The URL can be used to link to this page

Home My WebLink AboutSmoak, David�C/_ ❑DREDGE & FILL NO. %3484 A B ', D ®GENERAL PERMIT Previous permit# 7YNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality 0!J� and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC l all, esattached. Applicant Name (- i ,.� / - I Project Location: County all, Address " r"� G i `1 �' ✓' Street Address/ State Road/ Lot #(s) City r sic t State/-/( ZIP14 i Phone# Mail Subdivision .'. I �• Authorized Agent l i ' /� / �� ` 5 / City f ZIP r El CW [SEW L PTA ❑ ES ❑ PTS Affected AEC(s): 00EA ❑HHF LIH ❑UBA ❑N/A ❑ PWS: ORW: yes / no PNA yes / no Phone # ( ) River Basin .✓ ' , ` / .1 Adj. Wtr. Body- i rla-' at man unkn Closest Mal. Wt. R d �L` tsi ~ Fixed Platform(s) MEMEMEMMUME MRSEMIAM MEiiiii■�a■ ............ ■■■■■■■EM■■■■■■MMM■E■■■a ONE ■MOM■■■■M■. ....................... ■■■NE■M■■■■■M SEEM M a■■■■■M■■■■■■■■ Ig■■ME■M■■■■ ■■ .■■ ...■■..........'.�...� ■E■M■M■■■ ■■ . ■..C....■■■.■■■FINUMEM■MEME MEN.■■ MEMO ■i■ ■■■■ ■m■■■■■■MMj■■■■■■■■■■MEN ■M■M■■■MMM ■■■■ ■■N■M■ MEMO ■■ MEINIC�iiii►MiMiinIMMENSEEMiiiiiiii■�MEMO MESON g ■■■EMMME■■■■■EI��J■■NONE■■■■■■■■ M. ME M■■■■ f/O■E1i1■\E�� ■■■■■■■■g® ■■■■MIN EONS■ .■■■■■MM■M■■■M■■■I/�►\■■7/i■■■■ MM�M■■�I�■ .,110MIS ;MEN M;ME MEN . N■■■■M • ■■■■OM M■■■E■■I■%■/E■M■■■M■N■■■■■■MEMO 0000 CMEMINEMM EMEMEMEECMM■■EENE■■N■■Lrir��■■ME■■I�II/a C::® MEWOR NONE :::::Cg�OEM �MEM■ MME E'w'NONMNONNI ■ENNEN CiCCCi i'■I�.I'■"iiii i■e� ....■■■■MMEMM■E■M■■■■E■ME■E■■1■■■■E■ N■■ man ql. Agent a" Applicant Printed Name Signature **Please read compliance statement on back of permit" Application Fee(s) Check # AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: Email Address: I certify that I have authorized K,-(M5e T�e,k5aj ✓ If n e- /L)- 5,-A?Bai`'31,P cq m,* /, cow to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary/for the following proposed development: at my property located at in 0/V"V49u'7 County. r4&,*� pie ck4-' I furthermore certify that 1 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. REG�W D Property Owner Information: Smon� Signature 5'Wl O P" !� f Print or Type Name Oaj)t?Y' Title 3 d / / 9 Date This certification is valid through --Y—l_ 9 1 vo � 6 Jp\9 DcMyMND 0\1 I hereby certify that I own property adjacent to I IM,V I (A �J1 YI(Al L `p 's 2am property located at Z5 �P l�IC�G (N;/of Property Owner) Creek— (Address, Lot, Bloc ,Road, etc.) on l ill QA� 1 S , in L( j� N.C. (Waterbody) (City/Town and/or County) The appl!pant has described to me, as shown below, the development proposed at the above locatio ppp---�� I have no objection to this proposal-/ I have objections to this proposal. DESCRIPTION AND/OR DRAWING 62 06 WAIVER SECTION DEVELOPMENT Add 14'0-0'c a15csNEn va 0 6 2019 �, ti . mAn CITY 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 ap opriate blank below.) I do wish to waive the 15' setback requirement. F I do not wish to waive the 15' setback requirement. (P7z;nz; n) signarure nn Print or Type Name Mai�igddresscj�i, Ci y/State/Zip q;/0 3�b-. ,� d Telephone Number/email address Date (Adjacent Pro anerinfor ation) Print or Tvolle Name K_ IQ 0 City/Sta e/Zip9 - ZSD- SYog 5tro � GA, Telephone Number/email address Date* (Revised Aug. 2014) *Valid for one calendar year after signature* ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 3,y: c! C .e4 -- 's (Name of Property Owner) property located at 22S �i' A...i H l( (Address, Lot, Block, Road, etc.) on 5%ue'n `Ied� in A111i.i41, , 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 OF PROPOSED DEVELOPMENT �m j5 Qrvkp�� '' FEB 0 6 2019 / MHG CITY GGM- 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Property Owner Information) (Adjacent Pro erty Owner;7-- 'S1 _� � nature Si re* r or T e Name Print or T Cre Name p 5 / F-p eJ nl vl� fl��/ 2 2re r/e� k Pry' 1 , Mailing,Add ss M�il�n Add r ssl� Ha�eL. City/State2i City/Stat tp c Telephongg Number/email address Telephone Number/email address It/-F�I� ) 1. � '�dlr6 Date Date* (Revised Aug. 2014) *Valid for one calendar year after signature` GoMaps February 25, 2019 1:1.128 0 0.0075 0.015 0.03 mi 0 0.015 0.03 0.06 km 2019