HomeMy WebLinkAbout74793D - Caudill�r )"MA / DREDGE & FILL
GENERAL PERMIT
`
Previous permit # �� C �
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'
ANew Modification Complete Reissue Partial Reissue Date previous permit issued •
As authorized by the State of North Carolina, Department of Environmental Quality j�
0-1 4
and the Coastal Resour es Commission in an area of environmental concern
pursuant to I SA NCAC_ _
Applicant Name
Q))r.AJ � �
Rulesattached.
Project Location: County �'N�C-tL-
Address
Street Address/ State Road/ Lot #(s)
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City k�AAnJEpJ> State PX--ZIPZ:44J--
J
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Phone # (6(o v, E-Mail _
Authorized Agent fK(((C ' Y rl ' E
Subdivision
City Rw.` Idv ZIP j-3, IN3
ected CW EW PTA ES PTS
Phone it ( '**T— -- River Basin Lti• C
s)OEA _ HHF IH UBA NIA
AFC:
F
- . 1< <'`' � "' T.-1Man /unkn)
Ad Wtr. Body Y
PWS:
ORW: yes no ' PNA yes
Closest Maj. Wt-. Body VL('SNV_ < 6Wdtj/3
Type of Project/ Activity __ _ Uv\,r� it,( I _ _ ,
Pier (dock) length j
Fixed Platforms)
Floating Platfonn(s)
Fing�picr(s)
Groin 2th
Bulkhead/ Nap length
.7 JistaN c offshore
nt.'tx distatK offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlilt
Beach Bulkk
Other
�1
//�� ! VVwVV dr%
Shoreline Length ll /� e)
SAV: not sure yes j
Moratorium Iva yes � • ," e6 rK -�
Photos: yes
Waives- Attached: yes
A building permit may be required by_,a T— —
( Note Local Planning Jurisdiction)
Notes/ Special Conditions N �'
rA ) ���►
A or Applicant Prin c4 Name
Se �nCn �
Appkcation!'"s) JAN' U / I�
6+~L�
(Scale:
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s
See note on back regarding River Basin rules.
v� UP
etl fficer's Printed Nante
pern�it ,' to re
heck # Issuing Date
Expiration Date
'.7CAMA / ❑ DREDGE & FILL No. 74793 O
GENERAL PERMIT Previous permit#
ANew —'Modification ❑Complete Reissue ::]Partial Reissue Date previous permit issued 9
As authorized by the State of North Carolina, Department of Environmental Quality
and the Coastal Resour es Commission in an area of environmental concern pursuant to I SA NCAC 1 �1
CAA� ❑ Rules attached.
Applicant Name 0 �`u� Project Location: County YL N 0C (Z"
Address
City
l EW
State \ . ZIP Z Q .
Phone # a( X-1 + z E-Mail
Authorized Agent
Affected ❑ Cw EW PTA ❑ ES ❑ PTS
AEC(s): ElOEA � HHF ? IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes Kf 9 PNA yes
or Applicant
�"� r Phase read compliance statement on back of permit"
/ `
Application Fee(s) Check #
Street Address/ State Road/ Lot #(s)
&ra ia—
Subdivision
City Ow5tfO'D zip- A IN3
Phone # River Basin VV. 0
Adj. Wtr. Body �✓L..' eff�at an /unkn)
Closest Maj. Wtr. Body lo(-,,A I L c�rJ
IVI
e it fficer's Printed Name
na7r--
e /
� ' � LJ1
Issuing Date Expiration Date
CAMA / u DREDGE & FILL U No. 74719 A B c
nD
GENERAL PERMIT �—(�/ Previous permit#
ew Modification E]Complete Reissue ❑ artia Reissue Date previous permit issued
Asa horized by the State of North Carolina, Department of Environmental Quality ,y.� i1
and the Coastal Resourc Commission in an ar f enn iro mental concern pursuant to 15A NCAC (j 1
7d / % V ,7 ( / ❑ Rules attached.
Applicant Nam -77 I •I{� Project Location: County_T�
Address [ re / � Street Address/ State Road/ Lot #(s)
City � � State ZIP ZkYV3.
Phone #Q�Q) �/ E-Mail
Authorized Agent1
Affected ❑ Cw/ qW / 'PTA El ES ❑ PTS
A Affected
❑ OEA ❑ HHP E IIH ❑ UBA ❑ WA
❑ PWS:
ORW: yes PNA yes Co n
Type of Project/ Activity J� fd 4Z_'�
Subdivisio
City_ ZIP
Phone # ( �River Basin
Adj. Wtr. Body / !/(l [A- 64426� _ man /unkn)
Closest Maj. Wtr. Body 77y ^���
Pier
Fixed
Float
Finge
Groir
Bulkr
Basin
Boat
Boad
Beac
Othe
Shon
SAV:
Mor,
Phot
Waiv
(Scale:
=Emu
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not sure yes
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IFFIS: yes
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A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
or
Sign4lture "Please read compliance statement on back of permit"
IN IN LAC P N/
AppUtion Fee(s) Check #
❑ See note on back regarding River Basin rules.
Issuing Date Expiration Date
fir+- +^�- w ?• 'rT
�i IC N
DEC 2 3 2019
Name of Property Owner Requesting Permit: //ro f r- /- / P. ud /
Mailing Address: 'Dw.
114m a5-Fe-A o . Al C 2'9 � 13
Phone Number: 11/0-/— �d l — 42 3-_ -
Email Address: /fob cgu<�i //��-/���/cif • /I�f
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: Afoji /cd //tin 7`
at my property located at /VC .29 2
in ��j/-P 4 County.
I 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:
zCm��k � &*
%/%� //
Signature
Ale1 . (�q-r: l / i Zf
Print or Type Name
Title
L'/ � /2
Date
This certification is valid through I I
RECEIVED
DCM WILMINGTON, NC
DEC232019
R%EIVEDDDCM WNC
ADJACENT RIPARIAN PROPERTY OWNER_ STATEMENT
I hereby certify that I own property adjacent to eo ed _0 (�7qw/,// 's
property located at �
(Name of Property Owner)
/� �i�l'�1/irc✓ U� G-
(Address, Lot, Block, Road, .)
on 11PL'L clocek in , N.C.
(Waterbody) ( ity/Town 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 fill in description below or attach a site drawing)
F1oQ�CC M- U��� o�
L
�iThe� �i a�;alJ Coff�i�oE '
P
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 15' setback requirement.
do not wish to waive the 15' setback requirement.
(Property Owner Innfforrma�tiio�n) (Ado perty Owne lion)
Sig_ lure //�� / S" ur
ZohF, / D �QUC[ /
Print or Type Namq Print or Type ame_ ,
Mailing Address
City/Sta eMp /
Telephone Number/email address
/Q- 6- — /91
Date
*Valid for one calendar year after signature*
.........y .......... 5—tea a
City at 15
Telephone Number/email address 1
t2
RECEIVED
DCM WILMINGTON, NC (RDE - e
DEC 2 3 M9 49 2C19
DCM WILMINMTON, NC
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I herebv certify that I own pronerty arfiacemt to �• �" n �, r ��
hh (Name of Property Owner)
property located at �� CAP!', �, , , -' L'.
_._ _-_ - -(Address, Lot, Block, Road, a .)
on /L%iL� [,Peek , in /�,T,y , N.C.
/lRl�finY�n!lirl !!�1F.lTn•�rr+ .inrfl..cr ^n:enh•1
The applicant has described to me, as shown below, the development proposed at the above
location.
have objections to this proposal.
nnn.Rreari. sw�-- nr%^I-% �n nr�rrr I� R•Tl/T
(Individual proposing development must fill in description below or attach a site drawing)
T74Ut<c/r- &-AC�
✓i Th /�!L G�Tci' ero "� / oa7 ioc 1C >
Coif l "F '
i°
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
mw;f ho cat hprk P minirnirm rfictnnrt� of m;• of -,•.,,.m..c "niocc
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
! (if) •,arich 'In v�t!niira }ha ? F' :athartC mr+r iir=rnanf
I do not wish to waive the 15' setback requirement.
Mronerty Muter lnfnrmpfinn! fArHimi-ont ®ror.Prr�lSrrSPr fre$r}rr�a4•.nnl
'r1rrf�i� ,x'l. L_!)tsi/.l-J17
Signature
Print or Type Nam
Mailing Address
City/Sta'tivZip
Telephone Number/email address
11:�2- 6 /17
Date
Sign ztr� G �vR, J �S
Prior JType Name
O' r C2�-¢�cy.th�
Mailing "4 S�-
CA)oSt tel, p'
Telephone Npm bar/email address
�-1 `i c,
*Valid for one calendar year after signature* RECEIVED 1
DCM WILMINGTON, NC
DEC 9,3_'9
D INO 9 J
DCM WILMINGTON, NC
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