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Home My WebLink AboutWillis, Tim 88924C+ tour � wNOCAMA El DREDGE &FILL N.0 88924 A j3 l'C) D Previous GENERAL PERMIT Date pre iouslpermitissued Q 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: I SA NCAC -� f r ' t { �-%�- ❑Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name lI UV 1, �)``� Authorized Agent .) C tt V (�'i.L1. 1`: Address "7 i)c"Trr,, (. k 1 c( ' o o (k ProjectLocation (County): (-(,AV y City> `r� t'N State {` ,u ZIP L. T ([ j �-� StreetAddress/State Road/Lot #(s) ? �• Cj `.�i l"<IV r.ltt.1%C I'1 ?,.;:( . Phone#(_) i'{0 ;i17 Email C b'rh Subdivision !� city y1ctVS1 ur114 c G ZIP Affected LJ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adl. Wtr. Body `� t e e hl C V e e V_ (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body C i-' - Type of Project/ Activity VY( )oC)` c c � i' I Shoreline Length it{ 0 Access Length Pier (dock) length , Fixed Platform(s) Total Platform area Groin length/# % Bulkhead/Riprap length Avg distance offshore n Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other i SAV observed: Moratorium: n/a Site Photos: Riparian Waiver Attached: yes yes yes yes (Scale: N , ) A building permit/zoning permit may be required by: '!� !rl 1?'.'(&A C. /' Permit Conditions 'P 1/,'1Y'1 LIWlV G{ ❑ TAR/PAM/NEUSE/BUFFER (circle one) ] C-1, : f `,, Gi LS�iID r I' f' <� ❑ 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) 1 Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** Signature Application Feels) Check tt/Money Order Issuing Date i 1 Expiration Date ❑CAMA ❑ DREDGE & FILL N9 88924 A B ; C D GENERAL PERMIT Previous permit i 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: I SA NCAC :� 1 { ' ii i ( i ❑ Rules attached. ❑` General Permit Rules available at the following link: www.dec.nc.yov/CAMArules Applicant Name Address C. City("rAf't'\t State ZIP Phone #(1,,L ijL - -1 1 1 Email 'slG C-✓ I Affected i_CW ❑EW ❑PTA ❑DES ❑PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORWryes/no- - - - PNA: yes/no Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) i. Subdivision City— Adj. Wtr. Body (nat/man/unk) Closest Mal. Wtr. Body _ Type of Project/ Activity `I ��1 �;�; l 1 I k,` 1 E� n C� (Scale: ) Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) ' f Finger pier(s) i :.t t _ 7 r _ - Total Platform area Groin length/ri / r Bulkhead/Riprap length Avg distance offshore Breakwater/Sill Max distance/length Basin, channel '' Cubic yards /_— Boat ramp Boathouse/ Boatlift Beach Bulldozing Other -_. - — .. ,. .. .—.. ......\.-_ _.... _.L.,. I ! ( 1 SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no RioarianWaiverAttached: yes no ` !, )t CK ) P tq I _ - _ - I 1 11, — A building permit/zoning permit may be required by: TAWPAM/NEUSF1BUFfER (circle one) Permit Conditions ❑ See note on back regarding River Basin rules I 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" Application Feels) Check #/Money Order Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: !/- Mailing Address: Phone Number: Email Address: I certify that I have authorized to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: = ltifl r at my property located at in (� ct r� County. i furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property,Owner In� mati n: f Signature P ht or Type Name ��tipJ�-/1 Title RECFWEED Date FEB 0 3 2023 OC9iR-iMi•1hj CITY This certification is valid through / t 1 l��a3 I hereby certify that I own property adjacent to /1 /71 S Property 6wner) Property located at JrI� ]`•,�j-t�.f;�4�i(,�'(��; /j �-p� (Address Lo 0 tc } -- --' in �_ N.C. (Waterbody) !City/Town and/or County) The applicant has described to me, as Town below, .=e development proposed at the above local ' n. 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_aMch a site -drawing i an ' uX RECFp/Ep FE8 0 3 2023 t)(; M.MHD CITY WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, of 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.) f do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) (Ad.(acent Property Owner Information} "-�4tD. e"r 'Valid for one calendar year after signature- (Revised Aug. 2014) 14 rC+ay M* fim k dy a IWN mo I bmw ta ghk PFQPLVA AEG ANOIOR COAWOM x,. , P�1 ► �dor�arr��"�aer attars � Otte arr�r�►Y r k 1J DGM-n,maj GI FY WA;��L Is tart Mp, - �� , � 1 utloof -I d that aP10f, fWk, MOOriWJ tit. a �� tst jiporlon t is ur% � 15y amm, by Sol d� a njoj m di rIM fit I tail � h lsrh l ti�r.) Ma wove tho so"i*' M lekd# 1',tr pP+ 1 dui wish to wraiwO MO IV,AfltbaCk requ�oi nt.�^� ire (Property (Rre7rper11Y vwnw Int+dmawcrr+) A j erai 1ynv"ft orwmet - f� IAA I r` P F rjAL _ CxSjin walk � r FEB 0 2023 u y