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HomeMy WebLinkAboutJohns, James® A� DREDGE & FILL No. 73 19 //' ,, A B /C/ D NERAL PERMIT Previous permit# �L// , ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality —7/-1' 2UV and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC T ❑jtules attached. Applicant NameJq vG m r) "5U YU Project Location: County r.11�_ / Address - C% ! a V / i M �er OFF Lr I ►' Street Address/ State oad//;ot #(s) Phone # r) 670 —6g)() E-P Authorized Agent Affected ACV '�W PTA A Affecte ElOEA ❑ HHF ❑ IH ORW: ( yes) no PNA yes Type of Project/ Activity Pier (dock) length U A A -7 V Fixed Platform(s) -- - - _ "I<- J Out �i 7 jGC Floating Platform(s) Finger piers) Groin lengthIv/yLU1 (� number Ci � I�"3.{-� -', -_ 1c � r 0 Bulkhead/ Riprap length t- _ P'" O avg distance offshore max distance offshore Basin, channel N ❑ES ❑PTS ❑UBA ❑N/A 6 X a50 � • 13 x/3 Subdivision Gat o f A� (/f J1 o e- City Cf eo 61C/T/ZIP ' ivJ Phone # (_) River Basin < Adj. Wtr. Body %}C ✓ c,U^ v na" /man /unkn) Closest Maj. Wtr. Body C UK c-k�'/ 12x3v cubic Boat ramp Boathouse/ Beach Other ja J (Scale: ) i Shoreline Length) SAV: not sure yes - - - - f Moratorium: n/a yes In DCMJL MHUl Clay— t Waiver Attached: A buildin permit may be required by v CY� fr'�� ❑ See note on back regarding River Basin rules. g ( Note Local alPlanningCditto diction / ^ Ir, Notes/ Special Conditions �_ 0 H �lel n �l hs / /t'toV ct %^ t IK 7t- !) , nG / (d, I Yr� 2-erv� liJ�ri fr j.,�OC (e o c� iu�r / �� ,(7✓1 ¢i• �rY`4 ✓h fZ Agen or Applipannqrinted Name PermitOffce 'nted Name Sig ire ** Please read compliance statementon backofpermit** Signatu e Application Fee(s) Check# Issuin Date Expiration Date 71 CAMA / ❑ DREDGE & FILL No. 73194 A B C / D GENERAL PERMIT Previous permit #/ __I New,• ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 7 / I I ;(-G and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC ❑Rules attached. Applicant Name Project Location: County Address / :` / % %" ''/ �< '" Street Address/ State Road/ Lot #(s) City State ZIP " I Phone # ( ) ' / , E-Mail Subdivision_ Authorized Agent City / ' _ ZIPS � . 0CW ❑EW ❑kk DES ❑PTS Phone# ( )_ River Basin _ 0/' Affected AEC(s): ❑OEA ❑HHF ❑IH ❑UBA El N/A Adj. Wtr. Body,. (nat/man/unkn) El PWS: � Closest Ma' Wtr. Bod ORW: (ye!)no PNA yes /�60 I' y / Type of Project/ Activity 7, X a-70 C 7 i ` 'x ,(U l r ,l ' (Scale: ) Pier Fixe Float Fing Groin Bulk Basir Boat Boat Beat Oth( Sher SAV Mor: Phot Wain ■■E■■■■■E■■E■■■ENEEMME■ ■MSC■ ■/■■■I■■MEN ■■■■■ OE MENNESEENMENEMMEN MWZMM■■■MNEEMEMMEN M■■■E■■■■M■■■M. ■Ean ■■E■pain ■•I ■■ ■n VA ■ length Elul EWE■I■® ■IIJ■M931 Ei ■■■SEE®■■I■number ■i11111■I ■■■■ ■ M■E■M7■1mmM■■■■■ff1M wEE■EEM ■►J■E■■■ ■■■■ .®M■uMMM■MMENEWA(/1/IfLJI/SM�M� VAN ■ ■■ M■S■� ■E■■E■■■MMM■■■■■E■.■■■ ■.■.� ■■i ■■■■■■i� avg distance■■■■■■■■■■■■■■■■■■II IAESI/IRE■■ ■■■I■■■■■ ■■MESS■■■■■■■■■■■IM YWE'ME M ■M■EM■EEM■■■■■MMMIv.■%II ■M ■■MM■■■MMM■■MM channel ..■■■■■■■EMM■■■■II■MM/EI■I�■■■■■MEI�■■■■ ■ ■■%H.n ►III■. ME �.■.� cubic yards-.MEE■E■■EM �.■■■■■■■EEC■■■■S OEM ■ism ■■■ ZE ■EM■o■I■ ■■■ ramp ■■MM■■■■■E■■MMEE■■■M■W�a0 NliMMENS 0Is ■M ME LEN I INEEMEM ..�11MEEMI�:::�:,II■::E::�■■1 ■■.M■■E Bulldozing ME ME C■■■■.■■■ ■■■M■ ME No ■ ■■■I■■■■■■■EM NEEM■■■Mai■■MM MEN .■■� CCCCCCCCCCCCCC■ii o CCCCCCCCCCNC�MCCCM -line Length ■.■■■■■■■....■CME■■ now M■_....MS■.C■■■■ ■C■M■■COCCCCCCCCidCiii:eWeis C■eC notsurey`C■■■ torium:' EMMEMEE■■EE■SEE■C■■■■MME■■M■■■■■■C■■■M■■M : MEEMEE:IC::::::.�:::C:::�:C:: C// w A building permit may be required by: _ ( Note Local Planning Jurisdiction ) Notes/ Special Conditions / r Agent or Applirant.Printed Name Signature "Please read compliance statement on back of permits jj ApplicationFee(sO Check# ❑ See note on back regarding River Basin rules. r l "' / 1. "/ / I l' r PermitOffcer's Printed Name Signature Issuin Date Expiration Date I hereby certify that I own property adjacont to I! r 11 5*W= ,v(proporfy located at t B,N_� ��rsLn�t S�4 L35W SrifOii' (Address, Lot, Block, Road, etc.) _ on 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 ►nw (individual proposing development must fill in description below or attach a site drawing) (� 7D `C'l'•o �� �tJ11tlZ. �"U,S{�Cc1.1T 10; es�S1,Dr�1c. n.. '�+�(%33St'Zts1Tf�.�-i7) Ot�l l`3.r4CkSpJ��. 0-0 �� {OIL`�D y,.�,.vttm.u�n �� O r�toia�.K4(✓ leu-i-tiJi WiSbt� l'Z�'o��o�-a At l�J ttlCluto�ti3(r � iwr ,�\ir.� tam 0-� 2 e'a-. 20,copT�_�oR (-R}S ert �- *Kwtb I J $6v S ra c a-P kZe6o e � "Tl�ven�G nu 1 y.� 1c `� � �i�LS � .� h.'I��ti �{`� Z' �, Ttu.^ b2•✓�li:S i�.r- F'�G i,G'�L.3 C L�6oE WAIVER SECTION `Tt;(, t 0t -C;70-4, SDO --+ understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must beset back a minimum distance of IV from my area of riparian access unless waived by me. Of you . wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. ICY ✓ I do not wish to waive the 15' setback requirement. (Property Owner information) (Adjacent Property Owner Information A $ 5,3/ (Ravised 6/18/2012) AD j_AG NT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _(/ill& Fwm,c/'yI Lzi- ti property located at (�:�PRA�9 4 61 (Address on BAG _.��u!ur1 in. (Waterbody) The applicant has described to me; as shown below, the development proposed at the above location. ✓ I have no objection to this proposal. . Lhave objections to .thiss.proposal. DESCRIpT1ON AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a:site drawing) . I!, '� 70 `-'� E�2-� 'Z�w'�.e�„ �'D S �C�li•t 'L O ; +t•ke.uprs:Wa,nb tJC.. �aaiL733.51415"i'7.grl"7).a�t�cc�Sbo�aij J 6A6+o0G 0*1 aF 6,.0 .W .a 1 tEr(=/pcscY_ (OrL �. w� yt�mv✓w 2'-O uovnna4t� Ict�,FtiJG� iwc��tft �r2`-o'� 3a�-a •� 1�%rED. (�' c^tc�' b. ibC�ED Pati�rz�, 3D-D '�,�� .2:�C%r C:.�\�+'se.. tvcvn•Er1O C'-� �les INCluoialCr �[1z ��x�w.\1w4t�ri• ek 2 eD, 20,000 \h lbo 014 �1,.cv Io � seu-Fk 6&ze6v . -Tl�vtn� c tout �e eS �C �.1.1� Wit 7- -t, T'; be rl hiLS b r• �RA��LG+kL3 WAIVERSECTION tit. '?(q-C70-b D0 2Z6oE - - -I understand that a pier, dock; mooring pilings s; breakwater, boathouse; lift, or groin must beset 9 bade 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 16 setback requirement. I do not wish to waive the 15' setback requirement. tri upanny� %owner mTor/mauon) (Adjacent Property Owner Informattor RE�,EIVED 0o 1$ NAt C1YY A X 53/ (Reed 08/2012) DocuSign Envelope ID: D3A387BC-2ABDAC50-8004-A84BA2BE5D30 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT , i hereby certify that Town property adjacent to ^ReI�L,LFi�I�I n (Name.of Property caner) property located at /& rf) ?A/)e p o;,*%rp'! 3 3 r )9i1�8 on, ,Sort,Jcl lA dress, Lot, i3tock, Road, c.) , in.A64Rl{PBiS--�i9wtlr✓` (Waterbody) (City/Town and/or County) The applicant has described to tne; as shown below, the development proposed at the above IQW. I have no objection to this proposal.. ' Lhave objectlons to (his•praposal• DESGRIPTION AND/OR DRAW NG&�PROPOS-09VELOPMENT o (Individual proposing develppment must fill 16 description below or iach a-slte drawing) 1 �'. 'r-kpd y�wcc , 6LIUI-�e_ ifs +Toc.P_W - � A&t ,K) :. �� "3)r>tC7s35lRi5t"f.9.U7�:dit G�rrtCt! oiti� � Cxy�4 vUC Flo: r 'ram b o u ii d 't?T T,i eiw (.pack e 4 n i�(Y.p vo<l, 23b �-o ..Ca -ktro. ",vum,00wv ;zb .Move"", ibLtb+%t�,El WrYti4\'2 o b`3cr-0 1CCCS__,,,},"' yaCaFr✓'A.'%'dc2`cbG. IbC�G� Po��b./. 3a�,.D Vie_ T_rh�C�\'P.b�. T�-nw•.EN4'o-F�ter iotCW'pia2C,- ytnz�aYe v\iaktul' 04 2a&, eo,em\b 4xN44.(rA1S orL•Ik �Hed145 t � sau'(-I•t S r,� C 't5"�'• (a4cZ.ebo 16VnL c�ouy �sw S S �n l /44Z`a k' b�e✓L LtS�f•`('.��"iG'Nl9C Zt6ot WAIVERSECTION 16t, Ttrf'e70:-L-,S00 - 4understand that a pier, dock; mooring pilings; breakwater, boathouse;• lift; or groin must beset 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 16' Setback requirement. X 140 notwish to waive the i6 setback requirement. (Property Owner Information) (Adjacent Property Owtior Information) D..S19n.d by: �J•A, caa Vat8 care (hOvlsed MV52WED OCT T U18 DCM-MHD CITY