63011_14 x 25 Boatlift (uncovered)_20180802

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y El DREDGE & FILL '_. 2 72193
.t CAMA ,. GENERAL PERMIT 1 �� ; Previous permit #' A O�1 D
ry'�t
El New ❑Modification ❑Complete Reissue'':❑Partial Reissue '' fit,. ' Date previous permit issued
F 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 ISA NCAC tD-1
;.s Rules attached.
Applicant Name 7,A GjC_ : { �G 1 Project3Location: County cA�l Ica?
Address Oil S W F ` Jam- e� .I=) T 1= l Street Address/ State Road/ Lot #(s) l) r' ,1 ' S LZ ) 3 2'2�
r' City W��i1(�-rz lt-1 State) L ZIP -2-7 �`d 9 GI S Sw p�► pa . j2c�fi
Phone # (2�&-L) 945 4-099 ' E-Ma-Subdivision :!Sy pr-,_l
-Authorized Agent City �AI(N�rh �} ,'T� rl ZIP � 14,'4C9•
❑ LW 1 EW PTA ❑ ES l4 ❑ PTS Phone # ( ) River Basifi`j7Vj- PA"1 ul(J
Affected El oEA [IHHF ElIH ❑ UBA `: El N/A
•AEC(s): s Adj. Wtr. Body �M1 cay �s� (nat maw n' /unkn)
❑ PWS: !
O/ no 7 - - es no Closest Mal. Wtr..Bocl Llc �
RW: yes PNA
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/Agent or plicant Printed N&me
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Sig ature -lease read compliance statement on back of permit t*
Application Fee(s)-_ 'Check #
Issuing Date Expiration Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own the property adjacent to Zachary Keech 's
(Name of Property Owner)
property located at 915 Swan Point Reef Rd Washington NC
(Lot, Block, Road, etc.)
on Pamlico River , in Washington, Beaufort County
(Waterbody) (Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location. I understand that any construction, excluding bulkheads, must be set back a minimum distance
of fifteen feet (15') from any area of riparian access unless waived by me.
I have no objection to the project as proposed but do not wish to waive the (15') setback requirement.
V I have no objection to the project as proposed and do wish to waive the (15') setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
N0 iYy ' 0Unn i ^-✓
Print or Type Name
ZS2 - Lt o2- srS7 "1
Telephone Number
Signature
-7 J2�Stl 9
Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own the property adjacent to Zachary Keech 's
(Name of Property Owner)
property located at 915 Swan Point Reef Rd, Washington NC
(Lot, Block, Road, etc.)
on Pamlico River , in Washington, Beaufort County
(Waterbody) (Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location. I understand that any construction, excluding bulkheads, must be set back a minimum distance
of fifteen feet (15') from any area of riparian access unless waived by me.
_�I have no objection to the project as proposed but do not wish to waive the (15') setback requirement.
V I have no objection to the project as proposed and do wish to waive the (15') setback requirement.
I object to the project as proposed.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(To be filled in by individual proposing development)
Print or Type Name
Telephone Number
Signature
7Iz4 9
Date

Applicant:."ZAZ I(-- I-)
Date: Z 4 zn u% I.,-r r
General Permit * -1 2 I q 3 _ ,
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 dame
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
DPc��1
t.✓
Dredge ❑ Fill ❑ Both ❑ Other
Z
3� D
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 ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑
Dredge ❑ Fill ❑ Both ❑ Other ❑