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HomeMy WebLinkAbout64197_Emer Wiggins_20190430 r&bp..- m /-4=i'60REDOp &PILL` . • No 73008 'B 'C ' D , ' GENERAL PERMIT '`"�'lq Previous"permit# zA• ` �`%❑New ❑Modification Complete•Reissue' Partial Reissue .- Date-previous permit issued /2.aria,,...2 cd SC ;s • As.authorized by the State of North Carolina;Department of Environmental Quality l • ' ' and the'Coastal Resources•Commission`n-an area of environmental concern pursuant to I 5A NCAC 07/ o • / 2 O - - ' .- ' pa Rules attached. • ` Applicant Name.:Z-2.--4-'/E1� '.4.�/G�4==i. 6 Project Location: County- Lam- C-4� e7 -T ,Co %- Address--•:Z Sao S� 0 y, r/+Lora- - 'vim • Street Address/State Road/-Lot#(s)n ,c-S� // �`• • ;+ City- ,�,41 xf a•'2.: ' State Al'L ZIP 2-7 5-i 9' 0 3 2/ l>i 2. 3 ibc •D ' Phone#•(2 s-z)625- Szi3c...E-Mail Subdivision .a2%S i C�� •Authorized Agent = 7Tz/q ic.l,>✓. '/✓I D y : City • C/-iaGz,c.�i.,-//-i- ZIP 2 1'/7 Affected 1'CW" >EW ,PTA ❑ES • ❑RTS -Phone#••( ) 'River Basin-TAR `;?err 2-;I c o ❑OEA ❑HHF '- ❑IH ❑UBA ❑N/A ' • .• . AEC(s): Adj.Wtr. Body il-14-%,1 A--1,1 me GA-x.24 i--- (nat,/m�/unkn) • -❑PWS: ' Closest Maj.Wtr. Body ,4A1`/Ce, .—g'Vim. • ' " ORW: yes / no_ •PNA yes /(29 •- Type of Project/Activity /A/1,TA•L L /2. v /7. 44// v c---,0 /3c'4 "r2---/ 7=i • • . (Scale: A f /4 •) Pier(dock)length - • _ •Fixed Platform(s) • ' , Floating Platform(s) . ,q ;r:. •• • -•. . Finger pier(s) "Groin length _ U _ number I. ''• .- • . Bulkhead/Riprap length /t4M" 1 L-7 1 c- gA2-- P� / 1 i 1 r I 24 (� avg distance offshore E7 el / Z3j " . ie • max distance offshore • - G 1 " Basin,channel I /�� / /F�� ?o cubic yards I . • • Boat ramp ' - ' Boathousekt3catliis.) sz.L'P ' . • /2 '7 /Z ' . • Beach Bulldozing -.? . .Other " . ' Shoreline Length� �- 1 , • • SAY: riot sure yes no ' Moratorium: 'n/a yes no I - "' Photos: yes no . Waiver Attached: ri�es1 no • L 72 J " A building permit may be required by:_fir R f=t 2t -. lv ^ . See note on back regarding River Basin rules. ' ' (Note Local Planning Jurisdiction) ''- a• Notes/Special Conditions Lz>1 /5 ,,,.-/a-,,07-,47�}-cID /,A w-0-1 . D,41T L, /7 P i L/IN I 5.-- S i-L4 LL NET ��,c7sh T iPnrLi /af--.i �/-4 . ----R. 14-"(7 7)W6 -7 . . ... . • AgentrorApplicant Printed Name /' Per 'itOfficer's Printed Name ' • Signature . "*Please read compliance st tement on back of permit** ignature P - ,, o� j7/.(.K. (' 2a'� —7,e 3o 42R-it.. 20 34D 4 UGkT' '2vt9 . ' `' Application Fee(s) . ,Check# • Issuing Date . , - - Expiration Date - ' �RLAMA/ ❑DREDGE & FILL �P a SAS o 72160 A C D GENERAL PERMIT Previous permit# NI 1 A )1< r4New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued - IA ` 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 I5A NCAC 0-7 I-) ' 1 2v(--' . ®Rules attached. Applicant Name E. Li.--1 - L.'i!a,`_, i--1 g _ Project Location: County bca. f-<>-2 e:-, • Address Z `i-- ' Ur#-T-A L) P 9.-i CT Street Address/State Road/Lot#(s) '—t' 1\ t,;,m City (9 A.24--I.—a— State 141. .. ZIP -2-'7�2� -3"2- i F43e-T 51 IP - -62.. Phone#('2 2)1 Z -.5-q 342 E-Mail - Subdivision --v S 1 -fl`c Authorized Agent '`fin 9 L ,t-io t-, City -1 2�-o(...,-)t 3-1 rim ZIP 2 ) 5 J-1 ❑CW / _y_y 1gPTA ❑ES OPTS Phone# ( ) River Basin- Z- ?n,.,�rr,( ) Affected ❑OEA D HHF ❑1H ❑UBA ❑N/A i AEC(s): Adj.Wtr. Body iv' --)- '"' (na_t,/man-7Dnkn) ❑PINS: Closest Maj.Wtr. Body • 1`'1 L"''D `%-r- ORW: yes /C7 PNA yes r:• Type of Project/Activity 1 1-4S-,t -c.- )2, ') I- v z) 'v 1...1=;1 E 13 v' .-i ? (Scale: ) = )0 ) Pier(dock)length , Fixed Platform(s) � 1` I / ,I C• , ,—,-- t Floating Platform(s) ?p x t r ti1/ (> l Finger piers) �2u j r N. Groin length /,..... / number I rC'�� / I I Bulkhead/Riprap length IY t avg distance offshore / I ift `' > cam:G 7 max distance offshor— ,I f g '�r --- Basin,channel / N- / 1 j! f I / 1 - 1 / cubic yardsc. 1 ./ . Boat ramp r,--' If / I Boathouse%Boatlit s 0 i n v PR_ �-90.- f , I 1 Beach Bulldozing �1"1-1' i / : " -her ,� \:„......,...„.., Shoreline Length 3" 1J SAV: not su, yes no j U i Moratorium: n/a yes ,no rf1 i., ,.,-:�, c•=+-� / 2.0,,,f Photos: es�Vin Waiver Attached: (yes,I no I permitI' e 9 by: `r e z^-�)-i;- t o, See note on back're regarding River Basin rules. A building maybe required P g g (Note Local Planning Jurisdiction) Notes/Special Conditions k v- 5 .v+-',--3,—}-'r."q.i 4 It() >�c-‘ x� • roc -u¶-'f" t , i t--15 S 3--1 A- '-- f / /1V g,/X A4c,Lid; i_. t l..L 1 S P, ,f ,-; Agent orApPlicant P int'ed Name - PermitQfJlcer's Printed Nam Signature Please read complian�statement on back of permit Signature ` "� _.--) -1 ,1c) i\\k - ' 2. U U J3 7';DC )2 L.c✓‘ ' ) :( )--, ;-!L k' '"-I'''ryt- 2.3 r'ii Application Fee(s) Check# ' Issuing Date Expiration Date Authorized Agent Consent Agreement I ,E -€Y- 1,0 F h S , hereby authorize fe IS M 0 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. j, Property Address: 3 iNct" I 6 P dr C oco ) A I 47 Property Owner's.Mailing Address and Phone Number: { gI ev � ; V/ s ti 0 51 1. (t. "Aft(' /6-E, C�4 ✓ , /V( 11 9 .— 77.) R i Property Owner's Signature: Authorized Agent Signature: :i c-:"1)( V 1 C- e.. Date: Tpt ( �) 0/8 �1 Form:Authorized Agent Agreement as developed by NCDCM revised 7/29/09 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Eyrw� k/...f '4,C. 's ( ame of Property Owne property located at �. ] ,� p y- .� r ,,pc. Dr • L r (Address, Lot, Block, Road, etc.) . on p o -Fs , c, c Cav, ez/ , in Ch .9� ev1il , )ll , N.C. (Waterbody) (City/Town andloLCounty) The applicant has described to me, as shown below, the development proposed at the above locatio). V 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) 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.) Z---- I-do wish to waive the 15' setback requirement. • I do not wish to waive the 15' setback requirement. (Property Owner Information) (A Aen PropepVA0wner In oil ation o.,� 1 1 .k- le 0A4 0 r Sta 0 .tom Si ature Sz atur Print or Type Name Print or Ty Name VvV Ru 'act/re by. / I3 6-q //0fAi t AO ng Address Mailivg Address City/Sta •/Zip City/State/Zip • @ / 7 � cd. s - 5S<-s‘ aS - 30/ ~- S.) 7 ) Telephone Number Telgphorte Number hay ( . 2(j/h' Jai ( 6 .4 a/8 Date i I Date t (Revised 6/18/2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to /vy)f r 6-0 i .i 's • (Name of Propert} ner) property located at 3 a .j j)a c t r=i E A ;" C Itaar tom,,`_„ , / (A dress, Lot, Block," Roac9, etc.), on Po.riLrf c a , in ( Yl 0 e_O i(? £4 , , N.C. (Waterbo (City/Town and/or Co4ty) The applicant has described to me, as shown below, the development proposed at the above location. i/%l 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) • • • 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.) /`` C. 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) (r2avi 4-• Sig.t l nr Signature ature " YI` d' r !-, 1 . /tr. �e�t�t i A Cu Print or T pe Name Print or Type Name Mailing Address MailingAddress i ( —No- p ! - d T• city/left City/State/Zip L� Telepho e Number Telephone Number g1ci - 6 5 36 .5. -5'7 5-- 2 0o • Date Date y (Revised 6/18/2012) . . . . i - i . i . ! .., alpio . fl. /)'(/ I v lif 1:2_ : -Y‘I'______„.-----7tAA . • i A , •r ' tt •s(L.7 6.;. )C-' e .sl' 4 Q° '' .. Of7 S. . • v. .. \. o .... ,„.. \\ - -4- --,e' , \r) U. &-- --'` , r-7 ,.............____, - .... . . . . . , • • Applicant (GM L 7/C,6,43 Date: 3 D (iO)2- r .._ 2 General Permit#: • • Describe below the HABITAT disturbances for the application. All values should match the name,and units of measurement found in your Habitat code sheet TOTAL Sq.Ft.f FINAL Sq.Ft. TOTAL Feet FINAL Feet ` (Applied for. (Anticipated final (Applied for. (Anticipated final DISTURB TYPE Disturbance total disturbance. Disturbance disturbance. Habitat Maine Choose One includes any Excludes any total includes Excludes any anticipated restoration any anticipated restoration and/or restoration or ' and/ortemp restoration or temp impact temp impacts) impact amount) temp impacts) amount) 14,/4"-re Y Dredge 0 Fill 0 Both 0 Other"Ixb (( Pi- /5LCL Dredge 0 Fill❑ Both El Other ❑ Dredge 0 Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both 0 Other.❑ . • Dredge❑ Fill❑ Both ❑ Other 0 Dredge❑ Fill❑ Both 0 Other 0 Dredge 0 Fill❑ Both ❑ Other 0 • Dredge❑ Fill❑ Both ❑ Other 0 Dredge 0 Fill 0 Both 0 Other 0 Dredge❑ Fill❑ Both ❑ Other 0 • Dredge 0 Fill 0 Both 0 Other ❑ Dredge❑ Fill El Both ❑ Other ❑ • Dredge 0 Fill❑ Both 0 Other ❑ Dredge❑ Fill❑ Both 0 Other 0 • {