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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 r+ URF ,1 r (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 �O 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�� _?�.$ �L qe 3 // L� �iG2M .¢Ne���ou,2 CorJCQa'I� i� F� - _��CID S 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. d S� A*4 or (a 2-5T (+o/<y %2' cl(g e,%-o,Q3 C 1State�l�T �AdJa rrt Properly Owner I formation) S nature w Pant or T N�►ae qo3 w 4�rt� �T• Mading Addddre City/statsllrp �- A) C-- 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 ZT I/1 w%p ' aft ar 51ta alrawr»Q�Sounfd W�[rer eg s C A (2 HIVCLJ e00-t C- is ., (( - E ! 3org7- L 1 Fr i 1 h -r #u se(! ZC'O?r- c1 wm1 — : ehrnp SS . t [ t �Ath _' - 1 fl _ 5,� d rz , Rdtmo v 3 / 3 ( t_ dent 4,vo( fJc9-,2 �Gnr.r� �� �' i� I €�� _�'` 903 r ! / a t iit� a$ 'h dnr5, l /a � r op rn e j ( t; f �i D 8i �rvC-4 if S•e� . SS Ss, ss 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 -. lY.l_ -10Date Proerty I- Prtnt or- Type Mary T&k4M&;9 AwffAbw 0? z0.. �.._ fReviApd 8/f a,20f21 Imommmo■ mm ■ II tffIm'I■ 1 INNtg3r�%rr U71N ul /m�- ,7■ / IMMEMEMEMENNI ■MENN 1 ■ sm. 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 6/ I H IRa—d Howartl m 1831 0. Pa7404D