HomeMy WebLinkAboutPruitt, Bland4AEM*—M DREDGE & FILL N9 78465 A B C ,JENERAL PERMIT Previous permit#
New ❑Modification []Complete Reissue ❑Partial Reissue Date previous permit issued `
As au horized by the State of North Carolina, Department of Environmental Quality / j/6? '
and the Coastal Resources mmission i n-, rea of nvironmental concern pursuant to I SA NCAC / !!//�� vlJ
OR 'les attached.
Applicant Name l !, l+'t "/ ��' Project Location: County
Address - I V 3 111�oK u e l i
City f State/VC ZIP
Phone # ((Jj %a�f' / /od E-Mail
Authorized Agent �r / / r "t/ 5
E�_&
0EW
L}P'TA Li ES ❑PTS
Affected
❑ OEA
DHHF
❑ IH ❑ UBA ❑ WA
AEC(s):
❑ PWS:
ORW:
yes Kno ;
i
PNA
yeso
Street Addres / State Road/ Lot #(s)
Subdivision
City Y � ,f. %��'° � ZIP �) si
Phone# O/ verBasin/ `ii
Adj. Wtr. Body j Jr,�.(( ' ✓4�r�r n3f"man unkn
Closest Maj. Wtr. Body r7
Type of Project/ Activity
■■■■OMOME
M■■■■....E
MEN ■■�►■■wr��i�'■',,r�irz�■n�■/r■���,�,r��r
��■■■�■�up■
�EME
.■.■
MWO�GII 'i1111
■■■��.■�..��
■tl!■■ii.�■.CIS■W■I■■■■
.■�
MEMO.
■■■ ■.■
.. M®
MEMO
_ PMEMEMEME
ME
■■■E M■�/
■ERIPWOMw
EM �i
_...
iMEr i.:!� M■KWJIFA
■■■■
O■■■ ■■�Ellir�"lillr
■MIMMM■M
■EI,.■..
■■■�
M■■
�� ONE Em �
MEMO
MEMO
M. MEN■�..■..
WR _- SEEN
him
■ii
NEW No 0
momE0MMEWHOMMM=
MEN 0
i
M■■M■11�®NoSM�■�■■■■O
.■
M.■1�
■M■5..�.SEE.■.
® �.■ .■
■L�■■■ ...■.
M■■E■EMEME
`iL.■.Ir010Iml
�■■MS■SM■■SE
.■...,..E.�
NEON
■IM■■■ ..�■MEMO■.E■
No ■.■�..SENSE
■■■ ■■OW
SENSE
■!■■E■■■■d■■O■..■O■N.OH■O■.
SEEN
MME ■■■■■�.®
MEN
ME
11111M
No
�i■C...w
.IEEE■®■�ME MEN
PT
r : e %�i
Agent or Applicant Printed Name
Signature *' Please read compliance statement onback ofpermit
••
Application Fee(s) Check#
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to E IA ;✓ 'I' 6 J —j!. ,s
y�.. (Name of Property Owner)
property located at �n ! f w E // 3-11-
(Address, 1-61t, Block, Road, etc.)
on �.{- N r� l in 11,4 r A; r f N.C.
(Waterbody) (City/Town and/or County)
The applicant . as described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
_-----�Lav�objectLon�t9this_pr_npcs-aL-------..__.___----- --- ---
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing develop rent must fill in description below or uattach a site drawing)
RECEIVED
I JAN. 2 4 2020
DCM-MHD CITY
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.
(Property Owner Information)
Signa� g1- / f L/
01 r v; %
Print'or ype Name
Mailing Address
City/State/Zip
Telephone Number
Date
(Adjacent Property Owner Information)
Signature
Print or Type Name
* �5i
Mailing Addre7ss
)r . AL.
City/State/Zip
AX--- (:A SM 3 I
Telephone Number
q)o 9'zL1 X-174
Dare �J la, �,0. �
(Revised 6/18/2012)
I hereby certify that I own property adjacent to
property located at
/n3 /Y%xwE
(Name of Property Owner)
ress, Lot, 92 ck, Road, etc.
on in 41,4r kris s- N.C.
(Waterbody) (City/Town and/or County)
I
The applicant has described to me, as shown below, the development proposed at the above
location
1/ I have no objection to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
1 S I iA°
MrN µin �j
t
{�r_ m
err 0=4�
RECEIVED
JAN 2 4 2020
DCM-MHD CITY
yyMly Gf\JLV eevev _.--.—.—_.
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin
back a minimum distance of 15' from my area of riparian access unless waived by
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.
(Property Owner Information)
Signature
or Type Name
Mailing Address
City/State/Zip
!alq y96/ 97,?y
Telephone Number
must be set
me. (If you
(Adjacent ProperpA Owner Information)
Sign at re
T. 10,4"- �z
Print or Type Name
//1::L
Mailing
City/S(t�a_t5/�
Telephone Numbe%/
:iZ
n;,ra
(Revised 611812012)
Eric Ellis
Marine Construction
DOCKS*SEAWALLS*BOAT LIFTS
DECKS & REPAIRS
Telephone : 252.726.6775
205 Nottingham Lane Morehead City, NC 28557
OEM
ME
_
/A
��
WEEMM
SIMEMSE
��
'.
molEM!
M■
C ;
1M■MSE
ME
MIEMMI
MEMEMIMIM
Capps Prirviing, Morehead City