Youngblood, Rick 78812C

NER/AL PERMIT
ew :lModificarion IComplete Reissue Epartial Reissue
Ae authorized by rhe State of North Carolina, Depanrnent of Environmental eualiq.
and the Coastal Resources Commission in an area of environmental concern pursuant to l5A NCAC \-.
App licant Name Proiect Location: County
/ NDREDGE & FILL
SC so..NC.zpj475€Z
enon"* q@y t34-1?3b E-1a61
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Previous permit #
Date previous permit issued_
Street Address/ State Road/ Lot #(s)Bqs /-on"
Subdivision
City rMo,t')ztP
Phone # ( )River Basin il?zst -
Adj. Wtr. Body /unkn)
Ne-o-se,-P;ver
N9 788t2 ^B@
Address
c
Authorized Agent
Affected trff
AEC(s): rloE^. N FflS:
_dr* .{rra _S.er I prs
! HHF tr IH :] UBA N IVA
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ORW: yes Closest Mai. Wtr. Body
(s<ar-, f /=3C),)
Pier (dock) length
Fixed Platlorm(s)IFloating Platform(s)
FinSer pier(s) -
Groin length 1,/
Bulkhead/ Riprap len$h --
av! diianae ofishore
md dist nce oflshorc
Basin. channel -I
I.*""*-l
Boat ramp
Boathouse/ Boatlift Al
Beach Bulldozine
Other
-7--
Shoreline LenSth
$.rytld
A building permit may be bv,F See note on back regardinS River Basin rules.
( Note Local PlanninS Jurisdiction
Notes/ Special Conditions
Agent
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iance statement on backol permit
PermitOfficer's
s /tt
Application Fee(s)
compl
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Typ€ of Proiecu Activity
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SAV: not sure
l'aorato.ium: rVa
Photos:
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RECEIVED
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DEC 07 2020
DCM.MHD CI
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I hereby certiry that I own property adjacent to Ft .l.<t.cl<* 6t,'2.-to e/\ Yr-^^ulrJ"
(Name ot Property Owner)
property locatedat loY /3u--s L^.,.r_
Cad.^- ( rce-l<-
, Lot, Bloc k, Road, etcJ \
eo, .-(,, f- ( ,/4a17 ; -"-o a-)(Address
on ,tn , N.C
(Waterbody)(Clty/Town and/or County)
The applicant has described to me, es shown b€low, the development proposed at the above
location.
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I have no objection to this proposal.
. I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(tndividual proposlng development must fitt ln descriptlon below gr attach a slte drawlng)
Proposing development includes a private boat ranrp and a piling-style dock
See attachmenlfor riparian site drawing and dock/boat ramp location
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boalhouse, 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.)
, do not wish to waive the 15' setback requirement.
(Propgu rty
Signature
K.'.le Y"*^. f /rol
Pint or Twe Nameq1 Zi' (o {*,^Jbr^s Lo..rr-
LL 7
CiU/Statez.ip
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(Adjacent.Property gwner lnformation)Owner formation)
si ature*
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Print or Type N me
M g Address
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Telephone Number emaiJ address
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o - 3136
Number / email address
o 2-o
Oc*Date
Yalid for one calendar year afler signature"
Dater
(Revised 4u9.2014)
I do wish to waive the 15' setback requirement.
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ouscRrt'11$li Al'i3l'R gRAt'':tiG o! FRotlQ:;FD oLv':i ot':*l ii'
(ntlividual ,$apoSrnt t(:taiop tw ]trt ,1nu9, *!l ifi dt!:;ctiplio,t br'fo 'r; irr ''ftlih a sita dr'rwifiEl
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t,AtvER SECTTON
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, do not rl'ith !c $'iirtc tLo lS't!:bitl: ,cqi,,rtemeal
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$cl;rila;lmtnl icia ngrran 1,:c a:;.v r}.] !ad C.orttar! ,ar':r ir' lo?abcn
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fatlphtrra iJufl oot /crrE i .t,{Cn0s s
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L-Sha ed with a 12-16' wide "1" at the end
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ADJACENT RIPARIAN PROPERY OWNER STATEMENT
208 BEAS LANE, BEAUFORT, NC 28515
PROPOSING DEVELOPMENT ATTACHMENT
Length of Dock;64-72'
Material of Construction: Wooden frame with Hogslat/concrete decking
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­%- WCAMCAA / El DREDGE & FILL 9 78812 A B � D
G NERAL PERMIT Previous permit#
eW
4 ❑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
Rules attache .
Applicant Name ` C YProject Location: County
Address ' Street Address/ State Road/ Lot #(s)
City State/V C Z I P g—;7
Phone # O � E-Mail �� Subdivision Authorized Agent ! City ZIP
❑ CW
JNRW A ❑ PTS
Affected
_ _Jk+E,S"
AEC(s): ❑ OFA
❑ HHF ❑ IH ❑ UBA ❑ N/A
❑ PWS:
ORW: yes no
PNA yes / no
Type of Project/ Activity
Pier (dock) length
,
Fixed Platform(s) /J
Floating Platform(s)
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length
avg distance offshore
max distance offshore
Basin, channel /
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length ,
SAV: not sure yes no
Moratorium: n/a yes no
Photos: yes o
Waiver Attached: yes o
Phone # ( ) River BasinL(( S�
Adj. Wtr. Body— C 0 O � na /man /unkn)
Closest Maj. Wtr. Body A) e°c-S . V`e,,c—
(Scale: /_, C )
v 'See note on back regarding River Basin rules.
A building permit may be required by: / g g
( Note Local Planning JurisdictioMU5't
Notes/ Special Conditions
Q Yr
Yatt,AIr
Agent o A pli t Printed Name Permit Officer's Printed N e /i
Sig tyre Please read compliance statement on back of permit Signature
ApplicationFee(s) Check# Issuin Dat