HomeMy WebLinkAbout84677C - Jones, NeilYr�r+¢CAMA llq D"1308 8 FlLL
33 Y GEPIERAL PERMIT
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DREDGE & FILL N9 84677 ^ B 6D
�V/ €� Previous permit
3 GENERAL PERMIT Date previous permit issued
New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the StjaJ[,e of IN rtthh�Carro�lina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC �Ti I s E A' 7 ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
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Applicant Name i, Authorized Agent
Addr s Project Location (County):
City Sy;t ZIP Street Address/State Road/Lot #(s)
Phone # ) a U
Email Subdivk'p �'p n
City C l n% 2 IP
Affected ❑ CW XU1'W
A ❑ ES ❑ PTS Adj. Wtr. Body D (na nk)
AEC(s): ❑OEA IHA ❑$PIMA ❑PWS Closest Maj. Wtr, Body v Q
ORW: y1 o PNA: ye o
Type of Project/ Activity e/<Cavot!
(Scale
Shoreline Length
Access Length W\/
Pier (dock)leng[hFixed Platforms)Floating Platforms)Finger piers)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
I'tance/I gth
channel 1J
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other IX
SAV observed: yn es o
Moratorium: n/a yes no
Site Photos: yes. no
Riparian Waiver Attached: yes! n
A building permit/zoluDg permit q required
I AM AWARE OF
PRINTED Name
AO rA
/ 2 J/ ❑ TAR/PAM/NEUSE/BUFFER(circle one)
�G( ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AND
Permit
(Please
Signature **PI asg,[ead compliance statement on back of permit** /O ^
Li l� ly!
*0cation Fee(s) Check q/Money rder
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Va✓t2N2 ' W C �Sr ° �a�c�i�y s
/ n (Name of Property Owner)
property located at I S 4 � ��1 % T kS N(-ZSS/ a-
/ (Address, Lot, glo k Road, etc.)
p
on f K 5 lJ"u4 in �T S , N.C.
(Waterbody) (City/Town and/or County)
Thelicant has described to me, as shown below, the development proposed at the above
locati
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 drawingk
WAIVER 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 yqu wish to waive the setback, you must initial the appropriate blank below.)
1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requi
(Property Owner Information) (Adjacen pe ty Ownerformation)
Sign tur Signature
zt Sc u �,' c/ �u-w I ( i� — C . S iJ C
Print or Type Name Print or Type Na�m^^e
Mailing Address M iling Address
s ZSsta �KS. Z ) 5 1 �
City/State2ipp City/stat /Zip
9}f�-SSb-8D ( �d ONes 74~4 (. CA w ] ; Z -&, }5 �51 /=/l n/t i 5"fjGlit' �H� `i 7 . liiL�
Teleph n Number emailaddress Telephone Numb /e ail address
N�2 y6y/z
Date Date* RECEIVED
*Valid for one calendar year after signature*
(Revised Aug. QQP1.,4) 11.022
DCM-MHD CITY
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RECEIVED
APR 112022
DCM-MHD CITY
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APR i I 2022
DGM-MHD CITY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
/
I hereby certify that I own property adjacent to /VRu- Cl r l o(KIK s
nL (Name of PropertyOwner)
property located at �� /'06(0 (ti bV- & N(' 29/I
(Address, Lot, Block, Road, etc.)
on PKs ua 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.
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 drawingk
WAIVER 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.)
4 ✓ 1 do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property O rner Information)
Signature
d t Ja"4-4�!W S
Print or Type me
/ 3 /-oXd(a �v
Mailing Address
P/cS, Nc- V5't2
City/stafe/Zip
910:g4-M2 vtdiovus3�(�Q���
Telephone N tuber/ mail addr s
HI�r2z
Date
(Adjacent Property Owner Information)
Mgnature
Print or Type
Name
t'
Print or Type Name
Tele�phone'Number/email address
zSfre+ �� RECEIVED
*Valid for one calendar year after signature*
(Revised Aug.201,flRR 11 Z022
DCM-MHD CITY
111
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APR 112022
DCM-MHD CITY
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RECEIVED
APR 11 2022.
DCM-MWD CITY