HomeMy WebLinkAbout63909D - Jacobs'CAMA / DREDGE & FILL 6390
GENERAL PERMIT Previous permit #
New -Modification iComplete Reissue CPartial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources �� /2 OO
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
! r
❑ Rules attached.
Applicant Name _,2e/va t / �. �r e'C,l�s 77!—' Project Location: County Re/`/ p"-
Address O ! V G'' c, Street Address/ State Road/ Lot #(s) Jiro /eG�Er�?�S
City _ .14 'M/9 <-App d StatwyL ZIP. y s 1 d
Phone # ('' ' C) Z96 ' %l/t'�9 Fax # ( ) Subdivision
Authorized Agent
Affected CW EW PTA El ES PTS
AEC(s): ❑ IDEA ❑ HHF ❑ IH ❑ UBA N/A
❑ PWS: ❑FC:
ORW: yes / no PNA ,y6F/- no Crit.Hab. yes / no
Type of Project/ Activity C
Pier (dock) length
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouset oatl'
Beach Bulldozing
Other
city ZIP ') I' y 5/x
Phone # ( ) River Basin
Adj. Wtr. Body % tv "V at man unkn
Closest Maj. Wtr. Body % IV �-/
. - - - ■■■®®fie■■■■■■ ■
Notes/ Special Conditions
f r"AV
Agent o Ar p icanpl t Printed Name
Signature * Please read compliance statement on back of permit
/7f
(Scale/ /i )
❑ See note on back regarding River Basin rules.
Permit Officer's Signature
issuing Date
7 * ---
Local Planning Jurisdiction
sue-
Expiration Date
Application Fee(s)
Check #
Rover File Name
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Z&!h x /�i Do C04'p
Mailing Address 0- 130 5�IR
�c z E-94�--3
Phone Number: / (U - z�16— 7t
Email Address: l rl-QW �f a� �f��• �dr�
I certify that I have authorized ,
Agent / Contractor
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 CNc%r' _County.
.sue
2
1 furthermore certify that I 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.
Property Owner Information:
,/V/,
ignature
/7/C-1A✓y
Print or Type Name
Title
1 I
Date
This certification is valid through I 1
.ADJAC'ENT RIPARIAN PROPERTY OWN
ER:BTATEMENT
I hereby certify that I own property adjacent to YirvYGm�s 's
(Norco of Property Ow er)
property located of _ : SSG .. S
(Address,, -ot; Block, Road; e
on /91 G�GJ , in rfeo , N.C.
(Waterbody) (' itylTow and/or County)
The applicant has described to me, as shown below, the development. proposed at the above location. y
_ I have no objection to:this proposal.
I have objections to this proposal.
DE60.RIPTI4N AND/OR DRAWING ola ;f Ql .08 Q DEVELORMENT
(individual proposing development must fill in decripfit be#it:W .or attach a .stfe drawing)
WA6/ER SECTION
I .understand that a pier, dock, mooring pilings, "breakwater, boathouse, lift; or groin must be set back a
minimurn distance of 1.6 from my area of riparian access unless waived by me. (If you wish to waive
the setback, you must inii#iaf 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 Property Owner Information)
Signature Si srture
alziriel
1 Q e r
Prinf r 7y e Name � �� (0 T YreYU e Rdaa• 43dx
Me V1,9Address MerngAd ress
,m hSf®oj 8s F e r ru . /K
'1(0- A76-
Telephone Number
P -lam
Date
Uare
(Revised 611812012)
.ADJACENT' RIPANAN PFt _0EERT,Y O11VMRSTAT15
I hereby certify thot I own property adjacent io
n4- .5_,?o of property 1 . Owner)
property .19cated al
on. Ie4��A-I -ell N.C.
(W,pterbQdy) (ibItylTown and/or Cdoftty}
The -applicant has described to me, as s I hown b6loW, thq-deye Jo t Abo p(n6R propos6d. at the _ve ftation.
I have no objection to.,this pro..Osal,
I h9ve objections to this proposal.
DE,%egipti6h Aw6k I OR I AWI RG '-OP f
(IndiVt d(JW ProPVSJJJq.deV0JoPMqnt
.qzust-, -11. /A ooss00 on OW of Siff4ch 041te i(rawing)
IF
I understand That a pier, dock - ., 'b - t u
dock, mooring pliMot " . rea"tpr, boathoU or.grgin gust -set back a
relirlimum :distance of IF from my area of rloarian (if you wh4h1owaive
theoetbacl< you must InlOgUt-he.approprtate bionk.Wow.1
I do wish to walve the- I 5setbapk, r9quIrerbe&-
I -do not wish toVaive the 1.51 setback reqqiremerij.
(property Oftar.140mati`oh) (Ad)aieeiht PropSrty owner inf"tio)
citylst?(s I *
0 Ali •
-
46IM
.ate le
Print -or Ty a NaMe
125-1 lei
TV v
ot tot
ty
To7l7h-ne _It /
Date.
(Re Viqqd 611 W 0 12)
r �'� "'� `� R �•} '. <� �� �,•. raj' _i
•r ,Ii ,- - �.y" mod, 4 sY � .'.�� - 4
r 14 •rl
.:�.� ��7��♦ Dro, . .�C.p __ �; �'•� rY���- : _, to -V r .++-
-2 N4.3—S'4,r- _-
353-36`44 - 3.iF5
LOT 2
s
e
1.00 ACt
1
- -
- L-2
i
FLOOD ZONE AE
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—L-3
' FLOOD ONES TAKFN FROM
3
FEMA MAP No: J720421300J
J�
DATED FEBRUARY
16, 2007.
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FLOOD ZONE VE
2
EIP
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Daniel H. Thompson, Professional Land Surveyor L-2174, state r'C-
_
,at this plat is a survey of another category, such as the -
?combination of existing parcels, a court -ordered survey or other
cception to the definition of subdivision and is therefore not .'� ✓ J _ - -y 5
ibject to subdivision regulation. (EXCEPTION TO DERNIAON OF - --
JBDIOSION - S£CAON J.8.1.£ 4) TOPSAIL SOUND
Barrier Island
Jonathan Holland
580 Roberts Rd. Lo
Hampstead, NC 28,
Edge of Marsh / Southeastest Bank
-120'
not to scale
Muriel Raker
430 Roberts Rd.
Hampstead, NC 28443
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