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Home My WebLink AboutMason, Pat 91151Co�° °""rr�L�C1CAMA ❑ DREDGE & FILL N9 91151 A B c D G Previous permit ENERAL PERMIT Date previous permit issued New ❑Modification [:]Complete Reissue ❑Partial Reissue As authorized by the S t`f North Ca/rol!na, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC 1 I- t ❑ Rules attached. ❑ General Permit Rules available at the following link: www.den.nc.gov/CAMArules Applicant Name Authorized Agent L� Address I I Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone #(�ol Email Subdivision City "- ZIP Affected ❑ CW ❑ EW ❑ PTA � ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑$PIMA ❑PWS Closest Maj. Wtr. Body ORW_yes/no _. PNA: yes/no _ Type of Project/ Activity (Scale: ) Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Plafform(s) ". 1 Finger pier(s) Total Platform area Groin length/it Bulkhead/.Riprap length Avg distance offshore - - - Breakwater/Sill i. 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: TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions I See note on back regarding River Basin rules F—Isee 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 Feels) Check h/Money Order Issuing Date Expiration bate "AMA ❑ DREDGE & FILL N9 91151 A B C 3 Gmit ENERAL PERMIT Dtepre io spermitissued ]New ❑Modification ❑Complete Reissue ❑Partial Reissue As authorized by the Slate of N'rth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 1, ( ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules 15A NCAC Applicant Name .F Address City 11 State ZIP Phone#(.-%t�,� Email ---- Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑ CW ❑ EW ❑ PTA KJ ES ❑ PTS Adj. Wtr. Body AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mai. Wtr. Body_ 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/k I. Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing - Other SAY 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 / (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. Agent or Applicant PRINTED Name { /f I 1 Permit Officer's PRINTED Name (Please Initial) Signature **Please read compliance statement on back of permit** 1 s , Signature r" Application Feels) Check II/Money Order Issuing Date Expiration bate AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 96 ± Mailing Address: Phone Number: ), S a - a (-) 1— 3757 D Email Address: ctrn ot5 A-) a // opwz 6' . C O k-� I certify that I have authorized -1 A;4wR. C'o 4A, / e, pent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 8(, 1 k ke Rd at my property located at `1 -7 f %7 v in 6cMJC V1(7, \ County. 1 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 Information: s®'� Signature PAfi ►'has' o N ' Print or Type Name Title Date This certification is valid through I I I hereby ceigy Iltiat I own property to a_ _ - fl 1 — e � Pro{taaW Owtfer) tocated.at Lon In f Y � t/.s /-r•.iti i fWaf hndvl - ►f4h0dwn s nrl CauntO li>Q'apppcani has rleseribed to me, As shoafi- below,' the dsve[opment. proposed at fife aiwva .i have na obiection:to his proposal, �j have obiectionc to ttustLlfybcal .. Lt,t:KdYJ1GNV•.HNUfr,3K.i)3ZAWING.L3t=KKUHOShUlJCYCWY1Mt1Yi _ - {#dWdW tL al proposing davelOpmer# mustfrlt II d&scdpi'ioa-below orqftch a. site dta_wfngj LZ WAIVERSEC3LON 1 iinclarstand that : a_piet,-dock, mooring pI ifigs, tirealc�vater, boathouse, fifl, or groin roust best back A.tmntmum distance.of 15' from lily area:af:gparian aaess unless waived by .ore._ (lf:you Wh;6ywaivethe'setbaal� yofJ;mtistitliti2l.thgappropriafeh3rlctielow;j 1 do ynsh t4:�vaive.the 15' setback eequicemerlt. ' I do not 6411(O Vaive'the 15.' sbtback,requiremert. (Property r lrformatfon)_ cn • = • , , nn, inf f C:�PVPPO Dare r am�� iC»„R�ttrAss � $S 4 5- o a� F Number DMe (Revised SMRAOi2j FEB 16 2023 I hereby cor* that 1 own pro am to 41 nrncwily-I era m 2f.. !. f I. Al on_f1'4 S" fs I CO-C The. apprc ant has desc ibed to me,'as shown below,' the davefopment pfoposed at the above 4oca I have no objection to this proposal. _ _ I. ave ot�iectionS tQ in;g�.irono.�I _ _ lltnJyigEraf proposing development maxi fill, in desedphon below or Attach a, site drawing) L/�l�✓✓,,�'/ 1. 1✓.� .�,�,/- �'',..•�✓�✓� Lzt-, I understand that a pier, :dbck, mooring pilings, breakwater, boathouse, lift, or groin must be sef back a; minimum distance .pf'15' from my area .of .riparian aaess unless waived by me. (tf.yoy ' wish towaivethe setbacl{ yoUtnustintialtheappropriate.binkbelow;) I do wish to waive.the 15' setback requirement. I do not *4h to waive the 15' setback-Tequiremeri. y ,'Rw&9d 6/1 "012) IMMENSE■■■■■■■■■■■■■■'' MOB, IIR� 1 � ■■ 1■■M■■EE■■EEEE■■M■■■E 1�!�; _ .f�l ■NEE IS■■M■NEE■E■E■E■M■MEEEE�iI��i EE■■ BEM■■M■■M■■■■■■M■■■MM. - �G�i�l( WERE■ ■■■■■■■■■EEE■■■■■■NEE■■■■�■■■EM M■■■■■■■■■MMMM■■■■■■■EN■■■■EN■■ EEE■■E�IE■■■■■EEE.. MIME■■Eft■■■M■■ MMMMENNEEME■■■ . 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