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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 / MEN ■■■■MEN ■�.■MEN ■■■■■ OEM■■■OEM MEN ■■E■EENNEEMEM1�■l MEMO : EENONE:■:■:::::::: :EMEMENNMEMEN ■■E■■ ::::MMMMll::MM:lMMMM NONE MEMS■■■■■■■■■■■■■■SEE■■ E::i:M N■E■:::E■'.'.i=:E■E■E■E■E■E■E■E■ :ON:::ENE■'■'■'■'. ■■■■■■NNE■■■■■■■.■■■MEMO■■■.■■ M■■■■■■■■ SOME ■■■MOMEMMEME■■■■■■■■■■■■■E■■MwEMEMEM■ MEMO ■■EMNNmrimizE■E■r1EON■M11■■E E111Mr1MMM■■ :n:::::E:::■EMi.1■niUiEEu:1:E:■ii■iii::::: ■EM■■■EM■N■EWRIul■■®tSfNll►IE��M■ MEMO ■ME■■■■OEM MEN M■M■■■■MOM■■■E(/MM■OEM■■■E■E■■■■■ME■■ MEN MEMEMEMEMSE ME M 0 MOMMOMME SEEMS MOMMI No m M Elm ON 0 MEN ■■■EM■■■M■■■■■■■■■NOEM■M■■■■ MEN NO MEN N■■■■■ • MEN MEMOM■■■E■■ MEN MEMEM■■■MS SEEN ■■■■■NE■■■■■MEN E■E■■■ MOEN■■■■■ ■■■■■ MEN ■■■■■M �• :EMMEMEMEME■M■:EMEN■■■■■■NMMWE 0 IN I ME El MENM■■■■■ . 0....... ■■. Moll ::::::::::::::::: 41 ME■EN■ M N■ ■■OEM OEM ■EM■N EM■■OEM■■■■OEON NEE MEN 0 MOMMEME =1110MIRM31115M. Nil 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