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Home My WebLink AboutQuinn, Danny/ El DREDGE & FILL No. 75750 GENERAL PERMIT A B C D Previous permit# �3New ❑Modification ❑Complete Reissue ❑Partial Reissue Uzi! New 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 - i' Mules attached. Applicant Name % ) Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # O i /r - nE-Mail Subdivision Authorized Agent i j� !rj i i .ul� ` I City ZIP / ❑ ❑ El EW PTA El ES PTS Phone # O River Basin Affected n OEA LHHF ]IH ❑UBA ❑N/A AEC(s): Adj. Wtr. Body „ y - (pat.%man /unkn ( �; ( ) L' PWS: Closest Maj. Wtr. Body L f`_ r V P K ORW: yes / no PNA yes / no Type of Project/ Activity Pier Fixe Float Fing Groff Bulk Basi Boat Boat Beac Oth Shor SAV Mor Phol Wan (Scale: Ir, ) MENNEN M M m MEMO SEE Is so mom =MEE WIN MENEM SEEM 0 Is ME= 0 Ism mom EMEM Is oil mom ■■NO■■■■■■■■■■■■■■■�■ ■■■■� ■■■■INEE■■■■■■■ length■■■■■■■■■■■■■■■■■■■ ■■■■■■ ■■■■1�■■■■ ■■■■■■■■■■■ENNEEN■■■■■■1�■■■■■■■��■■■■■■■■ number ■■■■■■■I■■E�1■■■■MEN avg distance offshore Giu®::::::MONSOON::MEn■■■■OIDNE■■E■■■■: max distance offshore■■N■■■■■■■■■■■■■■O■1■■■■■■■■ 1■■■I■■■■■NEON : ■IN:::NS::::::M::IIM::■:Ni:'-:'—.E=.MEN l"l■N■■■■■■■■■N■■■■■NOOI IH■■ ,■■■I■OIl■E■■EN cubic yards■■ ■■■■■■■■■■O■E■■N I N■■■■■ ■■■I■l J■■■■■ rampii■■E■■■■N■■■■■■N■N■O■■■I■■■■■I■■■I■r■■n■■■ _ ■■■■■■■■O■■■■■■■■■■iE■N■CC=N■■!■■ Ism ■■EN■■■N Llldowg ■■■■■ :■ I■■■■■■I■ENENOI■■ ■.N E ILIE■1■ NEE■ m ..��.N■NNN•• MEN Is ENNEN -line Length 60 MOE■:0 Emo::■■■■■■■■■N■■■■■us:■■■■■■■■ Is IEEE M:�:M :NS::NMM:N:::M:::IO:0Is Fs. yes ng ■M■■■■::::INS::: M:, NINON _.. ,. ■M■■■N �I■.■.N NONE■ OMEN A building permit may be required by: D L (j t� ( Note Local Planning jurisdiction) _ •� Notes/ Special Conditions �� r� I r"� X spgpature `"Pleaseread II / (�r' e Application Fee(s) 1 ❑ See note on back regarding River Basin rules. PermitOffcer•s P[Inted Name back of permit" Sigi Check# Exolration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to �D't hl l4 e W l II 's L I (Nartte of Property Owner) property located at L� � " � ' (Addres4 , Lot, Bloc(c , R ad, etc.) on �L , in ` 0ecL-B rern t , N.C. (Waterbody) (City/Town a d/or County) The applicant has described to me, as shown below, the development proposed at the above I a ; I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) , e A+tc ht6l Di lCJ WAIVER SECTION 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 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. Owner. Information) C (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 1/ 0 1 ily 's I 1 i „ (Narhe of Property Owner) property located at / tf�YYI CDD( LUIp I:.i1V4 , 1\VPY, G44r on RLd in ij1f�t i (=t t`U N.C. (Waterbody) (City/Town hindfor County) The applicant has described to me, as shown below, the development proposed at the above to ion. Q,e— I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF 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, 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.) J& ( I do wish to waive the 15' setback requirement. ir Date I do not wish to waive the 15' setback requirement. Inform on) (Adjacent Property O or Information) address *Valid for one calendar year after signature* Uiryiaracerup / �--q Y c Telephone Number/email address Date* (Revised Aug. 2014) AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: a� - 4 yf -15-170 Email Address: I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Re/116Ue IT 1)d re Q11fG k 60A bl-1:5 / at my property located at J �J L( �F �eY(tkc.<.i ,��i 16/�' S% lf�%5 r i!I � in N to U) County. I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Prop nformation: erty 0 er I DSignature Print or Type Name Or��n�r Title (D , Y I /'/ Date This certification is valid through I I Project By Subject Page of cc Date CI a 777 +I 1 � W ar r ll�