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HomeMy WebLinkAbout53991D - Svoboda CAMA/ ❑DREDGE & FILL ENERAL PERMIT Previous permit# New ❑Modification ❑Corklete Reissue ❑Partial Reissue Date previous permit issued rized by the State of North Carolina,Department of Environment and Natural Resources I Coastal Resources Commission in an area of environmental concern pursuant to ISA NCAC T 14 • 1 60 Rules attached. nt Name , `` VI ` C,,°,, �,1-,, �, Project Location: County New 1 71.1,1,( rcv-- ,v �` . ; - Street Address/State Road/Lot#(s) t t►v31,s'l A State li i ZIP of ( Y\k RCP C1 ( ) . Fax#( ) Subdivision �^ t�I C 1�;1^'r 1 cl l�i i5 la h C� ,, LL ized Agent '",(( i Vit I \ 1 1 1��I;1',(` City WI Iris lil - ;'n J ZIP O�f d cw EW PTA ,—ES _PTS Phone# (:)LC I O ) "S13S River Basin C OEA HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body UI, Rks(Ilan I1 Y 1C 1 • ❑PWS: FC: A �,1 / no PNA yes �'no no Crit.Hab. yes / Closest Maj.Wtr. Body V of Project/Activityii ,..)i-Itli Sin91-t - pi!li`I (kv'14 U"+. J JJ // (Scale: I Jock)length pier(s) Nt length I : camber 14letJUO , aad/Riprap length �. i t-=- I "T.“-., F AittY O 111 4.11 ;r X tf'S1 U, l�f- • wg distance offshore _ 1 nax distance offshore ( I channel , -.-rCI TI ! I ubic yards p1 amp I ; 3LuTY_.__ _ I — I - _ >use/Boatlift Bulldozing _ j aril 1 1 i - -�- '" j r ine Length I Ir Isr al a not sure yes J . , _ I 4 c � i I :gs: not su yes CO >rium: \�a no 01 no �IRnX �5ut ► •Attached: yes ling permit may be required by: N(IA) IA-An cvtr L L I Li See note on back regarding River Basin i i ` /c..e_:.,:t---.,:.:--- Lit i l c� .-L1_I 0 t,h A.,,..,1., I I h?Ai C.1-nlc i i L,l tiA,„A i ►a,,:l,:l.,L, „..,,,i 1 cf - 1 l 1 . R i— ;-.„ -___- , t I s ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHOUSE) I hereby certify that I own property adjacent to 's (� (Name of Property Owner) ,D ) I property located at 1 r'1Q \`. OQ , 841 (Lot,Block,Road,etc.) on Tl lSi--(\s , in L ,`►'s ,N.C. (Waterbody) (Town a:Ti or County) Applicant's phone#: ` -t iD40,� 'Mailing Address: ted t-t" �1 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/boatlift/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) LAuticak RaiNciGtc• -11=6n! 1- -k ctk- -c (Information for Property Owner Applying (Riparian Property Owner Info ation) for Permit) (Q0162 aetibilanCry Mailing Address S gnature U,Driet0-1, D5D3 D4-14Z ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (FOR A PIER/MOORING PILINGSBOATLIFTBOATHO USE) I hereby certify that I own property adjacent to��ka:AG- -C-3060AU--i�( 's (Name of Property Owner) property located at au-*3-- coa1 x_*C84 ) 1 (Lot,Block,Road- on%WIZ!) c-Y'5L.L1 C) , in LLc 40in ,N.C. (Waterbody) (Town • thi r County) Applicant's phone MEN,••D40' (Mailing Address: ( .P car'• 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/boatlift/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 0,0, I do wish to waive that setback requirement. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPME t ';, (To be filled in by individual proposing development) 1 0 nn I i r+ pc cc�/ocE e-F b ' ) \cY c� - Gn cic- (Information for Property Owner Applying (Riparian Pro 0 t • ner In 1 rmation) for Permit) et_ Lab" lCoiL''.C� U O-R. L.. ---5 ,_ awl. Mailing Address 1 / na e •• is.- -/"',OW",---7-.,---,,, _, --..„,-7 ' -4r1. ' • ..3 '''''..!''.;77"44'Wf ,,,,,. ,„Nr,,-- !-- r -.• 1 .....4'-* '-'-5'''''o it ',I Tej - - f-An'„; `-..- ' - . , ..,1111,M111:1 MITI 1 I 7-31.:11 TUN, :R. ,,,,, ._ to .." 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L'1 ' t:Ztsf‘ii\ 4%2009 17:23 FA1JOol AitA pe 9 NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management B®verfy Eaves Purdue,Governor James H.Gragson, Director Dee Freeman,Secretary AGENT AUTHORIZATION FORM Date jC 4.j . 9 e of Property Owner Applying for Permit; a — V >a Mailing Address: e)(Th.csC\C-1M3 \)C4_ ,(40 ?it sz3 I certify that I have authorized (agent) rya_ � to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to h*xtalk or construct(activity) at(my property located at)_ -mac cf, — -- ' This certification l9 valid thru (date) + =1 a Property Owner Signature