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Home My WebLink AboutDriskell, BobLMA / ❑ DREDGE & FILL G ;NERAL PERMIT N9 78409 Previous permit # A B <511 D fiN e� ❑Modification [-]Complete Reissue []Partial Reissue Date previous permit issued As au. icrizr d by the State of North Carolina, Department of Environmental Quality and the Noagtal Resources Cc m fission in an area of environ a tal concern pursuant to I SA NCAC Rules ttached. Applicant Name ' t t /) J i F Project Location: County h/ �C/ Street Address/ State oad/ Lot #(s) / State A)( ZIP Phone # AuthorizedAgent1 {t• ;:j ms. e Y Affected "' 2EW ;urTA Li ES ❑PTS AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ WS: / ORW: yes /5no PNA yeS I �l Subdivision City ZIP > Phone # ( ) ver Basin ° Adj. Wtr. Body1' Jr ` L"s'" - n man Junkn Closest Mal. W*r. Body wEM ■■■■■■ NENE■■■■: ■■�MEMEM■■■■ ■�■■■■��■7�ilt■�/ti■■■■■■■■/ate /■�■■■■■■■■1. ■ NE■■■■■■■�■ ■■■■■O■■■■H■■■■■■■■■■ NE■E■E■■■E NE■■■■■■■■ ■■■■■■■■■■EMN E■■■■■■■NE mo■B:N■E■ ONE ME.NE MNON 0 MONSOON MEMINIMME WIFTEREEMEME ■■■■■NOON■■■a■■.��.��■■..�:■■■■■:■� NE■E �■:::::� ■■ :..CC:�:� ■�■■■■■■■ �■...... ®■■■■N -. �l■iiiIIL"1 ��INN■■E■■■■■EIr�E■_�]■■■n ■NE■11■ ■=r ■i.■■■ Elm ■ NONE■�■■ ME NONE ■■■� NOON■■■NONE NNE NENRNME ll!'MM Oa■ ■■■\��■ _ rr•q'"■�N■��NA■ONE . lOEEI■■■N■NEfE■■■■ ■N■NEa1NE■'■■:■■M ■NE■.■®...�/...NENENE■.......■ENE Agent or Applicant Printed Name Sign re ** Please read compliance statement on backof permit" C' V 1 o9l1 lica ion Fee(s) Check# AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Bob Driskell Mailing Address: 102 Seagull Way Hubert NC 28539 Phone Number: 404-318-3162 Email Address: rgdriskell(W gmaiI cam I certify that I have authorized Harber Contracting Inc Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Replace storm damaged dock at my property located at 102 Seagull Way , in Onslow County. I furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature � � 'Weg'ferSArx t� Print or Type Name V (,J ,u Title /0 1 S 1 f Dale This certification is valid through 12 1 31 1 19 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Bob Driskell s (Name of Property Owner) property located at 10_Seagull War (Address, Lot, Block, Road, etc.) on Rogue Sod in Hubert N C (Wpuaterbody) (City/Town andlor County) T,-> .-,ophcant has described to me, as shown below the development proposed at the above 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) Replace damaged dock WAIVER SECT'ON I understand th_-a a p!er. dock nio;,cnq ptlrngs boat ramp breakwater boathoise 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 vca ce :he setback you nium initial the appropriate blank below i A:sl-, to wa:v;- !I c :,tbacF r5awrern�:r= L!t!C fY i W rash to waive the 15' setback requ,ren?ent (Property Owner Information) Mailing Addres> — Telephone Plumber / ernail address (Adjacent Property Owner Infornigtion) Goose Creek INC-Bernie Kaasman L . Ma fi n 3(;,-jrp c5 HL L t ; State2rp Z-1� 64 � 4Le( Gft �', � ea Telephone Nurnher/eriad adore s (Revised Auo 2014i '..'.,+,� `c- e calendar ;ea,af, r s%gnaturc' kk� Eo R ---------- M \14atic, fl, ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Bob Driskell 's (Name of Property Owner) property located at 102 Seanull Way (Address, Lot, Block, Road, etc.) on Rogue Sound , in Hubert , N.C. (Waterbody) (City/Town andfor County) The applicant has described to me, as shown below, the development proposed at the above loc n. 11, 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) Replace storm damaged dock 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 m\u 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) (Adjaq"Propeyty0w?her Information) Signature Print or Type Name Mailing Address Citylstatelzip Telephone Number/ email address (Revised Aug. 2014) 'Valid for one calendar year after signature'