HomeMy WebLinkAbout78030A_Liverman, Walt & Jill_20210205v
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ENERAL PERMIT Previous permit #_ s
New Modfication Complete Reissue Partial Reissue Date previous permit issued a y a AJ
As authorized by the State of North Carolina. Department of Environmental Quality
and the Coastal Resources Commiss°on in an area of environmental concern pursuant to 15A NCAC Fi, I's
ftttles atradted
Applicant Name wt,,_i� .\� L•Vf- Project Location: County f.:. , ---
Address 11t^ V . '�tiv. Der t __ Street Address/ State Road/ Lot #(s)
City K�1 psv. 1 State NL_-- Zip 4-1CtLlY )�)LA-"JLf-u.<<Q*-f t— CUc) 0-SIA
Phone # (2Lsa-) at1g- L-3�t* E-Mail L -I vv"mil 9-4 1 A Subdivision
Authorized Agent S)'+c•_,1,L D' ►V It _ City 1, rI}1\ ZIP ; -3 el L,
Affected CW xEW PTA XES PTS Phone-#—( ) River -Basin Q.
AEC(s): E HNF 1H UDA WA Adj. Wtr. Body n s . �c l_ (�PwS (�
Closest Maj. Wtr. Body 50 r"J _
ORW yes no " PNA yes `no
Type of Project/ Activity f c t 1 + 4,
(Scale: P
Pier (dock) length
Fixed Platforms)
FloatingPlatform(s)
Finger pier(s) _ /
� CC +`c
Groin4ength
number r<
Bulkhead/ Riprap length
avg distance offshore
max distance offshore /� l x li t i t t;
Basiti channel 1tX %�J l.� cor•.�..i."` frl�t4o•...
' �
cubic yards
Boat ramp A • t•+�rra . A ♦���' ,/�i - r►01y^�
Boathouse/ Boatliftu+C , 1
Beach Bulldozing /5 ' ` �. L
Other
�-
c t� •mot~ � -.�
Shoreline Length 1 0 , L, v�r rs - 0
SAV not sure yes na '
Qidtli'•Nal
Moratorium n a yes m. \�
Photos. yea no
Waiver Attached yes no 'J� n •^ kP L y
A budding permit may be required by: iii. ! L_ ('o / See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction)
Notes/ Special Conditions 5jtt�f ��g`�� la �,3{u�,c� ,1 �:«�� 2 ,,S L;d1Kl.•<<1 Itbreci6ttc2 Cl K-6
%I Lt .i I NO) t.. Lyt-'? (grit_ 11 1 t, 1 f %/t k � !+ •,+ 1 - E-
3wvte
Age t Apph ted` in PertmtOf l[Ei s Pnri#id Nanw
1
S g e " P e r ad compliance statement on back of permit Signature d
App`• cation Fee(0 - Check #I isu" Doe - fxplr7tiOn mite _ _.
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date
Name of Property (honer Applying for Permit:
mat flee £ 51] L I`ytr'wr .;
Mailing Address:
I I D L j f' Al /.sire G71-
I certify that I have authorized (agent) to act on my
b;�:ia3f, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity' ` G
at (my property located at) !_AAA Tt'
This certification is valid thru (date) 1)0 f l2, r
Property Owner Signature
Date
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: vvyr`'r C_i t.-e iwiu !i
Address of Property: /
,
Agent's Name #:/��-P� L/ l►'�vl��l�
Agent's phone #: 2-
Mailing Address: S'� /� e
/r
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
ell—e I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
availableathgp ,Iwww.nccoastalmanadement.netlW!blcm_fstaff•lrsiin�orbycalling 1-888-4RCOAST.
No neseonse is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
_0--1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Own9T Information)
Signature
yd Illet, z/ ue/�/�-tQ
Print or Type Name
D t1,r lit
Mailing Adds?
City ate/Zip
7-3 Z /1 Z
Telephone Number/Em it Add ss
���t .GOB
2 Z
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
Mailing Addreth
City/StatelZip
P-6�/3/3
Telephone Number Email Address
Z/a4�/-4(
Date
(Revised Aug. 2014)
2-7 r Y(�-
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property: L
(Lot or Street #, Street of
Agent's Name
Agent's phone #:.,�� Z — 21
City &
Mailing Address: 54 /rl tv
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing, with dimensions, must be provided with this letter.
4,,,,ihave no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at nttra:/iwww.nccoastalmanarernenf.netlwetvcnvsiaff-listing orby calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
(Pro a nft Information)
Signature
14�1141
Plant or Type Name
I/6 Y161n, 1`5 byreG�
Mailing Ad ss
City to eMp
2�2 �216 —6 ��Sg
Te phone Number, ail ddres
2 q 2
Da
(Riparian Property Owner Information)
ignature _ /
Print or Type Name
GL -7S Y2
A,4ylain i'�k_ 34z,�, �9
Mailing Addiess
City/5tateaip
Telephone Number/Email Address
/ a�z/
Date
(Revised Aug. 2014)
CA1MA / L! DREDGE & FILL N9 78754 &V B C D
ENERAL PERMIT Previom permit #
LflNew �Modifiication � Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolka, Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to i SA NCAC v xguka attached.
Applicant NameVJ c. t k T;11_._ ► cw w r• Project Location: County___ * r c
Address �, �_., L�__._� Street Address/ State Road! Lot #(s)�
City K.11 b'w,t 4 State P k- 71P�_ itf� lip }r__� r�� Us! �f. 1.14� i LGf �.S`3p
Phone # ( -A�) 2 f is " ._.. E-Mail` w �� wt R..�,. t L. sue+^ Subdivision s nr�� _ e tk—+ ✓ . _ _
Authorized Agent _ City......r�aj`
Affected ~CWf !AEW I(, PTA --'ES 0 PT5 Phone # (_ )._ _ ..__. __.._._ River Basin os
AEC(s): OEA HHF lH USA WA Adj. Wtr. Body v,nG ( lnat.� }
PINS:
ORW: yes ! PNA yes
Closest Maj, Wtr: Body h
nn •—_---.-- .. __.
Type of Project/ Activity bo t-Kt Fa }, t b x Mi., ig1c, t ,,-%�*-
�.' (Scale: hJ A. �.
(dock) leno.5- X ___ ._ fi�� r_
J i i 1
xued Platfpigl(s}�
Floating Platform(s)y3 X c r -- e x Jt `
Firer piers} 1
}
Groin ihngth �.._ .._..._, .
number
Bulkhead! Riprap length
avg distance offshore i
max distance offshore
Basin, channel
• �il�t.t,,-•.�Z 1`�.. tit., n
fKA L,
cubic yards_
Boat "nip A_ �: p __
Boathouse( fft1X._
f/�i i,� DEAL t : \i
Beath BulldozingOdw
�+` f i 1 Q,v�h a+ •� Z
FIL ���± t�,•�j��
Shoreline Lengths __� _ ... _ �." _. L..rc t �t r+ ---
not not aura yest-�•
{iwL
Moratorium: yes no
Photos: no , _ `�y U L } t r� tt e R P L t ?
Waiver Attached: Y - i� _. _ _...
R
A building permit may be required by: Z�. ! t_ , �. T See note on back regarding River Basks rules.
� �,
( Note Local Planning Jurisdiction)
Notes/ Sp{e[cial Conditions i N , Y iLu 1. 4 Xk� t `/ w•r� u • �t
i�vslrl.�} It ! 7. to Yt:F ilri Tai \ .aw}
Y` .�
r Appiitant N
Officer's arm
.r •
""Pie eadcompliance statement onback ofpermit
*'
Application Feels' Chedt # lssuing Date Expiration Date
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