74161_Faul & Nancy Welles_20191030

AMA/ DREDGE & FILL Z� (A-1 gal
NO. 74161 C D
ENERAL PERMIT Previous permit /ti/
�� IA ❑Modification ❑Complete Reissue ❑Partial Reissue Datepreviouspermit is ued A /A
New Modificat o C p /
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 o 7)-;1' I Z O D .
i 11 ,, ❑Rules attached.
Applicant Name PAUL I/J/At!C y W EL L t,$ Project Location: County I7AML I(6 Address ) S MORQ60A) n 0 Street Address/State Road/Lot#(s) 231 /(10oR.56)
City OKVW-TA t State NC ZIPS$S7I R9
Phone#( ) 6 70-9 Z4 7 E-Mail Subdivision L E L fr AR M
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Authorized Agent City (ale 1 GA/74 L- ZIP �f%s
1
Affected ❑CW VEw A El ES ❑PTS Phone# ( ) River Basin N(l�51
❑OEA ❑HHF ?'TA
❑UBA ❑N/A
AEC(s): Adj.Wtr. Body N r V si )2(JE# /man /unkn)
❑ PWS: l
ORW: yes / no PNA yes / Closest Maj.Wtr. Body A FU sk /C)UC l Z
/
Type of Project/Activity / (A�)/Ci/ /z( (7 1,3�X l 3 ti JC O U IIz f f2 L P L' 7
(Scale: i 1:36 )
Pier(dock)length
i _ 1 1 I
Fixed Platform(s) —
{V3 t' N I rt
Floating Platform(s) i I ` E T f'I/9
Finger pier(s) i ®
Groin length ! iS�d t 1
number ! i 1_7t l
i Bulkhead/Riprap length j( i�10 ©I2�
avg distance offshore
i. { • f
max distance offshore :.
ii I ' ,
F Basin,channel J I• yf uAr i f4' "
} — i / toYca4f
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cubic yards ' !;'f�ytl3 ��
i
I i
1T-1
Boat ramp
Boathouse, / I -
i
j
4
Z of/4 C i
1x 0
GIecvtae'i �_-_ z BE
is7Jz1 0y �
Beach Bulldozing � j/,,f I� I `
' Other j
4 L oh-it f
I
f�
Shoreline Len i l� El, eg.;A)".1/4,‘ r4 millUI ,
'' t/:i1'r_ �'
SAV: not s yes no
WC
r Moratorium: n/a yes !
Photos: yes CO 1 tN ILL�r 6Q' I
li Waiver Attached: yes -
A building permit may be required by: 'AM L ((0 Cot,/JT Y . I See note on back regarding River Basin rules.
1 (Note Local Planning Jurisdiction)
4
t Notes/Special Conditions j r t 0 71'1 )zoo C ©N i)f'?)oirs MAf 2 SL I Ki/M ook iv£
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NO nc 1D, Wes 1 E v i,✓ I-1/�rz �'
Agen r,Applica PrintNametueA Permit Officer's inted N e
Sign ture **PI ase read compliance statement on back of permit** Signature R
I.Z0o.0D (adz ; ?o T ?ol
Application Fee(s) Check# Issuing Date Expiration Date

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to qau 11- 1,4.,,,cLi vie-US 's
(Name of Property Owner)
property located at Z3l, lM.ory;51,n "
(Address, Lot, Block, Road, etc.)
on Nectse 12;✓ - , in ©rie , 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)
sroo hiS
1,o p65ici cool+r-y
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A/cu,5 At-e t �;✓�✓
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S.
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 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.
(P perry Owner Info mation) (Ad' •ent Pro a �wn nformation)
Signature t�l��CeS tut/-9N �S (OathC�
Print or Type Name Print o_Type Name
7o -Boy_ a IS 3i /`76 k% /S c/) o�
Mailing Address Mailing Address /
City/State/Zip Ci / tate2ip , l d,9(� QUG(' 7/
Zsv b70- Fz r ,2- 5/1/ //76 CM
Telephone Number/email address TelephoneNumb r/wrtail address
IP/i/iy cj/ 1 I
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to qao I 4 l'.h rtc y In(-e-iLe5 's
(Name of Property Owner)
property located at 23l Otorr:5vrt 12�
(Address, Lot, Block, Road, etc.)
on Necese 12,✓e. , in ©ri€ 4a.l , N.C.
laterbody) (City/Town and/or County)
The appli t has described to me, as shown below, the development proposed at the above
loc
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)
spoo (bs
L;-c-t Couil v
r E
v\
/flat. Nea s� ;✓e/y-
• •
•
�l Tit,'
54'
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 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.
(1,rpperty Owner Info mation) (Adjacent Property Owner Information)
pc I (R
Skin ature Signature*
Print or Type Name Print or Type Nam
To y.- a l$ 2 o g.c Olh u
Mailing Address Mailing A dress
�Y i a-f tv s�11
City/State/Zip City/Stated
Zsv -7D- �z6� 1 — -7 3 4 1/0 >ti
Telephone Number/email address Telephone N mber/email address
glg//5 c 3- . � 9
Date Date*
(Revised Aug. 2014)
*Valid for one calendar year after signature*

Applicant: p/�U L NA'J C-r l.✓ L S
Date: 30 Ocr 2019
General Permit#: 7 L(I`)_13
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 finat
DISTURB TYPE Disturbance total disturbance. Disturbance disturbance.
``Tha 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)
0124.Iv LA1rr, Dredge❑ Fill❑ Both ❑ Other - It 9Al2 1 9r/
•
Dredge❑ Fill❑ Both 0 Other ❑ /(p
Dredge❑ Fill 0 Both ❑ Other 0
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge 0 Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both 0 Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other ❑
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other 0
Dredge❑ Fill❑ Both ❑ Other ❑
13
7
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