HomeMy WebLinkAbout89104A - Moon, KevinEDGE & FILL NY31U4 (�} c D 1
PERMIT
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i .Dace prr^nous permit issued ___._ I
n ❑CompteteReissue ❑ Partial Reissue
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Boating Ptattormisl -
Finger per(s)
Max distance/ length _:
Basin, channel
Cubicyards
Beach Buld
d
owdI- / k's hYs
STV absery :
4D
yes
a
1�
MoruTndum:
site phoaas:
yes
no
Riparian Waher Attached:
yes
Abuiiding permR/mn(ng permit maybe reauirxd by:
TARIPAMINEUSEBUFFER (dd. one)
See note Inn back regarding River Basin rules
See additional notes/mnd'Nons on back
IAM AWAREf1E 5rAMF5 UIC ROLES ARO WNDIifOHS THAT ApPIY Ri THIS PROJECT AND REWMCI COMPLIANCE STATEMENT(PieaseldrUel) i ✓A
gAgtI Ipionm, I Name Permit please read compIr.r. statementon back of permit•' signature
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Application Fee(s) Check N/Money Order Issuing Dare Eypiratlon Oats,
AMA ❑ DREDGE & FILL
�3 GENERAL PERMIT
0 New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
Nij�' 89104 0 B C D
Previous permit
Date previous permit issued
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 P - /a0A ❑Rules attached. ®General Permit Rules available at the following link: vvww.deq nc gov/CAMArules
Applicant Name IV: V A f..� M000 YI Authorized Agent 1
Address $01 SwcW. HI . Project Location (County): Ner I
City'j�_ rrPj kIlle State L �%*(s) � l`a ZIP � Street Road/Lot A �
Phone # (Uq) 147 - 2. 11 I2 UQ ( R sw Ira M;11
Email Kbtrscl 2-Og 3 "" him cam Subdivision City K0.CYp115y-i((e ZIP i-79yz
Affected ❑ cW NEW N PTA ❑ a
ES ❑ PTS Adj. Wtr. Body ChO Luu rNlyr na man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body /YI SLA&01
ORW: yes, n(� PNA: yes/r(D
Type of Project/ Activity
. {r L I. -
(Scale:
J-
Shoreline Length t/ Ic6
Access Length
I
Pier (dock)length y0y x 6/
rs
v�
Fixed Platforms) Id�_
tJ
Floating Platform(s) _
ts.MY
.tsvaat
Finger pier(s)
p
Je/
(y
Total Platform area 100-sra
p,,f\.e—
Groin length/#
S�
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
1 �* �(
Max distance/ length
Basin, channel
�(sti \p Q
Cubic yards'"
r
1
Boat ramp
�
Boathouse/ Boatlift '^
WL
Beach Bulld zi`ng
Other It�t Gk �ti�¢3
Y'I
SAV observed: ^^ yes
Moratorium: 4D �yes� no
Site Photos: (t.`.i' no
Riparian Waiver Attached: yes G � r1
A building permit/zoning permit may be required by: 1+r_Y'f' d CUd r'\:�,r
Permit Conditions
IAM
Agent or Applicant PRINTED Name
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AND REVIEWED COMPLIANCE STATEMENT. (Please
/1 .u, 0 _J -_
-
Permit
Signature --Please read compliance statement on back of permit" Signature
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Application Feels) Check #/Money Order Issuing Date Expiration Date
i°O(Omr,,LN❑CAMA ❑ DREDGE & FILL N9 89104 At B C D
i�� Previous permit
3 GENERAL PERMIT 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 ❑ Rules attached. General Permit Rules available at the following link: www.d .nc gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone #
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑ UW ❑SPIMA ❑ PWS Closest Maj. Wtr. Body I
ORW: yes/ho PNA: yes/no
Type of Project/ Activity
(Scale: )
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/ Boatlif[
Beach Bulldozing
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
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
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
Signature **Please read compliance statement on back of permit**
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date
■ Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the maiipiece,
or on the front if space permits.
1. Article Addressed to:
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9590 9402 6528 0346 7Y0Y.9.I00 44'r0lp
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7022 0410 000 6-_
PS Form JrST1,
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❑ Agent
of Delivery
D. Is delivery address different from Item 1? u Yes
If YES, enter delivery address below: ❑ No
,
3. Service Type
❑ Priority Mail Express®
❑ Adult Signature
❑ Adult Signature Restricted Delivery
❑ Registered Mati1m
❑ Registered Mail Restricted
❑ Certified WHO
❑ Certified Mail Restricted Delivery
Delivery
❑ Signature Cordirmationnv
❑ Collect on Delivery
❑ Signature Confirmation
—• - ^ ,n nMiv„v Restricted Delivery
Restricted Delivery
191 ._.._ mail
■ Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the malipiece,
or on the front if space permits.
1. Article Addressad to:
jV4MC-S
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D. Is delivery address riff
If YES, enter delivery
,,..®omistic Return Receipt I
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0 Agent
❑ Addressee
D. Date of Delivery
ri item t? ❑ Yes
below: ❑ No
3. Service Type
❑ Priority Mall Express®
• Adult Signature
0 Registered Mall-
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II III
I II II
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• Signature Restricted Delivery
❑ Mall Restricted
❑ Codified alM
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9590 9402 6528 0346 7090 57
❑ Certified Mail Restricted Delivery
'an Delivery
❑ Signature Confirmallon-
❑ Signature Confirmation
2. '
❑000 6070
on Delivery Restricted Delivery
220 7D;d�e
Restricted Delivery
7022,04 10
red Restricted Delivery
Domestic Return Receipt
Hello tax records show you are the ARPO to my property. This notice is to inform you of my
plan to build a dock on the chowan river on my shoreline. The dock will be more than 15 ft back
from adjoining property lines and will extend 30 to 40 ft into the river. Feel free to contact me
with any questions in this matter. Thank you Kevin Moon
Hello tax records show you are the ARPO parcel 6973-18-3023 to my property. This notice is to
inform you of my plan to build a dock on the chowan river on my shoreline. The dock will be
more than 15 ft back from adjoining property lines and will extend 30 to 40 ft into the river. Feel
free to contact me with any questions in this matter. Thank you Kevin Moon
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