10: in-0) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pr perty Owner Information) (Adjacent Property Owner Information) Suture Sigma r Print or Type Name pri,�t 9� ��e 07ssMaili ddre Cify/Siate2ip Ci4of4tate2' Telephone Number/ema'I ddress Telephone Number/email address Bate Date*LJ (Revised Aug. 2094) *Valid for one calendar year after signature ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to sq 's ,�� --� ame of Property Owner) property located at L.r�cr� �� A�, & -(Address, StockyRoad, etc.) q (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locati n. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSE® DEVELOPMENT �l»efvidu�fpe��►p®sFn��e�eg®�'rn�rv$�ir�est A% in��es��irpt��ata�lov�®r_acf=� s�#� aira�ira91 WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 do wish to waive the 15' setback requirement. 1 do not wish to waive the 15' setback requirement. (Property Owner Information) Sz!Wtune Print oT. Type Name MMWPPdres City/State2ip ,�.�/ ��• Telephone Number/email address -4-1^1119 /7 Date `Valid for one calendar year after signature* (Adjacent properly Owner formation) 'Signature l®,� Prin r Type Name •_/ M ' 'ng Address �� - Vie. ;? 7 City/State/Zip Telephone Numberl email address Date* ` J (Revised Aug. 2014)