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74070_Terri A. Rowe_20190815
CAMA / DREDGE & FILL =e---})C No. 74070 0_GENERAL PERMIT D / X -to N Previous permit# A B ' C 2I a > New Modification Complete Reissue CPartial Reissue Date previous permit issued r.i I A 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 `' ` • Rules attached. Applicant Name E p.c.., A 12.a w e Project Location: County �a A tr F v z (v. F I Address .L. {-0 Ft,i . e- 5 r- J Street Address/State Road/Lot#(s) -'r r- '.i? )1-11 t � City r <.a G0 r‘..i 1 + ./, State 4_1 G ZIP r_-) -'3, --/ cv Z 1 © rI rt..c;Tz-t S-r - Phone# (_,( ) , 43 —1I';`f E-Mail Subdivision vat 0 oir _5 i- ,,\4. +-1 Cityr;•.,,at,.).�i , -t- ZIP 2-'i r- / Authorized Agent r-s � �-- 1 CW I EW WPTA pES PTS Phone# ( ) River BasinTf+- -PA NA•c,w Affected --OEA ❑HHF ❑IN ❑UBA ❑N/A AEC(s): Adj.Wtr. Body;7A^^ L-'�4) '-ra'!a'& .. (nab/man /unkn) PWS: Closest Maj.Wtr. Body `)' `^, '- -.2.'"c- ORW: yes / no PNA yes / no Type of Project/Activity '? Y',-1z L (Scale:/ = 2 ) Pier(dock)length _ _ Fixed Platform(s) i �- . I'�'— Floating Platform(s) 1 I Finger pier(s) I:(YJL� i,rl/r1"e-j zsdi i i 40' ,,,TJ j)4 P/L�,1. TZ-i Pr Groin length "'2 I number / 1 /} L-(9 13rarti-7:�)N i{ I Bulkhead/Riprap length ' rf. S I avg distance offshore `\ jE :�yft-c I max distance offshore \ I4;�.ow♦ 1 , ! j (.. Basin,channel 1 -, I l 1 t cubic yards Ii , \ I . Boat ramp . I . G�i' 4r-�y t�� ! : I 6/ ,-ter I_ Boathouse/Boatlift r r I ` Beach Bulldozing I Other I 1 011 RECEIVED'r ' AUG 21 2flt9 -. Shoreline Length 77 ' y 1 SAV: not lures no ��i1l7 I ���o ,- ----- I � � M-WARD Moratorium: n/a yes no I I. Photos: yes ' ��'u-' 7 p — Waiver Attached: C._yes L A building permit may be required by: %yes-v-ifve 7 (-.1.3 . See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions -,y- /S • - z--i-y/?-,,-4— ,") z 44---^' . ?TL ,r ^2> /9 ./-, A/3')v� v1ZM Z j..--,A.. -7? Z42 Z. . x _-__rt.-R.R. \ A , Q.o w Q.J , rFILLy 5P,r,t.7 Agent J )Lk licant Printed Name PermitOffiy�r's Printed Name tease - Signature Please read compliance statement on back of permit ignature l� GEE t.✓f'r✓6-- ' r,) i",4 /5-741461.43r - 0 / q rf z 2 ' / 9 Application Fee(s) Check# Issuing Date Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent toK j J)J \ � 's (Name of Property Owner) property located at 1))-{ t'_.) 0 \ '0._ 4 , ' , (Address, Lot, Block, Road, etc.) on (:,, )\CC c` Uj ; ,,J .4,,i O_ -L , in L.kc..)C( (0 i , 3 i N.C. (Waterbody) ` (City/Town and/ortounty) 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 WAIVER SECTION I understand that a pier, dobk, 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 ish to waive the setback, you must initial the appropriate blank below.) `A.: I do wish to waive the 15' setback requirement. If I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Property Owner Information) `E.�\ ,-_ cis __07-Z fr y��1Si ature �ZL SLAN I�(.,�t-�1� 1) ' S to I' Print or Typ Name Pry" �,o�Typ Narne � � /, 4-�� . i\ cftc_st 0 5G' 1p S L1 1 U ailing Address Mailing Address .J . - City/State/Zip . City State ip Telephone Number/email address Tele hone Number/email address Date i 2 1 Ck b - Q - 1 9 Date* (Revised Aug. 2014) *Valid for one calendar year after signature* NC Division of Coastal Mgt. Habitat impact Computer Sheet Applicant: T Z2i '/ �o✓c Date: l A y y 5 i Z'' / General Permit#: l� 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 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 am cunt) temp impacts) amount) a PeiNi 2 2 Dredge❑ Fill❑ Both ❑ Other 5 Zr; .. { Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ j r 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 ❑