HomeMy WebLinkAboutDaughtry, Billy 78842C(/
"M,�CAA / DREDGE &FILL
❑GENERAL PERMIT
"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
D
NO 78842 A B (D D
Previous permit #
Date previous permit issued
Applicant Name L) r llyg��'rY Project Location: County okA
n
AddressAl
Street Addres State Road/ Lot #(s) C
City Prll(�,J,PULe,I State ZIP ll e
i
Phone # () E-Mail t Subdivision
Authorized Agent N ze, W 01 City I ZIP 9
57o
Affected VOW /°EW �kftA gh 71PT5 Phone #( ) River Basinw%11; rl elUaE
AEC(s): OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
86 �IDA(� - V�
❑
ORW: yes / CPNA
e
Type of Project/ Activity_
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)-
Groin length d
number
Bulkhead/ ftiprap length
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Beach Bulldozing
Other W� ✓
i
Shoreline Length
S": not sure yes
Moratorium: n/a yes
Photos: yes
Waiver Attached: tZeTs
A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
V
Adj. Wtr. B 1 �a man unkn
Closest Mal. Wtr. Bodes y Tb� ornSOWJ / - /—�
no
ent r Applicant Printed
Si&nature ** Please read compliance statement on back of permit**
") a a05
AA placation Fee(s) Check#
PermitOfScer's
(Scale:
❑ See note on back regarding River Basin rules.
owner Requesting Permit:
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA perils
necessary for the following proposed development: 7 aoO /s 40r L/,a7
MP h'�sf,NG 8 "s /6 �« r OloTroe� /6 x /6 ��L%TFi� sioN 6 of r LAND INoT�ID)
at my property located at
in 6A97�6-1&-�r 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: Poo
��C�10o5
ignature
//�/1
Print or Tjoe Na
Df+iNFil
rift
CERTIFIED MAIL - RETURN RECEIPT REQUESTED t
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner. %A(r AUdNiRY
Address of Property: /7V GG/F`oRD 0404 B' Tgwb' /vhvPOe'i Ovc
(Lot or Street #, Street or Road, City & County)
Agent's Name#: _ ANDRd IVW Mailing Address: ?,//T 0a AfRIr �P°>
Agent's phone#: 25Z -665- y398 NEB✓ $f�N "C Z85'6Z
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A description or drawing with dimensions, must be provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
Byou have oAfectfons to what is beingproposeci, you must notify the Division of Coastal Management
(DCAQ in writing within 10 days of receipt of this notice. Contact information for DCM offices is
avaifabfeathtG .*IAvww.nccoastalmana_qementnef/web/cm/staff-listingorbycalling1488.4RCOAST.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
39k I do not wish to waive the 15' setback requirement.
(Property Ow er Infor ation)
ignait re
J,3/GCY �,ov6HT�CY
PtWorType Name
Magi Address
s�/ r✓L Lc't L /IBC' ?�'�'
E�ty/5tafe?1p r ) ry
(Riparian Property
�Owner Information)
Sigrtature
.,;�%d
JA&t5 �AQNE2
Pint or Type Name
/32Z3 $N your STR
Mailing Address
-PA , Al- 33I3o
city/State2ip
Telephone NumberlEmail Address
(Rew.
.uki�4f+x3¢,UJY„dis�'�i*r, r ' ,Yvu-e=L
Cr-WhF1ED MAIL • RETURN RECEIPT REQUES'
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER N011FICATIONNVAIVER FARM
Name of Property Owner:
r..'�`l
Address of Property:
/7y G6/FPo/10 oat.9 ' 72wp, rIAUPAZ /vG �u .
(Lot or Street 0, Street or Road, City & County)
Agent's Name#: ANDRf Alm- Mailing Address: ?4/r
Agent's phone M 252 -665- y398 ���✓ �/`� Nc ZBS62
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing the development
they are proposing. A desaiDtionor dray.ina with dimensions must be Drovided with this letter.
--f c�I have no objections to this proposal. ____I have objections to this proposal.
Hyou have objections to what is being proposed, you must notify the Division of Coastat ARanagemett
(DCMJ In writing within 10 days of receipt of this notice. Contact information for DCM olRce$ is
arairwhlnathMn-IA w nrrnastalmananpment_npt/wehlrm/staff-listingorbvcaltinal-888-4RCOAST.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
(Protty r Toation)
Signa 9rti e
73/[�Y �,ovdit'T,IY
2 Print or Type Name
A4 /1`9
AlWngAddress
1,111le /&Vc 1Vc J T � e
(Riparian Property Owner Information)
Signature
r?ENE`E�oSS/
Print or Type Name
178 euFt n o�l�s�y �geD
Mailing Address $
/I JVPAfT A.00 29<7e)
/,-14;v 1,i✓&Ai corn � -
i't Aeon Number/Email Address Telephone Number/Err,