HomeMy WebLinkAboutMcCabe, Julius®L�CAMA /-LNJ DREDGE & FILL No. 74424 A B c D
GENERAL PERMIT Previous permit#
❑New ❑Modification Acomplete Reissue []Partial Reissue Date previous permit issued t
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 attach d.
Applicant Name i
Address
y
City "n "\f,S State f /( ZIP
Phone # (^ '.) r " -. ;IE-Mail `
Authorized Agent
Affected ❑CW rkEW _6OA .NNES k"PTS
AEC(s): OOEA ❑ HHF ❑ IH ❑ URA ❑ N/A
O PWS:
ORW: yes / fn'o') PNA yes / no
Project Location: County�,.'�
Street Address/ State Road/ Lot #(s)
Subdivision
City �
ZIP
Phone# O River Basin
Adj. Wtr. Body � 1 t ^+ S I r _. ___ (nat /man /unkn)
Closest Maj. Wtr. Body /
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S1g11,1WIe **'Pl^ea§ereAdcompliance statement on back of permit•*
Application Fee(s) - Check#
cr / (
PermitOffcer's Prinse� Name/;
j
si✓l
L
Issuing Date
Exp0on Date
As autnonzea by the Jtate or IVortn t.arobna, Department or crrvfronmenvu t juaaty O •-� �/ %3p/b
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
i� el ules attached.
Applicant Nameit 1 U Gi �Y 1�� Project Location: County
Address Street Address( State Road/ Lot #(s)
-44
City-3
Phone #
Authorized Agent ^ Crcy f r /t—�%j� ��� ZIPct� /✓�
❑cw . KPTA to fTs Phone# (_) RiverB in
Affected El OEA I] HHF ❑ IH ❑ UBA ❑ NtA j
AEC * Adj. Wtr. Body (A ITr t70%�'L nat m lunkn)
Signat a " asa.Jo compliance statement on back of permit
Application Fee(s) Check #
/ ?019
0GM1-MHO CITY
M
vroperry uwnerl
, etc.)
and/or
The applicant has described to me, as shown below, the development proposed at the above
location-
j/ I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELurmtN i
(Individual proposing development must fill in description below or attach a site drawing)
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
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 Info ation)
ature
Pr nt or Tvoe Name
I 2ig-51
Telephone Number
-'s— JrrlZ/_ 1,?/ S/
Date
(Adjacent Property Owner Inf rm/a{t7J��
a
0
(Revised 611812012)
REGOVEC
V'vV'. ay v .mI �.. ...
/ (Name of Property Owner)
property located at �9rG �J eel r S /do z c 99
(Address, Lot, Block, Road, etc.)
on in LAatd20r�- N.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 & PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing) -
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
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
Date
(Adjacent Property Owner Information)
Date
(Revised 611812012)
;?FF,C ,IV;�D
_,- Q 177.OI9
-, ; MwiVl 1. 0 CITY