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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 8 V a3 \4 1 r,�� r.., -� c>o-Ies owl �o F P ex►'Sfil-y 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*. 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