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Home My WebLink AboutReynolds, EmmettOCAMA / ❑ DREDGE & FILL N2'71'700 GENERAL PERMIT i1 A B rC' D Previous permit # YNew ❑Modificatjon ❑Complete Reissue ❑Partial Reissue Date previous permit issued 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 NCACQ�/ Applicant Name I C7 Rulesattached j. F Proect Location: County � r-- fj�i�, />>>� . ry � art Address �_ �—f—� In '`� I �� City p State A .` ZIP Phone # ('' t) (' �� , E-Mail Authorized Agent Affected ❑CW .NEW [JPTA El ES ❑PTs AEC(s): ❑OEA ❑HHF ❑IH ❑USA El N/A ❑ PWS: ORW: yes / no PNA yes / no' Street Address/ State Road/ Lot #(s) Litt _ ZIP Phone # ( ) River Basin (LI r Ad'. Wtr. Bod I Y-- _fnat: man onk Closest Maj. Wtr. Body ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■NI�■■■ i■it�l�liCiiiiiiiiiMEN i:iiii�ii�iiC�i�■ NE■■E i■.■r■ii 'Iii�%. . ■SEEN■ SEES■■ ■ ►7■ ■■■■i'd■■■�■■■■■■■��■ .■■.......SOMEONE N■■■■Na■ENE NNS■■N■E■S■N SEES■■■ ■ SEES ■ SE■■ ■■ ■ ■ ■■ ■■■■■■■■i■■■■■■■ Elm ■■■■■■■■ SEE ■■■NV■■NNNNS■■■■■ENN■71■■■■■■■■ MEN ■■■ ■� - ■E■ ■■ SEES■■■ SEES■■■ ■u■■■■■■■��■■■� ■..�■.C:.■■■..■I■■■■■■■■■■■■■■■■ ■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ SENSE ■■■■■ ■N■■■■■■NE■■■■SIw■■ESN■ENNN■■NNE■■■NE■■■■ ■N■E■S■■■ ■■ESE■■■SSE■■NI■MEMEMEM ■■■S■S■■E■■■■ ■.... .■.■.. .■■.N■.■N■E■.■■■..■.. ■. E■■■■�■NEE■EC■®MEN!�SIESN®■■■►SE■■E■ ■EE■■■■NE■■■u■■■■■.,■.■■■■■■■■■■■■■■■�■E ■ NE ■■.SENSE ■■N■■■■■i■■N■■■■■■■■■■■m■■■■■■■■■■■■■■■ ■E■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■ io■iiiii® :SMEMEMEME � iiiiMIMMEN�ioiIiiiiiiii■iiii Agent or Applicant Printed Name Signature ** Pleaseread compliance statement on backofpermit** i Application Fee(s)�rl Permit Officer's Printed Name Expiration Date 4 AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: 'Py fto'� ey�1a 5 Mailing address: G5 T61N n S 1l �- LV44'yme AC �510 Telephone Number: Oj �q 614 -S1 3 6 I certify that I have authorized _ &kb"l CL"On CC)f'E4"L-\-l(.ogent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of 6' uj'k(\Q 10 at my property located at This certification is valid through ICi'o!-I 9. (date). (Property Owner Informations) Signature rint or Type me me Title, co. owner or trustee for property Date qlq- �1�-`�13fo Telephone Number P rey �)dlc% Email Address CERTIFIED (NAIL • RE IRR Rt:reooT oEQlJE3TED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER N071FICATIONNVAIVER FORM Name of Property Owner. Address of property: -L (Lot or Street #, Street or Road, City & ounty) V V 3�'bb�; Cst.1ti�-o"- Agent's Name M.0 o nS' j t`A e' m It, c. Mailing Address: tp 0 o 3 Agents phone #_ I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me as shown on the attached drawing -the development they are proposing. A description or dravAnn_ I have no objections to this proposal. If you have objeedwsto wrhat►sbeingpropose (DCM) in vnit►ng WM n 10 days of race►pt of I have objections to this proposal. notice. Con . -- .1w,ayerner" fact /nforrsedon for DCM offices is r51►"&Ina,7orbycalldng1-NO-MCOAST. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, or lift must be set back a minimum distance of IS' from my area of riparian access unless waived by me. (If YOU wish to waive the setback, you must i I Ia1 the appropriate blank below.) -_.__,___,_ I do wish to waive the 15, setback requirement. --- 1 do not wish to waive the 16' setback requirement. gi.w7w oc -E-tJ Je Z (Igge�c� letl pp tie I �6 bt7L CS1,y�02f� Cavlti l,rv�(i; r 7n n or 7 ype n®+mg 6v� Melling Address AC>Py/r)L ��pr A)C.fta �1,3 Telephone Number/EmagAddress Dare (Riparian Pro`periy pwner Information) Pdr#orType Name PQ �� sS'T4- 78111ng Address f9- 6.4e- s3t3s Telephonle Number/EmaNAddress 7 ro tom_ Dare (Revised Aug. 2014) �. DIVISION OF COASTAL NAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFI ATiOWWA VER FORM Name of PropertY Owner Address of Property: (lot or street 8, 3tree Agent's Name #: - �C� -0 AgerWe phone or Road, City Mailing Address: IQ 0 0 n -e us Q�_ i hereby certify that I own property adjacent to the above referenced op". The Individual aPplying for this permit has described to me as ahowrn on the attached d awfr a development th ar proposing. I have no objections to this proposal. I have objections to this proposal. N heveot rnWhstisbeln _ 10 !� of gP Younnrain DlwefonotCo"N e�ve/krW�e p , Wftk of thin noNoe. Contact bnbmwftn for MR offers is Noresoo.� canald nUftle no oblectlAn rsUh h. orbyoadll k1 j"-4RCOg3S. I understand that a pier, dock, mooring Pilings, oat ramp SECTION _ be set back a minimum distance of Ia, from my riparian r$ unless 8 must YOU wish to waive the setback, you initial the area o appropriate blank below.) by me. {if I do wish to waive the 15' setback requirement. _ I do net wish to waive the 16' aetbadk requirement. C=T4, � e C j�an� C�ylsi�u(d ht 6'A7j,e Mal All rYa �1, 11 o 0 NG �Y�'te>kaep eq 10� - Qb Telephone Nu►nDer/EmeBAddreas Lace OwnerIntorm Mon) 0 ici,s BCC ,N kP P- nhnnl gAddress '` p Telephone Numberl&a;ffAddreas Dare (RevlaedAug. 2014) EMMETT REYNOLDS 65 INDIAN BLUFF DRIVE ARAPAHOE, NC DESCRIPTION We propose to install a new 16' wide x 25' long boat house roof. This will be a hip roof having a pitch of no greater than 6/12. 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