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Home My WebLink About68955_Wayne Miller_20171117�-A�MA jDREbGt &*iLL L", • `•�-,�'�' �. ��4'� ,��.��'�e,�l - �,.'�A C D ' GME RA PERMIT a '441, : Proib6ipermit # EM6difcation 'Coffipldte,Reis§ud- EPartial,'Reissue' Date 1p1 rev-io'u, s'—p6r ii issued SA, ;P yA'he 'bf' North J6partnent of Environment and Natural Resources -_116ourcd�-Corrinrussion in an area of ,o env ronm e an he C6astal enta,,c6nc rn'oursuant,to 15A NCAC i pQ Rules attached; 0, J� TV �A �rpject'Lo�atioh: Coup— Appli6fit Name 'Street Address State 'kZ8ta ` , /,. Lot ate df.J-1 Phone E-Mail Subdivision Ed ULD L t) S/A 0, Yr, city -AUthoriz6( j Zlpq 7C7715 E I , CW ;9PTA ES PTS "Affpcted AEC(§):., OEA'�- El HHF D 1H El UBA [I N/A 0 PWS: PNA yes Phone# (—) River Basin -P/-\ 5 Qk,1 Dl-1-1,V) Adi . . Wtr: Body ALREAY4 Sold)? (n3a /man /unkn) Closest Maj. Wtr. Body AL g[MAk If _50u, n,0 Typb, of Pr'ojd141'.4CtiV1itY 'Avq*i2�6 112V fit Pier (dodk)lenjt� cale: (S- Axzl A02 ......... 1`16aiinj Pia�or�(s) F nger Morm�NIMEMENOMEN MEMO M" 1361k6;and R, ii�prap 16 I- ayg,distance offshore p2p� i!"n e offshbre't) J EMEME MEM MEN MERFEW101111111 NONE c6bicyarcls� �a r�mp bot�.�Us' QM'Eaitli MMENNNEIIN MOIL IIMMMMMMMM ...Bdach.Bulldozin Oihe'lr,,-' CCCCei■CCCCC■iieC■iiCCCiII■■�■■■'■��■■■■■ Sfiorelin6 ength. ;0 SV Yes no , i6 wa ,e; no 0 Photos: �e! en WiiVerAitache�:-.,�- qs no Mon NEW"M■MENNEN, MEMMEME MMMr'%WjWZ I MOMir ANEMONE M Appllc4i�.P P6rrn!t0fficer:s Printed Nameor ignature, J,�fPle�ase 8- 6a"c'k'q` r�a,,cqrppiiance'a�t�` S ... .. x! . , ,,!gnature'-j'A IicationFees fiec`k` # Ul !�s ig b "a Applicant: WA IAIg ttILL0 Date: 17 Al d%) ZoI '� -General Permit M G 0 'N Ir-U 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 Marne 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) O PI�! WATE11 Dredge ❑ Fill ❑ Both ❑ Other $ 6 �(,�, Dredge ❑ Fill Both ❑ Other ❑ G ®r �p oY I dp'�Jf) Dredge [IFill Both ❑ Other [I( / iDZ 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 ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ rfn LEFT Side Dock 6'x 90' (540sgft) Right Side Platform 16' x 11'(176sgft) 4piling Boatlift e= Division of coastal management agency form for permit applications Wayne A. Miller owner of the property located at: (Name of Property Owner) 308 Emerald Lane, Roper NC, 27970 (Property Address) Hereby authorize Sawyers Residential & Marine Construction, Inc./ Ivan Sawyer (Name of person or company acting as agent) To act as my agent for the purpose of obtaining any needed Coastal Area Management Act and/or Dredge and Fill Act permit ,that may be needed for the proposed development at the above indicated property, which entails: BULKHEAD: Across front of property, then into property on left hand side of property. PI5R: Agprox. 80 ft, with an " U' platform at the end BOATLIFT : Located on right hand side of pier. (Describe proposed development for which permits are being sought) This agency is limited to the specific activities described above, and will expire on: 31 Oct. 2017 (Date on which authorization expires) (Signature) V"..� A), (Printed name of owner) owner or trustee for property - 7 7-0/7 (Date) (Title, if officer of core. rr e-i .. ' � �� •Axr11 I Ar r4 - t a rd �Mi e � !j ''�( • _ .. '� AP6t;;��B �r,+'�� 7r :4 �. }? c r Ia�K�' 74i�N�TT' yil''�,;Tp�J�r-yPi�}� �� j9• '.� <... r '�� .:ys\ yy i T �i""�. L'Sp QF✓'k°i�' � ,nh. ktGr �,L �"4i,v`,�u • _ .. � . � - - . � _ .".r. .aiYi, >Sq.t ur+""�� 7ri � r x I.pa. 9 ol ,.�}i r i, r p 7 4 1/ X'Y'%r4iTi r S?v v j ` • • ,rf�"x-:.{ '` s' CA — �: _�. _ „. ( •� I } f, �{J t t -s fFp'riyW' �}�� J x k _ ' t c r k� I J'".''' W,, jlill{I�gti• �l�'i ✓� � -. � r 7�a .�` .. .. .. v 4 ,T r s $ jI q'+. °s •! �, 4� -:; rS�JSi��+,li%x�, ?c -t 5 � C t _ -...I: .Ik '�� u. r- 'r• aY ��7 ,j �r. �" J'usF � ,4,�f riN nAf� t� � art. : - "' i F ? - f rt ( c �'� r y r�u'�r j��•� ,r' �r•,�� t r �' � L - ,�f � S' s1�� wrl(rl M� � u _ ttJ�.SY Slln VC I y I1Y (444,i . _ _ ,. +�- 4.. +� r` d y rl 3 J' C w' °4 '`n C �� rrr X'SI If "'' �rF L�n•�'f. x r� -t Z)F. o Nth T) P�i tlla"r5•vy f.': .1 } r LyCi�i"15r�1�� f I a,, i' ? xr e � r r i (Kafir l'T6'TS��/4�i+Ur y •xt �»y, yJ.� '1 y4f tt e V ({fY< _ wr'L°"^ r { air' '� %�}• � 4'J ! � 9 5p �t i -, 1M ,•„ a r'`%s ram, n< ?r ti°�\ r c c N f jr� r i �'({� _ - ..r+�.x tr.•�. t'' �`�r 'K 2( r N r" -c 5' � �,�. I f- x• � � �� 3 �� y,t: �. c x`-,r J t .d 4 ,.i r•J,trx1 n �+ L gm 1 � x^ti � r r`.ti a ,u+/ Z �":4� t w _�' A yf '<` "�1: '' -t 1 7 a• t�-f r � ;Y'1�"'r � � .rik�f a Y v 7 •r f ` S `ty��? l ,r "a (({{'r •" u -� r a� '� Cif %C i tl 4 ! i L� kf1 `, yrf 1 'X•'1 Y f\ ,• SY� Y,-''4- 4 Y 1 y :� f! pPS r, n """ 'r �� t4a �rtr• r > sy .r1 r r 4.. i r �. 7 t-'may :'+ .Y .. a) F r � kau 0.r� r '$e � s .. � !I i >�a 'fir :•F,)l :kf -x S! rr r, rc- x � .:�'','"�+ >... s � �'. r i x 5 i 4>`+y4�. )YA 11 rI 11 �/� � i..• �rr1� ✓ r !>i°�•f. .F - f � • � .,a 7 t < r _�� f ,. r �;� ' _ � v S r �r'k + 1 Y✓',r11 frf)uY::; nip ;3' r •h. VOP WWI s, q 's f T S .v ADJACENT RIPARIAN FfLQPgM OWNER-STA°) EMgNi I hereby certify that I own property adjacent to All%e //1110' 's (Name of Property Owner) property located at G.ry. ! (Address, Lot, Block, Road, etc.) on _ / l'1f}� �61AIO , in j�E�- , 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 objections to this proposal. DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT (Inc dual proposing development must fill in descAp;io►r below or aftach a site drawing) -Fla T,v 1 & Pl (,tfT R)TA DOW SI fJi� 1q,✓D -TAl p ?/Zo J°c%/L� Y 1� — li d j5t roe 444 i r 9-1 a --- JPIAl—1 l�11 G G-I.¢M ' I I ill" -&tA-rf' WAAR SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16 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. t� l-do not wish to waive the 15' setback requirement. (Property Owner Information) Sign Print or Tvoe Name C-11i 06 .. I I 'Lshe-"Amame reyi.�ee+seiuY Telephone Numberl email address V � 7 2. M Dar (Adjacent Property Owner Signature* Print or�pe Name .J ck- n, s N Mailing Address V-I! �t1.0 . 7�jfstU citylstatemp 11*67 %1 J - Szv --1 04,4 Telephone tuber/email address &l5/zon Date* (Revised Aug. 2014) *Valid for one calendar year after signature* 6 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT - I hereby certify that I own property adjacent to W�/'/G `s (Name of Property Owner) property located at �)d G.N, i (Address, Lot, Block, Road, etc.) on _.4WgSe ACZ-9� 6�fuAlD _ ., in V.C. (Waterbody) (City/Town and/or County) The 'applicant has described to me, as shown below, the development proposed at the above locatin xf TT' t have no objection to this proposal. I have objections to this proposal_ DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (lnd!Wcrual proposing devefopmentmust fit!- in descdpfiba b dow..or a0ch *sHe&awing) - i G l ry Tdxwo wt6L441 t la I X�✓ tLI 1�Qo�`T 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 I& 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) ;v ` u % CV- Print or Type Name Mailltxl Address GI/i.- /U 2 .79 36 �1SlatelL'p ��3 C-L,z05yf,bc�rx„hi�6 Telephone Number/ email address Y,+A ao xor' 2-7- M54z�L? Date Telephone Number/email address Date` (Revised Aug. 2014) Walid for one calendar year after signature'