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Home My WebLink About72770D - Swindell,t MAMA / DREDGE & FILL- No. 72770 BEN E L PERMIT Previous permit # A B C New ❑Modification El Complete Reissue ❑Partial Reissue Date previous permit issued ) As authorized by the State of North Carolina, Department of Environmental Quality n / / / and the Coastal Resource Com ' sion in an area of a vironmental concern pursuant to 15A NCAC C�''%I�' ` l /d 6 % � ��,0L C� les attached. Applicant Name 4i t Project Location: County Address Street Address/ State R cJY-ot #(s City StatAr ZIP L1%(/6 Phone #q1 l�4 6 7/ F_Mail Subdivision Authorized Agent (jf (/J / Affected ❑ CVN *jEW )6PTA ,ks ❑ PTs AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes /6 PNA yes no Type of Project/ Activity Pier ¢ Fixe Float Fing Groi Basir Boat Boat Beac Oth< Shor SAV Mor Phot waiN City 1J ZIP Phone # ( River Basir�{1� Adj. Wtr. Body Cf S� inat man unkn Closest Maj. Wtr. Body (Scale: l It l ■■■■■■■■■■■■■■■■■■■ ■■■■qq■■■■■■■■■■■`P` length w■■■■■■■■■■■■■�ww■■■■�■■■.:;■■■■�■■■■■■■ ... length =� ■■■■■■■■ME■■■■■■■ ■■■■MM■N■Wavg � i !�%!!'lei■■ distance offshore max distance offshore ■■■■■■■■■■■■■■■■■,■■■■I�■rn■�.I■■■■■�■■ ■■ ■■■■■■■■■■■■�■■�■■■■■■■■■■�►i■�i��=ice �annel ■■■■■■■1il■■�I■■�■��■■■�■■■■■■■■■■sue■■■■■. ramp ■■■■■■■■� ■■/ 1■■■■■■■� �7i17■■■■■■■■■■■■■■■■ ious- ■■■■■■■■� I■■III■■■■■�r�l■■■■■■■■■■■�l■■■■■ ■■ ■■■■��■■Ili■■ ■ II®•■■■��w■�i�■�w■■ -i Bulldozing ■■■■■■■■N 1■■I S■■■■■■I!�■■�i�1�:%.'■fi(r''1G//llirf GJ■■ ■■■■■■■■�N■EME ■EM■■■■■■■To ■■■■■■■■■ not sure M yes "IMMMOMMEMEMEMEM Fs: yes • ■w�■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■ v � A building permit ma required by: I V ( Note Local Planning jurisdiction) Notes/ Special Conditions or /Kpplidant Printed Name tign?r_PIe�Crea�g6iancestatementonbackofper�p'IL,; Ap Iication Fee(s) Check #(Jj( ❑ See note on back regarding River Basin rules. Date N:Rrrw 4f PrcsPerr, Permit LA. ejl ze EmaN •Amrms X 1064NY the i hom sAmil zed ' 4, e ?! :,�� --... AWt ! coft 'ia w 10 *C:t fit) my b*Wr, W tha PUrpaSO Of dying fOr W4 ObtainkV ON GAMA perrrrlts 0608awy for the ft lbwIng aropoew dwelopra wtF at rrvy prop" kCaW at ir, �ey Cow. r t wIldirm COMriY Mat l am sumormad to grant; ano o'o Nr few gre nt ppe orri imn to OMSM Of GO-09W Marla r"nt Mff. fxM Local Aa,rrttl for end tr1sir SgWts to SnW or; ft OFOrementuned kwxS err canrecf1w wah ev&"tr'rV muti;w r*W to #hrS Ownil mpkawn. Prop" Owner lnftmwftn. turd Plat ut Type Narm De IV e'�1111A)VV This cwtfic&Uor; is valid tt DLW ADJACENT RIPARIAN PROPERTY ,/OWNER STATEM ENT I hereby certify that I own property adjacent to .�% �`J . ��W c eis / _ // (Name of Property Owner) property located at 0 co I '. I 51 (Address, Lot. Block, Road etc.) S on �- L� �,1� . in z%l �' l` N.C. (Waterbody) (Cbtyrr and/or ounty) The applicant has described to me, as shown below, the development proposed at the above y f Iocati I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill hi description below or attach a site drawing) �)Yam jN � A40t,/7 ed. 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 16 setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Info agon Si e Pri/ri orr fL � I l /l I'7 S Telephone Number / email address -<- / , / c" Date Nafid for one calendar year after siWakW (Adjacent Property nor Information) :r,�ii ' _,,21i fA TeleptT Number/ -email address Date* (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Aid I S4UJti de// 's property located at /�� ! (Name of Property Owner) ro ( 6 i � (Address, Lot, B ad etc.) on -30a) _, in 71N.C. (yyaterbody) (City/T 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 (Individual proposing development must fit in -description below or attach a site drawing) 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.) A4-& I do wish to waive the 16 setback requirement I do not wish to waive the 15' setback requirement. (Property Owner Infonnatio Date Walid for one calendar year after signature` (Adjacent Property Owner Information) Sigma P6 ityidINamefh S 7�' Teleph a Number/•email address -- / - A), Date* (Revised Aug. 2014) Date Received Date Deposited Check From Name Name of Permit Holder Vendor Check Number Cheek .mount Permit Numbwlcomments Receipt or Refund/Reallocated Columnl Columns Column3 Column4 Co1umn5 Columrr9 Column? Column& Column9 1 nne / nne Mari windeA 'Coastal Bank & TjM 2M . 1