Loading...
HomeMy WebLinkAboutDoyle, John�] .�CAMA / ❑ DREDGE & FILL N9 78481 A B c' D GENERAL PERMIT Previous permit# i,RNew ❑Modification ❑Complete Reissue ❑Partial Reissue 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 , ?/L L 1 M Rules attached. Applicant Name " 1 ; ! f1 / l( Project Location: County �3 r: Address � (-< /' � f�� � Bn `, Street Address) State Road/ Lot #(s) City ����"� (,{� Statethr ZIP Phone # E-Mail Subdivision Authorized Agent ff Affected ibCW —OEW �UPTA AES ❑PTS AEC(s): ❑OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A ❑ PWS: ORW: yes / no PNA yes / no) Type of Project/ Activity f '\ � Pier (dock) length (c r Fixed Platform(s) �f Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Nprap length_ avg distance offshore_ max distance offshore Basin, channel Shoreline Length 1 SAV: not sure Moratorium: Photos: Waiver Attached: no . `. A building permit may be required by: i jj( t i Q ( '/ ? 1 ® See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special Conditions City ZIP Phone # O River Basin Adj. Wtr. Body I q / J : I �' 1 (� (nat /man /unkn Closest Maj. Wtr. Body , /: -,. (Scale: yes . yes/ ye5l i 40 Agent orApplic, i Prjnted Name Sign t rfe,+ ** Please read compliance statement on backofp it* 71,57 � Application Fee(s) Check # Issuing Date HAND DELIVER ADJACENT RIPARIAN PROPERTY OWNER STATEMENT (TOR A PIER/MOORING PILINGSIBOATLIFTIBOATHOUSE) I hereby certify that I own property adjacent to' -QV — property located at S 3) EVA (Lot, Block, Road, etc.) I on �/ll/SC / J UC / _ in_�Uel6Cl� N.C. (Waterbody) (Town and/or County) Applicant's phone #: ZS 1--12L'/S�-?Mailing Address: He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. I understand that a pier/mooring pilings / boatlift / boathouse must be set back a minimum distance of fifteen feet (15') from my area of riparian access unless waived by e. (If you wish to waive the setback, you must initial the appropriate blank below.) 7 V I do not wish to waive I do wish to waive that setback requirement. ---------------------------- DESCRIPTION AND/OR DRAWING OF PROPOS)CD DL:VttOPNtt NT: (To be filled in by individual proposing development) (Information for Property Owner Applying for Permit) SIA (23. Mailing Address N 1- xkrt.N06-, C aSS3a City/St ate aS;.-UA9-IS�o3 Telepho e Number ignature Date (Riparian Property Owner Information) �ignature Zk�ilCrC. G �YIA"/ Print 4r Type Name J y Telephone Number Date SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY i ■ Complete it(rns 1, 2, and 3. A. Signature ,f ■ Print your name and address on the reverse X ❑ Agent so that we can return the card to you. Addressee ■ Attach this card to the back of the mallpiece, B. Received by (Panted me) C. �tepf Dive or on the front if space oermlts. p .�C/5//,.7 13 ry 1. Article Addressed to; Yt •i �,S�jOfOJt,� ylU,5, O8ii UL1 D. Is delivery address different from Rem 17 ❑ Yel If YES, enter delivery address below; Q No III'lllll IIII l'IIIIIIIII IIII IIII IIIIIII�III III 3. Type 0 Priority Mail lRestrited O Adult8gnturee Restricted Delivery ❑ Certified Malle ❑ Reggistred Maice Delivery 9590 9402 5803 9274 5281 91 ❑ Certified Mail Retricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from Service Mhr,n ^ ^-"--' _ ' 'ivery Restricted Delivery ❑ Signature Conflnnation^ 7019 0140 0001 0230 1696 'astacted Delivery ❑ Restricted Confirmation Signature Delivery _ over 5001 PS Form 3811, July 2015 PSN 7530-02-ODO-9053 Domestic Return Receipt