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Home My WebLink About63168_intall 15' x 15' uncovered boatlift & 5' x12' stepdown_20181001CAMA1 ❑ DREDGE &'FILL- US j14� 1� No 72480 :tit y GENERAL -PERMIT` ,. Previous erinit,# ', "•"' .. ew- ❑Modification ❑Complete Reissue ❑Part'ial Reissue Date previous -permit issued ' As authorized by the State'of'North Carolina, Department of Environmental Quality and the Coastal Reso_ urce' i, Commission in an area of environmental'concern pursuant to I SA NCAC , (•Rules attached. :4 Applicant Name)/uf�5r�-�`r� Project Location: -Conn �� -� •�, , , Address 1 .mil (/ f-�� U `�3 Street Address/ State Road/ Lot # s City ��/Q�f-), ;�-�,� �1 --State O ii _ zip 7-1 �b4�r-► Phone.# (zg2)�j.�i� =E-Mail Subdivision _ Authorized Agent L� e; City i l, ZIP Affected ❑ cw p EW PTA , ES ` r�-�_� ❑ ❑ PTs Phone # ( ) 'River Basin'TiInt- ` ❑ OEA ❑ HHF ❑•IH ❑ UBA "❑ N/A AEC(s): Adj. Wtr. Body/ ��F+K (nat /man /unkn) OW: yes no� 3PNA yes % no Closest Maj. Wtr. Body Type of Project/ Activity t)5-r (Scale: )\4 l �. Pier dock len h Fixe, Floa Fingi Groi .Bulk Basic Boat Boat �G Beac Oth( Shor SAV Mor P.hot Wain ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ irig Platform(s) ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■�■■■■■■I number 'Chan!nel ■■■■■n■■ �■■ors■■ei�a■e�■=■■�■■�■■■■■■■■■■ cubic yards ■■■■■■■:■:■■■■■■■■■■■■i■■ r�■■■■■■■■■■ ramp ■■■■■■■■■■■■■e■■■■■■■■■■■■■■■■■■■■■■■■■ 'i Bulldozing ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ -line Lengh not S no yeg mrAV:;6ed:' vas A building permit may be required by:n T / U • iSee note on back regarding River Basin rules. ( Note Local Planning Jurisdiction)..- Notes/ Special Conditions L, )'5 V tc� Agent or Appl' nntt rinte m Signature Please read co , pliance statement on back of permit .� � t• �'l�. � 2r� t7 � 3 i"l ;Application Fee(s) • Check# :r's Printed Name q affix-7 Z- Zdl Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to the Washington Yacht and Country Club is ' (Name of Property Owner) property located at 7155 River Road (Address, Lot, Block, Road, etc.) on Broad Creek in Washington, NC N.C. (Waterbody) (City/Town and/or County) 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 fill in description below or attach a site drawing) Proposed Uncovered Boat Lift in an existing slip. 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. X I do not wish to waive the 15' setback requirement. (Pro erty Owner Information) (Adjacent Property Owner Information) Signature tgnature 7 Washington Yacht and Country Club Eddie T Knott Pr' , y�e Name .� Print or Type Name Ma '' gAhoress Mailing Address 7155 River Road P.O Box 926 City/State/Zip City/State/Zip Washington, NC 27889 New Bern, NC 28563 Telephone Number Telephone Number (252) 946-1514 252 633-4567 Date 08/27/2018 Date 08/27/2018 (Revised 611812012) Authorized Agent Consent Agreement Charles Manning I Washington Yacht and Country Club , hereby authorize Bob Carlyle to act on (Property Owner) (Authorized Agent) my behalf in obtaining CAMA permits for the location listed below. This agency authorization is limited to the specific activities described above. Property Address: Washington Yacht and Country Club 7155 River Road Washington, North Carolina 27889 Property Owner's Mailing Address: Same as Property Address Property Owner's Signature: Authorized Agent Signature: Vate: 10/1/2018 Form: Authorized Agent Agreement as developed by NCDCM revised 9/25/06 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to the Washington Yacht and Country Club 's (Name of Property Owner) property located at 7155 River Road (Address, Lot, Block, Road, etc.) on Broad Creek in Washington, NC N.C. (Waterbody) (City/Town and/or County) 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 fill in description below or attach a site drawing) Proposed Uncovered Boat Lift in an existing slip. 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. X I do not wish to waive the 15' setback requirement. Signature Washington Yacht and Country Club PI e RName ri / Mailing Add ess 7155 River Road City/State/Zip Washington, NC 27889 Telephone Number 252 946-1514 Date 08/27/2018 ( Tcaae��nt Property nOwner rIInformation) Signature William E McCotter Pry t o Type Nam Mailing Address 121 Hilltop Lane City/State/Zip Washington, NC 27889 Telephone Number 252 946-1341 Date 08/27/2018 (Revised 611812012) Applicant: \AI"4 11-1-e, -T�,J y �}G,a -f- Gov J rz� G L �-► 3 Date: -General Permit A -7 Z 1f- ea v —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 Name TYPE Choose One Choose TOTAL Sq. Ft (Applied for. Disturbance total includes any anticipated restoration or ternImpacts) 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 ternimpacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/or temp impact amount OPE N �y�/q-r-tyt Dredge ❑ Fill ❑ Both ❑ Other Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Drudge ❑ Fill ❑ Both ❑ Outer ❑ 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 ❑