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Home My WebLink About74144_John Kaplan_20190916 Ef/CAMA/ -I DREDGE & FILL Zp #(19(471 , No. 74144 A ® c ivr er NERAL PERMIT Previous permit# ,v/A >' LJNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued AVA As authorized by the State of North Carolina,Department of Environmental Quality D / 1 Q U and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC ❑ • Rules attached. Applicant Name �/o 1''-, A/a /4 N Project Location: County ,M!/f t, 6''"-/ r Address 76 9 ge../ Tile e," Street Address/State Road/Lot#(s) 7G S Ir-e, City O :a.- 1, / State/VC ZIP efs'1 O r'. ate.i. / /1/c .-2 �7/ Phone#(y `9- 1�+�E-M 'l -' Subdivision 7c� _I Tt''e" 7 LS 7 < / ZIP �.S �l I CityOr,el.. - 23d f c� � Authorized AgentZfL t ❑CW t EW ePTA ❑ES ❑PTS Phone# (- "'"A.V River Basin Gu.,z- Affected ❑OEA ❑HHF ❑1H ❑UBA ❑N/A AEC(s): Adj.Wtr. Body 9r r e 'i✓feK C3P/man /unkn) ❑ PWS: Alec"Closest Maj.Wtr. Body /vim`f` ''tee' ORW: yes / no PNA es no ,., I,.,,1 ' I. , �'�‘//� Type of Project/Activity ,Iji >i. !a "02 '. P1,11-- a.,(l - �! '4' s,a rr e! 1g.• /j(/ . /o%��mr. (Scale: / t�-,Y'O' ) Pier(dock)length ) III f ,�I I . I �` ,r i' ( a Fixed Platform(s) Floating Platforms) "/: j[f'� i �, i I II II III liii III Finger pier(s) Groin length nmbhr \ lIiiE III I uiiaiiiinrniuiu Bulkhead/Riprap length ) a ■ I■ ■■■ miuC, u■■■n■!■ mw,■■■■■■■■ avg max distance stance offshore/` II r IIIHhIIlIINI1IPIIIIHhII Basin,channel j i r��=at,•N�■■■M■■MIM 6" - ■■■ t , ■■■IItiIHIHhIIIIII� cubic yards II { luim Ir ' Boathouse/Boatlift IInInnnnnhIunnu.IIuu , Beach Bulldozing ` I Other 1�. �. ■ ■ 1I1E11N11 Shoreline Length /� ! 1116111-7:911 D 777/ . I SAV: (—not sur yes no II II II Moratorium: n/a yes no ■llallIjJ��,UM■■■■■ ■■■■■■■■■■■■■■■■■I �1�■■ Photos: CO �no ■ �ri�V ■■� U■■�■■■■ ■■■■■ E■a�v21'M� Waiver Attached: yes C.9� i I I A building permit may be required by: , F,."/moo . I I See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) �+ / f I Notes/Special Conditions See 0 7H./.<UG /, a c,-,11,,i7,-,-/ v7 Y I v(n ✓ yet Zs/•j �/F 1/ `""�cyIe"."`4 t"OHC,P 7 w Pl.' it IA ,....,r� J f ale �i. I //,M/ il',rJ 4/4/4 J c) /N'A r Kopk,, ,, KEVji 1-/Aflf Agent or pp ant Prince Name PermitPermit Off,, ,ited Name Si ature **Please read compliance statement on back of permit** Signature Z 0 0• o o. a 20 s IC sir Zo I a / .1.An1 Zo z u Application Fee(s) Check# Issuing Date Expiration Date KitQL-Azit-/ • • 176 c / kciL - -— (- 1 a ( I I 4 4 1. . . r tJ 4 1 -. ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -r,Q Kaplan 's (Name of Property Owner) property located at 769 Bent Tree Rd (Address, Lot, Block, Road, etc.) on_Pierce Creek , in Pamlico County , N.C. (Waterbody) (City/Town and/or County) The applicant s 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 mu fill in desc 'ption below or attach at site drawing) g ��171n � Cl �� t haft �'- }1`JSt �".,Xf fr r:- �� Srvfee GI ri;` i- ()- P, 1,w GS , I ,) EL-4 _, t JC. t. • 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. L - - I do not wish to waive the 15' setback requirement. ( perty Owner Information) Pl (Adjacent Property Owner Information) \, (( , ,— Si tune Signature John Kaplan 3 c A ,1 A-. fri `/ , .- Print or Type Name Piint or Type Name 1 769 Bent Tree Rd Z-- a �' (' Mailing Address Mailing Address/f rr�� ace _Oriental, NC 28571 L),t,,r r / �, ./%, -2 3�7 / City/StateZZip City/State/Zip �, i�/ `/ _252-675-2369 L t t - ts Telephone Number Telephone 1ljumbe II/ILI/ it I C//r f ,, z Date Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 't":� Kaplan 's (Name of Property Owner) property located at 769 Bent Tree Rd (Address, Lot, Block, Road, etc.) on_Pierce Creek , in Pamlico County , 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 must fill in description below or attach a site drawing) CI ftfi g- p, 1,wGS i / i - CIELF-) 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. e� I do not wish to waive the 15' setback requirement. ( perty Owner Information) (Adjacent Property Owner Information) .c ------ S ature Signature .� le , John Kaplan 11,C6 � Z Print or Type Name Print or Type Nam 769 Bent Tree Rd LJw �,...._ ..l L. A lac_..►, Mailing Address Mail Address_ _Oriental, NC 28571 i 3 c.xi( `r-V&C V CI City/State/Zip City/State/Zip _252-675-2369 N C., .- Z,Q.$'� Telephone Number Telephone Number Day- Date i- ' KAP(A") Applicant: Date: /(y Si=Pi zoo General Permit#: it4/9y_ Describe below the HABITAT disturbances for the application. All values should hatch 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. na s- 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) (3 P-,) UA M1Z Dredge❑ Fill❑ Both ❑ Other_ 01081 I ,708 i / z Dredge❑ Fill❑ Both El Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill 0 Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other El Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge 0 Fill❑ Both ❑ Other 0 Dredge❑ Fill 0 Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other 0 Dredge❑ Fill El Both ❑ Other ❑ Applicant: Date: General Permit#: Describe below the HABITAT disturbances for the application. All values should snatch 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. hat,V_zz N2iTha includes any Excludes any total includes Excludes any Choose One anticipated restoration any anticipated restoration and/or restoration or and/or temp restoration or temp impact temp impacts) impact amount) temp impacts) amount) Dredge 0 Fill❑ Both 0 Other ❑ Dredge❑ Fill 0 Both 0 Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge 0 Fill 0 Both ❑ Other 0 Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both 0 Other 0 Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both El Other ❑ Dredge 0 Fill❑ Both ❑ Other ❑ Dredge 0 Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge 0 Fill El Both ❑ Other 0 Dredge❑ Fill❑ Both ❑ Other ❑ Dredge❑ Fill❑ Both 0 Other ❑ ' r c n j �4 ' d spa \ . }„ ! 9 r t :it ti ;`�' ,,` Jam. y t '{ "t3tt F�� .�s�j:& I { _ , ,,,.,,t it, .14,, tiv„, -, N ,ilfcl 1' '11 ' P rtC,tit7 �1i'- y i[ , aze t ' 1, ,, fit t IV t4 t�4% irk.tit •t# 4 .�!} } y. • 1. n ;,I A C i r 9 '# it t t v, t , ! it � f 3� ':.t irk' X,. __' — �F t Xf y€ li) }d` �� t1 � ,r ie t t {fj� v..! k t VP't`' 1 � I ,� * ICE TITS1+ " { 4ii j 'jal 11�, ' If 4 1 of A - 1 ' 3� � =i`i` t It, is f t S yy { �ly '.. ya �� 'till lS� / _ ,, { 7 r ' k-''' ` 1, '0 it •� �r J. 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