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Home My WebLink About66592D - Hogan�4CAMA / ❑ DREDGE & FILL�jI�1 IENERIPERMIT ` / 1 Previous permit# A B AL ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued d by the State of North Carolina, Department of Environment and Natural Resources —7 Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC � ` � j� El Rules attached. it Name6Y! \q Q Y ` Project Location: County Street Address/ State Road/ Lot #(s) 0--��, �y S StateL ZIP �� 0-3 I ✓ \ 5 V � (A � f ( ) �� -3n Et -Mail Subdivision zed Agent ear{. Q Gl malir'c ily M)(qqu V\ `1 t fit ZIP I El �EW PTA ElES ❑ PTS Phone # (t� U) "13 - g ( River Basin ElOEA ElHHF IH El URA ❑ N/A Adj. Wtr. Body \_. Ci (A M ` (nat ❑ PWS: VOC i PMA VOC r„�i Closest Maj. Wtr. Body ,f Project/ Activity v, )ck) length latform(s) n Platform(s) U 3ier(s) :ngth ember id/ Riprap len ,g distance o shore_ ax distanc ffshore :hannel 3ulldozing Vh 3� l ie Length ,rium: (Scale: ling permit may be required by: Local Planning jurisdiction) n See note on back regarding River Basin NC Division of Coastal Mgt. Habitat Impact Coral Applicant: " 06� l $ a K V� Date: 5/�,5, �, Describe below the HABITAT disturbances for the application. All values should match the name, and units of measurement found in your Habitat code sheet. TOTAL Sq. Ft. FINAL Sq. Ft. TOTAL Feet FII (Applied for. (Anticipated final (Applied for. (Ar DISTURB TYPE Disturbance total disturbance. Disturbance dis Habitat Name Choose One includes any Excludes any total includes Exi anticipated restoration any anticipated res restoration or and/or temp restoration or ten temp impacts) impact amQo�unt tem impacts arr D (,/�J Dredge ❑ Fill ❑ Both ❑ Other � G � J Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill 171 Both ❑ Other ❑ Pat McCrory Governor S LT -3 A North Carolina Department of Environment and Natural Resources N.C. Division of Coastal Management John E. Skv secre' AGENT AUTHORIZATION FORM Date: Nam of Property Owner Applying for Permit: Name of Authorized Agent for this project: _: Owner's Mailing Address: Pow �2 4iit /.C. 2 0431 Email: Phone C M&Z 57Ip -F/_2-5—'_ Agent's Mailing Address: Email. cLe-k G Y)V. ACC NJ Phone Lq(d 1 yu 3 _tqyj g____ I certify that 1 have authorized the agent listed above to act on my behalf, for the purpose of applying (activity): For my property located at ;tt / q && A' J <'y 'a, d ►"S This certification is valid 1 year from (date) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to N 1))3y K , H 61T R N _'s ( ame of Property Owner) property located at IS THE f E N I N 5Lt L 1� (Address, Lot, Block, R ad etc.) on C14N1�'L ei3 in 6e"N i tact/ . DRUM WICXN.C. (Waterbody) (CitylTown 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) SEE 511-k DRI+NIN6 WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waiv( the setback, you must initial the appropriate blank below.) 4-1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Ad' ent Property Owner Information) Signature Signature noploy H. }+U t m DO N ALD L . St0 (KS P ' t or Type Name Print or Type Name ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 613 F3 y R , �-} D G ft N 's (Name of Property Owner) property located at 1 f3 �'N� +17E �J 1 d�lSl,(,L_ ►4 oez INN 1,5LE b C-w—)+, WC, (Address, Lot, Block, Road, etc.) on (!Aw `fL d3 in 0 C,E 14N 15 LE 80Y'Y--d , N.C. (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 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) WAIVER SECTION I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back 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 Infoion) (Adjacent roperty Owner Information) Signature V S' atur�l 9008V A - tNOAIIy, 1S S. ILLI,�ADL Print or Type Name Print or Type Name P A_ R r) x i y 2-I 1 ;M 1 '" 1 LA-KE FERN bA . L= Iblyl'5-08hCK IN LICUL OF I5�$ K I�� ta! I'OY2.' SEI l3ih K IN Lit= s IV, LI Ft CaLA— nal 23 3AV �- r S 16 '4"E 51.41' Wood Bulkhead Cap — — — — — — — �/C Z J ui 0 co 30 � v �p �O 30' Buffer Line o Im o I IIm -Do �i I o rco ; II k w vmil I rn v N co �. J iv z r 25'_ SBL N N �o O n' I C2 28.43' N 16'19'22" W 50.11' ! Cl N 16'19'22" W Tie Line qO _ �O • 20 cz � Dam O m ! The Peninsula ��. �"_"