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Home My WebLink About74109_Kelly Wilkinson_20190822 4111 ,...tAIVIA/ DREDGE & FILL TO G9t 1,I.,�C1 No. 74109 A B C D ENERAL PERMIT 'T t0�CJ Previous permit# ^// >( ❑Com fete Reissue El Reissue Date previous permi issued /1 t //4 •�New ❑Modificationp / As aut orized by the State of North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 071).)Z,00 - tt ❑Rules attached. Applicant Name Yrt L y L..)1 C Kr )SO/V Project Location: County PM(C I(6 Address II °t G /I GI RQN'/ FARM g ) Street Address/State Road/Lot#(s) Il 9 G )4 WO"IIlY City Cl C 1zI f TT State NC ZIP 0.1R SS-‘ FA12/1 R Phone# ( 4 2? - 6-7 1 E-Mail Subdivision I Authorized Agent City,M I i'( '7 ZIP SS G I ❑CW 94w XPTA ❑ES ❑PTS Phone# ( ) a2 g- 197/ River Basin /VEu.cI Affected ❑OEA ❑HHF ❑IH ❑UBA ❑N/A PAY AEC(s): Adj.Wtr. Body YA( RI VC A 431,man /unkn) ❑ PWS: Closest Maj.Wtr. Body ORW: yes / no PNA yes no Type of Project/Activity AI^I-140g12In 260'S5 PIfit, /31x0V/ PIA17Wei / (3)lfX16 ' 577 POGc✓N s 5'q'` S7-troov,✓1 S` '1(t2 ' 3T1"P004,,^)1 131,4 /3 ' 13o^aI1i (Scale: I''3a Pier(dock)length 300 x c Fixed Platforms) 1J XZ'f/ �• 1.11111i ` (i 1 ■'i121L �!1 ■ I■ �I! tilaCianIa ■■■ ■■ FloatingPlatform(s)i ■ 1.■ ■ �.` ja, ri /)4� , I „ Finger pier(s) ,M ■■■ =111■Limuuv Groin l number ■■■Hh■fl' ,H'ii ■■� ■■■■ ■■■ ■■■■■ �U.� P _ l■■ ■■■■ ■■■ Bulkhead/Riprap length ■■■■■ ■ri . ,L-N ■■■■■■■■■�■■■ avg distance offshore f ■■■■■�■JR■ 1�■■■ ��Qn ■ ■■n■ max distance offshore riiiiiiiii r N!!!! - i cubic yards — ■■■ ■■ ,■ h—■■■■■■■■ 11111.PAL i Boat ramp —� .-► ®■■■a ■■■Boathouse/Boatlift ■■ ■■■■■■ 1100.1111111=1.111110111101411 ■ I C■ 11111'11111111111111 Beach Bulldozing '� /IIIIIIHIiIP!II! yAt" iii Other P1i7 F�Gr� #�f�U I■■■■■■6MA ,Midge l- ll S YIL ('x8 ' ■ ■■1111W RI 1 1M■ _ , ■ 111111111111 11111111111111111111111 Shoreline L' Len M! I a....__ Moratorium: n/a yes ( ■■nmi7jzw!'ii■■■ II■■r,GI�nrati ' liklii ( Photos: yes 0■■11111■ 1 ' _ 111iiiii=4 141111111111` !.ViailirOP■■■■ ■■ • ■■ Waiver Attached: elk no ■ I ' A building permit may be required by: tArt I L 0 CO V p1 7/ . I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) !! Notes/Special Conditions , , ,, eTvi,,) tiAg.. ) en'o1-�pp(cant Pri nted Name! } Permit O/fficer s Printed Name i -- '' Signature ease ead compliance statement on back of permit* Signature Dr cx S i 200. 13o ? b 2( 22 /`UC 1OI 2 ? /b-atc eo/ Application Fee(s) Check# Issuing Date Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT i I hereby certify that I own property adjacent to ae& 's (Name o pQperty O r) property located at . t tt(0 � li(. it/ h �Av' �/ (Address, ot, Block, Road, etc.) on �� \i '-? LLie1' , in 0,70r i , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatio . 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) .. 0 i E 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 ou wish to waive the setback, you �;al the appropriate blank below.) RECEIVED waive the 15' setback I do wish torequirement. Ui 3 i ?019 I do not wish to waive the 15' setback requirement. C _ EID CITY (Property Owner Information) (Adjace t Property Ow er Information) )(el, ' ' Sig a re Signature P ri ilb(4 2i ..z5 1 b ley Pri t or`Type Name Print or Type Name � j Mailing IA I- t. 'fr All l21,�1'�' Oe Mailing Address Ll, 2( o7 a6,5? X e r r i I� /C, 1-b'5 % - q co ��pvCC� i�� ^ City/State/Zip City/State/Zip Telephone Number/email address Telepho e Num er/email address RECEIVED Date Date AUG 0 6 2019 (Revised Aug. 2014) *Valid for one calendar year after signature* DC M-WARO w ADJACENT RIPARIAN PROPERTY OWNER STATEMENT Ze/i„etZ s I hereby certify that I own property adjacent to d* (Property Owner) property located at I I e (e t'�t 1 Ylt. /�'- ' (Add ess, Lot, Block, Road, etc.) on� % ‘ er , in tl4 ci44— , 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 development muit fill in description below or attach a site drawing) At' ` k `, ECE!\IF ) ' S ;Ili ' ' /(1;(1 D€R. INA-MHI) CITY 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. f you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjac yProperty Own r Information) Sig tore ae Print ottT e Name rint or Type N• ne ?d. l?A- / o. l( }26c� ��,, .e/9 "., Mailing Address // NTaili�Address ss :S c ,te r.�Gt(I( /t/(', a /5 65 ,I7/f'f1� �� City/State/Zip City/State2i Telephone Number/email address Tele _ ne umb r/email address RECEIVED #7,--,e7- 1 i _il- /?. Date Da e* AUG 0 6 2019 *Valid for one calendar year after signature* (Revis 6.,v_v'¢ ri0 Applicant: Kra L / W 1 C 1L 1,o Sv^) Date: 2 A(, G Sot °t General Permit#: 7 y/ 09 _r3 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. h`i" -` Name- 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) 6 PEA) (,/4(Dredge❑ Fill❑ Both ❑ Other /• 2 SZ f-T Z Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge 0 Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both 0 Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill 0 Both 0 Other ❑ Dredge❑ FiII❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both 0 Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ 1 Z Is