HomeMy WebLinkAbout86355A - Causey, RonaldOWAST41 c❑CAMA ❑ DREDGE & FILL n,� N9 86355 B C D
G1` Previous permit
GENERAL PERMIT T
Date previous permit issued
0 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: www.dgq.nc.Yov/CAMArules
Applicant Name
Authorized Agent
Address
Project Location (County):
City State
ZIP
Street Address/State Road/Lot #(s)
Phone # (_ )
Email
Subdivision
City
ZIP
Affected ❑ CW W EW fK PTA
❑ ES ❑ PTS
CC �
Adj. Wtr. Body L a� E 11TZ
11
! pQman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body
11
II r
ORW: yes/6 PNA: yes/�
Type of Project/ Activity
(Scale:
Shoreline Length
Access Length
Pier(dock)length
A
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
I
Boat ramp
Boathouse/ Boatlift
I
Beach Bulldozing
Other
l
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
❑ TARlPAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ 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
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of
permit"
Signature
Application Feels)
Check #/Money Order
Issuing Date
Expiration Date
AG
Name of Property owner Applying for Permit K d vt a W " SC
Mailing address: Zno 0(JAdec. Or
Telephone Number: 33ce- 3ctZ-3H S"-1
I certify that I have authorized , 7aj I �1 �y (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of
at my property located at _ 2--Ob On4 ce. Or tdcn � j Ajc-
This certification is valid through C,6AP -�-'� � Jo b (date).
(Property Owner Information)
Signat
Print or Type Name
&-Aj Aejr
We, co_ owner or trustee for property
Date
3,�� ?12— 34-��
Telephone Number
f `C4 SCPII aS P Ma < <C)AI
Email Address
sty at nee
(Address, Block, Roa4 Cu.)
"
�, ��� { In, ot, a�n
(Wa�odyj (cteyfrown ,ndJor courm►)
The appmwt has described to me, as shown below, the de ek)PMerd at Me above
locabon
_ 1 Have no objection to this proposal.
I have objectlons to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVEIA"ENT
Axwftsapr o pwJrg must nn In deseript polaw a' ftt#ch * situ drswb'W
&J
(n ner���or-hao� �n
Lonr6-fl-, T"O hiv
s�y(�, Consfir����, a1a len5'�6o
wanly BEcnON
I understand alai a pier• dock, mooting pilings, bast tamp, breakweter, boathouse. i;Frt or groin
must be set back a minimum distarxe of 15' Prom my area of riparian aoccss unless waived tyy
me. (If you wish to waive the setback. You mist Initial the apprapdate btank below.)
I do wish to waive the 15' setback mquirement.
I do not wish to weave fire 15' setback requirement
(property Ownef 1"Ib"neftn) (adjacent Property owner hihmn ttion)
Signctw�.. -�"�T - —•
:or Type Afenm �. Plat or T ypl@, Name
`lntJe�Or
AledlnQ Addles u.v�.,.. e.�.w..�
n c 2��3 «, a 7 1�
--
rf/e / emaN erkMe _ T�o, c.�.
2 2 sleptwm umber! ad n=
`Vatld for one cak'+ndw year after slpnah re• (Rerfaed Aug. 2014)
4 r��11s • ��
t 1
1
L-
o f \
-
.
N
SJ � 1 � f _ �.• � ''ram �.r ��-
-
ol
.L
ry
y 4
�o'Q a
D Ca
- . .
F�..g•
�iti� ��'���1� SY�%er' L„Gr^c.. .:f'„",�k+ z,�4L �," f � ,� ��,�b. j��'4r.J G'-r ���i� �I i�( _ :r � ��i`.�i�t` � �:,�:�•''1�.y�_.-�
i , • ,d�gys
yd�gy
s
f ,
r: 200 Dundee Dr 440"
Google Earth 44N
Image U 2022 Maxar Technologies I 200 ft