HomeMy WebLinkAbout75897D - WinstonY CAMA / O DREDGE & FILL No. 75897 A B C
GENERAL PERMIT Previous permit #
. New _ Modification -Complete Reissue '—Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality I'
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC
7 Rules attached.
Applicant Name UQU �'^S n Project Location: County _Alt'/ /b10'?
Address 331 ►r�_ �4D Street Address/ State Road/ Lot #(s)
City-- k $ k c _ - -,----State 1 G - ZIP_1A_1_Z__ 3------- - -- —
Phone # (� f 4 }4� g'o1� E-Mail �l l �ao_�_�g�✓�_ Subdivision
Authorized Agent ----- — Ciry j1% �►yl rti1� ZIPAff_-_-_-__--
J CW SEW k"A "ES ❑ PTS Phone # ( ) - --- -- River Basin l�
AECse: OOEA HHF IH USA ❑ N/A
() Adj. Wtr. Body_�.1,¢/Gc r./isnrd_—_ _ man lunkn
❑ PWS:
/ Closest Maj. Wtr. Body
ORW: M / no PNA yes
Type of Project/ Activity
Pier (dock) length
Fixed Platforms) X
Floating Platform(s)
Finger pierl 0, 1
Groin lengthrXA�
number
Bulkhead/ Riprap length e--+
avg distance offshore _—
max distance offshore
Basin. channel
cubic yards
Boat ramp
Beach Bulldozing •��
Other Melp
r
_ —
tit
Shoreline Lengthhlx? `L ~�LL' 4 '
SAV: not sure yes � f _ ; � :
if
A.
Moratorium: n/a yes ® r
Photos: yes
Waiver Attached: yes
A building permit may be required by: New ow
( Note Local Planning Jurisdiction) /'�%%
Notes/ Special Conditions /Pjps
/ I-) A C AlA-1/0 W 4,Y{iIMS Ma,CL ^^-t,-r,as �i�l�Grl�Jl�
'W I --- —
Agent or Appilket Printed Name
Signature ** PleMread compliance statement on back of permit
Ory
Application Fee(s) Check #
(Scale: (1T S )
1f i 1A5
L_; See note on back regarding River Basin rules.
_WWW'm
Per fficer's inteclame
INV
Signature ^�JJ
d G
Issuing ateExpiration ate
X7 CAMA / i DREDGE & FILL NO. 75897 A B C
GFENERAL PERMIT Previous permit#
XNew--Modification ❑Complete Reissue CPartial 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 15A NCAC 10% 001)
❑ Rules attached.
Applicant Name B(b w'^Sfon NP w
Address 3431 Natmtt ` eat - *14o
City Q State_ ZIP Z
Phone # ( 19) ? 4 A $o� E-Mail i' U*X @UD 1• trN)
Authorized Agent pj /A
Affected ❑ Cw TEW [kPTA ❑ ES ❑ PTS
❑ OEA • ❑ HHF ❑ 1H ❑ UBA ❑ N/A
AEC(s):
❑ PWS:
ORW: tq /no PNA yes / i°
Type of Project/ Activity : r r
Pier (dock) lengtt
Fixed Platform(s)
Floating Platform
Finger piers �
Groin length ��■ ;Ll�,s��
number
Bulkhead/ Riprap length --+
avg distance offshore ^
max distance offshore
Basin, channel
cubic yards
Boat ramp
Beach Bulldozing
Other
t�
r �
Shoreline Length 1IO
SAV: not sure yes +�
Project Location: County 1 it V or
Street Address/ State Road/ Lot #(s)
3 Tk4l
Subdivision f qA f ye Y [s In J
City �V 141'VI4' '�Yl ZIP
Phone # ( ) River Basin 1r %/�
Adj. Wtr. Body ton lc s C i u- dj �(r�Q [man_ /unkn)
Closest Maj. Wtr. Body �* �
Moratorium: n/a yes
Photos: yes __
Waiver Attached: yes r� AA''II
A building permit may be required by: 1v, / /�/{(� 1 L�"�Wi� �•
( Note Local Planning jurisdiction) ^-�I
Notes/ Special Conditions / [t��
��� sfv�c��-P�►�ihr s n� tiS� n �r��ra � 8✓�cZ.`r�rdi
Agent or Applicant Printed Name
Signature ** Please compliance statement on back of permit*
�m — bl.5
Application Fee(s) Check #
(Scale: AfJS )
❑ See note on back regarding River Basin rules.
<<%�*Ot2'*%
f-
Pe fficer's anted ame
Signature
o G F/VIAAfto
Issuing l5ate Expiratio Date
NEW RAMP
PIER
EXTEN51ON
Wig E ��
t5� $ Sr
101
NEW f NGEP,. I -K
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NEW FINGER PIER
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to _ '} g p 'p °s
__ ,� (Name of Property Owner)
property located at ii I k9 v� 'Q *(
(Ad ess, Lot, Blgck, Road, etc.)
on t t!�_(. �. �°' � in ! �! N.C.
{Wa erBody} 11(Citfftown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
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 attach a site drawing)
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, 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.
�X I do not wish to waive the 15' setback requirement.
(Properbf ONmer informaApn)
bate r
(Adjacent Property Owner Information)
K, LZ6�t'&
Signature
Prin or Ty �me
Mei in dress
Ids n fit O r � � C- Z.�
0► �y t p -,-4c - S �B ?--)
Tel phon l umberlemail address
X
D
TTe Aug. 2014)
re
"Valid for one calendar year after signatu" -�l
ADJACENT RIPARIAN PROPEQQR_TY QWMV STATEMENT
M—" cwwy %w ; xvw 6aW+'�rrr '**CON ID �1t� UJ1�1 f y-)
fNarec of Property Owner)
on lrrt Lot, 919ck Road, sic)
(1MaMebody) ' - (Cot/Tom WMAW county)
Tft WQ4Q a has aes rbw to rm as SPown tpft* the tlerdaprr"I tXCpC.a :d vw ab.ve
1 have nC Obrrclsor In hen Mnrncal
-- I hrre obteximm to dws p+rapu%W
DFSCRIPTIO40 ANONTR ORAWiNG (* PROPOSED OF VEL OPeENT
-(nfNV)dM'N prtrposlnq deVokpm"t MI14f 110 rn de-w pOwl f)c4uw or atraCh a .vra dralrrrlgl
WAI R SECTION
undinynd 00 a per. ON*. MIMM P"tNIS tx:at r:1mp txc wwale- oaatrouse hft or gr01n
MUM W 80 beoll a 1-101tin of `5' hen my yea of npat.Vi akatess unless wwvard Irr
Per Of you WE% to wawe ehe SO WtA. you Rm sl mgyl me aC1P W ale bun k nalw '
1400 W*h tb Yrr1Ye Ihn 15-WADaCk
!T99-` 140 rwt wrsh to wamp It* 14 set wLk rmw,--
f la eJ (Adjacent Prnperty O�-wMW W099MAbon)
lur' .�
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+err w %a1lr
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Name of P—tt Holtler
Venda
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