HomeMy WebLinkAbout74774D - DoulessI CAMA / - DREDGE & FILL NO. 74774 A B C
EN ERAL PERMIT Previous permit #
'New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As aut orized by the State of North Carolina, Department of Environmental Quality D f ( t O
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC F'[
Rules attached.
Applicant Name �} o h� �..�o .... �- S S Project Location: County � ✓., .\. S ,.,.. % c iC._
Address _ 1�1 a /
Ask c j &tC �1 �� � � Street Address/ State Road/ Lot #(s)
City AS Ir State NC -ZIP ?120 W Gt'c.ww
Phone # (V) VA -Mail Subdivision IJ
Authorized Agent
❑ CW
Affected
AEC(s):
❑ OEA
❑ PWS:
ORIN:
yes Cn
EW] PTA ❑ ES ❑ PTS
❑ HHF ❑ IH ❑ UBA ❑ N/A
PNA es no
Type of Project/ Activity
n ex{`
Pier (dock) length
Fixed Platform(s)
Floating Platformfs) v,X2U1
Finger pier(s) U)t uvl
Groin length 1
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore,'
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length -� /QD r
SAV: not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: yes (�
I ",
City 0f_tC. - (Slr 6c-C �, -- ZIP21�,Ly
Phone # ( ) SA ^E River Basin
Adj. Wtr. Body Aw w man /unkn)
Closest Maj. Wtr. Body A k �Xjw
o-A
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11170�10R sR• • b_Gw w/9■✓ll
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DYING 13 R t 13 R
CMR= AM
esreo s It rloc a[R
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ow OF WOW
t I I ernlaalnElr 11Y Rt
I I ma PROPM P M
I I no a an
YYoI
1 I t
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I i j
1 t I I
loot ; 1
A building permit may be required by: '-rd w,N 0"r OCC — ($11-e- & JL c
( Note Local Planning Jurisdictio - \
Notes/ Special Conditions Q�p6J�G �� At c ��to - ^
S^� rt 4 C iG G ►1 C � A � rSi .
t� T�►: S OC/A, A f AAI-A ri�i"yi hrAe i 71.ir � S�t., % 'i�I t_,i'
c14 qL1,
Agent or Applicant Printed Name
Signature ** PI a read compliance statement on back of permit
0 00 !�
Application Fe ) Check#
(Scale: �J U )
❑ See note on back regarding River Basin rules.
"IAN
4;.110nr,. Ik.,L r11 4a ~ 11.
7Z c
PermitOfficer's Printed Na
Signature
/// 17 Bw 4AX -1-L-1
Issuin ate/ /Expir2ftion Date
4autt
AMA/ DREDGE Alt FILL W.. 74774 A B CENE_ RAL PERMIT #.-
ew f_lModification C3Eomplete Reissue t7Partial Reissue
d 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 . .
.. Q
Applicant Nam` .. �•_--- Project L.ocadon:.�lilglty'.: •.:. -.. �i;,r��c_---
+�..:.« ,fir t�
Address �:�. I »a Ask . M1.a K. A Street Address/ Stetie:AWyldl Ltd#(#j, / T rl&
State�C— ZIP2C.
City _ -P._
Phone #
Subdhrkio�l
-Flail.. �'•-'_' ..:.... .:..
Authorized Agent .'•-i - - - - -Yr f-..'°` �Ert'�IP Z%r
Affected D CM[ i.PTA. an QPTS Phone # (__.), River Be*
IQpFA HHF .O W O USA O WA.
AEC(s).: q Pulls Ititikises BIDdY ,- j ma
Wtr
n nn
ORW: yes + PNA . s C t Maj.. �•
7
no
.� .
rti- r
Type of Project/ Activity I
0�+C
Pier (dock) length__
Fixed Platform(s)._ �
Floating Piatforttis) V F LL?
Finger pier(s) W
Groin length ---
number --
Bulkhead! Riprap length__—
avg distance offshore
max distance offshore
Basin, channel _
cubic yards_
Boat ramp ______„
Boathouse/ Boatlift
Beach Build
Other —__--
�
AM
r. a_
pR/Y 6 R M[ POP -
mot ar r"s`
Shoretine Length =«� I I
SAV: not sure yes --fA!
Moratorium: r>/a yes i r
Photos: yes
IWI
Waiver Attached: yes y L—__ ..------ ---
A building permit may be required by: W.t+ oc cwpd� ISt" 6C-...W6% Q See note on back regarding Rtver Basin ruin.
( Note Local Planningju isdictio
Notes/ Special Conditions Qiroo� //tt
�..Ts %S ° f+�P6•r1 jtr S.�c.�1'�j4C/IG- (tA S`�If .
hpnkcr,APpkWK Prhtad Pint •
Si P ase read con►���, a statement on back of permit "s Signature .
APPI
ication Fe s) Chedt # 15s?1nVao xpir ion Oate
I
I understand that a pier, deck, mooring pillro.46WOW60athouse, lift, or groin must be set back a
minimum distance of 15 from my area of ripariart_access unless waived by me. (if you wish to waive
the setback, you must initial the appropriate bunk below;)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15` setback requirement.
(Property owner Information) (Adjacent Props er lnformation)
� � I
e Si afore
o rz G r 50
Print or Type Name Print or TYPY9 Name
1��10 1�x3�ecw.x��+�aZve SW lk1U(.Q lkx24ke(Z.aKr�-� SII�
Mailing Address Mailing Address
tic,e-6 Mtn Nc dS (P f can le cr,�NC 014�(�9
ity/State2ip City/StateMD
2116) 7q4r>-gQor7 (Cook I9tatQ
Tetepha a Number Telep o e Number
i�1qO a
ID q�19
Date Date
(Revised 611812012)
The applicant has dnwbed to me, as thom bokft the abo* 110CAlkim
I have no obodort to this prorpow
(10OWdUat PrOOSfdg, dev
�11 - `
t * Sft 48wing)
I understand that a pier, dock, mooring pillnot, lifte br,'boathouse, lift, or groin must be set hack a
minimum distance of 15l from my area of ripafi .i. acces unless waived by me. (If you wish to waive
the setback, you must initial the appropriate blink Wow)
I do wish to waive the W setback requirement.,
,Odo not YAsh to waive the 15'setback requirement
A(P party owns kft on) JA Propw*� Qvqter Infbmmotlon)
igna�ture Siinalure
' Yl ,A 1-: )O-cC'%5
Print or Type Name Print or e Name
iri!5 LQ tk^a�e.g'v- IQ: %
Mailing Address Mailing Address
eati
C#Ovat&zlp ChtylStatelZip
(Lq'16) Sqo-qqoq
Telephone Number Telephone Oumber
1ojjL'-j 19
I I
Date Date 1
(Revised 6116R012)
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SITE PLAN
11 Awit"a�- �•; W
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Date Received
Date Dem~
Check Fom Name
Name olPhtmrr
Vendor
Check Number
chwk
bnou t
Permit NumberiComments
Receipt or Rerun&Reallocated
Columnf
C.1~
Corumn3
cok~4
Cok-5
Columne
Cokann7
Column8
Column9
11/1/2019
Carolina Craftsman, Inc.
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BB&T
3816
6123
$ 200.00
GP 974544D _
GP •74731D
Tmc rat. 8292
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Richard and Susan Hutaff 1 of 2
same
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Gaston F and Jarrell Lopez
Clements Marine Construction
F and S Marine Contractors Inc
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1198
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5278
$ 200.00
GP 974599D _
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Dennis Moeller
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8171
S 200.00
GP 074762D
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Thomas G D III_
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103
$ 200.00
GP 1t74730D
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JW & MT Dowless
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BUT
8341
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GP 074774D
BB rct. 7937
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1 Carolina Creations Landscapes, Inc.
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10382
200.00
GP #74775D
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