The URL can be used to link to this page

Home My WebLink AboutRiggs, TomkLJ CAMA DREDGE &FILL No. 75783 A B C ) D GENERAL PERMIT Previous permit# -New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality i and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC l,•IRules attached. Applicant Name /, ! i I Address City % 1'f i )l State /,j�'ZIP Phone # E-Mail , Authorized Agent AAffected ocw QEw EfPTA Affecte El OEA ❑ HHF ❑ IH ❑ PWS_ ORW: yes / no PNA yes / no Project Location: County Street Address/ State Road/ Lot #(s) Subdivision City ZIP - El ES ❑PTS Phone# O River Basin ❑UBA ❑N/A Adj. Wtr. BodyIry �� (nat /man /unkn) Closest Maj. Wtn Body l /f, i l'"•ve S ■■■■ ■■■�■■■■■■■■■■■ ■ ■�■■■■■■■■ ■ ■�■■■■ ■■■NI t'■EI11■ ■■EOO'�■■��OO■��■■■ ■■■■ ■■EHO MEMO ■■■■A t ME ■■■ ■■■ M■o■C�E■■■■■MM■J■ :■■..■■■■■■■■■.■■■.. ME ME N1■■■■■■Mil■■ ■■■■■■■■G ■C■■■?■■■E ■■■■■■■ ■Y!A ■■■ ■■■ 111■■W■■■ENE ■■ ■O■■�■■■■■■■■■■■ MEMO ■■■NMEMiI■■ ■E E■:MO ■■M■■.■I■::8 NEE ■■■.■■:..■■■■M■p■:■.■.■■.■.:MEN :NONE MENEM M:ME No _ ■■M■ ■■I■M .. ■EEO■M■■■■ .■■■ E■■ No OEM■:.■E.:..� :MORE ■.ENE ME..�E■.C■.■ ■ ■■■■OEM■■a■■■■■■■■1M Eu■■■■E E■ BE ■E ■■■ ■ ■ ■■■■M■■■■■ M■■■OEM ■O■■ ■M®■■ ■E ■■FEED ■OEE ■■■:■■M■C■■■■E■■■■M■ ■■ :■■:::::::E•• MOM■ ::•■■■■INN■■■�■M■■■■� E■■ ...■. ■■E EEO ... .. ■■[Ma ■■.M■■■■MM■ ENE ■■■■M■■oNM■M■ME • O■E■ ■■■■■ E®ME ■OEME EOa M!� ■■Mi�1■■■■■ ME ■■■■ :®M■: MIN ■■: EEO■■: ■RIM■:■■■IEEE■■■ ■G ■■■M■ MEN �IOMom UNHIM ■■■ ■■E■■ :E■E�ME oNEE .M■■■::■■.: reE■■■ ■■:INN MIN EME■E■■M■O■ENE E■OMEEEMEO■i■�■i■E■■ ..�C..■■:::::: M MEN :: ■ 1■E■E■E■i■■■■■C Mom ■■■■EUEE■o■ ■■■�■■■■ MEMO!:o■::i■ N:::::::::■:::: Agentor Applicant Printed Name 2. Signat r *• Please read compliance staem o[on backo(permit ** ;�� cX I � �/ .l ✓c Application Fee(s) Check # a Permit Officer's Printed Name Signatu e Issuing Da a Expiration Date a z r 4l A N .7 °' Q I a a � °n - 3 , . ° [�1 _ O 'yl., gT 3 O s z A i K o o. o e ❑ p B > 3 a e o ; � °�� o ❑ � LPOR r. p m ro O pn � EL� c F 2 0 tl i ❑ O T+ f' r P C y ❑ �y J yg --77 G' a o• a s 8�� 7 .. G lj o � u g e m n n y A `'e F. a 3 °�. 3 ? ?. y � � y ,^y O g ,ea• " o ^a 4 PLO F' 8 _B5 3 3r '� •PO�o RR.°.,.� j o 'n3y -.3g, °e$U,� coa ��gro � �. ^° Vo a `C}�ER J= > p m . o'�i''p /r m 3 o o w s a 9 K 0 0 w 3 3��5 3 'n EGm"°FF a o o £f A AAA v c^e c y �� ynYry B• g h V, 4•3. C '� 555a"ow � o B��°. a � �'S•'^b�' $g`�"�'� y '�.G rni� �n��'b c6 ng a�$ aaaAm cg cam ^: 8.2� c � 3 _ a F � 8a.0Zo�R �� • q�i R 8, Y. y O O n= O R Yx O (S g y m $ 6 m Q olp G°o s V, n_ pa S'� era �3•Ra� � z=a> <o A O 9 'T ,O� S a u a •� •Z 9 O� m 3 Y � A N .o •^• 1a1 > v E b g �L' �• $ ,<, & ,�, e a C m Y ° S A -� R 3 0 •' O 3 i °� e m• S^' a a e m e� ^ a °b c R •J q e R 'm9. P� � 9 '9 rt£� O m •I% O' �<» t -• •mom O e S^ 9 •�j n 'mJ 6 a C' a U°'a '�°' G' •On � � � ? P " a. C O' E3 m p6 � n a� aaF? 9•ae� "'o5q �'��' d cm ==a a'�A�P msm� na4•�m � ii sQ3> >?a;A A3� Ir+ a ry a mob P u9m �Rmm ' 3 ^ B a OR ❑ ON ❑ s3A LNOI.Ld3OX3 3Nl'I OI.LVLs oNlsn a3nssl.Llwa3d a Llntlnon NOLLVOI'7ddV ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to J oo 015 R \ $ ,s /. (Name of P erty Owner) property located at V' a� � CUSS a `� a (' `� (Address, Loth Block,,Road, etc.) on t v �(� �r Q- I�la r �DOP in Fli 1 t5Qi- n () , C . N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. '--1 I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development m� in description below or attach a site drawing) C� 0 CD a m to o m X" v N M 0 o v '< WAIVER SECTION 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 wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. V I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Print or Type Name %..Allb ( 4)/.PL, "V\0 (Adjacent Property Owner Information) Rt"n. Ctz,� Signature* Print nor Tye Name (rYl)() I t�GSc- 43 C0 04 ^ l City/state/Zi —�o3�6--(�)c1110 2be'/email address J Telep on1 Number/email address Date* (Revised Aug. 2014) *Valid for one calendar year after signature' I hereby certify that 1 own property adjacent to property located at o" I �crv,c�s ��tg s (Name of PropLft Owner) r fC `\ II_ 1 (Address, on I &I �ie1N 1' 64\bOJ (� in. (Waterbody) Road, etc.) and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above look . 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 � J WAIVER SECTION 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 wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. V I do not wish to waive the 15' setback requirement. r Information) C\ CD iling dres' C S t /S to/Zip c l) tj telephone Number/email address N M O ^ CO ,J Date (Adja Fit pPropertOwner Information) / JT 1 �1 Signature* I N)L- TA, C� Print or Type Name Mailing Address C dq i�«zE,t� � City/State/Zip C Cq z.3 C D (,) o-b Telephone Number/email address I 9'b-1P H Date* *Valid for one calendar year after signature* (Revised Aug. 2014)