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Home My WebLink About88363C - King, Robin. (097,� ❑CAMA El DREDGE & FILL NO a9<��fidi A B C D a� Previous permit 3 3 GENERAL 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: 15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nc.gov/CAMAmIes Applicant Name I t Address City Phone # (_) Email Ml5 Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) t Subdivision City Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body t. (nat/man/unk) AEC(s): [ ]OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no- Type of of Project/ Activity Access Length Pier(dock)lengti""" Fixed Platform) 'r t i— ---i ---j —- j c" -�. .— I Floating Platform(s) Finger pier(s) Total Platform Groin length/q- Bulkhead/ Riprap length---,-'- 1� - - r- — j - Avg distance offshore � Breakwater/Sill Max distance/length— Basin, channel. i ry Cubic yards Boat ramp I I Boathouse/BoatliR Beach Bulldozing ,h�t 7- a '_ NAn Other SAV observed: yes no Moratorium: n/a Yes Site Photos: Riparlan Waiver Attached: yes no .. - -..-.( A building permit/zoning permit may be required by: Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULESAND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name f- Sig read compliance statement on back of permit SignalurG+ Signature "Please .. ** !� � 1 !l✓. 7 t �� 1 r! (Jt Application Feels) Check q/Money Order Issuing Date Expiration bate 1*°"°"r^1❑CAMA ❑ DREDGE & FILL N9 88363 A B c D 4 GENERAL PERMIT Previous 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 Comes[ Resources Commission in an area of environmental concern pursuant to: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the Following link: w det.nc.gov/CAMArules Applicant Name City Phone # (_) _State ZIP _1 Authorized Agent I _ Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑ eW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body / ORW: yes/no - PNA: yes/no -----' Type of Project/ Activity Access Length Pier (dock) length Fixed Platform(s) ■ MEN 0 Floating Platform(s)■■�N ■■■■ ■■ ■ ■■■ ■ ■■ ■■■ 691 Other �a�� oil ■i: ■■SE :i■:: ■ INE V ME : NS S ■ ■■■■■■: MEN SEEN■1/■I 0 :� ■r�l�■■�i :'i Photos:SAV Moratoriuyesno Site Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER ircle one) 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. Agent or Applicant PRINTED Name Permit Officer's PRINTED Name U/ Signature "Please read compliance statement on back of permit" Application Fee(s) Check N/Moneyl/Orrder SyPl �r� � /h Issuing Date Expiration bate I hereby certify that I own property adjacent to _ property located at _��) i is�z (" 6 QU(7� reoS C I� �C K (Address, on in . (Waterbody) The applic!,Rthas described to me, as shown location. I have no objection to this propo DESCRIPTION AND/OR DRAWING (Individual proposing development must rill it D 6 e-k i I understand that a pier, dock, mooring pilings, back a minimum distance of 15' from my area wish to waive the setback, you must initial the I do wish to waive the 15' setback I do not wish to waive the 15' (Property Owner Information) 29.0(� I Q E Print or Type Name C�/Z5 30 4/S5 0 Telephone Numb �/;9r z Date e— VItit6 (Name of Property Owner) Block, and/or I N.C. the development proposed at the above PROPOSED DEVELOPMENT below or attach.a site drawing) a C `4- mkwater, boathouse, lift, or groin must be set riparian access unless waived by me. (If you )ropriate blank below.) requirement. (Adjace t Property ne3 Information) Sign4ture Print or Type Name Mai ' Address /UL- 21�,0'7 City/ fat tp '� TelephoonG Nu qer ++// / 7-2- Date RE ETVE DCM-MHD CITY AGENT AUTHORIZATION FOR CAMA PERMR APPLICATION Name of Property Owner Requesting Permit: D Mailing Address: � Z� � ��(� �S n'1/�,��}7j"� % Phone Number: __ "/ 1 / 30 7 Email Address: 1 certify that I have authorized 1;92L16 ,/ O("jeF /- D29 h611A, to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at 5 12cXA z 2,S C (e inr/)e-T'�2?T county. I 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: G C Signature Print or Type Name Title ll 2 2i- Date RECEIVED This certification is valid through MU fi 1? 1t1. DCM-MHD CITY I hereby certify that I own property adjacent to _ property located at 52-3J (XAt8 C (Address,L on in _ (Waterbody) The applicant has described to me, as shown locatio� I have no objection to this propo DESCRIPTION AND/OR DRAWING (individual proposing development must rill in I Z 1 h�rc 0 I understand that a pier, dock, mooring pilings, back a minimum distance of 15' from my area wish to waive the setback, you must initial the I do wish to waive the 15' setback I do not wish to waive the 15' (Property Owner Information) S�� Maturoo K) Aj�� or i ype fvame rn r 7 ') i , , lG a /A CT - marring Haar ss _ r>7rar ,M rn( 2E5S% Cd tate/Zi Telephone Nu ber Dare 3 Nu 's of Property Owner) N.C. o Cour' nty) the development proposed at the above PROPOSED DEVELOPMENT scripfion below or attach a site drawing) La CiC/5-/ ( , n-3 CTION _ �akwater, boathouse, lift, or groin must be set riparian access unless waived by me. (If you )ropriate blank below.) uirement. < requirement. (Adjjaagen�t �P�roperty Owner Information) IGi/`G2_ Sign tune Print or Type Name Maiing Address City/sta lLII Telephone Number /3,/7-2— RECEIVED Date (Revised I Wbi2}i32Z DCM-MHD CITY