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Home My WebLink About70647_Boathouse_20180129► '. C..CAIVIA / ❑ DREDGE & FILL ,." �` 2 N2 `�0647 d �V A B- C D :GENERAL PERMIT Previous permit #31 k New []Modification ❑ Complete Reissue ❑ Partial Reissue Date previous permit issued 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 15A NCAC rj 7 k4 • 12 0 O Q Rules attached. = 1 -. Applicant Name Ct✓A�1 tF o'[]4ES Project Location: County '23 EA L., ` '`c Street Address/ State Road/ Lot #(s) Address r�A-iC� City WaS t�.1G-►' l Stated(— ZIVZ`7$4�`j � 17 LYJL��L� AT�k - Phone # 4 2.-99J3 E-Mail ~ " ' Subdivision � F w,a-� Authorized Agent � I rA City rVAstfr"-1 -0N� ZIP 2 ❑ CW E� EW �R PTA ❑ ES ❑ PTS Phone # ( ) River Basin JAjZ- ROW,, v Affected ❑ OEA ElHHF El IH ElUBA El N/A AEC(s): Adj. Wtr. Body ��—�1L/ Iv 10 WL`�'L_.. (nat)/mare-/tinkn) ❑ PWS: ORW: yes no PNA yes / no Closest Maj. Wtr. Bodyyl V Gam_ Type of Project/ Activity �>RoPOc 4 CT V- S N, A i �L4c3 u S r� (Scale:1 =3v ) Pier ( Fixec Float Fingc Groi -I} lkl Basir Boat Boat Bea< Othc Shor SAV Mor Phoi Wail ! r length i ■■■■ ■■ �.i..__..=..�7 ME ON No 0 ■OMNI ■■■■■ ■■■■■■■�i■■�iwr��wa�■�I�a®1■■■■■■■ number Riprap length■■t■■■■■■■■■�!■�1l�1�i■■l�1��■■!!■■■■■!■■ avg distance offshore_ ■■■■■■■■■■■,■w■■�aa■�i■lia�■aIwln■■■��Ir.�■■e■■■■ max distance .re ■■■■■■■ ■■■■■■■■■■■■■11■■■■■■■■■■■me■■■!■■■■■■■ channel ■■�1■■■■■■■■■■1 ■It■■■ ■■■■■ ■■■ ■■■ ■■■ ■■ ■■■■■■■■UNION■® ■■■■■i■■■�!MEN its cubic yards■■■■■■■■■■11lf�■■■■■■■■■■■■■■■�■■■■ ■■■r:��■■■■■■■�1■:�■■■■■■■■■■!■■■■■!■■e■■■■ ■■■■■■FZF!■_■■711lI�■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■E■■■1■�■■■■■■■■■!®■■■■■■■■■■!■■ ■■p■■■■■■■■■1'I■■■■■■■■■■■!■■■■■■■■■■■■■■i ■■■■■■■■!■■■■II!!■■■■■■■■■■■■■■■�■■■!■NE ',,not su�re yes no ■c■■■■■■■■ ■■■�1 r■ r■■■■■■■■■■!■■■■ - �fl� ME lfl■■■■E!!!� I M■■ U■■ ��'� r !O■!■■ A building permit maybe required by: 13r4 c.,. F t2.? 10. � See note on back -regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ �S]peciall Conditions /,o? is �d�ir-�T`1�+-1�-� X!-✓7 �JM �7ZCd Claw ��o,es Agent or Applicant Printed Name n ~ 2 r- Signature Please read com iance statement on back of permit pplication Fee(s) Check # Per i Offi -er's Printed Name tgn ture . 21 T 91) FAQ.J 1 2-S .1N�y Z d Issuing Date . Expiration Date iw=,: °F1�u fi lwl Jrm�-co & tu.z. J 6•,. q tl . f • ^�i�ru�T. d siC ct�'�"�tr'�"�-ate. os'�� -�c�'t'�fo� ' Applicants C L4L4 >] �4 o-z>(q� 5 Pennitt: iD Date: Describe belowthe HABITAT disturbances far the application_. Ail •value-s should match the namr g, and emits of measurement found in your Habitat code sheet_ TOTAL 5q. FE FINAL Sq_ Ft TOTAL Feet FINIAL Feat (Appjied f r_ (Anadpated final (Applied fors (Anflcipated kal Ha6ifat Mama OISTUREITYPE Oisturbance total disturbance Dfstftarrce disturbance, .' Choose one includes any Excludes are total includes ' Excludes any anticipated re5taratian' any anddpated restaraffan andfor restoration ar andlar temp restoration or temp impact temp impacts) fm act amauri } temp impacts) amaunt) W� T�7L ' Dredge Q Fitt Q Both. Q Other 3ZO 'f%r2 2 �j2c7 r. Dredge Q •, Fiil ElEath Q other Q ' I Dredge-Q- Fill Q bath Q Other ❑ Dredge Q PM C1 Gattr Q other Q t3re4ge Q FM . Bahr Q Other Q T7. Oredae'Q'• Riff C4 Both f�1 Other Q l f Dredge of T^' Bcsih t_Cther 0, I . I: Dredge Q. ifi Q Path Q Other [i Dredga•f! 1 sir Q. Sams Q - Other fi:— f (- 0reage i i-"iit C aift Q other. t I _ tedge L idi Q •3ath Q' Other Q' • - •. � �-�ics .� =art•' � � � .:,u"1er _ �, i OrsdO Q FIf C1 8attr•Q' Othee. Q I dFadge Q . Fill Q 66tj1 Q ' Other'Q r7 i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Q Au d H4a s 's ( me of Pro Owner) property located at 11 E� Znra e f RU p (Address, Lot, Bloc l¢� Ro , etc.) on ��z 1 am�ica R�vc.� , in t3� w cr Cow , N.C. (Waterbody) (City/Town and/or C unty) The applicant has described to me, as shown below, the development proposed at the above location. �e M& I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) Yoc"� ohl Is �Y°Ao�2� 7� �LCoV ex,s�i�,� Loc.T I➢f t a N� w�l1s arZ fror � 1" eJosel all"40 rrorosel %-vp CJ 1O CO eb if eris�f �� Pier ,� V 6 4 Pit 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 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) (O� Sign C re S Iyay4A A--, VW RAADVJ Print or Type Name Prjnt or Type Name I- 11 E.ae,erate-r K'0" Mailin Ad ress `� S A c iv NC :17861 City/State2i 252 02- Telephone Number :T-Aho 1i . 2016 Date ivallywri//yjr UU1tr � 0C, `L 19M Telephone Number ( 2 3. l Date (Revised 611812012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to c c t i h oAe4e s is ..11 of Pre erty Owner) property located at i1 EA► �a 1'�ame .1- Ko ,o (Adress, Lot, Block, Road, etc.) on ` ke- I �vr+�ico #vet , in Beav,-y'd CV1 , N.C. (Waterbody) (City/Town and/or Cou ty) The applicant has described to me, as shown below, the development proposed at the above location. X, I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must flil in description below or attach a site drawing) r�.� bfla►� kff N 0 VAIIs otre- vop-oSel 6 .l -o GoV be4- l;Ff ew is*h r bad j, f } 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 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) Signature j a Signature Clan 170fi� fi5 55,1�P'1—I§, Print or Type Namer,3 Print or Type Name �— I-1 Ed e,,aX+P,t 2-2 sL, N LO Ma' li, ng Addre Mailing Address �iC— City4&ate/Zipi City/State/Zip (z5a� Telephone Number Telephone Number —Tan. -31 21019 l'�-r I Date Date (Revised 611812012)