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HomeMy WebLinkAboutKirkwood, Betsy❑CAI'AA/❑DREDGE&FILL ��f-� °t'I�31�� No. 73316 A B �c) D 61 i7� L PERMIT Previous permit # ❑New odification El Complete Reissue ❑Partial Reissue Date previous permit iss ued '„/ As authorized by the State of North Carolina, Department of Environmental Quality I' 6 / , and the Coastal Resources Commission in a Yea o environmental concern pursuant to 15A NCAC v" v ulej attached. Applicant Name (�/ �` % / Voy ,:r Project Location: County (� / City_ Phone # Authorized Agent Affected D Cw AEC(s): OEA ❑ PWS i i 111 f [.-y Street Address/ State Road/ Lot #(s) StateWe- ZIP y Ai / 7 SEW ❑ PTA ❑ ES ❑ PTS ❑HHF ❑IH ❑URA ❑N/A ORW: i` yes / no PNA yes t,\ Type of Project/ Activity rj I 0 Subdivision > City ZIP r f 1 f Phone # O River Basin ' Adj. Wtr. Body"r`l f - + nat_/man /unlm) Closest Maj. Wtr. 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" ■■JR aMM-Em&mOO■ Shoreline Length - 9 Moratorium: n/a yes Photos: ye Waiver Attached: 4/1e!) ■■■M■ iM■■■■■SKIM■■■M■■I■ ■M■■■M■■■M■■■■■■ I 11311INMEMEN a: E:E8 E5 e::o�0o �'-Z A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions A,, , i' .1 L -.I r ❑ See note on back regarding River Basin rules. / Y Agent or Applicant Printed Name PermitOffcer's Signature '* Please read compliance statement on back of permit** Signature Application Fee(s) Check# Issuing D: i Na Expiration MYJMtiGl�l mirNRIMIv rnwrGm I I VWyllCm J I A I G"["y1 I hereby certify that I own property adjacent to anle / + &-� U ill'- kat )rxy 's � „ . , , n , (Name of Property Owner) k� 25,)' y2y property located at (Address, on 1�610k C11riJ(V1 in (Waterbody) N.C. The applicant has described to me, as shown below, the development proposed at the above location. 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) j.� . r 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. Date I do not wish to waive the 15' setback requirement. "Valid for one calendar year after signature' (Adjagent Property Owner Information) Signatur�}�� nn r/in/1^1q _ Print or (ype N me dM4 �a` ro6-i Mailing Address City/state2ip Telephone Numberlemall address J Date * (Revised Aug. 2014) RECEIVED NOV 2 6 Paid lKuA tl', CV•`0A DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to e i Ige1,5i4 / L I� [ / (Name of Propert Owner) property located at / / / 7 L t (Address, Lot, Block, Road, etc) on in t<r e/.; lj ( %P , N.C. (Waterbody) (Cityrrown and/or County) The applicant has described to me, as shown below, the development proposed at the above locatiotr. 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. I do not wish to waive the 15' setback requirement. ✓AMC" �reofh Dare ! Date* � 64, e ���i r��1,. oo&-1 7�C t A, ! , Lin (Revised Aug.2014) *Valid for one calendar year after signature* RECEIVED NOV 2 6 2018 DCM-MHD CITY o a �€ a'. •x =o_ o. � E a S' o o �' E .� c° c � c `c c zo c Q o'° 3F ' �' aai N ° A R C ec ,u\ C •�u� cm a 2 z lr4 z E c a= F=� c At CEIVED O Et"U`o o NOV 2 6 2018 r s a w i 9 PCM-MHD CITY r b e W v c 5 � El� � 3 � V i C d O❑ s= �� ` 0. 0 ¢ ° ° o a O d L - a � A �❑ ° E A Z�m FE o 04 a Q N o. 2 � a €� O fi F .. s a N tNil � n� P O O C�Z o CAMA / .-I DREDGE & FILL No. 73316 ) A B (C D GENERAL PERMIT Previous permit# ?New ❑Modification LIComplete Reissue ❑Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental' Quality -7 / I 1 - 6 G. and the Coastal Resources Commission in rea environmental concern pursuant to I SA NCAC / V / / ulej attached. Applicant Name i`11 I t / Voa / Project Location: County (. :77 *Llz Address y Street Address/ State Road/ Lot #(s) City State ZIPp / 7� t / ( i, Phone # )_ Authorized Agent Affected"" AEC(s): LJ OEA ❑ PWS ORW: (ye /no c<& , PTA ❑ ES ❑ PTS ❑HHF ❑IH ❑UBA ❑N/A PNA yes / no Subdivision City !/ r ZIP_ Phone # ( ) River Basin ody / Adj. Wtr. Bna[ man unkn Closest Maj. Wtr. Body a — . / ■■■■■■■1■����L[7■'E■■■■L�■■■■�EM2CNo, ■■■■■■MMIItMM IS IN 0.■.MONSOON ROME WAVE no .■WNW, ■■■■■■■1 NNS IN■■■■■■■■■■■■rNil■■■■■■■■ UNSEEN ■OMEN ■■ Son INMs ■OM■Oi IS ENME •■i INCM i� NUNN ■�.■.0 M MEIN■■. � ■.■ �iii��iiiii ■••.MEIN■ ■■■ M■ M■■■■■= ■■■■■E■■ NEE ■■MEN ■■■MEN ■ waiiaa�i2MM1w momaioLmaail MOEN iaaME A Isom■ommomir1■ilu�MESO■�//.S�� mimmoq■N� ■■■■■■■■■■�■■■■■■■■■■■■■■■■■■OMB■■■■■ M. IS ■FAMEWINEEZE no■■■■M ■■ INS NEE ■ommmum=cm .MEIN■ EMISSION ui■■■w■ IN SOME ■■■�� ■.■ ■■B ■KNEE■ ■■■I ■I■■■■■■■■■■■■■■■■■■■■■■■ �■ MEIN ■!B■% MEIN■■ �ifME■■ ��■■ li■■■■ �■w • MIN...._ NEE ■EMN.==-G��I■�I■■■Niiir:MEG ■■■ ■ ■■■■■��j ■■■■IN■■■!�/■N■■ '`:..'�Nw■■MiNN�ll%N•!'.: IN■ .�■■■� MEIN■ r�611 u■ ■■� r ... ��i■■■■■■■1BM■■EEO■■Ba�IMM■� {� M■■E ■■■IN■■■ ■■■■■MM IN a� IN ■ MBE■ MEIN �:ii IN ■■i■ �iir• No:ELIO MEMO■ E.i{IN ■.■■■■uii■■■r■r■�r■rn■■ow 7011111.'s.1■1::::CC:::�-.::IN uma MEIN■. MEE�: ■■■■ ■OMEN . Agent or Applicant Printed Name i S�nature ** Please read compliance statement on back of permit** A �Jv i-1 / Application Fee(s) Check # ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to I )C,n; e l k et k,r 1 wUco C, 's (Name of Property Owner) property located at qCl I `F I�j� uf� C'I' 2 (Address, Lot, Block, Road, etc.) on \ BLS Inc (i nQ ( —,in 2_—uV1'c'(,Q d q5\ -e N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. 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) RECEIVED FEB 11 Z019 DCM-MHD CITY -)t 7.7vhn'ta/ WAIVER SECTION I 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) Date *Valid for one calendar year after signature` (Adjaclent Property Owner Information) SignatuE.e * J Print or Type Name "AI'?_ �IuFF CT Mailing Address t-Wer' c) :Ls)-e r JL City/State2ip Telephone Number/email address Date' (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to 4 b' e,1 Lin; oC4 's �� (Name of Property Owner) property located at -I� � � ��I �i 't" l/ r (Address, Lot, Block, Ro on-x(1 I S 6 Cti lln� ( in "711C'�-i L1� 1ST{ N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location 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) ami(47 RECEIVED FEB 1 12019 DCM-MHD CITY 5Ju l VITO Me 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. City/State/Zip �,nielKr� Jl L(Z4 �''I la3 /757-)(el l?7�' � fn c�, 1. C cyv-) Telephone Number/email address Imo, I �l Date (Adjac t Property Owner Information) Z Signature *a M / nA'yl� Print or Type NaMe 0 �� IC4� Cc&, Mailing AddrossC � City/State/ZipgjO- 71g9l��`? / Telephone Number/email addr ss� I �e�wt nAl/1 0ACt cow, Date* (Revised Aug. 2014) `Valid for one calendar year after signature`