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Home My WebLink About54545D - Black1CAMA / DREDGE & FILL ENERAL PERMIT Previous permit # I ew Modification Complete Reissue ❑Partial Reissue Date previous permit issued rued 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, �2GG [y'Rules attached. nt Name i `� ra > r 1Y E i/7` t.Project Location: County (�Q H,.�So✓ �C� s O $ 'er2eA / C'"J FLA C - Street Address/ State Road/ Lot #(s) r9 Ff 2 StateN C ZIP ,2z�lS #) %�%r%/'%�� Fax # () Subdivision` ized Agent 1-1;:r t %>tSS City OLC// ✓ice Ne/PC 4 ZIP 2 8 d Cw a EW PTA C+ES ❑ PTS Phone # ( ) River Basin &j,r/. C OEA ❑ HHF ❑ IH - UBA ❑ N/A Adj. Wtr. Body L , .�9 O?"' / W (nat L PWS: FC: � yes / � PNA yes / Crit.Hab. yes / no Closest Maj. Wtr. Body /� / /^'/ of Project/ Activity /kc po cG S /L G D� e x's'a 'f, G A7 `1 , K -er < ,o 4 t" C ASS or eyr►7 ✓ —.w d Of ' r Pn 14 e- ' dock) length / rm(s) &)(I g length number ead/ Riprap length ivg distance offshore max distance offshore channel -ubic yards amp ouse/$ d' x Bulldozing .'/- ,. cL0 (Scale: / _ IE i'�./.%0i; E►(111130"ibill IEEE MEN ' ■NEE ■E ■ ■E HE ■■ ■■■■ En ding permit may be required by:,l70Gy'0�✓ l� ec 1J ❑ See note on back regarding River Basin NCDENR Nnrth Carnlinn fianartmant of Fnyirnnmant annl Nati ral Racni irrac . r— Division of Coastal Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman, Secretary Date W� a Z 11-U 10 Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized (agent) Oad to act on my behaif, for the purpose of applying for and obtaining all CATNi A Permits necessary to install or construct (activity) b ll, vat!-d all This certification is valid thru (date) U II. `t. L V I V I L. L J 1 141FJOSS 91"ft-sibu» IVV. JU 1 V ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFT/BOATHOUSE) I hereby certify that I own property adjacent to _ c-..t t, tjc L. �J `s (Name of Property Owner) property. located at 7�, � (N8 t 1 , (Lot, Block, Road, etc.) on in l� { C�('.�1 `YicL41 , KC, (Waterbody) (Town and/or County) Applicant's phone N: Mailing Address: L�l);i='�),n�.�.tLAn /:. /.v/►(, He has described to me, as shown below, the development he is proposing at that location, and,1 have no objections to his proposal. I understand that a pier/mooring pilings / boadifi / boathouse must be set back a minimum distance of fifteen feet (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,) 1 do not wish to waive 1/ 1 do wish to waive that setback requiremei q4I (oN DESCRIPTION AND/OIt UxAwINGUP PROPOSI;UDEVELOPMENT: -` (To be filled in by individual proposing developoseno (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) CA, i Mailing Address Signature ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 4�2�n c-Hl 's (Name of Property Owner) property located at e LE t� (Lot, Block, Road, etc.) t-�t on , in _�r6L- - E�-�� , N.C. (Waterbody) (Town and/or County) Applicant's phone #: Mailing Address: " 4' w, He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boadift / boathouse must be set back a minimum distance of fifteen feet (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 not wish to waive _ I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) (Riparian Property Owner Information) Mailing A dress Signature I HEREBY CERTIFY THAT THE ATTA(1E`gg7• OF LAY IS A TRUE AND CORRECT i2EPRE CA( D9,( R! '• 9 TIE LINE: ffffff ��``````��_____ �� • COMMENCING AT MONUMENT 'H9 17", (N.C. GRID COORDINATES: N 58,090.77 OF LAND SURVEYED AND FLATTED UND A UPERVI AND E - 2,201,574.423); THENCE N 80'a0'57"E 1026.54 FEET TO MONUMENT AND IS IN ACCORDANCE WITH TNl: STA*DARD ` "HB 16"I (N.C. GRID COORDINATES: N n 58,256.979 AND E 2,202,567.420); PRACTICE FOR LAND SURVEYING IN NORTH CA AL S 88.39 351; 87.25 FEET TO EIP "A'; THENCE S 82'05'27"w 48.85 FEET TO ' ► ff e EIP "B". ALL BEARINGS ARE ORIENTED TO N.C. GRID NORTH, N.A.D. 1927- AU 4 e V-1 DISTANCES ARE HORIZONTAL GROUND DISTANCES. CARY L.UfGANUS, RLS 3471 °y4.C Yate_ I 1n I^w N � � Z Q Q IZ j 2 n 0_ I00 zQ �Z �z I �o IJ U .O z= ► vIr' v 51 lk 4 5.0' EXISTING DOCK - --- EXISTING M I DOCK 1 —1-- .31 XROPOSED ('J" 14.5'X17'X22.5' FLOATING 50 / DOCK 1, � EIP S8I-40 40 40„W 1 1 \ RIPARIAN \ LINE 3 85' s ESR o� \ o ESR EXISTING BULKHEAD PROPOSED \ en NRBZU 15'X20' PROPOSED STATIONARY 12'X12' GAZEBO C DOCK N81 48.66 IuT 7 EXISTING BULKHEAD ESR ,ant: 11�e IlAf (19116 Permit #: S ys y 5 -ibe below the HABITAT disturbances for the application. All values should match the name, and units of measurement i in your Habitat code sheet. at Name DISTURB TYPE Choose One TOTAL Sq. Ft. (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Sq. Ft. (Anticipated final disturbance. Excludes any restoration and/or temp impact amount) TOTAL Feet (Applied for. Disturbance total includes any anticipated restoration or temp impacts) FINAL Feet (Anticipated final disturbance. Excludes any restoration and/o temp impact amount) W Dredge ❑ Fill ❑ Both ❑ Other5t Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ Dredge ❑ Fill ❑ Both ❑ Other ❑ WESTERN VNI M --- IOIy IORO NEY 16 -,--_ DER aYan_a WESTERN UNION ✓dell= —Fargo B=nk Grand JNoun uFINANCIAL " _�dwn,dwn Nn SER noriVICES IN Grantl�JunclinniColorado En9lewc 14A 32i3436 D 060310 14 -13 3 692, 1344369 2,541 L 002546 PAY EXACTLY TWO HUNDR�� PAY TO THE DQi.LAF'S AND Np ORDER OF CENTS GP SE 14 DRRS`� - . PAYMENT FOR/A CCT 1: L 0 2 1001,00 H � � �'0141336922541,,.