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HomeMy WebLinkAbout78094A_Town of Edenton_20210325' Jij�GAMA / tYL DREDGE & FILL GENERAL PERMIT RlNew Modification i 11Compiete Reissue ElPartial Reissue L/ N9 78094 A B c D Previous permit # 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 I SA NCAC 29 11 W W, ides attached. Applicant Nameg tN> r S Q � Project Location: Address—'?. O . t3o X Street Address/ State Road/ Lot #(s) ZIP ����Z _ p ,._C' . t S Y ..... Phone # ( $ `tf E-Mail �,Q_ ie. Subdivision Authorized Agent City t-C r ZIP 2-79 ` q �� ❑ CW 50 EW 3PTA ®ES W PTS Phone # { _ � } _ ! River Basin !`� tr n itAx AffAEC(s): D OEA HHF D iH O USA C N/A d Adj.,Wtr. Body ER man Unkn PWS: OKw: yes / Oo PNA yes I ` Closest Maj. Wtr. Body Type of Project/ Activity ?1gCe "' aq► cf � erg'a CI G 4 �ta irk_ L a�r wd.8 lez 5 ON6 �.c2 scWe: N ) Pier (dock) length f I i E{ R ! Faed Platform(s) Floa ft Phdorm(s) �. Finger piers) Groin length number Bulkhlengtht— ang distance onshore.,,,___ 10 max distance offshore —for— Basin, channel cubic yards Baal rates Boathouse/ Boadlft Brach Bulldoing Other f Shoreline Length rlf SAY: not sure yes Moratorium: yes no Photos: no 2 Waiver Attached: kyles A building permit may be required by: L nC�ttl t ( Note Local Planning Jurisdiction) Notes/ Special Conditions Agent or Applicant Prin t Signature **Please read compliance statement on backof permit J> 4kj, QO Ig 2 P7 Application Fee(s) Check # C See note on back regarding River Basin rules. L6&_t,z.PermitPrinted Name si z"rz/ Issuing Date Expiration Date CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM Name of Property Owner: %ow'-4 o K C Oiw7 aA Address of Property: C.4fJ Al fJ STR/ ? - Z// E',os j LJ,4 Uf? S r� (Lot or Street #, Street or Road, City & County) Agent's Name #: $ul> ? e W ct t_ Agent's phone #: ZSZ- g8z - of Mailing Address: !• O - 3vX '30O �d a'N TO 7 93 Z 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. V/I have no objections to this proposal, I have objections to this ro osal. p p 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 http://www.nccoastaimanagement netlweblcm/staff-listing or by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notif<ed by Certified Mai! 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. (Property Owner I mation Signature Bop - Print or Type Name Mailing Address City/State/Zip O+D.7li-) ALL `s�EDri�+F��,�FC.(��v Telephone Number / Email Address 3--/t-,!pf Date (Riparian Property Owner Information) Signature PD?T&- % A. Print or Type Name Mailing Address r1 PfVA4 rJe-i /1 . j9z City/State/Zip 36Y D7Zs' IN G�tscao��cb���� Telephone Number / Email Address '.-i ll, 2 DD p Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: 7"ow..1 0r 157yCN -MAJ Address of Property: CAaAOA) 57R► t? - 1+i1 .moils! W,+7aa :S7-At -* (Lot or Street #, Street or Road, City & County) Agent's Name #: -9.4 Agent's phone #: Z,f2 -- Mailing Address: ?s tQ , Bk ?©a D�Nrny 4,C . Z7?3Z 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. t. Gy 1 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 90 days of receipt of this notice. Contact information for DCM offices is available at htto:11www.nccoastalmanagement.net%web/cm/staff-listin g or by calling 9-888-4RCOAST. 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.) C96 I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Ow ne mation) z a,/ Signalur-e ladiD /vcvisAL.. Print or Type Name f; 4 - ,30X 30 O Mailing Address '40A ✓,rp-w, A/.(', Z79.32 City/State/Zip Telephone Number / Email Address 3— /Z-2041 Dare (Riparian Prope w r Information) Signature C.1421S C c- t.. J a -r- - Print or Type Name 2,, l G t Mailing Address City/StatelZip IDtKTeti \AC40N Z.S.. " 3u- 4; Telephone Number / Email Address Dare (Revised Aug. 2014)