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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) a dmwa OAMA DREDGE & FILL N4 84684 A B� o ®� GEEl 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 I >-< ir� I I1 I 1 TANPAKNELI BUFFfA(drde oriel l see note on back segalding Ril" Basin luks See Wdidonal noteifeRditi mon but