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HomeMy WebLinkAboutSwecker, Mark 84210C�o�° °°' ❑CAMA ❑DREDGE & FILL GENERAL PERMIT New ❑Modification [::]Complete Reissue []Partial Reissue No 84210 Previous permit Date previous permit issued A B C D As authorized by the State/ jof North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC 07 f l - I " �)�' ❑ Rules attached. General Permit Rules available at the following link: wwwdea.nc.gov/CAMArules Applicant Name Address City // Phone # Al ) ' Email ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot#(s) jai t�.f mot --'(_ice Subdivision - 6;1 (\ C City ZIP Affected ❑CW EW PTA ]ES ❑PTS Adj. Wtr. Body IVOOlt �/V �_��i:. '. ""- nat%man/unk) AEC(s): ❑OEA ❑IHA ❑uW ❑SPIMA ❑PWS Closest Maj. War. Body / 1 `� ��l /'li Vf!'A .. ORW: yesfnp PNA(y)/no - Type of Project/ Activity �iJ �� �(7 �'n � � - l` llj I/ ; - f c- � qI Shoreline Length Access Length Pier (dock) length �• `� —� — - I j } r Fixed Platforms) Floating Finger piers) Total Platform area Groin length/JJ / Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Buydozin,g Other �,® i fLW SAV observed: yes no -_ Moratorium: n/a yes no Site Photos: yeq ho - i -- Riparian Waiver Attached::ryes7J no A building permit/zoning permit may be required by: Permit Conditions THIS PROJECT AND REVIEWED Age t o(Applicant PRINTED Name Signature **Please read compliance statement on back of permit** Application Feels) Check JJ/Money Order Permit Officer's PRINTED Name ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules ❑ See additional notes/conditions on back Jr. (Please CAMA ❑ DREDGE & FILL NI? 84210 A B C D Previous permit i 3 G E N E RAL PERMIT Date previous permit issued ❑New [:]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: ISA NCAC ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.Roy/CAMArules Applicant Name Address City State ZIP Phone # Email Affected ❑ CW .� EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS ORW: yesfno PNA: yes/no Type of Project/ Activity Shoreline Length Access Length Pier (dock) length _ Fixed Platform(s) Floating Finger piers) -. Total Platform area Groin length/N Bulkhead/ Riprap length Avg distance offshore ! — Breakwater/Sill Max distance/length Basin, channel -- Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no • Moratorium: n/a yes no Site Photos: yes, no t Riparian Waiver Attached: (,yes no A building permit/zoning permit may be required by: Permit Conditions Authorized Agent - Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Adj. Wtr. Body Closest Maj. Wtr. Body F, F�TAR/PAM/NEUSE/BUFFER(circle one) �� I';,:) ❑ See note on back regarding River Basin rules (, ❑ See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE, STATEMENT. (Please Initial) ) Agent or Applicant PRINTED Name Signature **Please read compliance statement on back of permit** Application Fee(s) Check M/Money Order Permit Officer's PRINTED Name SiSi ure Issuing Date' Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to %i AQ4 zLtx'e;= 's (Name of Property Owner) property located at 13 —S' z / (Address, Lot, Bloc�ki Road, etc.) on /V, (;a;nz4z , in 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. 1 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) 1 MAA0 WAIVER SECTION I understand that a pier, dock, mooring pilings, 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. Pri/nt or Type Name _ S % City/StatelZip�j� Telephony umber Date ✓— (Revised 61182012) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 1 hereby certify that I own property adjacent to Ni Ei121l -5i ��t-� 's (Name of Property Owner) property located at i BS -TPr4')F' T— on Al/ (Address, Lot, Block Road, etc.) , iCJf�/ff�i� �!c'lit�il in Gr`5;wd- 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) —-------------- /&-7 WAIVER SECTION I understand that a pier, dock, mooring pilings, 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. or TVDe Name C;ty/State/Zip/���� t Telephon umber��Q �, � � Date (Adjacent Property Owner Information) S;gncrurt�Ky Print or Type N me /31 �A� Sr Mailing Address R eNV4 (( u< T a Y's) c;ty/8'tSzl ,), S - 7 `/ 2_7 Telephone Number -:).-. %L, - Z Z-- Date (Revised 611812012) Inboarding your Boat 1. RELEASE LOCKS ON BASE OF DAVITS X CONTINUE PULLING UNTIL BOW IS OVER SEAWALL I_i, f71 I' Z PULL INWARD ON STERN M BOAT 4. PULL BOW TO ALIGN WITH SEAWALL OR CHOCKS O ENOAOS LOONS MSEAND LOWER BOAT ON CHOCKS OF USED Inboarding your Boat 1. RELEASE LOCKS ON MBE OF DAVITS J. CONTINUE PULLING UNTIL BOW 13 OVER SEAWALL K ME �11 NI, 5 i r�s, �Gr�ic, f4r�Iu is ]. PULL INWARD ON $TERM OF BOAT A PULL BOW TO ALIGN WITH SEAWALL OR CHOCKS A. ENGAGE LOCKS ON BAMAND LOWER MOST ON CHOCKS IF USED 5