The URL can be used to link to this page

Home My WebLink AboutFaulkner, Evelyn Allison 2)LAMA / ❑ DREDGE & FILL {— stt No. 75782 A 8 C D GENERAL PERMIT �� Previous permit# t.�I-' 1 []New ❑Modification ❑Complete Reissue L�artial Reissue Date p evious permi is ued 1 /� `� As authorized by the State of North Carolina, Department of Environmental Quality 1- / and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ` \� ' l ❑ les attached. /Z /AblIct Location: County Applicant Name 1 ' ff Address _�, tr a dress/ State Road/ Lot #(s) ) . City' t S t I( U- State ZIP i Phone # Mail Subt ivis4or2 Authorized Agent Affected ❑ OW ❑/"r' PTA J ❑ PTS 71hH ❑OEA CCC]]]HHHHF ❑ BA El N/A AEC(s): ❑ PWS: ORW: yes / no PNA yes / no Phone # Adj. Wtr. Closest Maj. Wtr. Body ZIP Basin �IFrA �il�'�Af�611� 1��■i.�..CrM%■ � J■ E ■■■YLtLG.■]■11�■■■!:�■i�■■ii■■■i! C■■�■■■■ rr7 • ■!■■■■`■■fl■ HOME ■I■!■. ■■■■■■■E� ■!�■■■ ■■!! :!■i■Ei�RlE l l\ �19M�\tni'�� ,■■��rr�iGY�■�� ■■■ ME SURE ■■■G1i■■ !■l■Sf!�■■!■■■■■■■■■!■■■■ ME Elm orm ■■■■ HOME ..•►.!�_iOMEN ■■■p■■HER MN■■!!!■■'�■■. ■■■ 2% NEW ■■■■ ■■ aH■■■■!■■■ `:■ MEN !■■■■■■■■!■■■■■■■!■■■!■ ::: IN :::: No MEC:::::C::■::� ..�■■. ■■■ ■■■ .■ ..I■.. ■■ .■ C ®C.■.■■.�■■■C■■■��.. C..■...�C■.�C.. . ■..■■!■■■ MEN ■■■■■■■■�■■■■■■■■■■■■■.. ■� ... .■. ■■■■■■■■■ ONES ■■■!■■■!■■■■■!' �9.■C...�C.0. MEN ■■■■■! OMEN ■Emil ■■■!■■■■■! .... .■. MEN ME A .. ...... .. iEE�iiiii0 ■MEN MEE ii■■i■■■■�ME MEE ::C::�C ::CC:�:�C��C:�C�:::� .■..■■■.■■■■■■.■■■....�..■■..■... ..■. Agent or Applicant Printed Name Si Lure *,j'Igase read compliance statement on back of permit*'* Application Fee(s) Check # PermitO ficer's Printed/Nime Signature Issuing Date Expiration Date 4CAM'A DREDGE & FILL PER V 1 ENE L No. 74412 A B (c D ❑M ®-� Previous permit # New odification ❑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 NCAC �# Rules attached. Applicant Name j s- Project Location: County Address r City State r % ZIP Phone # �) E-Mail Authorized Agent Affected OCW 0EW PTA E ES ❑PTS AEC(s): OEA El HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no Type of Project/ Activity Fier (dock) length ---- Fixed Platform(s) Floating Platform(s) art, Finger pier(s) Groin length - number Bulkheadf Riprap length ••') avg distance offshore max distance offshore ' Basin, channel cubic yards Boat ramp Boathouse/ Boadift - F Beach Bulldozing --- ' Other_ r Shoreline Length_ L_ — I` SAV: not sure yes no Moratorium: n/a yes no Photos: yes no I 7 4- Haiver Attached: yes no building permit may be required by: Note Local Planning jurisdiction) cotes/ Special Conditions ant or Applicant Printed Name iature ** Please read compliance statement on back of permit Acation Fee(s) Check # Street Address/ State Road Lot #(s) r Subdivision City ZIP Phone # (`=1{) ) } / River Basin Adj. Wtr. Body Ynat/unkn) Closest Maj. Wtr. Body (Scale:; ) ❑ See note on back regarding River Basin rules. PermitOmcer's Printed Name Signature - Issuing Date Expiration Date .DIVISION OF COASTAL WN 'Nry a'- -- ------ -__ _ADJACENT RIPARIAN PROPERTY-OWNER-NOTIFICATtONfl ,iAlVER-fOIM .ram Name of Property Owner: �— Address of Property: 3 (Lot or Street #, Agent's Name* Jn c or Road, City & County) Mailing Address: 4%3 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 drawin the de to ment they are proposing. �iif€an d as Pme mo I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notifythe Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC, 28557. DCM representatives can also be contacted at (252) 808- 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 VA h to waive the, setback, you must initial the appropriate blank below.) I do wish to waive the 15'. setbaGk.[equirement. I.do not wish to waive the 15' setback requirement. (Property Owner Information) Signature _ ��vcly04 A5ord fall) f'je-g Print or Type Name �'�03 C�2Q.1 �01 of Mailing Address 44o &NC��S�� CityLState ip Telephone Numb r 3l �g,71 (Adjacent Property Owner Information) Signature Print or Type Name -�{a J Go" ` P-t, R D Mailing Address �Y1ort�Nettt) C.TNI .l�C -2SSS7 City/statelzip e2-so2.�7��-GS�3 Telephone Number *--2--19 Date Date Rev'jse 2;1 ^ 12 dON OF OOA& rAt mANAc . • . pPOf:rEKTY-O ttER it t417fi •` T lint ,. .. Yn, aslhs iAfi� L Name of Property Owner'. Address of property. Agents Name # I bave no objections to ibis prOPOsal. I bave,objecdoms to this proposal. W41VER SECTION I ur4ersfarld thet a pier,. dock, mooring 1.piitngs{ breakwater, boathouse, lift, or groin must be set balk a minimum distance of 15' from my area of riparian access unless waived by me. (If you Nw Ho waivethp setback,you ust i' t9a1 the appropriate blank below.) I, do wish to waive the.1S'_setLia�cimquirement. i.do not wish to waive the 16 setback requirement. (pioperty Owner information) ( lacent Props rt ow neY 0rma6on) dMJ ejC zd Sigftuhge � , Ikrje2. s C,��aey , Pit orType Nama Print or Type Name Meiftog Address Mafllrig Address GiY�tste cty�staleizp a5a._ qa5_ ffys TLIAMh hp Numhar Telephone. Number - ZO%ZO 3JVd __�7-a9 - 191 Date Drde s - Revised Bff 820f2 VtlI�JV4t ON'ylSi 90L9gZLZ9Z 9Z�t+: 660ZI6Z/£0 RECEIVED PR 0 5 2019 DCii- AHD CITY