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Home My WebLink About88558C - Moore, LindaAMA Previous DREDGE & FILL NY 88,5- Cl Previous permit . . . . . . . . . . . ENE,1z L PERMIT Date previous permit issued I INevu DModificapion n Complete Reissue OPartialReissue 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. General Permit Rules available at the following link, w�tA-md c&o_yLC_AMAruies Applicant Name ) Author -ized Agent V— Addre L . ..... Project Location City State ZIP StreetA� res tat Road/Lot#(s) ... ........ T, Phone # A9 A A J; .. . . . ..... .......................... . .. Email 'fill g 0 Subdivi i City-WIM 4) Affected 'CW **rA El ES E] pTS Adj. Wtr. Body. (na aniun itif/ EW W S P I MA AEC(s). �,OEA 31HA El PWS Closest Maj. Wtr, Body 14 ORW-. yp-,M& PNA: yes/ X� Type of Project/ Activity I x\l- k"VC11-11t "U f/ (Scale: Shoreline Length Access Length Piet (dock) length--- Fixed Platform(s) -------- Floating Platform(s) Finger pier(s) Total Platform area., Groin length/it Bulkhead/ Riprap length Avg distance offshore Brea kwater/Sill_ Max distance/ length n4v el Cubic yards Boat ramp Boathouse/ Boatlift K Beach Bulldozing Other cell, ')J Yi ........... SAV observed; yes 0 Moratorium: n/a yes no Site photos. yes 110 Riparian Waiver Attached. yes no 0 A building permit/toning permit mav y required by. -f J 4 fAR/PAM/NEUSE/B1JFFER (circle one) Permit Condition_)pvy' Basin rules CD, d" --�ry AateSee note on back regarding Rivei 42 d, it.V- I E]See additional notes/conditi6ns on back . .............................. .......... . ..... . ........ I AlVhAWARE _OF SJATVTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND WED CO LIANC S MEIN hg nt or Ap lic, n P INTED Name .4 er T I E am -A RJ5 signa tire **Pleas adcoi-nplianc-estateryientoiibacirofperri-jit**. I L ---------- -- . . ...... )—Ilaf ............ .................. Application Fpp(s) Check It/Money Order Is Expiration Date `°"S'"1 CAMA DREDGE & FILL A B )D Previous permit ``�----�-- T ENE L PERMIT s � Date previous permit issued Y— - '�*New ❑ Modification [-]Complete Reissue [-]Partial Reissue As authorized by the State �ofjNorth Carolina, Department of Environmental Quality and th Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC , . ?C1 ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name City State /(a t) "1 7jD Phone # A19) Email c�\ 'k �W Affected ❑ CW EW PTA AEC(s): OEA ❑ IHA W ORW: yes/CP PNA: yes/t Type of Project/ Activity Authorized Agent "' Project Location (County): itreet Address/State Road/Lot #(s) d -.,est Maj. Wtr. Body Shoreline Length 14 Access Length — Pier (dock) lengtfi'��`�R_ ��•�,��, , j�� Fixed Platform(s) /X' �X1 • _sew .. Floating Platform(s) *" Finger pier(s) 6 Total Platform areaasr- Groin length/# Bulkhead/ Riprap length ---- Avg distance offshore Breakwater/Sill — - — Max distance/ length - B in hannel Cubic yards 1 Boat ramp -� Boathouse/ Boatlift`— " Beach Bulldozing ----- Other SAV observed: yes1/1) 'Y)� o Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit onrng permit may required by: S Permit Condition —)A 1. t- IT -�4) 0 i f I AIV%AWA OF S TES, CRC R Agent or Ap is n ANTED Name AND CONDITIONS THAT APPLY TO THIS PROJECT AND Per D �•' (Scale: �) b c ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back Signa ure **Pleas ad compliance statement on back of permit**„ C, / , Application Fee(s) Check #/Money Order Sig atu O,-, Issuing Date Expiration Date ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to Z. ( d d,i xv G'r`c__ I �Narpe of Property Owner) property located at t'- ^ a C_ (Address, Lot,, Block Road, etc.) on 0 6 ex -0(1.i , in A arT'c) i?_. q r A , N.C. (Waterbody) J (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) 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) (Adjacent Property Owner Information) i nature Signature Lid /<7 M V-Drf_ 6- "? , /64 Print or ype Name Print or Type Name b cR 1 -, r t ailin Address Mailing Address ity/ tate ip, Ci y/Stat ip �100 telephone Number / email address Te ep one Number / email address Lag- q_ eg u '" RECEIVEr, Date IDate *Valid for one calendar year after signature* (Revised Aug. 2WW)1 h 2022 CM-MH CITY I 7<� IQ CNIJ LU > C=) LLJ C) cr ZD ADJACENT RIPARIAN PROPERTY OWNER STATEMENT hereby certify that I own property adjacent to 'S (Name of Property Owner) property located at —IL govv ' (Address, Lot,, Block, Road etc.) on qY)4 fiq in rik / c- P� F�a , 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 roust fill in description below or attach a site drawing) V WAIVER SECTION 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.) RECEIVED do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. JUN 16 202?- (Property Owner Information) (Adjacent Property Owner InforiW&&PHD CITY It AJAZ�� k ��- S'ig atu. Sa 9r1r E` nature Print or ype Name Print or Type Name -7.i n,l I; i L Fr) 'l dl 17 r) r- f b h I" 1) Address "�-,-�V-P--�I/X Telephone Number/email address Date Wailin 'Address e ' ► -. 0 d t State/Zip Telephone Number e %G J t Date * . � �h / address *Valid for one calendar year after signature* (Revised Aug. 2014) 0) c®1 U., ZD (r .Pza 77,