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HomeMy WebLinkAboutStrickland, Larry 78884CCAMA / '= DREDGE & FILL Nth IM GENERAL PERMIT Previous permit# A B ° ew-iModification i--complete Reissue ]Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality t ,,,�q and the Coastal Resources Commission in an area of environments concern pursuant to ISA NCAC fi 7 . t , 9 —_t 1,� r�. - Rulex attached. Applicant Name �{�.w/nd��X4--- Project Location: County_ Address >5 D­Ca Street Address/ State Road/ Lot #(s) City r StateA/Ci ZIP,g7lhn" t Phone # () V /7L E-Mail Authorized Agent t�- _Ae— �Aa 'cyy-nZ� Affected �w A At EA F IH BA u N A AEC(s): PWS: ORW: &/ no PNA a/ no Subdivision �- City—J Ki" J�`�� _ ZIP Phone# (_)____ / River BasinL�.,_ Adj. Wtr. Body__ nat-( nkn Closest Maj. Win Body—. Type of Project/ Activity f(piD'4..(4j p( _fl� ���{Scale:' 17C/y } Pier (dock) length -,Mc Fixed Platform(s) _ �}. %t f,� • Floating Pladorm(s) -- Finger pier(s) f Groin length number Bulkhead( luprap length avg distance offshore max distance offshore Basin, channel •" _. {`'''}..(¢. _,(��,`''�y _... I ^''`-,°:..- cubic yards _ Boat ramp Beach BuJirJ�ozijng f� Other_ (�. j .. 4� y�k S`' �� l_ - j 7 _ ECG � '''t%`=•-,. Shoreline Length SAM notsure yes no Moratorium: rue �es Photos: es Waiver Attached: yes n __. . .. ;{Jjt,,.,- ...,.._ ,.._� tit A building permit maybe required by: V/ 1 See note on back regarding River Basin rules. ( Note Local Planning Conditions q f / , Notes/Special Conditions Ur rn an s n _rl re., r".._ . - _ r_ tAlication at irrcedName PermitOBirer's Prit NastcePleaser co liance scatementon backof permit "* Signature J t —5 camt2s Check of Issuin�e - �. :__ _.. •. -- CAMA / ❑ DREDGE & FILL J '" c ND 78884 A B 0 D GENERAL PERMIT Previous permit # New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmenta concern pursuant to 15A NCAC Rules attached. Applicant Name t5f, Project Location: County�/ Lot #(s) Address Street Address/ State Roadply F 4� Cigal 61 G'Iki StateAI ZIP a7& 03 Phone # (YH)'T51i-UYY1 F_Mail Authorized Agent Affected >CW 'NEW "" TA kfS ❑ PTS AEC(s): 0 OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PI ORW: ye / no PNA ye / no Type of Project/ Activity Subdivision City ZIP Phone # O River Basin WAI� Adj. Wtr. Body mat unkn Closest Maj. W* . R d, — 5-hmr Sou Pier (dock) length Fixed Platform(s) Floating Platform(s) r Finger pier(s)� Groin length number � — �-- � — Bulkhead/ Riprap length i— I avgdistanceoffshore max distance offshorer Basin, channel cubic yards Boat ramp _ ._— Boatho /Boadift .f ,` /Y —�— I Beach Bull zi g � Other S 1 ! i Shoreline Length _ - f — SAV: not sure yes no r Moratorium: rita yes Photos: yes i __I t �(/ )u I� _ Waiver Attached: yes n -- — A building permit may be required by: Shin/ �D Uij�� ( Note Local Planning jurisdiction) 7 Notes/ Special Conditions 1 Ja e or p ica t Printed Namee PermitOf icer's ** - Signature Si nature Please read compliance statement on backofpermit** . �R 373.E 3 Irr Application Feels) Check# Issuing Vate (Scale: I i;30 ) I I i i Air; , ❑ See note on back regarding River Basin rules. �/ n It A. 1 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: / ArL - /TY(CK Mailing Address: Phone Number: Email Address: I certify that I have authorized 0 q /9- �55- Del l-] I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Vle odvereC / 6 K 66at /-/f .. at my property located at in ()1351 D0J County. �5'XL�' Plea—�r>7�e►' rf b/6 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: QJ $ a00 Signature ue 3735 bet rry 5 �y'c k lei M cY Print or Type Name Title Date RECEIVED This certification is valid through / I MAR 2 2 2021 DCM-MHD CITY i` OIL I hereby certify that I own property adjacent to i A. {-y J/ ij r�kik, ly� ,s Property located at ��� ( Q ��r(, (��, (Ml of Property Owner) on �j(� (Address, Lot lock, R ad, a c.) (Waterbody) . in e '5 , N.C. (Clty/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc�on� I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development mast fillan description below or attach`a site drawing) 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.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) ware *Valid for one calendar year after signature* Property Owpdr Information) 0 "e_r� I Date* 1U — �16 - (I y 5 (Q RECEIVED r 3✓ 9 (Revised Aug. 20KMR 2 2 2021 DCM-MMD CITY I hereby certify that I own property adjacent to property located at I on �LV (Address, Lot $lock, R ad, e ) in Jr/ l S 67 M N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above I 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 drawing) 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.) I do wish to waive the 15' setback requirement. a� I do not wish to waive the 15' setback requirement. (Property Owner information) Date *Valid for one calendar year after signature* (Adjacent Property Owner Information) Date" RECEIVED (Revised Aug.2014)R 2021 pCtAI Aon CITY S 20028'51 E 20.77' N 19 05 6' 49 " W RECEIVED 26.32' MAR 2 2 2021 DCM-MHD CITY a — s C1E�T Y$$a�STAEY FNq�� R I L_J G' R imam °IPA M ��SEE a €Do ' R Sm4 s r MAR 2 2 2921 DCM—MHD CITY 5w m RECEIVED MAR 2 2 2021 DCM-MHD CITY