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Home My WebLink About70682_Bulkhead_20180326et CAMA %,hC DREDGE &FILL No / 0682 A C D. j. GENERAL PERMIT Previous permit# )A New ❑Modification El Complete Reissue El Partial Reissue Date previous permit issued ;a 1 /� As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC y . Rules attached. Applicant Name "'./OIVM fL_�� I Y Address ) D City.y r t.t�t Stat1 C ZIP Z �C Phone # E-Mail Authorized Agent Affected I❑ CW -SEW PTA ❑ ES ❑ PTS E1OEA . ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): ❑ PWS: ORW: yes / no PNA yes /a Project Location: County 1 R t �� ► (� Street Address/ State Road/ Lot #(s) 9:) ��j- Subdivision City ZIP '7 =ice r Phone # ( ) River Basin ^/- 4 'VAM t-< Adj. Wtr. Body /A-�-1 M lYJ C (qat C man /unkn) ' Closest Maj. Wtr. BodyG__ � Y ' ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ M. ■■■■■■■■■■■■■■■■■■■■■■■■�1■■■■■®■■■■■■■ ■■i-ilill�.�i■�I�.�.■■■�iii■�W��i�ii■iir)�ii�■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■A■■OMEN Agent�orflpplicant-Pri ted Na �p'r{{"// GIIVVCC Signature "Please read -compliance statement on back of permit�� va -Z 3?-p ApplicationFee(s) Check# lt`7 �P�LJ /Permtt'Of-fc�r's Printed Name Signature Issuing Date Expiration,Date - , j: ;CAMA /,Rf DREDGE & FILLS 1V2 7®68G A B C D ~" GENERAL PERMIT Previous permit # �= J ,New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorised by the State of North Carolina,' Department of Environmental Quality and the -Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC n') Rules attached. Applicant Name T�. I ; as , } r_, Y Project Location: Address i t7 4=1 City _'z� , �� , State-, ZIP •;a % =R:;. - Phone # (� "-)1 Y ;`, E-Mail Authorized Agent ' F r 1. ",f" Y'� t� r� �_� i•= �z. Affected ❑ CW -SEW p�PTA ❑ ES ElPTS AEC(s: ElOEA ; ❑ HHF ElIH ❑ UBA ❑ N/A ❑sPWS: ORW: yes %�"07 PNA yes Type of Project/ Activity 1 - r f- LI c Pier (dock) length Fixed Platform(s) Floating Platform(s) ! Finger pier(s) Groin length number Bulkhead/ ftiprap length -_� avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing �+ Other 1 Shoreline Length 7 '7 SAV: _ not sure yes no Street Address/ State Road/ Lot #(s) t a Subdivision -i-",A v', City . ,' :> �� ?, .- , -� ZIP Phone # ( ) River Basin- 1 /-�,7 Adj. Wtr. Body.',' " % r ^' ' = ,_. t" (nat '/man)/unkn) Closest Maj. Wtr. Body (Scale: 1 �•::� ) ■■■■■■■■■■■■■■■■■■■■■■■ ■ ■■■■■■■■■■■■■■ ■■.■.....■...........■.....■...®..■■... ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■ww■■■w■w■■■■■■■■■■■■■■■■■i ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ...........■..�....■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■�■■■■■■■■■■■■■■■■■■■■■■■■■■■■ Moratorium: n/a yes Photos: yes l%no Waiver Attached: yes to X� A building permit maybe required by: ' i '::. , ., ;••, ,,, t l > . ( Note Local Planning Jurisdiction) `r_ See note on back regarding River Basin rules. Notes/ Special Conditions _� , i , n.: , ,_ -, �__ rl L_ A L.:> VQ, c :, r Agent or Applicant Printed Name`-;, ' Signature "Please read compliance statement on back of permit" Application Fee(s) Check# Permit -Officer's Printed Name iJ Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:�� Mailing Address: log Z Phone Number: S 2 7 / q " J 4 d 0 Email Address: ll I certify that I have authorized r, /G c-- Lo O Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: E ;a / A�L at my property located at in ounty. I 1 furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: d"I -P--,� SignWe ,d 6 lam/+` k- L/ Print or Type Name 1 t,J di,) •c—, t-- Title Date This certification is valid through I I ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �� ,� Pr> b r i b V 's ,,� a (Name of Property Owner) property located at Z .� -- t° 0 � 3 3 (Address, Lot, Block, Road, etc.) on C- Iy -e— in C- h 1) GG w i �l v 7� N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELO-F-MM i (Individual proposing development must fill in description below or attach a site drawing. Jq J d to e_'o va itl 1 l v 1 k -C� vy) o 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. (Property Owner Information) S' ture Print or Type Nam _rn? Mailing Address City/State/Zip �1 `l-5Z 7JT-.3`tD0 Telephone Number/email address Date (Adjacent Property ow er inrormation) ature ,0a A St" f�� Print or Type Name T'.? o11 '/4 0/ 9q Af Mailing Addres Y&�-- City/State/Zip �_ 4 2qt 34 ; ;I_ 9 rl Telephone Number/email address ;'_/,/-26r-/ Date* (Revised Aug. 2014) MA *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to L1,n't-d b i i ' Li 's f (i�larn¢ of Property ner) property located at a / V S -C.( I -V t-3 3 (Address, Lot, Bloch, Road, etc.) on _ C--at-, - i in /h1) c'o ftjk/-v t- t � , N.C. (Waterbody) (City/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 objecAl6ns to tht s proposal. DESCRIPTION ANbIOR DRAWING OF PROPOSED DEVELOPMENT - (lgdldual prapQsing/d/eii416l night'-aniist k/ in deso#p ion b1�eloy8 ri%r afiacia _a s�fe.rllra�vuing) ` ' H-'e- 4 <-V WAIVER SECTION understand -that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, IV, 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 19 setback requiremen- ^ i do not wish to waive .the 15' setback requirement, 'Property f?tner Information) Pso{�erty Owe ro(vsaiio(�) J( tat�L�rL LfQ�ature r 4,J Print or Type Name Print or Type Name M.111kig Address Mailing Address �_ !� Cil}rlStat /Zip CiiylSiafe'zfp � Z' 3J��-0�%�� Telephone ldumberl email address Telephone (Number email/ ddress Date Date" �7� f (Revised Aug. 2014) Walid for one calendar year after signature' Applicant: aj.:>jAjA-P-fl SV , t, Ey Date; PennRt `] O ZG i'-1 A-'2� -zoo �d Desc"be 6elowthe HABITAT disturbances far the appCca6on_• M'values should match the naRr 3, and [inns of measurement found in your Habitat code shee't.- TOTAL Ft. FNAI. Sq- Ft TOTAL Feet FILIAL Feet ,Sq_ (APplied for. (Afladpated Ormf (Appged fc(4 (Anffci ated brio! Habitat htarrte OISTURS•TYPE Ofsturbance total dfsturbanm Dfstdi bancg disturbance. .' Chobse one includes arty Fxiludes amf total includes ' Excfudes any anticipated restaraffafr any antidpated resiafaadan andlor resfaradon or aridlart temp restoration or temp impact hi ate) fm oact amounq temp impacts) amaud) Oredge 0 ' Fit Q Both. Q Other O s.o rAtemp z�NM Qreclg� Q , Fill Hatfi Q affter Q 1 So' • -------------- z� Dredge{Q: Fig Q Both Q _albs 12c c7 Dredge Q PilI Q Bath Q Qther E] aredde [j Fill Q. Bath Q other Q i . l Oredge'Q . rt f 4 Saib Q Mier Cr f rUJMdq-- [j FM C Eld4 �_i C-ther C. I r t• �, Dr4d9e 0- F—Iff Q 90h 0 ocher Q �' I I - �. Dtesigw-Q <=•31:['-.. coth L�i - oitteE (_„i_ � - I f - _• I , • •- r (• amage _ ! =ui C Suth Q othw. Q' f • dredge E ill OrSant Q Other lam' _ Dr eage ice- other i ?• i Dredge Q F lr t Q 80m Q' athei Q f dredge Q . Fill Q 60t . Q 'other Q 41