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Home My WebLink About76836A_Nadj, Daniel_20200811vrCAMA / DREDGE i FILL Nd 76836 �, B C D GENERAL PERMIT Previous permit # `J lew `Modification Complete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ;1- ules attached_ Applicant Name- ,C 1. _ .. Project Location: County ---- - ----- Address _LGA_-a`'_ Street Address/ State Road/ Lot #(s)ic_-- City_ i� ---- ----------- State ,) Zlf' Phone # (1St )_3s5 - ??CV _. E-Mail __ --- ---- _ ._ _ _ Subdivision Authorized Agent _L :.1r�J�--__�1L�p,1 - ._.. ---- Gty_ ZIP _2_�a ._I - Cw - EW APTA ES Phone # Affected - PTS ( - -- ).- -_---._--_-- River Basin OFJ1 HHF _ IH URA ' N/A AEC(s): Adj. Wtr. BodyCrtc_(,y_/Cly Pws: ORW: yes / n PNA yes / ® Closest Maj. Wtr. Body _Aj4&&,,,._%s-----_ -t ___-------- Type of Project/Activity Uat-1 3G' xS r P' v t,,! it- �f ror, :.� y k 9 d ? &Wg o Qlee Pier (dock) length (Scale: Fixed Pis)- k-K- Finger pkw(s)----___.-_-- _-- - Groin length -- number Bulkhead/ Riprap length 19t,knZs�'xs� I — • Act 7o � r -ej ^,t 1j9S avg distance offshore P1o.+t,�rfr• �' l/ C iatr..+ks td lac l 51.�J .�... max distance offshore \ • Basin, channel ---------- r�- r cubic yards_._--- 3 w Boat rampEl, ru kL ,A ilk Boathouse! Boadrft ®L Beach Bulldozing-- ---- aher_2-l�Lh Shoreline t I 4- Length �� +---- - SAV: not sure yes Moratorium: yes no Photos: yes no Waiver Attached: yes i A building permit may be required by: C,a,1&— -- See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special Condgtions _�ytom- Nw4ne_ Agenr Appl._et/ Signs a *Pease read compliance statement on back of permit" Application Fee(s) Check # Pec,mitOificer s Primed Name _ -- Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Received Name of Property Owner Requesting Permit: Mailing Address: ID Lp .4 04re-p_4' f'ili�_E C Phone Number: D S o1 - 3?,s q,7& r Email Address: x 1 certify that I have authorized Li4 Yd s "c L 'went / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed deveiopmen=: sX,ge I: a t my properly located at (U -4 14 L�es; , in 0 4r11/% County. I furthermore certify that I 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 lnionna= Signatu a Ci . Print or Tyv Nara - Title DaL4 This certification is valid through / 6�-_I / t)- I ''GdU f + (-, -Lt $ ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to : >C M�+Cry 's (Name of Property Owner) property located at ly& .' 5�rfe� (Address, Lot, Block, Road,,etc.) on 4r! r1 L°ufC c �e h , in C.&A00%, l Qn , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc 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) To Con, ,54r P i 6�\o��s �dl �s� k� ti' s-��,�o.�.� Received Akii 5 - �vL� DMEC WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 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) 6a��' Print or Type Name I C) A ST MaihC-1'Ll Jiress � City/State/Z 'L5z--615 -HI Telephone Number/email address �— t,xw 0 lUZO Date *Valid for one calendar year after signature* (Adjacent Propertyy Owner Information) c�w gnaw e* . Print or pe N me i6y T M,, - Mtiling AVdress City/State/Zip Telephone Number/email address Date* (Revised Aug. 2014) . 4,4 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to n; C ,Iv t 's (Name of Property Owner) property located at (O �o � �' /'' e �'� on A/� (Address, Lot, Block, Road, etc.) in egs r` creek in CG M, a fl , 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) -To c oA s4r"c4 x y a' �; �,� i a'x i a' Play-�o �•�� (aA ^ftr; #%S col es, 4 xel s4eFd#ftx Received DMEC WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, 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 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 Property Owner rmation) V'�hL �- &t2� P'� - nature Si ature ��: E.� �c'�d .� a rr•l . -AS) / Tr Print or TyWe Name Print or ype Name /► l D k e. /100 ice/ (fin f a n l A 1 Ave MaAddress Mailing A dre s C-�r ling "C� tic, 2Z rzi I</, 2k�e�-�, City/State/Zip City/State/Zip 13 Z n 5 �4-7 bg /\atQ q q 2) 'Aw. Z-Olo `75'7 -.37 3 - 414 0 5 Telephone Numberl ematTaddresg Telephone Number/email address iZ 3y U' 20Z 0 1110 Q 7--0 Z,U Date Date (Revised Aug. 2014) *Valid for one calendar year after signature* �ars ly�X�h s X5 03-INOG ma7 — 9 : 4 POA10388 N� 4 �/f 1 0-18 L�WIq'pV Untitled Map Write a description for your map. �A 4- hL s. A 'Google Ear�h OX T, I I, *, r, Legend 106 A St Feature I A 44%4 -