74042_Frederick V. Lorenzo_20190818

iep4CAMA/ ❑DREDGE & FILL T0 � No. 74042
ENERAL PERMIT - , C)
Previous permit# A C D
>C New Modification ❑Complete Reissue III Partial Reissue Date previous permit iskued il1 q
f 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 15A NCAC 0 9 1/s J ZO O
'/ ❑Rules attached.
Applicant Name Fk Of.n j(j RID
' ZORiit/Z b Project Location: County P/a ML I e-a
Address Sty I M Il( 5 „ ID Street Address/State Road/Lot#(s) .51 1 A4/t C )
City C fl eAJ74 L State NL ZIP 2957/ 11 0-
Phone#(7!7) 357 'QG d 3 E-Mail Subdivision C� _
Authorized Agent City OR J rN TA L ZIP 2D C 7
Affected ❑CW PEW PTA ❑ES ❑PTS Phone# ( )/ iver Basin /2�+t 6 1i-S r
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A 6 Adj.Wtr. Body 'DEC►D Al1 C JZF K ark an /unkn)
❑ PWS: �� Z
ORW: yes o l PNA lye no Closest Maj.Wtr. Body j L4.51 j
/
Type of Project/Activity A U i 4 C)I I ) 5()f!3 /,N(o 1/�nc!) 6 A21 /r
(Scale: / : 30 )
Pier(dock)length
Fixed Platform(s) ..r
EMI! ■, t PP ■■ ■■ -■■II IP 1■■■ ■■■
Floating Platform(s) "" 1011
1 i 0 hp.
pier(s) — f
Groin
nlmber
Bulkhead/Riprap length 1. I ■■■■■■■■■ • ■■■ , IMEIMIIIMMEMEMILIIIMMEMIE
avg distance offshore
i
max distance offshore 1! 1111 : mammismi
Basin,channel ■1■■■1 ■■■1 IIIHIi!HIIIUhIIUII
cubic yards
Boat ramp / , + i 1 ; , e
IIBoathous. Boatlift 17 x i , ' Rao
1 III
1 � _ 1 , II1IIuuuIIIuhIuIIIIIu1
111
Beach Bulldozing t! . 1 `4_IIIIItlIl!IHHHIlI
IHHilh1HiI1hIi ! IHIHH
/l-7 r ■■1 ■ i■ iliEll L ■■■IUIIIIIIII
Shoreline Length `I T
1:0 yes no +---11111111 H .. _......._...IliliHill
Moratorium: n/a yes } • - - ' IL;jI 1� iiiiiiiirr' 1
Photos: yes ■■■ _T. _ ■ .} l ( I el, _ ■■■1 ■■15Y OMR
Waiver Attached:1. ye
A building permit may be required by: 1' t 1(D CoG NT/ . See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction)
Notes/Special Conditions SC 1 07141200 01 A1(C fJ In I LORCAI ZI) e A) OVA
r.k -o �i ( 1 )C I � � =(J Kt Uln) I�/�.lZ%
ger 'cant Pn edVe)
Permit Officer's rinted Nam
Signature **Please read compliance stateme n back of permit** Signature
IVZoc 06 /h Ai)c Zo/61 )8 OFc z of t
Application Fee(s) Check# Issuing Date Expiration Date

•
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I
hereby certify that I own property adjacent to i i ;� r.= s
I ) (Name of Property Owner)
property located at ) C �y `.(.. /\ Of)
(Address, Lot, Block, Road, etc.L
on L IOL(1 ' j \ , in / - _/ _ , N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locaXion.
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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent opert wner Information)
Signature
tSi
k /►JA'/�r�3S �- Co-17 57fl MPi►i,A
Print or Type Name Print or Type Name ���
�,r9 M,�Js Ron,o L
Mailing Address Mailin Addresst.f2ji3X
��� N
7 l DR''n9L NC_ S$ 7/ g13'
Cif/State/Zip Cit /State2ip
ia 7cz7c) (cell)
Telephone Number eleph e N ber• 9
Date i ( 7 3/Yo//
Date
(Revised 6/18/2012)

r&6 e o "-i) (3 deT 1., irr
F--kepcocK V
6 / /14 ) t-L-5 Ka4d
ok le71,7-4i, /vc, 7.,5 V
. ,
'• -•-------------z_____:)_6( _____ z ---.- 1 ,
0)5•0714T---
1 (
, . V.12 06K
1 , i A I
1 i . ......(\
---
N
, 1
1 1 ,
i ‘ 1 i ,
/,
1 t
1 r-
,
, 171005 1
-...- 1 ,
P, ,,_.,
. ( '
,.
1 i,,-• \ l'
U
P-\.
li
I .
o\(_
1 i .
•
i ..
1 .
. 1 .
, 11
i
I - - i I
1 i
4 -
p
5.c4LE ; // fi

.,,
k0 1)6 d (3 0 .41-- L-t - .7-
-FR e-ic icl< lt t-Oki&A/
c6 1 41 ) u 5 gcirti
6 g ) /v/rir-1,. At 6-, 9 i '-5-?1
i -
( /
___ 31
/-------rr - . .
; if(
, 477.po6K
, A
. .
\ ,
\ ,
r- -/
--------6---- ° / [
r
— ',---
--0
7
1 cr, sotr 1II 61
_.....„) 11 FT
,.....4-
, T \r I? 3 I()
ci
1 j!
0\ 1 Ii
I. !,
1,
. i
1
._ _ _—_____,:. •--- -----• ,... ....._______ .._
"c3UL--1/\11-Elt P 9 ( I( 91
ri
i 7— V

:' '�-.'
G
I e
, ''''.,,,,,..F: if
Mq
LI\
cm
" - tx 4 , .„, -';',..' - -
1 "r. '
.-
C

0
-
ti
U
4, 9
S
mow,
,
'Oft '
s+'. "..
J
L
z
',p, i,‘,:-', .,,.., , \
T; �
--
I

d Applicant: �f Z (C C ��
Date: rJ Au 2d
General Permit#: ?k O c_/Z _15
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.
ha`"i`az 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)
0 Y 1F 4 /} l Dredge 0 Fill 0 Both 0 Other )u 9/ 7
Dredge❑ Fill 0 Both ❑ Other 0
Dredge 0 Fill 0 Both ❑ Other ❑
Dredge❑ Fill 0 Both 0 Other 0
Dredge 0 Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge 0 Fill 0 Both 0 Other 0
Dredge❑ Fill❑ Both 0 Other 0
Dredge❑ Fill 0 Both ❑ Other 0
Dredge 0 Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge 0 Fill 0 Both 0 Other 0