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Home My WebLink AboutRabdolph Way 72267D 4`tA11t .; k 0 DCAMA/ ❑DREDGE & FILL NO 72267 A BCDT!, • ENERAL PERMIT CAS '' ''°1 Previous permit# Y�-="4New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permitpe � issued As authorized by the State of North Carolina,Department of Environmental Quality �} C 1v`� and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC r • ❑Rules attached Applicant Name Viikr\CLAVA4N L L. \L V Project Location: County VUA9 s Address I_` ' 2 J ty r S E Street Address/State Road/Lot#(s) City V\A.0L State _ ZIP .941-4.ae; Q l Phone#f lO) -i-Mail Subdivision Vv` �_l /`., City Agent ZIP Affected ❑CV/ DEW ❑PTA ❑ES ❑PTS Phone# ( ) River Basin AEC(s): ❑OEA ❑HHF El IH ❑UBA CI N/A Adj.Wtr. Body L 0.. ` 1 V11� 11 VA,V man /unkn) ❑ PWS: t% It ORW: yes n r. PNA yes / no Closest Maj.Wtr. Body i \ Type of Project/Activity L' n n v 1- \A �`.(n.Y�.Q ��/ �C • (Scale: 1 i.,. ) Pier(dock)length lJ✓ Y��t Fixed Platform(s) I U I 1 x 1 of ,. Floating Platform(s) d‘ u I W . Finger pier(s) - — add lit L\ Groin length number i I Bulkhead/Riprap length avg distance offshore i I 11. — max distance offshore OM Basin,channel NM f cubic yards ( `" Boat ramp Boathouse/Boatlift I - I .0 � i ... ,.... . Beach Bulldozing el oY ' Other I . I 1 Shoreline Length I � ,/—'� SAV: not sure yesiiP "' (/`l Moratorium: n/a yes e� � ,F•� II ''. -..... \("I\Y)-11 . Photos: es '• -S✓� Waiver Attached: es Cr A building permit may be required by: V\! I I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions 1 1 • 1 4\ \. (\V`�V GCo\A j C a J eroda(,( L_r A-6y I't or plicant Printed Name Perm Of cer's Printed Name i Signature **Ple a read complian 'statement on back o,.f.permit**-1 Signature Application Fee(s) Check# Issuin ate Expiration Da ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Randolph 'L • io y 's ((Name of Property Owner) property located at 21'f fit' 5t' 5E �ot 5g Rover-Gardens II (Address, Lot, Block, Rod, etc.) Lion Led(Wood, F ll giver , in /gollviq 7Irvnsnl�cf'(CovK , N.C. (Waterbod� (CitylTown 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) s f'+tac-I 5f Q kci vier, 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.) -4 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 I formation), 'kefi."44ree ��1)2(1- Si natur Signature «ndo� t-• IJ6N41.0 R. 8Reivroty Print or Tye Name / Print or Type Name 211{ 8c.vt St SE 27o S RT srlq er se M ili Address Mailing Address ,�o u fa NL 2.. 0- try a., NC 2s'#22- City/State/Zi City/State/Zip 'rlo-7 -$)23 70'f-?6o- ? o2. Telephone Number Telephone Number /l"2Q-2°t'f Date Date (Revised 6/18/2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Ranco1p E1 'L - Ida y 's (Name of Pro ert Owvyner) property located at 27it eerf 5f-. 5E- Lot-' Sfr govrtlLa ci/ (Address, Lot, Block, Roacl, etc.) on LocCv ooc1 Fll /? v -r , in 0.1,viq Igru4awict'rCo✓* N.C. (Waterbo�y) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 890/1 I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) Sce- A itfte-h 5r1.e Pl-a win). WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setbck, you must initial the appropriate blank below.) 61,W I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Ad'acent Property Owner I formation) 71anacark �. It.120,-- S' nature S r Kai h L- � 2?�T e Name f� Print T e�Vame err St 5 • M ilr Address tin', Address oG vim+, �� G 28`f ZZ /t/Ii+ 94112-2- City/State/Zip C�if y/State/Zip ?io-777- r2,2 4/Q g240 l i-.- Telephone Number Telephone Number // A` — ao/$- Date Date (Revised 6/18/2012) A-PP b1 . 2 5° ` G R A-0 f o GRA5 (.ocKwood5 Folly giv`r L / Pilclyo pod( .. . \ I s kienle. Reaf E ten:linD z' OkreriWirl‘• 7;falt Afp 7 1 .! 'x. i r goof'5-tr(.;.1‘)ke. ELo I__,. T, * pour 3r; rt.I �4trMG I L f f I K Co A r,t NV .x 0 kV Li ,).21 . 4,____,71 , po rw to{ R. B Fer►i-a n vo rc'R ,aob5y D. /vle re tt 270 0crt 54-re`f L ' 5-5 > 27( Land:r3 Rd. S E tgo(ivta ) NC 284Y.. f301(uia, IC Zisit)- RoJ4o� t 1-. 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