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Home My WebLink AboutRegan, Patrick 84185CaCOA'+ MA DREDGE & FILL N9 84185 A 6�o Previous permit jNERALPERMIT Date previous permit issued ❑Modification ❑ Complete Reissue []Partial Reissue 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 `'s� /rl iri ❑ Rules attached. ,General Permit Rules available at the following link: vrswvdeg,Grenv+AMAnsles Applicant Name' Authorized Agent ' Address ��"' , Project Locatlon (County) City 1 State ZIP Street Address/State Road/Lot#(s) A �^�„t 44 ..y Phone # Email Subdivision City BGti i� ZIP Affected ❑ CW PTA ❑ ES ❑ PTS Adj. Wtr. Body na n/unk) AEC(s): ❑OEA ❑IHA --NUW ❑SPIMA ❑PWS Closest Mal. Wv. Body C. r ORW: yes5l PNA: yes> Type of Project/ Activity n �< . (SGai Shoreline Length 1 rs"f� + _ - 1 i I Access Length A ) �- - - � � �-( j �' T--�- �-.r Pier(dock) length � S - �_ It FixedPlarform(s)�- - Floating Finger pler(s) Total Platform area Ir Groin length/p Bulkhead/ Riprap length Avg distance offshor Breakwater .If Max distant length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing other SAV observed: yes / no Moratorium: n/a ye no Site Photos: yes noII Riparian Waiver Attached: yes no A building permit/zoning permit m e regpired byr_ I AM AWARE Agentor4l(MATica tpRI0T1DNameA ( ) Permit r�TAR)PA EUSE FFER(circle one) IAI See note on back regarding River Basin rules !❑' See additional notes/condltions on back 51tuu "� Please read compliance ¢4tement on back of permit_" V� ffi V7A Feels) Check N/Money Order (j7GE MA DREDGE & FILL N9 84185 A �D Previous permit NEALPERMIT Date preiouspermitissued ❑Modification ❑ Complete Reissue -]Partial Reissue 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 © eff e ❑ Rules attached. ,General Permit Rules available at the following link: wwvvdeq.nc.gov/CAMArules Affected ❑ CW EW A— ❑ ES ❑ PTS Adj. Wtr. Body na an/unk) w AEC(s): ❑ OEA ❑ IHA UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes(5� PNA: yeso Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s). Floating Platform(s) Finger pier(s) Total Platform area Groin length/M Bulkhead/ Riprap length Avg distance offshor Breakwater ill 120 Max distanc length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no Moratorium: n/a ye no Site Photos: ye. no Riparian Waiver Attached: yes no A building permit/zoning permit m e repPired byE Agent G—OL D .-s .:J�.� (`�°mac✓ Ci � i v � ...v�� CI :L� � mot! �r��r�*I � ♦ r `S7°��ii THIS PROJECT AND Permit �f TAR/PA EUS FFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back compliance statement on Check k/Money Order poo ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to Po s\c k o o.'-\ ,s (Name of PropeYty Owner) property located at S tl A x kind. NC aS 511 (Address, Lot, Block, Road, etc.) on P-t3se_ Q\.)err , in cc-")" ono —A-" , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. -- I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION 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 Information) Date (Adjacent Property Owner Information) ,81'gnature* Ja\., C. -'-A \4 Print or Type Name S 1 \ 3e -fan Q3 . Mailing Address 11ayc\ac.14 'C 1sna City/State/Zip 015a-uaa-\sl�� 7vc�o�pli9�y�pll.co� Telephone NumberPemail address d6 Apr Qoal RECEIVED Date* *Valid for one calendar year after signature* (Revised Auf.3D12)5 "J22 DCM-MWD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to property located at on /Iirc/SC (Waterbody) 3 L- (Address, Lot, Block, Road, . in W- ve-l.,le . The applicant has described to me, as shown below, the development proposed at the above location. _ I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION 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.) )S I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Si nayy�rre gS� _1 �< eShJ Print or Type Name SYI sN��ov Mng Addr�ess 9At,C/a / /J,C City/StatelZip 17 - r6 °I y -JP934 fry 59Q n4 a �*� Telephone Number/email addres y b S 03 - 2012- 1 Date o *Valid for one calendar year after signature* Print or Type N me / S�1 �c�Gv �yf Mailing Address /-101Ur-/PCA- '/.C• �SS3L City/State2ip Telephone Number/email address RECEIVED 26 Date* FEB 2 5 ZG22 (Revised Aug. 2014) DCM-MHD CITY CD 40 0 0, U C N fO L V N T 4