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Home My WebLink AboutMashburn, Glenda 88362C1)*AMA ❑ DREDGE & FILL GENERAL PERMIT [New ❑ Modification ❑ Complete Reissue As authorized by the State of North Carolina, Department of Environmental Quality: 15A NCAC — 914-� ❑ Rules attached Applicant Name Address r� o B City n State ._; _ _ ZIP Phone # (_ ) Email N�) 88362 Previous permit Date previous permit issued A B 11 "artial Reissue 'Coastal Resources Commission in an area of environmental concern pursuant to: General Permit Rules available at the following !ink: www.d��v/�M�les/�M�les Authorized Agent i Project Location (County):-' Street Address/State. Road/Lot #(s) n .A City 1'4 UJ I M7 tJ DPI t ,Ll 1 ZJP _0rp -)f 011 Affected ❑ CW W PTA ❑ ES ❑ PTS Adj. Wtr. Bod (� n ? (not/ an7u k) AEC(s): /❑� OEA IHA � UW ❑SPIMA ❑ PWS Closest Ma). Wtr. Body tP, Vtl<' r `L:Z{�ti l ORW: yes/ram y PNA: yesk - Type of Project/ Activity , (Scale• rt�U ) Shoreline Length I n�Access Length Pier (dock) length 1 -- --r --j Fixed Platform(s) -- --r--- -- - - Floating Platform(s) _ Finger pier(s) Total Platform area I �'- s_ �._» __{ _ ___l.- ,�-Z- - # _ - - Groin length/# --•�-- ---�---�__� - __h_ _..�.__. _»----I- i -i--- -� � ., �.._..�` ._.�-- ----._ ._..� •-. -.�: p } Bulkhead/ Riprap length Avg distance offshore---- - -I-- Ll— Breakwater/Sill -�'� - }- _�_ ___t_ __.. (�-- .�.,�____ ' -t j-----j -� . I Max distance/length Basin, channel7j Cubic yards -r Boathouse/ atl'rft Beach Bull(- i L. Other 4 SAV observed: yes - - ( - Moratorium: n/a yes o ! ? ; i Site Photos: yes no - ( -- - -- L RiparianWaiverAttached:yes on_ _ ! a - ._ A building permit/zoning mit may be ulied y: q ❑ TAR/PAM/NEUSE/BUFFER (circle one) P mit Conditions i J ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back 14M AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPONSE.,STATEMENT. (P4. e Initial) or AooUaAt PRI Inaturem a read compliance statement n back of pe it" Si nature Application Fee(s) heck #/Money Order Is uins Date Expiration Date °"°"`�CAMA ❑DREDGE & FILL N° 88362 A B c a GENERAL PERMIT Previous permit s Date previous permit issued [New ❑Modification ❑ Complete Reissue -]Partial Reissue As authorized by the St to of /North CaroJli�na, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC � ' CJL �% i' ❑ Rules attached. �Z General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules Applicant Name Z I F'f- J Authorized Agent Address �o Project Location (County): Cityfnnftb StateY zip Street Addr ss/ tate Road/Lot Phone # (_ ) Email Subdivisio City n Affected ❑CW AEC(s): ❑OEA ORW: ves/n ]IsEW �TA uz IHA UW Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platforms) Finger piers) —re Total Platform area �— Groin length/# Bulkhead/Riprap length Avg distance offshore � Breakwater/Sill —� Max distance/length —� Basin, channel Cubic yards""'—� Boat ramp Boathouse/ oatlift Beach Bull ozing other SAV observed: yes Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: yes PNA: A building permit/zoning pELrmit may or Applicant PRI ❑ES ❑PTS Adj.Wtr.Bodrl YlA/YAV IN��J(.lhs(/ )LLA CX (naU an/u k) ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body /V.1Q r hh THAT APPLY TO THIS PROJECT n (Scale: ) ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back read compliance statement on back Feels) ' Check k/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS. Fo>, W. mco/e r% Name of Property Owner Applying for Permit 7 Meiling address: Telephone Number: I certify that I have authorized Cvvda �-6tt* Sftr%• Ctrs (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of N "k at my property located at J V12t AA aJA.;4 ( eaL:� 44"x4cwt" . This certification Is valid through I o (date). (Property Owner Infonnadon) Signature nt or Type Namer -tLLIS e 7iNe, co. owner or trustee for property Date ZOO RECEIVED WW', v2 `1;12 DCM-MHU CITY I hereby certify that 1 own property adjacent to (Name of property Owner) property located at 50a%�M (Address, Lot, Block, Road, etc.) on , In eAA --. ,3.a..t., , N.C. (Waterbody) (City/Town andfor County) The applicant has described to me, as shown below, the development proposed at the above I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must Oil In description below or affeeh a site drawing) r�fW `ia� r • 63-4 � r }} r I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a minknum distance of 15 from my area of riparian access unless waived by me. (If you wish to waive the setback, you must Intbal the appropriate blank below.) I do wish to waivd the 15' setback requirement. I do not wish to waive the 15' setback requirement, Signature GL) (/µILA✓ Print or Type Name Melling Address rrio�ch+.J C:1} �.ac 7fi�SS"1 Ctty/Stete/Lp ZS,%- Eqr - VJga Telephone Number Due (Adjacent Property Owner Information) Sigmoturez( Print or Type elm MallingAddT / Clty/Stat Telephone Number 1^ /- '' ' Date (Revised 611&2012) I hereby certify that I own property adjacent to property located at on In (Waterbody): ,g The applicant lies described ta. ntn, as :shown below, the development proposed et the above location, vr� 1,/ I have .no objection to this proposal: .� Ihave objections to this proposal, PItSCRIPTION AND/OR DRAWING OF PROPOSED C!MMOPMLNT (It?dlvldual proposing development must fill in deserlptibn helow, or Math a $Ito drbw(ng) m r d understand. that a pier, dock, mooring piiings, breakwater, boathouse, lift, or groln. must 6e set. back a minimum distance of i6from my aces of rlpaden access unjess waived by me, (If you With to waive.tho setback,.yoti must initial the appropdbta blank below,) (dp wish to waivg:the 1 V setback requirement. �-n1 do nctwieh to wo-alvo the i6' aeNiaok.roqulrement, (Prgperty CYwnesr Irti`otwriatlop) (Adlanent PropettY Owner Information! Citylstatomp z52-gqt- 14n Tofe�p,h�ona Nu bsr. Date' zi 2 gig"ie Prih't or Typa N, ie P•a a„P)(x Aa°ro MitIlag Address 1944 lis ra1-:h Cltylst6tet/?Jp Telephone Number DAte (Ravired OW2012)