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Home My WebLink About74009_Leonard Nelson_20190624 .--)--1(- 4, _ CAMA / DREDGE & FILL 'D-t'f 624 . No. 74009 A B C\ GENERAL PERMIT Previous permit# )' - 'New Modification Complete Reissue -Partial Reissue Date previous permit issued 44... 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 07!-/ . / 2 cti a E21 Rules attached. Applicant Name D//\20 )1.- .SD/ -I Project Location: County ,:,57-4 t{l'Z:YIZ- , � . Address '7O 4/J4.j9 L/ 3./1-1-! t'S' 'G R, Street Address/State Road/ Lot#(s)tip. 31 i 32 City .1(a5PiN/61-2)1-) StateA(C ZIP d 7 '3�1 p 70 5/-/.A2! 2.31,•-IKS 7',1 ' • Phone# ( i)3 T S-' -2}'3O E-Mail Subdivision„5//ci.'y 1-4=5 ??ErFF-T--i Authorized Agent ti 1/It - City 1 L ,,-l42-rz:.r,✓' ZIP Z J $-3 1 fAffected ❑CW ZI EW PTA ❑ES ElPTS Phone# ( ) River Basin"A a" -?4rl i r`v AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body�43^"= ','a �'v O ❑ PWS. ,'`(nat /man /unkn) 7 ORW: yes / , PNA yes { no Closest Maj.Wtr. Body l""L'` a -1 ve - Type of Project/Activity /,"5-rt�z t /3' y /3 / i+ t3�,tT'- -?" ,.J�ov��'Zt (Scale: ) Pier(dock)length Fixed Platform(s) I 4-- 1 AFL i Floating Platform(s) j Finger pier(s) I 4 d'A`a � M u r .42 Tfo J _ Groin length j I I v/F P4-4- "U)d.t,. i I II number .a'yt 1317 4 1 Bulkhead/Riprap length P/L "i � � .--. .7 _ I /1�.5 r a v c /3 r/3: j avg distance offshore , l 01 C� max distance offshore � - r— Basin,channel I \ , t cubic yards f 1 ; i Boat ramp 1 Boathouse/Boatlift Ls -1 1 )✓C-N 470 ! I f /3 y 3 i Beach Bulldozing I /7 Are Other _ ( 1? l� g7 -/f O GAL I I i -Tl I .i_..- - 1 I Shoreline Length I - '- ,_ir..-�"� _-- ,_. SAV: aot sur yes no ' --—__..__ ; , 1 D / i Moratorium: n/a yes no Photos: yes, no - 1 1 1 T j -__._ �� i � Waiver Attached: yes no /1/��os � A building permit may ISeTequired by: K ,7t-arL7- See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions I-2.--0 1--4 i.v _ (.1-27-9 P6P-D ../i -i /- '9'\-) 4.,/, 4?/4/ ';,--41 Agent or Applicant Printed Naive PermitOfficer's Printed Name Signature **Please read compliance statement on back of permit** ignature ._.)r"- �► - `>' — .....L./ . a , q `Y CI( _o) t Applicatio Fee(s) Check# Issuing Date Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to ACahAA Atoisok,dame �Y Owner) property located at 70 S/?AD' J3s uks dsl aAc� .�o1'i.D R R �aadesss,it/A R� f 4 •N.C. � I'Rrnj,.l co ryE ,in AsNIJV fit! Esau on- Co. , (Waterbody) 'eityffown and/or County) The applicant has described to me, as shown below, the development proposed at the above loc atioln� g "\ 4 ave no objection to this proposal. t have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT _ I sR k3 dYMk M t Ate ilea Ex1 s7 '1J4 - .r 'tV4Si Paaf0sed 464W1.45 AFItCs 7e LlFT ' Boarr=r' FIvr/REIY tarrmiN 23 Of • bock Rao trv71r't JY urir. !/' af'fhc Dos-rims- Pm& .„^Prf> 23 1 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 to waive the setback,you must initial the appropriate blank below.) 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) Signature S' AWJ)AL,L L)ou hs Print or Type Name nt Type Name /g t rr►rnaui1ai. 300 MMarling Address L iNng Address ,-r-,,,,ri plA 7 Ale .2.70/2. c, y/state✓zip �6520-71*7 ,1 Boy..Fs 1#1 t i nns/z Telephone Number/email address Telephone Number/ adder Dale Die• (Revised Aug.2014) 'Valid for one calendar year after signature' ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to LC � ' "�_`—S 's (Name of Property Owner) property located at 7 S I Ac'i 3 AI`ilLS (Address, Lot, Block, Road, etc.) on ppf 1^i-ic,p Q+�G�Z , in ulkiSHk,- TDAJ g , 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) `L)ctti /tom (Jic=lZ 2• � ti a �3�=tis Iv BA) 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. (IfI you wish to waive the setback, yoga must initial the appropriate blank below.) v I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requireme. (Property Owner Information) ( djac ifirpert, Owner Information) Signature Sign • Print or Type Name Pint or Type Na / Mailing Address Mailing A res City/State/Zip City/St e/Zip _ L Telephone Number/email address Telephone Number/email address Date Date* (Revised Aug. 2014) "Valid for one calendar year after signature* Applicant: GEa k1, z Date: 2�z" 7 General Permit#: -7 L^ 0 6;,_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 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) &Ti 2 4 ,(4 --y` Dredge❑ Fill❑ Both 0 Other 0 /6 9 Dredge❑ Fill❑ Both 0 Other ❑ Dredge 0 Fill 0 Both ❑ Other ❑ Dredge❑ Fill 0 Both 0 Other 0 Dredge❑ Fill❑ Both ❑ Other 0 Dredge❑ Fill❑ Both 0 Other ❑ Dredge❑ Fill❑ Both ❑ Other 0 Dredge❑ Fill❑ Both Cl Other ❑ Dredge❑ Fill 0 Both 0 Other 0 Dredge❑ Fill 0 Both ❑ Other ❑ Dredge❑ Fill❑ Both 0 Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑ Dredge 0 Fill❑ Both 0 Other ❑ Dredge❑ Fill❑ Both ❑ Other ❑