HomeMy WebLinkAbout84451C - Willis, Sarah❑CAMA ❑ DREDGE & FILL N9 84451 A B C D
a GPrevious permit
GENERAL PERMIT
Date previous permit issued
❑ New V Modification [:]Complete Reissue ❑ Partial Reissue
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 NC -AC r1 ' �) I if /1�) ❑Rules attached. General Permit Rules available at the following link: wwwdec.nc.gov/CAMArules
Applicant Name JfT E, �l �V! I7.((i J Authorized Agent Yi 1
Address t j((ll I")' F) I) Project Location (County):
City i(/_)"!-(-5 I.,-) State A)( zip (_r'r 2-. Street Address/State Road/Lot#(s)
Phone # (�v)
Email Subdivision
City ZIP
Affected ❑CW \/ EW ❑X PTA F/]ES OPTS Adj. Wtr. Body ('U `st`A z�_>I-'� /n"adman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body (/ '�-!' �'! `� � ! V I 1
ORW: yes/Ro PNA: yes/no
Type of Project/ Activity
Shoreline Lengtl
Access Length _
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Total Platform area
Groin length/H
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
r
Boathouse/ BoatliR 1, 2'
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
yes
yes
yes
yes
no
no
no
no
(Scale: )
A building permit/zoning permit may be required by:
Permit Conditions !�� am��((' �'1,'.Cf�1t-.I ❑TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
I AM AWARE OF STATUTES, CRC RULES AND CONDITk
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
❑ See additional notes/conditions on back
(Please Initial)_
Signature -'Please read compliance statement on backof permit" r Sig at re
J.., �X_...., p.
Applicatio(t Feels) Check N/Money Order Issuing Date Expiration Date
A1*dc ft"r4L ❑CAMA ❑ DREDGE & FILL',: N9 84451 A B C D
GENERAL PERMIT Previous permit
s Date previous permit issued
[]New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
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 ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq c gov/CAMArule
Applicant Name
Address
City State
Phone # (_ )
Email
Affected ❑ CW ❑ EW [] PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORW: yes/fio PNA: yes/no
Type of Project/ Activity
ZIP
El ES ❑PTS
❑SPIMA ❑PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scale: ',i 1 ` )
Access Length -
Pier (dock) length
Fixed Platforms)
-
---
r1,
1 A-l"I
I
-
L..__
�• �....
�.�_.
—i
Floating Platform(s)
r
-
I
J
`
1,
Finger pier(s)
Total Platform area—
Groin length/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/Boatllft
Beach Bulldozing'
Other
i
i'
I
I.
-
—
_
i
.AC.
s
-
-
__I
_
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
!..
A building permit/zoning permit may be required by: _
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
[AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
(Please
Signature "Please read compliance statement on back of permit"* r �•
Application Feels) Check #/Money Order
Signat re
Issuing Dyat' Expiration Date
r c c PROO Ks
e0rpoo �A,(t.¢.
:&4fpN_
p
Ilb sue- Dek
r0//
I hereby certify that I own property adlacenl )o
sy
property localedal-----_;�—
on
H
N.C.
The applicant has descht.ed to me, as shown below, lbl' dbvblopntolil proposed at the above
loaollnn.
I have no Myne6on to this propaeal
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)
FC
I
kk
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.
Prin19'�Y��[Oe�
Mei%%li d ss G
���
Telep� i u �� ail addi
Dole
N I�IIJL _I J
(Ad' cent Prope Owner Info ation)
/I
1�-- ,
Sig nature* r�
P..C�LLi sNar��NM+S
l J/ -,ailing Address IY
�2% City/State2ip
Telephone Number/email add
Dale J
(Revised Aug. 2014)
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dmwa OAMA DREDGE & FILL N4 84684 A B� o
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PERMIT DatePTW usp
Date prs pemitermk issued
,•,�eW, E]Modifiation ❑Complete Relssue ❑Partlal Reissue
B 7PsamhC I., Daprmrenr eflilmnmenpl [mrbn paverAm:
Naudureadtydw yam of Z OuyihaM aM C°aa°I pesourc¢s Cnmmivimin an a,fa emonmencl �C6
kdJ ❑Bolo aecWca .. a _
y�------Pukewalla--defallowii¢Onk:
ApplkaraN maha Agent f _
Adams Pmien Locadon (coe�,yr. h
. sum ar sveetM donlumunty): ttN(a) �`
o 3
Poa•
a,vil 4bdMuen - i
Aeaaed ❑LW 1 TA A t" ❑p, AEI. War Bally L
AEC(ap ❑ou ❑MA ❑oW ❑WMA ❑pWS Cheat Mal. W...
o"; K*V PNA: P& .
.ihomllne tengm__�� - - --
Axesslength -
Pier(docklhai
'baring Plalform(s) � _ N-�._
TPNI Platlorm area
Groin length/g
BufMa.d/Npcapien
AV dlstaraeoBehore
gmter/sill
Mardistance/length
Basin, channel
Cubic yards
Buatnmp
Boathou /BoaO
Beach Bull g
Other
SAV observed: yes n
Momtpdum: Na yes no
Site Photos: yes np
Riparian Waiver Attached: yes n
A building permk/aogigg permit Jray ere..fredt
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1 TANPAKNELI BUFFfA(drde oriel l
see note on back segalding Ril" Basin luks
See Wdidonal noteifeRditi mon but