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Home My WebLink AboutAndrews, Georgei❑.CAMA ❑ DREDGE &FILLB, ,!GENERAL PERMIT Previous permit # � I 5 .,Nevv ❑Modification ❑ Complete Reissue ElPartial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality �r a' ^ z P I_ .... . q_ ,4 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Y E �`' ' ; 7 y� r' j 0 Rules attached. Applicant Name p Project Location: County =� Address J- . s Street Address/ State Road/ Lot #(s) ;�<.• r n i v-.,. r :+` i ,f • �v t. �t tr f a . ` ; Sr , }`4 �. f' S i �, . �-' � i ti - '' . t !- �, •; � } ci� r T r( l� .:i , i i i f 4.:• .`� 1r ,� ,�. ti 7 1 .'-Y' z,r %"t. ':ti `� t, f j. State �. ± ZIP Phone # �k., F�_ L 1w .�. p.. ( r'4, t� E-,Mail Subdivision .aT ~y -71 f Authorized Agent Ci t F zip » ty •yr r' 'r�. �'•- � � 1 River Basin," t`xCW x EW PTA, ❑ ES ❑ PTS Phone # Affected C ❑ OEA ❑HHF ❑41H ❑ UBA ❑ N/A E n 'f 4 •It` r • AEC(s) Adj. Wtr. Body 5 " ` k. � _� 'ff�.! �• 77 nat /man /unkn) .� ❑ PWS• Closest Ma'. Win Body ORW: yes / ono 3 PNA yes / no 1 Y iY• T e of Project/ Activity - • • ..� �: K y i•i e ` r._ �( 7 1- r: f } .:r - yS ��, Scale• I .,. i+...,� - •� p _ ,4 L,' 4,• !StaY4 w:. q �: ii 1 ��4�.n: �Yq.4Y1d}, 4 E hn..c11 ,;' • 4.. "r r*.X�4 r r •r-M„'�ii� 'ii � P` J XI . ............ ..... Pier (dock) length �» - F iz :. ' j. of 3j [ Fixed Platform(s) : ` ,. e-o• .�• r ,r. r.x7;•rxt rRY'i `"7 % Floatin Platforms �._Y _. , .n+ I`=` ` r�. 3.<. �t :g.i;,. f Floating Platforms) i _ = .o.......... ........... .r... i.•:••.•• �•i... ... K �' ..:yK; - ..i:............ .. .... ......:b:..........w.---.- ... ....d............b............a ...... ... ` . i !. i}} Finger ier s •-•-••-w.... r, . ..W:.,,.......6 r ,..................................4....................'.F.,... • ....�...ir ... ...... ..it ......... ...... ....... ....... ............................. _ ....... —. ............ ......yb... ...b... ...........:.............:............. ........... o............ a............ a.... ...... ...K .......................................... ............... Groin length i r ��m :: a x�,>x}9r4:i M.�. a:..x 4:7:eF fiI•s � f )r({), t : .:a[ ...y... ... ��... ...... ...... .... ...... .................... ....................i[ .......••t•:: ....•' ..b... ... ..0......... ..o{.. ' ......4..•number .................. ......... o......... ...... t ...... ..... ... ....Y x .. ....... ..... Bulkhead/ Ri ra len h , t' — --------------- -------- ayg distance offshore,.::. t. i---•..••..?......... t'k,'I: { 'r' {,` i�5 tf^.ex .,r'e ..... ir..-.,-^ l•^.^--'• 1, 3 _1 Q s .t max distance offshore ...a.mro,trn t -J ;. 1 ":u t r 's r '• { • A 1' ro ;j �. Basin channel' a f t v (R y. ,i,; t'�! l 1 o >; �. Y 7.� •��' x ! ,.� d.�r'� i f,' ` �? • r i cubic yards n� i s 3{ �, ."�"12:.:,'M1:A :•RCr b%til�'SF-'�17r _ J Boat ramp r 3 n 33 �r Cf f» i 3 r i t n i a S 9 �° A i I33 _ tt........................................................................................................:...............>,...........................,: °........... J. q : o.......... e............o........................o............. ............. ...... F................................. _i .. it is Boathouse/ Boatlift ,y. .. , r •F' - ................... ...... - ...... • ....,b... ..b... .. ....... ... ..r ::.....:....:::..... _ .9r .... ...... ...... ..... .. .... J ............ f• i - 1' .Vt 1 k 3 i j :"' ^ ....... ....... ...... .... ..... ..... ...... ........b...........b...... ... ,t \ ' i E •, a... ... Beach Bulldozing 1 Fw 1' Other------------- ---------- -7, i t} j " L� }• � t �i��'. ..,,� aij} :+'`•' �4'»; i.'i`it. �17' . i Shoreline Length SAV: �; yes no........................o................................ ....... ....... .... ....... ..:. ...... ............. not sure " wt,>• +`` ? .... ....... .... ' ........ ................. ....... ....... ........................... ........................... t �..;. y............b............b.................... ...... IS Moratorium: n/a es no,",,- ', ; : j Y T ',�i•.:}'' : ................ ...... ...... .. ....... ..... Photos: es ''ono a 3 Y.. E Waiver Attached: yes no A building permit may be required by: ( Note Local Planning jurisdiction) r t Notes/ Special Conditions t k t . Permit'Officer's Printed Name Signature ,� < p � T . • ,, • +t •k. 1 7 �` 1•.. ai- i 1 � J Issuing Date 1� fa Expiration Date a� 33 .........a...................:.ab.......r�:b.....:.:..b,.,.:.......a....... ...... i t' i ❑ See note on back regarding River Basin rules. r. . •rt. 7 ). AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Properly Owner Requesting Permit: I�r�, Mailing Address: 2-561 Phone Number: � � � � � � 0// Email Address: 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: t � 5�� c��-t• �"� at mYproperty located at in County. I furthermore certify that 1 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: Signature sue-; rint or Type Name Title Zc) z e RECEIVED Date This certification is valid through _�l � � I ZJ � � CERTIFIED MAIL, r RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT -RIPARIAN PROPERTY OWN Cia-NO1'IFlCAT'ION/VVA.IVER- FORM Name of Property Owner: Ay,&-&-�� Address of Property: � '�� 'Q ��i°._ C':(Lot orStreet #, Street or Road, City &County) l�a�l�n �, .: � .. d Tess: Agent s blame * �� g Ad 'phone Ag ents #. 0_11 I hereby certify that. I own property adjacent to the above referenced property. The individ u.al . Y y applying lyin for this permit has described to me as shown. on the attached drawing.��the development i-4 � ♦r. ,.� rrl 4N1ii.."t chTJ. F..it4`y�'iji+ 7ll�J'^�l �•�"t ''r�� .s!.7'�7 they e proposing.RUE �>:..l:r,yc+\n�tc�tirr(jy-.t"^fi�•�-a�oM..r..�..!n*'fil��C, 1••s«�s��+/+I�Le9r�':�a��h,��bd��r �:�r4�.+ru4--niSvrl�ti:,��ht� r1{c�-��41r+�ltkr�`��4=1•��j1tP'. i.i:�?•t/omiN��i�°e%a� •�(�►c:aa'�..._+�r. �'v�t�"lsw:a-��a c.'al-;uc,��s`;a'i;fb�is b•!��,.r•�.�,'r'l:!a''r''�!�Ft`Y �.-'.at.a. l �:e6'vd�^ i r�J •ru..J • •r. �•n1� f` .,��.=i �\'.`..: l��e��'t en?r - .. . have no objections. to this proposal. I have objections to this proposal. If you have objections to what fs being proposed, you must notifythe �i�r`sion of Coastal Management (DCM) In writing within 10 days of recei t of this notice. Correspondence should be mailed to 400 Commerce Aire,, Morehead City, NC 28557r ,DCM representatives can also be contacted of 252) 80$- 2808. No res onse is considered the same as no ob `action if ou hayd been notified b Certi ied Mall. WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minimum distance of 1 5' from my area. of riparian access unless waived by me. (if you wish t waive the setback, you must initial the appropriate blank below.) I do wish to waive the 1 5' setback requirement, do not wish to waive the 15` setback requirement. {Property owner.l t rrnation} �; cent Pr ert owner lntormati } � o { 0-&,9,c4ce 4-j Print or ype Name � �0 !+P-0f Fv te. Mailing Address AJ City/State/Zip Telephone Number pebt I I 2,e) Date Signature H Print or Type Marne Mailing Address City/State2ip Telephone Number 0 ).,CRECEIVED 2- Date �O �(� Revised 91��2 DCM=MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to (Name Of Property Owner) property located at (Address, Lot, Block., Road etc.) on N.C. in (waterbody) (City/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 haya-Q4j -e-cli-o-n-s-0-tW-s- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individ0al proposing development mist fill in description below. or attach a site drawing) evc L us WAIVER SECTION I understand that a pier,.dock, mooring pilings, breakwater, boathouse, lift, or groin must be'set ba'ck 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Adjacent Proper( OWE Information) Si nature Print or Type Name,--) Mailing Aldress NX, Cif e IstqIt /Z10, . Telephone Number za z'g' Date A- rLAJ,0,f-N'*-' Signature r Zi^ A Print or Type Nam Mailing Address CitylS ta telZip Telephone Number ?-,, III - L Date %%--.CE1VED (Revised 10A FT&z?Q 0 DCR9-MHD cRrP