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HomeMy WebLinkAboutSharpe, Ralph®CAMA / ❑DREDGE & FILL No. 74910 -� ,ea.. <..r A B C D ENERAL PERMIT Previous permit# New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previo s permt issued As auth rued by the State of North Carolina, Department of Environmental Quality , I I / and the Coastal Resources commission in an area of environmental concern pursuant to 15A NCAC i l ❑ Rules attached./7 Applicant Name Project Location: County u' " City State ZIP Phone # ( ) 4-( fii-Mail E Authorized Agent \��j �..- Affected�OEA CW `EW PTA ❑ES El AEC(s): ❑ HHF IH ❑ USA ❑ N/A ORW: yes / ro PNA yes /(no 1 Type of Project/ Activity Street Address/ State Road/ Lot #(s) City 14_' V,\_%F Phone # (I l Adj. Wtr. Body Closest Maj. Wtr. Body ZIP River Basin' t_( —2A( 1 .emu ����� Fixed Platform(s) Floating Platform(s) Finger pler(s)__ - r ■�u���■■■ ■■■�/■1i��l��f� ]■�� ������ Groin length..u..,�.■..:N...�.C..MMEMIM number Pip avg distance offshore max distance or■■■■■■■■■■■■■■■■■■■I■■■■nl�■■■■■■■■■■■u. Basin, channel ■. �■IfI/J� E7/; iiiliii=ll��;...:►� .■.�V■■■■■■■■■■■■■■■1■■ .Bulkhead/ �......a..■■.� ...1�■■...........�..�....� l...■.�■.■■.. . ■■■h®�■■■■■■■■■■■ ■■LIMMIG I!■■■■■E■■■!iY all ...■.�,........■■■C■■■■■■1�I .....■�...■ ■■■■■ ■■■■■■■■■■■■■■/aF■ ®11i■I■Gilp■■■®■IC■■■■■ ■■ ■■■■■■■�I■■■Ii'LZ®■■■■■Y�7 ■1�I➢■■■N■■Ii: ■■■■ ■■■■■■■Ift■■■w■■■■■■■■w■1 !s ■■■■■■■■■ Y cubicyards■■■■■I■■•J?�'IIGISf.1■®�i■■■■�1�i■1�1� ramp ■©■■■IRINBoat !'IFEAMON INIMN ■■wr71. ■■�!'9■■■■■■■■■■I■1�1�lJI��■■■III■■■ �C ■■■■.■C■■■■■..■.....■■1���, 1�■�..Ir�s■.� IMEMEMEME■t�■■■■■■■■■P.�HI■I�1�■■■■■■■1■■■■■■■� 119 ■■■�i■■I■INIIIlt ■■■ .... IN ■ r■■I..G■ ■ MEMINMEME rA 1�1.mom ■wun�I11■1■■■■■■■■■I■I�1�■■■ ..�.....■■ HE SM111111111MMIMENIMIMEM NMI III illson MIMMIMME on No 0 ME MMIMMM ME No ME M ■■■■■■■■■■■■■ ■■MIN__ _NMMMMM MEMO A building permit may be required ( Note Local Planning jurisdiction) Notes/ Special Conditions _ Agent or Applicant Printed Name Signature "Please read compliance statement on back of permit" Application Feels) Check # U See note on back regarding River Basin rules. PermitOfficer's Printed Na li 1 Signa(ure Issuing Date Expiration Date An iAroKir GIDACIALI oor I`hereby certify that I own property adjacent to property located at--�Z(J �lJD q woocL (Address, on L)oqu'�—�ounp(� ,in_ (Waterbody) 2 (( n c L n q -es_ (Name o Property O ner) ew,o®� �, //G a 9570 C.oun N.C. and/or Cou tv) The applicant has described to me, as shown below, the development proposed at the above location. I have no objection to this proposal. to this -proposal. _ _ ---- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT &1n ividual proposing development must fill in description below or attach a sit( �I- 42 3 drawing) Eaf 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.) RE�E�vE� I do wish to waive the 15' setback requirement. 1� I do not wish to waive the 15' setback requirement. MAY 16 2�19 rn /7 �Or yppIVB{rye--c' � a Pi Mayi{l2nS�Qdss9 4)clgsr Cjttate(ZipO/(f ��5� U Telep one Num er ,,I.sa - -7,2 5-- 7-5d 7 Date (Adjacent Property Own(OIWi ion) Date i %a (Revised 611812012) r O A CA a: W ya 6'x65' A. PlaBorm C, 0 S �n�o$ EG�`J�o OG� ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: 1 �r Vv Q rO nOL Leo 11\'k f 9590 9402 3756 8032 2167 97 7017 3040 0000 6160 1725 PS Form 3811, July 2015 PSN 7530-02-000-9053 r- _ ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: �af,^(car6�e fe nd¢r �' r �=�sf uS (a3d28��n� IIIIIIIII IIII III I II II I IIII�I IIII II IIII I I III III 9590 9402 3756 8032 2168 10 2. Article Number (Iransrer from seMce reuep 7017 3040 0000 6160 1718 PS Form 3811, July 2015 PSN 7530-02-000-9053 Agent C. Dgte of Delivery D. Is delivef address different from iterrYl7 u Yes If YES, enter delivery address below: ❑ N v I vice Type ❑ Priority Mail Express® Signature ❑ Registered MailT" Restrlcted Delivery ❑ Registered Mail Restricted fled Mail Delivery estrioted Delivery 0 Return Racelptfor of on Delivery Merchandise ^� on Delivery Restricted Delivery D Signature ConflrmationT" --. Mail-. 0 Signature Confirmation Mall Restricted Delivery Restdoted Delivery 000).. . . Domestic Return Receipt COMPLETE. TNIS SECTION ON DELIVERY 1101�/ !" If YES, enter delivery address below: ❑ No Type ❑ Priority Mail Express® pure ❑ Registered MaP- siargReshlcledDelivery ❑ Registered Mail Restricted Rails, Delivery ,striated Delivery ❑ Return Receiptfor Delivery -. Merchandise Delivery Restricted Delivery D Signature Confirmation A ❑ Signature Confirmatira fit Restricted Delivery ResVicled Delivery Domestic Return Receipt