HomeMy WebLinkAbout86781A - Cobb, Robert❑CAMA ❑ DREDGE & FILL ,� N° 86781 O B C D
GENERAL PERMIT Previous permit
Date previous permit issued
D 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: www.dgq.nc.gov/CAMArules
Applicant Name
Address
City State ZIP
Phone # (_ )
Email
Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
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/ Boatlift
Beach Bulldozing
Other
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
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Adj. Wtr. Body (nat/man/unk)
Closest Maj. Wtr. Body
(Scale: ' )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date
c
6847936753,9 CB17D088-7EF5-47F9-AE09-F7A26B8B30CC jpeg https:Hdrive.google.com/file/d/lDwdF4oWDpEdTVQhCssmQr4JQ...
Telephone€ Um r:
t t on behalf, fo,,, the pt,irpose of applying and o fi
necessary for the proposed development of
t my property located at
Tmis certification is valid through
V.
1 of 1 9/14/2022, 8:20 AM
Ja,.--- •-- -r
I hereby certify that I own property adjacent to
property located at
qy )--
(NameRRf Property Owne
t� c.� {Jr
I
(Address, Lot, Block, Road, etc.)
on A 16,- .:,. 1, in i J .J % Sir �-�-- , 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)
SrP 0 1 2022
DCM-C
WAIVER SECTION
I understand that a pier, dock, mooring pilings, 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.
(Pro Ofygrner formatia )
S1 Afisit
Print or Typ N me b
Mailing Address
City/StatelZip
1, '1 _'Sta---
Telephone Number
Date
(Adjacent Property Owner Information)
Si
Print or Type Name
Ming Ad r ss
1.14
City/StatelZip
7S-7- 2Y�_
Telephone Number
Date
X
(Revised 611812012)
-- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent to L'-�'-�- lj4 C4& 's
(N of Pro rty Owner)
property located at (44,1 f�..�rk �-t 4
(Address, Lot, Block Road, etc.)
�cl in !nd3r 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)
N �h � L
St P 0 1 2022
DCM-EC
SECTION
I understand that a pier, dock, mooring pilings, 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.
l do not wish to waive the 15' setback requirement.
(Pro 7,23
erInformation)
Sign %bt>e y, /t
Print or Type N meType NJm�e
�����,�1
Mailing Address
U , , 6-,6 Af
CitylState/Zip
Telephone Number
Date
(Adjacent Property Owner Information)
Signature 8rvcc,
co"I" I" L - W h;+ ►C4
Print or Type Name
U4q L11 bo rl YC.
Mailing Address
KIndsar, 0c 2-7gi3,z,,
Cif lStatelZip
`TS?-- 43 0 - 89 2,0
Telephone Number
slglz.7
Date
(Revised 611812012)
,,,.
r .--�.
y +� ' 3
\ ��\
.;~
l
'ti ti ti � {
VIP-
ArcGIS Web Map
6871541073
t�
4� 3,I0044 �s ti��
1073 ^�
6a Q 6871640044 lop��
�a`cre\o< .7 061
�3 '
Vol
6871449061
t� PC A PG 1067 13
�� ay 6871439931
112
2 0 PC A PG 1067w, f,
88714378,87$ $ 7
PC A PG 1067
PB 14 PG 209 1`
5
VA
PB 13 PG 809
8A
9/7/2022, 8:26:40 AM
Centerlines
' Parcels
0
bertie_nc_parcel_annotation
Orthoimagery_2020
0 Red: Band-1
Green: Band_2
Blue: Band_3
v�Jz V '` V' Y'O r+ L c hb 1:1,128
l6Y0 0.01 0.01 0.03 mi
�r
IJIJ �19� SuY Gt� 0 0.01 0.02 0.04 km
a -��. 3 sources Esn Airbus DS, USGS. NGA. NASA, CGIAR, N Robinson NCEAS
NLS, OS NMA Geodatastyreisen. Rgkswaterstaat. GSA Ofx)Iand. fF.MA
County Boundary
Arr.GIs woh AppBolidel
F— (`—,nnv Man¢ (`nntrlhinn- Ctata
of KWAI, r`ar I— F)OT :) n—Ctraar — Mirrncrlf
Fcrl HFRF (`.armor Cafes..^.ranh (—T—hnr,I— c I— MFTIINACA I IC(iC FPA NPC I IC (`an—q R—aan I ICr1A I
��`_
���
1���'
r
�,,../
F M1•