HomeMy WebLinkAbout64401_richard & Sheri Herman_20190613 ,-,;:,,-,,,c:..-; ,_-_•,-,:•;1„,,yi.- ,..,,:,:.....,,l.:..:;,-,'.,,,.--,..:-, :,.,.;.,-..:,/::,!-.7r. .,;,,;,.,.2,,: .,,;:::,-.,.. , ,,,i;-',?!i:77:77pz1,fr,,,i,17.77".7-,7?- ::,.7`0 4-7-37-7,1;7, ,f,.=.-:, -”r,7:,7•7..;;;',,:i.7777:7:-..,,-7.77•-•:2- ":!'... -z..1..-
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0 n CAMA:/0 DREDGE &FILL- -"`• --: - .• ''' ' ' • No. 72461 -6
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gENERAL:- PERMIT , ,, ,..-,. .'. -, -..: • Pr'e\ious,.pei-mit 4i.• '.'--/U-/A:- .--
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----• > eN.iv`-'...,'in Modification .'liCOniplete Reissue 'EPaitial Reissue •Date previous permit is‘Ued''..0/11.•
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'As authorizedf by the State of North Carolina,.Department of Environmental Quality
and the Coast Retoui:cOS Commission in an area of environmental concern pursuant to I 5A NCAC 0 71/ 1 4;0 0.'.---::i: -',' --• ' , -:,-. ' ' s' - •.. : '
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' -,-- , ' - ••‘,,,. E Rules at•_taChed. .",-:•.,•,•,'".,'•.•-•':• -;...'$,
Applicant'f :I :tn.'..; :k1'6iAI'-/•\ 1)'-,"-lc:I.: cl-IF)I2'1 -41::-12MA(4 r - Project Location: County /A)/1).;51///i&I"--Pit.11,',
'Addi-esS',S..37.: :CyrRE:5: _-_-41loi e(-3 ' - gi), E- Street Address/State Road/! .:;i.'#(s).""5"..3, -,..c.y_ty:i9:,-.
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'1.1.6i't;; 1Z6.1202_,:-; .:. ::,:''''',/' , s':- State'NC ZIP:2 7/70 stioxis': 'g))' 1 E • orii, Nc-. .•2L.:''. . '- --. ' _'..'-:.1:'-.._.' .1_ •-, '..,` -',:',.'
• Phone#.(-,-,. ,),-,,,..-.. ,., .,- . ''-. ,E=Mair .:.. - ..„ _ Subdivision CY-Pie(5fi.. -,"-5//aief,"'
• Authorized Agent ''Ek L --. ibktlie f::F' ' `'...7L/P:Z34 7 . ' City''teopirit- - -::' ,' :,. ,,, .. - : -:.',.,',iP::'579)..b-,-:'''s
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Type of P!ojetiActivity1.41;1.71-16,/e I a Cl) ' i 3/. 1(13/ IA d c( l Fil.f.D Li r.' k _fAitt• r• m s)7 41• 01 it - '. -. ':' :•:',,
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pier.(dbcwength .--31-1‘ . . ..-. -
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Finger pier(s)A. . • ' 1 • ; ,)- `P , . r- •/`'C 6 7.
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..:Groin lengtk --- --.-- , 1 1 1 • • , ' I.
number 1,•-" - ' • VI "- • I '' ' - - I ; e:„ t (,..„,,A I AVi°t i-1,? / Z X I ''. •
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Bulkhead!Riprap length -- ', ;.- ;••\ 2 ,: . , I. • Gix/.0 7
LIFT'
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',':„ 1 - •-• -•'max distance offshore ',l ; , 1'\ .• •
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;•:••:'°,, - cubic yards - •.• • I ' L 11,41-hovizr e ,
Boat Tamp ', , 1 3
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Boathouse!
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sAV:. '.. not sure yes'' no I . 7-11 - ___I • I I ' • - . • -.,„
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Moratorium: An/a yes . f(J9..: , l'', ' I
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'WaiverAi:tacked! 0 ok , .
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. , .. . ..A buildingpermit may required by: 1)11-.5)4 06 TPA Co Vi1/4)71/
1,,', -.• , . See note on back regarding River Basin rulas.
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Permit.?pc r's rintec.001...
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• Signature_., **Please read compliance statement on back of permit**i ' ,. Signature
i( po6 13 1A/ •
2011 13 c re7.
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A .:Application Fee(s).,....,,.: , 1 .• -Check# ;-' ...--- . Issuing Date ' , 'Expiration Date. • , ' -... ;
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I.hereby certify that I own property adjacent to ONc„.-cA S Lae; Nit r 's
(Name otProp Owner)
property located at C 3 el ASS S kako s t1
(Address, Lot, Block, Road, etc.)
on WcoriNG r uvk�d , in fir) , 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 AND/OR DRAWING OF PROPOSED DEVELOPMENT
Individual proposing de__velopment:must fill in description below or-attach a=site drawing)
nn -4
` \,- 9- 1 3
to
•
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 15'‘from my area of riparian access unless waived by
me. (If you wish to waive the setback, you must the appropriate blank below.)
t 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)
/( AAJ41V
rt
Si tune Signatur�
31)Pr r /i �' 0�'h 17)a v l re ere4re' I . ie lad
Pnnt or Type Na4 e Prin or Type Name
'l ke)Z 1-)CO e 8,e Road '73 elpvd f5 $4 're s
M ling Address Mail' g A ess
City/Sta e/Zip City/St�te/Zip
4o- 7/0 -- 3G(p rii i O o ,g
Telephone Nu ber/email address TelephoneNumber/email address
6 - V 20l? tf-2a/y
Date Date*
• (Revised Aug. 2014)
*valid for one calendar year after signature*
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ric.L+D o c &ERI - ERtLA NT.4
Mailing Address: 11602, DRoOtle, ROAD
�s<c.prru , in. 4(Di 3 3
Phone Number: (ZLDo) % O. 230Co
Email Address: -l-he rrno.r n EDZ a 3mai 1 . Lo m
I certify that I have authorized 13 r 9) ►- \r�; c h o y e s A„ I L s
Agent/ ontractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: , r- ' i e
at my property located at 53 C r r e ss S k o-t .e s R O r e r
in Wc,t,,K .,...-slaytCounty.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
5H-eRi L. -HF-KMANIJ
Print or Type Name
I�wr c
Title
5 , Zs / Iq
Date
This certification is valid through I I
rkRv) d Sl1��z i NEPA
Applicant: ��c N
Date: )3 TIA ` Zo1
-General Permit#: 7 Z L/'1—►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.
TOTAL Sq. Ft. FINAL Sq.Ft. TOTAL Feet FINAL Feet
(Applied for. (Anticipated final (Applied for. (Anticipated final
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
Habitat Fame Choose One includes any Excludes any total includes Excludes any
anticipated restoration any anticipated restoration and/or
restoration or and/or temp restoration or temp impact
temp impacts) impact amount) temp impacts) amount)
opo PA all Dredge❑ Fill❑ Both ❑ Other ( l (f7 it?F _
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❑ V Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑ -