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Home My WebLink AboutHodges, Dempsey 80070CCAMA / El DREDGE & FILL a B D �ENERAL PERMIT Previous permit# New PModiflcation OComplete 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 I SA NCAC %Hs / �r Rules attached. Applicant Name_ _ ' ' Project Location: County .._.._C 1 - e Address _—'—' - -. _...� ._.._ _ _._.._ Street Address/ State Road/ Lot #(s).... City C _-- State, Af, ZIP Phone # E-Mail ......_ _ `_ Subdivision Authorized Agent __.__..._,..._ City LkP __.... � / Affected rim 'mow ,. - A des PTS Phone # ()._.__...__.._ ._—.._...__ River Basin AEC(s): D OEA F 1 HHF C� lH . USA 7 N/A Adj. Wtr. Body nat m _ unkn 0 PWS:—._._... Closest Maj. Wtr. Body— __ % ORW: yes no) PNA yes � �ry� Type of Project/ Activity Boathous Paatl t Beach Bul sing 4� ` Other...ie1 F..!G Shoreline Length ______ §�+✓__ _.._.._.. SAV: not sure yes n Moratorium: n/a yes Photos: yes Waiver Attached: yes n A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions _idalLtl �l�[uriiifir r�Ts�/l* --iZ,1 Ag or Applicant PriJ6ted Ninie Si nature ai Pleas ad compliance stat eit on back of permit tr Application Fee(s) Check # [— See note on back regarding River Basin rules. CAMA / ❑ DREDGE i& FILL N9 80070 A B (C: D 9 ENERAL PERMIT Previous permit# New ❑❑ 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 I SA NCAC . %v IT ules attached. Applicant Name--�� Project Location: County— �e_t Address Street Address/ State Road/ Lot #(s) f �� a /�, �• DC City�.�i Y� State ZIP a"710 Phone # ()' �3c�G�$ E-Mail Subdivision Authorized Agent 0G400 City_T Kho/j S ZIP /�� Affected EleW `b`� �� " A -❑ PTS Phone # () _ River Basin l'�►i / e s n OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC: ElPWS: Adj. Wtr. Body_ nat m unknC ORW: yes no PNA yes Closest Maj. Wtr. Body _ - _ v Type of Project/ Activity CSC r_ Pier (dock) length Fixed Platform(s) Floating Platform(s) x Finger pier(S) / Groin length ✓ number Bulkhead/ Riprap length avg distance offshore max distance offshore i Basin, channel I cubic yards Boat ramp Boathous Boatl' t `7 Beach Bulldozing /T Other ,f !' Shoreline Length i SAV: not sure yes no Moratorium: n/a yes Photos: yes Waiver Attached: yes n A building permit may be required by: 1 ; n(L}� / t/\QI ✓ C�✓ ❑ See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) C l '( `S� :. sq_m �ie- Notes/ Special Conditions � t $'� I /)E? ��fi Ag or o Ito Applicant Pri ted Name PermitOffice ' r' ed Nam Signature "Please read compliance statement on back of permit Signatur 10 f fJ) Application Fee(s) Check # Issui g Dat Ex iratio Date Name of Property Owner Requesting Permit: U). Mailing Address: Phone Number: Email Address: I certify that I have authorized-7,- Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all LAMA permits necessary for the following proposed development: at my property located at —LL irjog��' County. / furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application, Property Owner Information: S1 , g nalure or Type Namet Title Date This certification is valid through'5-1 )� I -% 0% I hereby certify that I own property adjacent to �(Na a of Property caner) property located at � (�0 �fxc� � bp— (Address, Lo , Brock, toad,etc.) on ,in N.C. (Waterbody) (Ci�ylTown and/or County) The applic nt has described to me, as shown below, the development proposed at the above locati 1 have no objection to this proposal. I have objections to this proposal. DESQ*PTION AND/OR gRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill In description below or attach a site drawing) TF� G fC� T>O Ckr V�fAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin 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 rnf a ' (A ' ent Property Owner Information) Signature Si nattire* ern 5 � • t IO.O,�,E' � � . Print or Typ DNS ; � � e ' `t P int or T'�y a N F. a e n Address M ' ing A, dress �x(,*4 , 1JC- 7� I i i City/State21p C ty/Slat 1 L�11'1 Telember % en all address . GAM TelephonerNer / ema!! address Da Date* (Revised Aug. 20 1 4) *Valid for one calendar year after signature* -_ ft I hereby certify that I own property adjacent to 4 CP c 's . , . 1 — . (N rrte Prope Owner) MON N.C. The applicant has described to me, as shown below, the development proposed at the above loaetlotr. I have no objection to this proposal. I have objections to this proposal. DESCROMON ANDICIR DRAWING OF PROPOSED DEVELOPMENT (Individual propgsing development must flit In description below or attach a site drawing) T�oCk. (q ui� t3& T tfC - 16 k. TO WAIF E�,91M I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be setback a minimum distanos 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. 10, "TL (Adjacent Property Owner Information) H I n ,nature it or ry�, Nam' Print or T ype Name - C— Q0q) 'wns Al rmberl en .1- address Telephone Number t emaff address ale» (Revised Aug, 204) "Valid for one cWeruiar year alter signature* -. _ 4: ON 'S id tGOOMHO888 9L i33PO�Jd NOOCI s SAP CIOH A3SdA30 a - � t 1 twl i 4.1� ` jt Xt�tO Qmt U.1 !7to 1/ 1 �tt � �1 '103 1 K Mtt \ UO 1 O I c't 1t LA o50 S - t . I 1 Er a6ed Z 4008 dew r£ abed ZOOT 4009 Paao 'MI3H 'W 3NAVI 041M pue 9IM'73H 'C a7VNON r O J � W 4,SLo �ZN W:nQ m FOw _ O 4 Ox~wi..z r W Q O CD O V c) w O ZOOS pZOt=Q UOU �O knz Z 0pn Y4 N0 - p U 0 WoozQaw 3 "se t g 3 y8€ 4f x 4 eB` yg oiY g� o� V33 Fc, 3 CAMA / ❑ DREDGE & FILL N9 80070 A B OC/ D ENERAL PERMIT Previous permit# New ❑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 I SA NCAC 02 r /atZ�1) -y�-�— ules attached. Applicant Name "Q4y) �7 `/�L c I> y Project Location: County Ca e- Address (/� I / g(O�tf n Street Address/ State Road/ Lot #(s) D` City�l E t �, State C ZIP o�7(01 Ip Phone # =) E-Mail Authorized Agent r Affected cw JN�fiW — A des ❑ PTS AEC(s): 7) OEA ❑ HHF ❑ IH ❑ USA ❑ WA ❑ PWS: ORW: yes rno PNA yes 0 Subdivision n ,�7 City • ne < J ZIP- /�G -- Phone# (_) RiverBasinA Adj. Wtr. Body nat m unkn Closest Maj. Wtr. Body Type of Project/ Activity l0 CA'Vc ; f (Scale: I 1 oku ) Pier (dock)length Fixed Platform(s) Floating Platform(s) 4- I ,i I Finger pier(s) Groin length - number Bulkhead/ Riprap length � 1 I , I +L i � I I I 1 1 i' _ i avg distance offshore max distance offshore Basin, channel cubic yards - - - i i Boat ramp 1 I i— i 1 � Boathous Boatf t .i Beach Bul zing Other i II 1 Shoreline Length 1 _ SAV: not sure yes n i - t u. �=— _ Moratorium: n/a yes— Photos: es j Waiver Attached: yes n �` A building permit may be required by: P -� ❑ See note on back regarding River Basin rules. (S ( Note Local Planning jurisdiction) p J-�h A/ �� y Let � �:h-om -H-ie- Notes/ Special Conditions IJ G � �� A '� Fl i or Applicant Pri ted Name SSature ** Please read compliance statementon backofpermit '' 10,2 �� Check # Application Fee(s) r ( 0