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HomeMy WebLinkAboutGrass, Michael 73943CAMA / ❑ DREDGE & FILL No. 73943 -. C �NERAL PERMIT Previous permit# A B D1 �qw ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorizeAy the State of North Carolina, Department of Environmental Quality -7# ll ( ) i and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC j CJRules attached. Applicant Name ' { �( .1' t i Project Location: County ( re r e- Address / �; ('' / ' i Street Address/ State Road/ Lot #(s) City ;',/ o / State ZIP Phone # ( t '?C ( Mail Subdivision _ Authorized Agent Ci -Z6 ./ . ,�J(' _ ZIP 0Cw ❑EW El PTA PES ❑PTS Phone# ( ) _ River Basin n Affected ❑OEA ❑HHF ❑IH ❑UBA El N/A AEC(s): ! Adj. Wtr. Body I� (nat /man /unkn) ❑ Pws: Closest Maj. Wtr. Body no — ORW: no PNA yes / �yes)l ll -7 1 II % Type of Project/ Activity � h 6t L ,: / n _ Pier Fixe Float Fing Groi Bulk Basil Boat Boat Beac Oth Shor SAV: Mor Phot Waiv (Scale: ■�■ ■■o■■■■■■■■■■■ ■o■■■■■■■■■■i1im ■oiii■iiiiii Zvi= ing Platform(s) FW�L ®�OCiiii�■iiiii■�r E C:::::::::NA length MEN ■■■■■■Sl=lrifiilll'�i ■■ ■ =4p iLK�I■■■■■■■■■ PILt/■■I number ■■■■■■0■■■■• IN ■ ■ ■■■■■■■■ ■■■■■■■■■■■ IN ■■ z�ig distance offshore 0 ■���■■■■■■■■■ ■■ ommo MEE Oil cubic yards ■■■■■■■i ■■■0 ramp■. ■�■ ►i ■iii■IS ■ii , N Ell oil mmommo, 0 EIN �CMEME NMI ■C■■■■i ®C■■' ■■■■■1■■_■■�_■■■■■■■■■■■■■�M■dM■EM■EE= ■IM■M IMMUNE ■®■■■_■■���1■■imonag■■��■■�■■m■■■■■MEMO■■■■�■EMO ■■■ Elm �UIMMINi i i ENE5-'-MR,lMI11111III1M1MMM_ iii���MEN ■o■■■u■■■■■■■w■■■■■�■■ ■■■■■■■■■■■ ■■■ :::::::m»� ,Z::'BMWA .p .CCC C NES= MEE A building permit may be required by: M o 1. - ❑ See note on back regarding River Basin rules. ( Note Local Planning jurisdiction) / - r % Notes/ Special Conditions- � %' (r t I �C �n�. '- �� u /1 I r 4' 1 c I /ii Agent or Applican(Printed Name Sig turn ** Please read compliance statement on back of permit ** o � i Application Fee(s) Che {5 ,iny LI C.- Date ANIA / ❑DREDGE & FILL No. 73943 A B ! C , D ENERAL PERMIT Previous permit# �> w ❑Modification ❑Complete Reissue ❑Partial Reissue Date pre+++vii---o---u���s )permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commi ion in a area o environmental concern pursuant to 15A NCAC (� /� f /' �ules_attj�hed. Applicant Name ( t � 1 Project Location: County C�GYTe. city /VL v rf c Phone # Authorized Agent ref Street Address/ State Road/ Lot #(s) 27�G2 0 /06 puAC Affected ❑ CW ❑ EW El PTA '7tS ❑ PTS A Affecte ❑OEA ❑HHF ❑IH ❑UBA ❑N/A ❑ PWS: CIRW: (yes/ no PNA yes (no) Subdivision CityM�°/� V:�� ZIP / Phone # ( ) ver Basin Adj. Wtr. Body t ✓ O k.,f man unkn Closest Mal. Wtr. Body t%t ■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■CiJIMIN ■M■N■E■■E■■■■■■■ YM■■ MEMO ■■■■■■■■■■■■■■■[MEMO ■N■■■■■■■■pool M■MPA SEEM■■■■■■■■MOMS ■■■■■■■■■■r�ir�■■■■■■■,�N■EE■P■■■■■■■■E■ moommoommsmi ■■■■■■■■■■■i N1i.■C�. rNNi�L"V■■■■M■■■■U�iS■■E M■■■E■■■■■■■ AIM M■■■■ME■■■■■■■■O■E■E■O ... l■■■N■M■E■E■■■■■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■1■I■�I►ln■■■■■■M■■O■■■■■■ ■N�irNZEMEMM ORO■il! moss ■ENO ■■SEEN IN i■■IN1 ■■■Er/■NCI E/_.:.0\\■■G^■■■Fog=�CGirM■■B ■■■S■i�u■�7■L7�G■■ OEM S■■E■i:�E�l■■�■E■■O=\ ■■■■ Ion N�■■■■MN■■nn■MEN■N■■■■■■NON■� w..w■■IEEEro■■■�o■■ur�■un�N■■►r�■■■w■■■'w■■�a■a ■/■■■1 ■O■■Eli■■■■■r■■■ ■t MEN JClllNUllri►7■■■SIN/ ■■■ON■■■■ ■■■■ ■MEN ■O■NZ'0■■■■IS PC ME 0 IN ■►MS■■l ■E�OI.■■■■Vi■■■ ■■ • E■E■OCl ■■■■■■B■■■iN���\6N■■■�■IE■■■■■I■IM■■■■■■■ EM■RSON/MIIM■ ■■ ■®i■ ■OM MEN _� iniln■rNe ■N�r�®uar��rw�.■■■■iaMa•■■■■■■■ No .�eNl.a�■■■■■■■ ■■■�■■■M■ ,NE■w9■ ■■■■■■■■■■■■■■■■■NONE ■■■■■■■■■■■■■■■■■ ■■iL�\.�N■■■■!�"IM.■■■ MEMO �■■■■■i�"■S■moss N ■■■■■■■■Ail■■■■■N�■■w■■M1■■■E■■M�MEMO Mo■�■■ H ���■�UJ%LL!i��1 ►�t�■i G%a■�■���� I�s Mac 1 ��r s Agent or Applicant Printed Nam Sure ** Please read compliance statement on back of permit I** Jy6 0 2)o Application Fee(s) Check # CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FOR r r Name of Property Owner. 4'Y () _ 1- s (',p1 Rr / ' Address of Property: My 50�, ir. eY I'e G, (Lott or Street#, Street or Road, City & County) Applicant phone#: 0✓�- 3 `T -a9f1 Mailing Address/ EWd S044 t—w re l7 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 de scrinti n or drawing, with dimensions must be provided with this letter. --V—/I have no objections to this proposal. I have objections to this proposal. lfyou haveobjections to what is being proposed, you mustnotify the®ivisionofCoastalManagement (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at www.nccoastatmangementneticontacf-dcm.htm or by calling 4-888-4RCOAST. No WAIVER SECTION I understand that a pier, dock, mooring pilings, 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.) zI do wish to waive the 15' setback requirement. I do not wish to waive the 16 setback requirement. (Property per Information) �. ' �aa Signature at �✓ cJOh% � � �II// Print or Type Name %1 b�n l S `fig for so�h���r. J ✓✓ Mailing Address t--mPr�,61 UlP RIC X511 C%ustatemp Telephone Number ,2292 IN Dale Signature wcvae` Gtress Print or Type Name �bLl(�(n SG0.k(A Qri� Mailing Address City/statemp 0111 `i Telephone Number 3 Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM Name of Property Owner: Nk i (- Cc. A ` , M-Y T- Address of Property: `b Ll0 U 5 c HVA \�) r `Ve; C h z ��u� Z1� �([ 'I (Lot or Street #, Street or Road, City 8 County) Applicant phone#: CIM--lilt—U19 Mailing AddressS.CQ yjte 'Vzy j ill lAe W lick M �k C 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. 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 available at www.nccoastaimangement.neticontact dcm.htm or by calling 1-888-4RCOAST. No response is considered the same as no obiect/on If you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, 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. J I do not wish to waive the 15' setback requirement. Owner Information) Signature) MiCl 'g\ (;'1eSr' Print or Type Name 5 U W-e gVtr Tr-AtA Uniting Address 1\1e W City/State2ip %5'- Telephone Number 31S Signature Z)4Nrel I? Cu34r"C Print or Type Name Mailing Address 6,, pie%/ 1's/'-, yc zsr57y Crty/State2ip 33 C, -- z53 — y65 Z Telephone Number 3A lze;ih Dare note