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Home My WebLink AboutChesney, Davidi 1 LAMA / ❑DREDGE &FILL � (�. ' `� I '(No. 74907 A B C D ENERAL PERMIT - - -f Previous permit # 7t4 ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As auth4444III/rized by the State of North Carolina, Department of Environmental Quality J/ I j and the Coastal Resources Commi lion in an area of environmental concern pursuant to I SA NCAC �� '/) lyes attache Applicant Name , Project Location: County' %T Address Street Address/ State Ro d� Lot,#(s) a 1 r k i City t State ZIP . Phone #'(I j'l) 'P' ) � V I ) &Mail Authorized Agent 4.CW �EW Affected AEC(s): ❑OEA DHHF PWS: t❑ ES ElPTS ❑UBA ❑N/A r, ORW: ( yes / ho PNA yes / no Type of Project/ Activity Pier Fixes Float Finge Groii Bulkl Basir Boat Boat Beat Otht Sher SAV Mon Phot Wait City Phone # (') Adj. Wtr. Body i— Closest Maj. Wtr. Body i ('7l,7i 7a ZIP River Basin (Scale:— ) ■■MEN ■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■�■■■■ ■ ■■ ■w■ ■ ■■■■■ �1■■■■■■��■Ew■■■E`9EME�1111■ ■■■■■�� III, i■�Nii ®■v°■■E�rSENSE length ■■■■■ MEN ■MEN ■MEMO ■E■■■■■■EMMEiM■■O■■ number ■■■■■■M■■■■E■■M w M■■nnriEW, r�Ito ■ME. we■ ■■■■ OEM■■■■■MIIIi1Mi1�i11s1 M■fY�■�I[all 6ORIM■■ avg distance offshore■■■�EE■1a■E■E■11rwMMMcri� I'm Mw��■■■® ME ■OEM■■ Elm a�m■M E 1M M.■ ■M■E■•ME�■ww■■■■■IMMEMS cubic yards ■■■■EE■■■■I.E M■w■wOEM■E ramp ■■■■EEM■■EM.Nww ■E■1Ml EM�►IME so M M ONE ME E■■M■EE■■ ` ■■■MOO■ N ..�■ ■ ■OfJC�.... 0 :::�:::: :N::8�0®C� ■■■■■■■ NEE EO■■M�/�■�■■EEW■■E OEM ■■■■■Il■■■■ ■■■■■O■E■M ■■E E■■ME■■ ■■w■■■■ MEN ■■■■M■ ■iiiii■�■■��■■E�iEMEIE■■�■E■E■E M■�M■Miline I'm N ME ME ILI Length 0::::�.�' not sure yes 0 N Emil ::RISE MENNEN ME EMEMO E ■EEEMEMEMEME■■■ MEN ■M■ OEM EM its: es iEi■i■■iiiiii :ME DOME EMEMMEM 0ME ME A building permit may be required by: ( Note Local Planningjurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name Signature *« Please read compliance statement on back of permit'° Application Fee(s) Check # ❑ See note on back regarding River Basin rules. PermitOffcer's Printed Name Signature / t Issuing Date Expimti n Date, I hereby certify that I own property adjacent to A v i J (._f1 ra3 aeV 's (Name of Property Owner) property located at 1 7S L ; v c Ot► K (?A, , )Je t ipo R l-, MC aysV (Address, Lot, Block, Road, etc.) on C /tJ , in Al1w�orf - ClslrftntCpou u��/ 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 rill in description below or attach a site drawing) S c & 4 1-MGkrd RECE.IV ED \kw 0 S ZO 0CM-WAD CITY 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 Property Owner InforMationl— Signature .An v,11 G'11&!r ley tune i a y 4.,U �U Print or Type Name /7s L:✓� Qo* /�o/. P,rin or Type Name cal o Ri^y4�omD d�2t JG Mailing Address Ne�oorl- At 7-SS'? J Ma'a'' bg Addr , "M R City/Sta e/Zip ' 9/s- o1is - 93,J9 City�� ip� 3 _23 8 Teletakone Number Telephone Lumber 1 4 ,,,L J7 z�� A"3et /7 Date Date � (Revised 611812012) 3 %j� Gtiaklcl L: !re i u Sae u.�/-/Kw•t-y '� 4,/ 4 ,tSGE\vED 0gJ0 �wi>� oG OND G\'*Y ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to -D A it i J (,1 El ,$J2N 's (Name of Property Owner) property located at 1 % E L : ye- Chi IC Pd., hie r v po R i hI C (Address, Lot, Block, Road, etc.) on 1 C Uo! —,in Ne,w)por- l//Irfteri"%U,u X , 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 rill in description below or attach a site drawing) RrCEIVEG) 0 8 2019 i)CM-rvIHID CITY 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.) G t 1 do wish to waive the 15' setback requirement. '� I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjace po Owner Information) 4 - - Signature Si8 ture Dn Print or Type Name Print or Type ame -� y7S' L;ye Dsrk /Po/. I -I \ W%)-e Mailing Address Ma`ii(ng Address. IyIemoo/t- A/C Zb's'9d N.FIi'clorvA4 qc City' Sta e/Zip / City/State 9!9 his = 98.39 (it cc —SIP..-73 Telephone Number Telephone Number Date —' Date (Revised 6/18/2012) A'W474 .4 1-4t='4,4b�r-c RECEIVED , AY 0 8 2019 is GM—MHD CITY � \ Q k � 7\ \ \ \ � \ ,o _ ` _ \\ B\ )( (/\ u a oe �o e §b) EE /k00 } 2 \ (\ \ } k / \ \ \ ) OD 4 ° / / \ j } 0 Cq ® 0 / o / o ) ( ) 0 co 41 \ /00 \ \ * m . a ) ) a ■ _ ® • � ; ;|