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HomeMy WebLinkAbout86781A_Cobb, Robert_20220914❑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. 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