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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,