Daughety, Lynwood 78810C

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/ t] DREDGE & FILL
ENER/AL PERMIT
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New ! Modilication DComplete Reissue LPanial Rsissus
Ar authgrized by the State of No.$ Carolina. DeParttn'nt of Environmcnr:l Quality
erd dt€ coestai REaourr€s commiask n in an arra of anvironm€ffal concsm Pu6uant to I 5A NCAC .lAco
Applicant Name Proiect Locatian: CountY
Address Street Address/ State Road/ Lot #(s)
City_Alar Bprn i,AWA
Phan #(4{l)E-Mai Subdivision
Authorized Agent G
Phone # (-)River a*n ileoce,
L
Previous permit #
Date previous Permit issued-..-
ztP
Affected
AEC(s):tr OEA
D PWS:
- HHF :] IH
rcw p ,,{rn IES
! UBA
,\ets
S lvA
Closest Mal. Wtr. Body
ORW: yes lr.l.a' y- t@
Bq^,[ G
G
ba*of p€rmh E
i/og
Typo of Proiect/ ActlYity t
(Scale:t')
Pi€r (dock) lensth Y
Fkcd Phdornc) : i-r ^/
Flodlrr P6oin(t) lO * il'U +W
Fi$er pEr(
Groin l.ngth
Bulldr.ad/ Fupr.p Litth -r/r dist2r'c! ofi.hoti
max diatrnca ofhhorE__ _..
Basin, channel 2-*7
cuua Fr&-, /- -
W.r.'rp. "
Bo::trouse/ Botfft /
Beech
G!c.
Sho.din Lcn$h -D^ffisav: not l'rrE
Moratorium: d.
fE no\Vd
y*U
A buildint pcrmit may be required by:B See nore on back .a8ardirg Rivcr Brsin ruhs.
( Note Local PlanninS rurisdictio.t)+ol /A,Note, special Conditions
Che.k #Date
N9 78810
Adj. Wtr.
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AGENT AUTHOR]ZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: LIlUgqlL.tlilCIlU
Mailing address'. 749 Goore Crsek Rd, New Bern, NC 28562
Telephone Number: 2t2.012.!IU
I certify that I have authorized River Rats Marine Con
(agenUcontractor), to act on my behalf, for the pumose of applying and obtaining all
CAMA permits neoessary for the proposed development of aiQll.-shrpedjof.x,Jilh
floalinslavrUarch-at my property located at 749 Goose Creek Rd.. New Bem. NC
This certification is valid through January 31, 2021 (date)
(Property Owner Information )
tu
L$rreerf-Ailche!
Pint or Type Name
RECEIVED
DEC 0 3 2020
DCM-MHD CITY
p.]$loo
ck# bt03
Orner
Title, co. owner or trustee br propefty
11t24120
252.617.05i 1 Telephone Number
woodv 1 [e-mail] Email Address
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25 to 30' pier w L dock/kaYak launch 25 to 30' pier w L dock/kayak launch
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ADJA CENT RIPARIAN PROPERW OW NER STATEMENT
The a,.1 nt has described to me, as shown below, the development proposed at the above location.
I have no objection to this p.oposal.
I have obiections to this proposal-
DESCRIPTION AND/OR DRAWINO OF PROPOSED DEVELOPMENT
(lndlvldual proposing development must lill ln description below or atlach a sltP- drawing)
S€e altached.
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. (lf you wish to waive
lhe selback, you rtu*t inithl the appropriate blank below.)
I do wish to waive lhe 15' setback requirement.
I do not wish to waive the 15'setback requirement.
perty Ow r lnformation)(Adjacent Property Owner lnformati
Sigmture
Lvnwood oauq /c-
Print or Type Name
Mailing Address
f\'t rit tT(z--
Pint or Type Name
Mailing Address
749 Goose Creek Rd.
New Bern, NC 28562
Cityl9lateEip
252-A17-6511
Talsphone Number
10t2027
City/StabtrZ.ip
u), I tr-,
Telephone Number
q/0 6 { z ??q
I)ate Date
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7
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I hereby certiiy that I own property adJacent to Lvnwood Dauqhetv property located at 749 Goose
Creek Rd, on the Trent River in New Bern. NC,
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
TJtd;lapplicant has described to me, as shown below, the development proposed at the above location./\lt V I have no obiection to this proposal.
'--
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndividual proposing development must fill in description below or attach a site drawing)
See attached.
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. (lf 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 req ment
(A ro e Owner lnformation)t(Property r lnformation)
tgtl atut'e
Lv nwood Dauqhetv
Print or Type Name
cr-ut c-\ -Tga p o*,-i
Signature
Pint or Type Name
Mailing Address
Eo'f /a>I tL rs: N l')114/New Bern NC 28562
City/State/Zip
252-617 -651 1
Telephone Number
10/20127
City/State/Zip
lst 'L/ff-
Telephone Number
Date Date
73 *r
I hereby certify that I own property adjacent to Lvnwood Daughetv property located at 749 Goose
Creek Rd. on the Trent River in New Bern. NC.
Mailing Address
749 Goose Creek Rd.
6 / H".+t B-t