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Home My WebLink About68506D - Gray�CAMA / �__' DREDGE & FILL y'�S S ^ 8506 A B EN ERAL PERMIT Previous permit # New —]Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued prized by the State of North Carolina, Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC l'{ . 1 Z U o I ❑ Rules attached. nt Name I I I I r` Gy..! oProject Location: County 5� �� ry� IC, s N`i -7 Takcsy i f 1p Z� - Street Address/ State Road/ Lot #(s) "1n.c,�4r1 State "k- ZIP 28 358 118 SO( SIau" # 610 ) 440 — 205L E-Mail Subdivision ized Agent ❑ CW XEW ❑ PTA ❑ ES ❑ PTS d ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A PWs: yes / (no) PNA yes / no A Project/ Activity Citydo� ` aa' ZIP 2bq4 Phone # ( ) River Basin Lw" Adj. Wtr. Body axn A � (nat Closest Maj. Wtr. Body 0-:EW L'� M (Scale: ( z ' pier(s) !ength umber Riprap length■�■■■■■■■■■1I■■■■L�■■■H■■■■■■ -iax distance offshoret vg distance offshorechannel ■■■■■■■ ■1�■■■■■■■■■■■■ ■ ■■■■■■■■■■■11■■■■!!■■■■■■U■■ INN No ■■ ■■■■■■■■■■■11�■■■I��■�■■■■■�■ ■■�■■g■��■ ME NONE! ON ■■■■■■■■■■■11■■■■■■■■■■■�■■■■ ■■■■■■■■ ■■■■■■■■ ■■■■■■■■■■■11■■�■■■■■■■■■■11■■ ■■■■■■■■ ■■■■■■■■■■■1■■!!■■■■■■IIi]I■�I ■■■■■■■■ ■■■■■■■■■■11i■'3T■ilk■■■N■>tir'I�il ■■■■■■■■ ubic yards ■■■■■ ■■■■11■■mil!■■■■a��n��n■ ■■■■■■■■ ■■■■■■■■■■1 I■■il i■■1■■■� rl 1� 1■i ■■■■■■■ ■■■■■■■■■■■1 I■■MONO— ■ ■11l� �!!!■■ it 1� 111� ■■■■■■■■ 122000 aid [PNIMEM NINON! 1111 MEN 11111110111 FAMINE Bulldozing !EMIEThIMMMA111111111■!! ■ EW MIME ■■11110■ ■■L'i AS111■ mmombmaimmmmm MM111w NINON mi mi■■■■■ ■■■m■■■ 'ne Length not sure yes no ni . ■■■■■■■ ■■■ 1■■■ ■■ ■■■OR i/■■■■ �■ I3'ii •_•_•_••_••_■•■_■C ■__■:____:_■ �_■_■_�___:■__■::�_�:_■___�_ ��N�� fBl�i'A•'.�!7\t T.t'1'.'� llt��f �� ■�/ice■■■■■■ ��■■�■�■■�1■■■■« ■■■■■■■■ �s�'■ ■■■Ilia ■■/�r� ■■■� ■■iii ■■Cr�lEl!�■ ■■i■7!,! !�l■■■■11■C■■`:iii�i�t�fn►i■■■■ ■■1IMM1;WH ing permit may be required by: �Q I a(.JV� ❑ See note on back regarding River Basin 1 n 1 ply ina Llrierlir-hinnl 1 r 1 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent to tl�.K� iZ�C�t 's properly located at t �' Sr21 � S (Name of Property Owner— r) s�rC�� on ��` (Address, ot, Block, Road, etc.) (Waterbody) in N.0 (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatioi 0"k 4-\<<c 1 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 ) hire 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 lafeFrmation) 4-✓` Stgnonlre C'iguunn� Pnnf or Type Name 4 Prh I Rr Type r �e Mailing Address fvI '1 rtg Ad ress L 8 City/Iate2ip �� 3`�-L��Iuti y1C-3� —� -� y C) - a o -\ - Ci"/Sta'te i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _ '"Y\ (, c Y \ , K e rR L1 s (Name of Property Owner) property located at S t f C'e on La�W (Address, Lit, Block, Road, etc.) , in 1A00t,\ i� t C k , N.C. (Waterbody) (CityrTown and/or County) The appl cant has described to me, as shown below, the development proposed at the above location. 7 a� here ` 1 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 a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setb ck, you must initial the appropriate blank below.) hey 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) _-nito ..,4, Signature " Print or Type Name 1 y 011 1 Ol(�'-r 5., J. t t Rci (Adjace P �ti !.G Information) Signalure B t try Z Print or Type Name 12v sXW 6A/9Y sr2 a Mailing Address Mailing Address i--&) I r fl- zi J n Ir AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: �A Cl 11 TO k C. Ni Phone Number: U — r) qy .- aV Email Address: �'"N 9 r —1 4 4 10 (\j G, r r, C-0 1'Y I certify that I have authorized N r A 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 i % & S o-�- in BkUti5w, kY County. N C— 1 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 KP— (- r A Print or Type Name G w h1 C r I N Titf , 1�— I gU�.xNt�v � o , its i1 E S'7 AT l aria r Rt� "fbt 1l�re.Z V I VI , i I loft x 8ft Existing Floating Dock Up. 3Ii x 14ft Wood Ramp New 16ft x I Oft Stationary Dock t Existing Bo 14ft x 8 ft Existing Floating Dock Existing aft ft x 14ft Wood Ramp New 16ft x I Oft Stationary Dock