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
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MAR 2 2 2921
DCM—MHD CITY
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RECEIVED
MAR 2 2 2021
DCM-MHD CITY