HomeMy WebLinkAbout74604D - HowardCAMA / DREDGE & FILL NO. 74604 A B C DD
GENERAL PERMIT Previous permit #
44
Gw NJModification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department f Environmental Quality
and the Coastal Resourc mmission in an area of a vi nmental con rn pursuant to I SA NCAC U
El Rules attached.
Applicant Name Project Location: County T�V\ U t1J
Address / Street Address/ State Road/I LOt #(s)_
City l State ` zlp%j AXV i -
Phone # /M �4_Mail Subdivision
Authorized Agent City / zip Z x4 4 S
Affected El
CW aq EW X,PTA � ES ❑ PTS Phone # (---j-- t River Basin W �
AEC(s): ❑ OEA /❑ HHF ❑ IH ❑ USA ❑ N/A Adj. Wtr. Body r—YAAA A I S o SC
ElPWS. �l /� S
na
Bony unkn
ORW: yes /; no . PNA yes / 1 0l Closest Maj. Wtr. �\ `' � 1'
Type of Project/ Activity
Pier (dock)
Fixed Platfc
Finger
Groin
Bulkhead/ Rilbrap length
avg distance ffshc
max distance oll�h
Basin, channel \
cubic yards
Boat ramp
Boathouse/ Boat
Beach ulldozi
Other l
Shoreline Length
SAV: not sure yes ,
Moratorium: n/a yes o
Photos: yes n
Waiver Attached: yes no
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
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(Scale:' : ZQ
❑ See note on back regarding River Basin rules.
Printed
SignaturNe _ * lease read compliance statement on back of permit
Application Fee(s) Check #
U(D .;.(q, In, �).l'i
Issuing Date Expiration Date
�J�c.1 eC�: i`CAy�ttorl� l u>ot_GJ
FO
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ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own propetty adjacent to >C�Ry MPA �. �Cc)0�r -d 's
prc
on
The applicant has described to me, as shown below, the development proposed at the above locabM,
I have no objection to this proposal.
I have obodlons to this proposal.
DESCRIPTION ANDlOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing developmant mu t fill in description below or attach a site draw�ln�)
Slfu,mp Sounid V-26Ades CA/M � t 80'tt"' eRIVCLJ
P2c?csed SCO�L° (itJDi2�G I2Amp SS I X/� Qkn�� _?�.$
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rwP s -AON6' i�' F�Rw,�d , � 9+h S-�I?ee{
crinrc2L-I� �ksh�d _ ter:,_ 55 S5 5
a N d v_u o'1 ,�
Co,A-rtcr,e- v-P JA44- -+o- *-P WAIVER SECTION --
3A ' I understand that e 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 dc, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement_
I do not wish to waive the 16 setback requirement.
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A*4 or (a 2-5T (+o/<y %2' cl(g e,%-o,Q3
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�AdJa rrt Properly Owner I formation)
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Mading Addddre
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Talopiaow Numbsr
Clare
(Revised 4Vi &2012)
tD- 329-004 3
A JACENT FtIE RI N PROP RTY OWNERSI&IMNT
I hereby certify that I own property adlace.nt to
property located at ___ 4 D
(Address,
t . in _
(w��rt�ly)
B , 1 kw&' f-d 's
(CiWTown %id/or Co")
N.C_
The applicant has described to me, as shown glow, the devalopntent proNsed at the above locator.
I have no oijec6on to this proposal.
1 have motions to this proposal.
DESCRIPTION AND/OR DRAWING OF PRUNED DIE VElOPW-NT
,,: ; �s taf ,✓ (AP �iii i riescri bon burr or
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3A } t understand that a WAIVER SECTIONper, dDck, maoring pilings, breakwater, boathw. se, Wt. or groin must be set back a
nliniimurr) distance of 1b' from my area of riparian access unless waived by me. (if you wish to WOW
the setback, you must initial the appropriate blank Mow.)
I do `wish to waive the t 5' setback reguirement-
t do not +t.isli to waive the 15 setback requirement
woad 1�"00U-d
or
16A&PPi0n& Number
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Proerty
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Prtnt or- Type Mary
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IMMEMEMEMENNI ■MENN 1
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a
Date Received
Date De alted
Check From Name
Name of Permit Holder
Vendor
Check Number
Check
amount
permit NumberlComments
Receipt or Refund/Reallocated
Cot umn1
Columnt
Column,
Column)
Columns
Columnfi
Column?
Column,
Column9
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