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Home My WebLink About77679D - Martin LLWLL( Zj /2-7 11�w f-7/IGU SECAMA/ ❑DREDGE & FILL N° 77679 A B C (.' 5)GENERAL PERMIT Previous permit# ��=►• New _Modification ❑Complete Reissue El Partial Reissue Date previous permit issued '`'r•. As authorized by the State of North Carolina, Department of Environmental Quality 7 and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC . ❑Rules attached. Applicant Name P 'Ckk pc►t(- ( YVt E WO ✓IN P2Tfr J Project Location: County it Address () 13' — ,Co Street Address/State Road/Lot#(s) City Gj Wle C/Vt"L State Ne-- Zli7 ¶(445" 7 7 7- ( e.6 A SPA, / Phone#.(?S7 ) 305—7 0 1 D E-Mail Subdivision Authorized Agent Dr+,� Z/ City %L.',F �7� ZIP 7/X'y yr Affected ❑CW EW ) 'TA ❑ES/ ❑PTS Phone# ( ) / River Basin N/ ' 0 • ❑OEA h HHF 0 IH 0 UBA ❑N/A AEC(s): Adj.Wtr. Body 64IN A G ei S G1 t /man /unkn) ❑ PWS: ORW: yes /,fio PNA yes /® Closest Maj.Wtr. Body 541/ / $ v a Type of Project/Activity IAA Sta if �/N In '-{A / kat/ 7— "`.1 (/eCiA'__ (Scale: (/r_zic)i ) Pier(dock)length Fixed Platform(s) k i Floating Platform(!)r ,1 t 4 Finger pier(s) 5 /� Z 1 a \ I�1`- y C l Groin!length a . . yy ...�� number —4— jz \ �_j—.. 4' i4 a / `-�........I —.._.._.._._.._...._._.... 1 H N. Bulkhead/Riprap length j r� �� j avg distance•offshore - •• (•'� ,. \ `\ t ;! • max distance o shore ! j L � ,v Basin,channel 1 I j frA NVl I ��t3o(I l t'1T I cubic yards Boat ramp • f..- • ttA�F�i� Boathouse/Boatlift l Z '7 L — -_.._. }..._._—_•,________. j i Beach Bulldoze ill 1. • Other i `� \\_ l i i N i • I 1 , P)1144- i/N Shoreline Length —fr Jy 1 � 5 1 ,p1 'T J SAV: not sure yes no f-1! Moratorium: n/a yes no j €if _ I Photos: yes no ! Waiver Attached: ye "'moo r -e- I / 1 A building permit may be required by: /2 5- 1� �/ l vV ( 4�}. See note on back regarding River Basin rules. (Note Local Planning Jurisdiction) Notes/Special Conditions )) _r A LA..--- Agent or Applicant Printed Name Permit 0 cer's Printed Name )_le----------,.....-------------- igS nature *•*•Please read compliance statement on back of permit** Si re 20 o 4itg 1 ; ' 13 , ZO ;, 13 - 7,1 Application Fee(s) Check# Issuing Date Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT . I hereby certify that I own property adjacent to RI dr Gra (1.4,•a t iXc ;.ttl, Ittath n 's q ,(Name of Props er) property located at 1 Zi 6fc& W�-y Sir, Surf.1 L'L-t"i� ,0 L `f 2' L3 3 CB1r) alct saus Sex (Add , Lo Block, Road, etc.) r�w�on CG' C( .C�5 l.\ t4e* 4-1, in Surf (ftti ( Pr.S rn,; l#yy , N.C. (Waterbody) (City/l'own and/or Co�1r�ty) The applicant has described to me, as shown below, the development proposed at the above location. cI 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) /t sf -1-0 Or i yin&i: I. Fi(1 ii ad4lriin._( i(ock 40 CXX_IlaC bw(k itt, . 0 0 2 . NA /0 oo it 13oc ' (.rPI- d 4 3 fctcf 3' , t E to EE44 4' 3 y tif..'t Or,Ifn�( bak 1 7-4 I `i 22 Br,3c,-Awmi SA' J Q o 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 setback, you must initial the appropriate blank below.) Nfr-- I do wish to waive the 15' setback requirement. oe(4 I do not wish to waive the 15' setback requirement. (lP�ryoperty Owner Information) ( • •".cent Property Owner Information) ThnWLe - A ())...,-er Y1'1ercelltTYYVY-h}1 / /21 ttt^t�c � �,/0 � Si: atur• I r _ �� { r . Li, . Ja I I% Tont Prim G Type X a�� Print o TNalype Name FLy I rsei tistoL eci Ma(lAng Ar a ddress 'dfeet , 0c 24y_yS` Mai InCr c2:1413 City/State/1 05 ... 7 074'o b % City/S tg Telephone Number Telephon�ber 6 q^^^ 30 2 ZU Date Date ► Q (Revised 6/18.2012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT ' I hereby certify that I own property adjacent to Ri d„c,rd G.ct 11 t,ve•rk,,k1-, M. -{h n 's q n Name of Prope ner) + property located at t,2-`' $IQ&CLlj S-, 5u.r-( Cth 1 jJ C 2A`1 i 3 b3 B` -/ aIct St Iis Stat (Address, L(11 Block, Road, etc.) on Cr�h w� Gn4-Ar i_e.ct. V�,Y, 041,?in S . 4 Cth�.( (L)n4m° �1/4. , N.C. (Waterbody) (Cityl7own and/or Cor�ty) T - applicant has described to me, as shown below, the development proposed at the above location. r I i 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) ltsf►ltot+ 4i) 4ri5Ina I. 6(1 ii Ae(414-'rn-( ttocie- '(o LAlicL-C bw(khtul . 't 1 q o � 2 . NA 1opoa fb (f 806i- (-r 1 Z1 . 0 3. 14ttc� 3, L' 0,01 /44 .--F ' b',+ kff - 3 tif Of1li ti e pei 1.0 W7?" --------4 , 'i-`f I tZ 11- Per.li:Lkx,>r)-'1 Sk I cf 2-0 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 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 Information)n nuiveun, iika- 1 .------- Signature / /iJre( Sr ature arh J Nori'in it4>(s. JkAt, P(A,ULeS Prin or Type Namq Print or Type Name Pc I oy 218 Z7'1 gig., L" ; Mailing dregs M 'ing Addres Ji'r- 66/ , ►Uc. 2if ' s NeryansJ,�(L , p Zg349 City/Sta e/Zip City/State/Zip 1,51 3o5- 7o %/)o7o Telephone Number Telephone Number 3 0 cS`-t 10 Date Date (Revised 6/18/2012) I 3 cliTi4E1g2,Tts ' Y+ N N N N 0 t0 fD<O SENDER: COMPLE?"E THIS SECTION COMPLETE THIS SECTION ON DELIVERY t `v' g,g a`8 a m a3 a a o o o o • Complete items 1,2,and 3. • 'gnature • Print your name and address on the reverse ❑Agent so that we can return the card to you. Q. .41' / ■ Addressee • Attach this card to the back of the mailpiece, B.7ceived by(Printed Nam 9 7. Date of Delivery or on the front if space permits. 0_`,2 d 1. Article Addressed to: D. Is delivery address different from item 1? ❑Yes a 9 Ph ) l(, S If YES,enter delivery address below: ❑ No /11CS JaneP ICenunst,,t(er �'VC. 2 3Y9 s 18 g 2 0 3 S �� U��MI M I1111111111111 II 111111//III 3. Service Type ❑Priority Mail Express® m ^ m, 0 Adult Signature 0 Registered Mar" qt. 411 Ilen r 1-,re-It n r n n*r ❑o rAdult Signature Restricted Delivery ❑Registered Mail Restricted C �. ## 9590 9402 5399 9189 4559 26 vertified Mail® Delivery O a a a a a a LL or o-a o- L1 Certified Mail Restricted Delivery ❑Return Receipt for g g g g g g g g g g g o o ❑Collect on Delivery Merchandise 8 o 0 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery 0 Signature Confirmations" i 1 g 3 3 g g 8 g 3 gjg 3 N 3 1 G Insured Mail 0 Signature Confirmation • 7019 1 1120 0001 2792 9939 Insured Mail Restricted Delivery Restricted Delivery ..........Vi't9 ;over$500) 0 o'�t�i-N Z 28,' : PS Form 3811, rNJuly 2015 PSN 7530-02-000-9053 o r Domestic Return Receipt I I III AC CW ill 25 c LL mE Y m'm m a L g p2 2!°2mro3a ei ri S gm S m.� 2 2.2 D LLU COlLm W COIL UU'U C 2 CWU a r m f/J 5 1 U=;5 2 € . 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