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Home My WebLink AboutMiller, MichaelMCAMA / ❑ DREDGE & FILL No. 74451 A B C D GENERAL PERMIT Previous permit# XNeW ❑Modification []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 I SA NCAC nI ( [Rules attached. Applicant Name !ri- I rI f ( / V Project Location: County 1 i f ' : j ; r `'` Address i / \l/ \ rY r d- IVt \ I Vf Street Address/ State Road/ Lot #(s) City P il' .nI State ZIP / Phone # O �%% '^/ _ E-Mail Subdivision Authorized Agent I" City ZIP aCw ROTA DES ❑PTS Phone # ( ) Z River Basin // � i ( (' 'AEW Affected AEC(s): 0OFA ❑ HHF ❑ IH ElUBA El WA Adj. Wtr. Body �/ r/ � ) r r ! � t.5 --\ C - ((-at /man /unkn ❑ PWS. n / Ve i� ORW: yes no PNA ,yes /� no Closest Maj. Wtr. Body .{,(>•'' Type of Project/ Activity Pier Fix. Float Ping Groff Bulk Basil Boat Boat Beac Oth, Sher SAV Mor Phol Wain M (Scale: / 0 ) MEMO■■■■M■■E■ ■ ■■■■�■■■■■■■■■■■■■■■■■■■ m:a:::::: NONE M::::::�IS ■:: MEMO ■:■E■■N■■NM■■■■■:■■■■:■ME®I■ME■■oI■■■ .■■..:::::::::::::■•::■•■: :0■■�::::ENE:: ME■■■ ■E■■M .■.■■■M■■■MEN:■■m ■M■!!1■■N■E■■■■■ M■N■M NMI■MEN■■■■■■ ■■■ ■■ElmI ME mom M■■■M EEMEan IS.■■.: NONE ..SEMI ..■■..mom ■■■E■■■■N■■■ MEMO MEMO SEMI ■ ....■■■ .0■M�..M■lEE�1�MOEN ■NOIJ■■■IMN■INN■■■Emom : ::.::::::::::::■:MEn::MMM:I■■::::MEN ■�E■■■■E■■■■■M■M■■ ■■■ ■■��s,: :Ma■IN ■.■ ■ NONE:E :ONN�:NNM:OEN ■ B IN■■■■ 10111aISI NN: .■ NONEIS OEM IS ■■. MORI ME■E■■M ■■N■M MEN-■■■■■■■■:■ ■ON:ME Elm O■N ■EEO 0 NONE■:O■E■■■E■■■EOGE ■■Et■■EEO■ Iv■I■ ■ ■■■ N■■ ■■■■N■®■ ■Ri ■■E■■ IM■I■■ ■■ ■..■:.■■■.■■■MNE■■E1N■a■■N�■■.■. N■■N mm®onaE■■■MMNe�■!NM MNOR ■!■I_eIS N_eNE It�aM■■■■E■■NEE■■M■■■■■ OMENS ■■■ ■MEM O: :MEMOMaNOm :■:E: : �::::::MO::omIS N A building permit may be ii�uired by: Ct Vl.N i (' O 0 t . 1 t ( Note Local Planning jurisdiction) /�I Notes/ Special Conditions Agent or Applicant Printed Name Signature *• Please read compliance statement on back of permit" Application Fee(s) Check # 9 See note on back regarding River Basin rules. I-,%,,(!Y �._� ///')e 1 / Permit Officers Printed Name L Signature I hereby certify that I own property adjacent to I (Name of Property Owner) property located at % `ya 2p f�rrun�2sv , n (Address, Lot, MI.Road, etc.) on A2a-s.S l�z ,—�c, in Yak�rco Q-0�N'Y ,N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatign. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) �1 arzrri} Cam � ,� ' [ fide Ai 'ate-�.+/v 1. l aOPOS ter- sc"y t zo (C 2 -Doc Cx�>TT-t fr (e"z 2om J F'SP�c N-+n3�c� 4� Z?� CRe�TIt-3 WAIVER SECTION crao a cnci�nzu raPwr�sL�` 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 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. M ling Address City/S to/Zi n+Mz Q� evc o a (. 2Xp. 275.. CA-1 0 C- C'AA'SC.CM1 Telephone Number/email address Mt}-; t -T 2 o ►g Date Owner Information) V - ) o w r, S Print or Type Name MaNln Addres of c- Z2sS f Citt /State/ ip t� 2.7L. 'Ztt �.3�2 kT. CJO Telephone Number/email address Mrrr, 1-. 20 Not Date* (Revised Aug. 2014) 'Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to Cln,- C-Lbrk-tz .- �. t (s J (Name of Property Owner) property located at i J orrtrn2�Ci& , n (Address, Lot, ock, Road, etc.) on ccza-ss , In , (Waterbody) (City[rown and/or County) N.C. The applicant has described to me, as shown below, the development proposed at the above locatign. I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) 1n'1 arzaz} L;2e� « fir Az S�-�'••••q•l. C(LCpOS F'� / O�C-IL t ZD V-iJJ� J 01YL ZAT J lrO'J 32gcu.��'c3 'cc 23/�" G�rt�e. �iz,s-te eRe2-V- WAIVERSECTION r�,ao anu+�� rovwn�sy` 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 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. M 'ling Address a, r fJ C.-7 City/S to/Zi Mf-T �L evc oN c. 2 45. 275,. C.4 7 0 C- Gre'a.ca� Telephone Number/email address 11. ZoA Date M jng Address ��a=i:,r„mot �1 2�5-7 1 City/State/Zip Telephone N mber/email address Date* *Valid for one calendar year after signature` (Revised Aug. 2014)