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Home My WebLink AboutBangle. Robert 80024CXCAMA / ❑ DREDGE & FILL J / N9 80042 A B (D D GENERAL PERMIT Previous permit# kNew ❑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 environmental concern pursuant to 15A NCAC pp Rules attached. Applicant Name Rbei± DCl/'IQ (P Project Location: County Cz2 Address es (1 `� t.S� Street Address/ State Road/ Lot #(s) ;LO 4Vj OA p rl City /&w F_,�-n State ZIPS �5 Phone # E-Mail Subdivisio'n/ r— Rasa) Authorized Agent 12&A f ales/ City tA-) ZIP_ ❑CW ❑EW A ❑ES ❑PTS Phone# (_) River Basin Affected AEC(s): oEA ❑ HHF 1-1IH El USA El N/A Adj. Wtr. Body Pd7 r cps ElPws: r ORW: PNA � Closest Mal. Wtr. Body yes no yes Type of Project/ Activity .Q %PD 1—f Gl I >X I S+i /l!�. Ape, K Pier (dock) length Fixed Platform(s) / Floating Platform(s) Finger pier(s) / Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore Basin, channel cubic yards_ Boat ramp Boatho Boatlift i Beach B ozing Other S Shoreline Length SAV: not sure yes Cn Moratorium: n/a yes Photos: yes Waiver Attached: yes A building permit may be required by: a rX_\Je SCm 61A ( Note Local Planning jurisdiction) /� Notes/ Special Conditions N �_e (Scale: A 10 ) See note on back regarding River Basin rules. or vppi¢ant rnmea rvame I rrlia1.,.a Si ture Please read compliance statement on back of permit** Signatu a Ad q z�1J'1 �,Y�1 /� Application , Fee(s) Check# Issui gDa[ Exilpiratio Date VrCAMA / ❑ DREDGE & FILL GENERAL PERMIT ANew ❑Modification ❑Complete Reissue _ J(�c Ell Partial Reissue N9 80042 Previous permit # Date previous permit A B CO D 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 I SA NCAC Rules attached. Applicant Name R n kl2 ii t / Ba /lA I (? Project Location: County / l ig VP q Address ff �V S�_Co,-A- Street Address/ State Road/ Lot #(s) ��rn i �,2 D i VP_ City %V W l (1 State ZIPn Phone # (,2'1) 5 " E-Mail Subdivision/ p Authorized Agent D G«1 V IP `/ City /V wW 8Px_CiZIP Affected �CW DEW APTA ❑ES ❑PTS Phone# ( ) River Basin euc Affecte � OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body P r . e s �V_el �t /man /unkn) ❑ PWS: ORW: yes (no) PNA yes / no Closest Maj. Wt.. B_d, ea I Ve-'C e of Project/ Activity 1; *101Ir r H■■M■N■N■■■dN ®i\J■■■MMEN MO■MM■■■■■■■ a�IN■■■■■■ ■■■�wao■■■■■■■■■■ ■■■■ i■ No ON ■■■■■■■■ ■ ■■■■■■■■ ■■■■ME ME ME ME 0 IS I ME MEN ME ON HE ■■■■■■■ E" 1/.■■■■■ q�■■■SEEM MIEN ■■■■■■■■■■■■■■® ■d■■■OMEN■�■■■■■■■■■■■■�■■■■■■■■■■■I ■IC:::::®� 0ism ■...No ■■ �ME�ME ��M�0�I��■I®■■0�■ ■■H " ■MM ■ ■ n ■■0MIW�MM■ ■■■ Ell ■� ■ ■■ME.■ � ■■� 0■■.■� IN ..� M■NINE &I ME M ME AM ■■■MM■■ • •. ■■E= ■ . �MNMEN MMNI■■■�■� �l■MEN■■■■IIIE■■�■■■MN■■ ■ ■MO■■ ■■■I■ . M■.■ME ■■ p� MEE■■■�i\� ■■■E N■M _ p��■■ ■��TiliirE■■■M.dJiT ii■■■M■N�■NMN I In l�i iili■�I[r� ■N.�!� �■N■ME Dry 0�ley en or Applicant Printed Name Si ture Please read compliance statement on back of permit'' Aplplication Fee(s) Check # May 0321, 10:35a �i NCDENK North Carolina Department of Environment and Natural Resources Division of Coastal Management aeeedy Eaves Penlue, Governor James H. Gregson, Director Dee Fraeman, Sevetary - ! C I f - t Same of Property Owner Applying for Permit: Mailing Address: I certify that f have authorized (agent) _Cj to act on my behalf, for the purpose of applying for and obtaining all CA04A Permits ,necessary to install or construct (activity) at troy property located at) J l This certification is valid thru (date) 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-2808 t FAX: 252-247-3330 U^temet: WvAcnccoastalmanagemerl net An ECoat Opaahn tp t Kk;llahtle kn CWkNjlr-:Ate atydM!',, 0% NSICo U& "P., 10:35a AOJAC NT RIPARIAN PROPERTY OWN R STATEMENT i hereby certify that I own property adjacent to property located a! --.(Name of Property Owner) ��J / AC♦ T, Z an III l CES ( (Address. Lott _ k�Roa gtc.) (Waterbody) F{ �} C tah T'+� iV.0 ,ti _ _ (CdylTown and/or Countyl !ocaticn. has described to me, as shown below, the development pr000sed at the above 1 have no objection to :his proposal, I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing deveiopmentmust tilt in description below orattach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, beat ramp, breakwater: boathouse, tilt, nr gron must be set back a minimum distance of 15, from my area of riparian access uWess waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) e, 4 1 an wlsn to walvo tho 15' setWck regnirenibin .,_, do not wish to waive the 15' setback repulremeni. or 'Valid for one calendar year after signature' (A a ent Property Owner Information) Sign'"�y�Fle` Print or ype Name ' r WArl`aw T0811i gAddress (3a��ylss��t@}.'. Tetephone �� auadame — __2_ bpi Dnlr' 3•?�1-zt iRevuedAug. 701:) 10 35a � e-n ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to31 ,,1,.� q. A s Property located at 'al, �(1 a r (Name of Property Owner) on , /I� �.�. �• (Address, Lo[,,B�pnik, Road, c in C((rl f/1 Gpdy T N.C. (Waterbody) (Cityrrown and/or County) The a cant has described to me, as shown below, the development proposed at tte above lccatio . L/ I have no objection to this pr000sa;. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must 17ll in description below or attach a site drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, 3ft, or groir must be set back a minimum distance of 15' from my area of riparian access uNess waived by me. (I? you wish to waive the setback, you must initial the appropriate blank below:` ! do wish to waive are 15` selbach requirement. ! do not wish to waive the 15' setback requirement. (Adjacent Property Owner Information) (Revised Aug.. 2614) 'Valid for one calendar year after signature'