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Home My WebLink AboutHood, Janice & Ben Thompson1CAMA / ❑ DREDGE & FILL GENERAL PERMIT .PONew ❑Modification ❑Complete Reissue ❑Partial Reissue N2 71674 A Previous permit # Date previous permit issued B rC D 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 I SA NCAC ` t` Rules attached. Applicant Name + +!' ' �, i C1 l 4'/ 4 r/11+1y C:�� Project Location: County' r vc"'' r J Address / + F �` Street Address/ State Road/ Lot #(s) e v City � � F �` t,:'>t��(� State Al, ZIP _ ` Phone # ! ,L E-Mail Subdivision ( )'; � � Authorized Agent City ZIP River Basin ❑CW LEW ❑ES ❑PTs Phone# ( ) ;1 Affected ❑OEA AEC(s): _JPTA ❑HHF ❑IH ❑UBA ❑N/A /?-, Adj. Wtr. Body /. ' i �-.,4 +;Cfi . ( F _. (� nat /man>/unkn) m PWs. V ,[[ Closest Maj. Wtr. Body ORW: yes / no PNA yes / no Type of Project/ Activity r" (Scale: Pier (dock) length Fixed Platform(s) ■■■■■■■■■■■■HEN■■■■■■■■■■■■■■■■■■�■■■■■ _ 110WE NEU, M■■■■■■■■■■■■■■■■■■■r■■■■ NOON■ Floating Platform(s) iEMIMMiii `W iMEMMI■NawiM5 0 0MIs 0 Finger ii ■■■CE■I■■E■ENEW"1 IN11 ME■�l�Rl�. OEM ■■ EMEMNCE■■■ ■■■■■■I■E■M■■■■■■■Ma■MMEYWNEEME■■■M■MM■M■ ■■■■■■i■E■■■■■■■■■Orr■■■■■■■■■.■■EN■■■■!�■■ ■■■■■■I■■■■■■■E■■■■■■■■■i'■■■■■lYill■■MIKOM■E ■■■■■■■■■■■SEN■�■�■ ONE ■■■■[MEMN■■�■■ ■■■■■■NN■■�! .lullEM ■ ■MEN ■■■■■ NOON■■ ■■ ■■■■■■■■■■E■EM■■■■■■■■■■■■ MEN ■■■■■■■■MEN ■■■■■■■■■■■■E■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■MNN■■■■�■■■■■■■■■■■■■■■■■■I NONE ■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■ MEMO ■■NO■E■■■N■N■■■■ MEMO ■■NM■M■■■M■■■M■■ Oth ri MOM■■■IIMME■EMMEM■■■■MN■MENNOM■■■■ME■■■■N ■■NE■■HM■MSSMM■M■■■■■MME■■■■ME■■■■MEM■■ /■■E■■■■■■E■O■■■■■O N■■■MEM■M■M■■OM■■■M ■MMMMNM■■■■■■■■■MM■■■■■E■■■■ME■■■■M■M■■ ■SOME ■M■■■M■E■■■■M■■■■■E■■■■■M■■■■MMOM■ Shoreline Len hE■■MEMmEE■EMM■■■M■OE■■BEM■■■■■E■■■■■EMM■ ■NOON■■ME■EMEM■N M■MM■M■M■■■■■ Agent o A!p Ica t Printed Name Sig re Plg�e read compliancestatementonbackofp�7rmi*�' n 1 i (/ >i r n Application Fee(s) Check # EXHIBIT "A" tin tt� �o. - iA Up r. Oro \ 2 80 Pero 90 N \ to.0 4iinaP u.1 �• '`.,\ A 00 00 ONO Ato =- -= AP P OVED FOR FAIRFIELD HARBOUR, INC. �"° 1:=&> Aw Y PROPERTY CONTROL COMMITTEE. Qo"DATE, b ®. 2 TwP., rb0vu7-(, hl.G. It ®YD L. S�UITT, .JCL. f2•l_. -off• Z'1q, T;zuiAS7 w0ra Covrm, 'roDAG® �EcTt�w i, f�a.azt v .mpq eoo� 15, 0 P'%,Qq Co®, CIZAv>rN COUWTY r.:SG1e,T¢-(, p O FIc7j� �oMi�tUt�rC {' �+Ja�Gtz ANC �aEu1e� E c _ N 5�.'.oAlGs rr- `rea C RIPARIAN PROPERTY OWNER STATEMENT I Y certi/y that i own Property adjacent to. (Name of Property Ownerj vpa+tY kited at t:.7E� t C A2�9 ,5g71F J+ On.r.I` l� (Address, Lot, BI k Road, efc) J r in _ �Eti2/J 1�J N.0 (Wady) (Cityrrown and/or Counter) The applicant has described to me, as shown below, the development proposed at the Aso" tom, _ I have no objection to this proposal. i have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (*M*Id st proposing development must HJI in descdpdon below or atttrdr a a& _WAIVER SECTION i understand that a pier, dock, mooring pilings, boat ramp, breakwater, bapptotwe, IM or ardn ;'rust be set back a minimum distance of 15' from my area of riparian sociagsurAsse timed by me. (ff you wish to waive the setback, you must initial the appropriate bJW* below.) i do wish to waive the 15' setback requirement. / f do not wish to waive the 15' setback requirement. 'tilam for one cake-4-Ir year after signature,• ( mu). EXHIBIT "A" 1 A- 1 /j /IPO J 1 �• �; N�, ,1' <;, e �t APF Pe..oT P�Aw �n cL A�1Q Wt'=e; h•lO. 2 TwP. C_:aavtti G�vuT ( t�.G. Pj7 �LOYP Ld. ;,U I TT, J¢., 5?, L. S-. AUK. %�, Iq�z sCA�>✓:t°>fo� OT S'EG'rl®W i, Gommuu,•r'y" WA-frw- Atio S�w�e �J 4a FYI GAi`rr' To v4i1 �im6.l f.,}i.cs. T 0 L WED FOR FAIRFIELD HARBOUR, INC. PROPERTY CONTROL COMMITTEE. DATE ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to \71_i4 1 C 6 C tloab 's (Name of Property Owner�j property located at LL9 �%E41EGG Cad. 27e1 7p6f c-6 sgc 7 d t (Address, Lot, Block, Road, etc.)/ on-15,�t t&6.L1 /ddLz . in N(�w R6kd , Al C 2 &S62) , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatioyi. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must ill in description below or attach a site drawing) SEE �xHt6/-r " A" 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. Property < 1L_— Signature * I - Print or Type Name 90 i < / Z-tJ cT . Mailing Address 7611 i',61Z_sJ /%C 2-15560 cow, City/State)Zip Telephone Number/email address Date* *Valid for one calendar year after signature` (Revised Aug. 2014)