HomeMy WebLinkAbout78683A_Hyman, Edwamard_20200526XCAMA / - DREDGE & FILL B C D
GENERAL PERMIT Previous permit #
YNew !Modification -Complete Reissue Partial Reissue Date previous permit issued
As authorized by the State of North Carolina. Department of Environmental Quality i Z
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC,�
K Rules attached.
Applicant Name G � l.t f .j- AA(4y Project Location: County_,GQM
Address t, ' $,..tyJ✓ Street Address/ State Road/ Lot #(s)__
CityCaAAL" State. NC ZIP
Phone # () 76 E-Mail Subdivision
Authorized Agent CitY_.._
cw XEw -4PTA ^_.ES ❑PTS Phone # (.__ _) � River Basin �q_ikf_ I�
Affected OEA HHF lH USA i N/A
AEC(s): Adj. Wtr. Body--1?4,s_1 niiw 04r� ( E n unkn
-� PWS. G _
Closest Mai. Win Bodv .__....__ _ ._
ORW: yes / 0 PNA yes
Type of Projlect/ Activity �t�iv �;4 al I to i t, �r
�rIva e % (Scale:
F
Pier (dock) I r
Fixed Plarform(s)
Floating Platforms) .
Fingerpier(s). t
Groin length —
number
Bulkhead/ Riprap length
avg distance offshore t
max distance offshore
Basin, channel .-�--- _
cubic yards_...
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing"" -
Other
1� � � J �•� t"1 �, of
..�xy
l7'
the
Shoreline j� .4i-
SAV: not sure yes 81,
Moratorium: n/a yes &
?Photos: es dno _
Waiver Attached: yes lb
,.___...__ ..... ._----.._...�
A building permit maybe required by: CQAAdeu (4)� i.164
( Note Local Planning Jurisdiction)_
Notes/ Special Conditions
,REPO r 6 14Y17?4
Agent or _ kant Printed Name
Signaturere Pie. regd com a statement on back of permit "
?Ma _
Applicanon Fee(s) Check #
tJ'tN >✓
�k A,
r_ See note on back regarding River Basin rules.
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to EDWAeD T, VNAAA0 Jrz I
(Name of Property Owner)
property located at 115 5u&1-5 T A05- G4rn2!gNto G z•7yZ(
(Address, Lot, Block, Road, etc.)
on PAC-QU017,41I- P—LyEt?-- , in CAMDE+i 1Q C- N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locatiop�
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)
E't 5rw6. tz
, t D
o°O� �-
G�Dlma�
LII S+A" ►IEw ArKlCo RAly=
JTcPS A.M0
Z M0C?W-Lt tC.- tbsT
t�4KLO Fot7
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.)
m'�ic�STG� S
P
C3VL-iGNPJEC�
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pro rt Qwn n�fonrmation)
(Adjacent Property Owner Information)
Siqucrtut•e
Si tic{ttrr�
EDPt� R',i OAA0
�� �
Print or Type Name
ll3 ��sET A-UC
Print or T pe Name
t is SCr AkA5
Mailing Address
It AAL)F—Ll Pl C_ Z?92(
Mailing Address
6:7AWI12,1;iiAl M C Z-79 ZI
City/State2ip
City/State2ip
zsZ - 339 -4--7& 4o
25Z- 5"-1o(01zf6
Telephone Number/email address
4Z4
Telephone Number/email address
- ZD
Date
Date*
(Revised Aug. 2014)
"Valid for one calendar year after signature"
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to EC >WAPP T 141'jem -i �%tz. 's
(Name of Property Owner)
property located at 113 5uosc- ' AVE- 64rV1204 ; to L Z-7c)Z.(
(Address, Lot, Block, Road, etc.)
on PAC-OVOTAmi4- i2LU62- , in CAMU>E+4 i d C N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
locati
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)
1 UJ ST'�4t-L thew 41C I Co R.ATIM0"
Eli 115T"b tz ' , TJ w Ck-14 5Tc P S A m A
UFt"
ri
D
P -17—
WAIVER SECTION C3�i.�GNP4�
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.
I do not wish to waive the 15' setback requirement.
Signature
EPPLeE HN A4 -1
Print or Type Name
IL3 usET A -VC
Mailing Address
C,AV1AQFk1 K C- Z-792(
City/State/Zip
_ZSZ - _33 9 - 4--760 (o
5Telephone Number/email address
zslzozo
Date
*Valid for one calendar year after signature*
Owner Information)
Signature*
MULE GC.'Z- "ArJ
Print or Type Name
t l l A :5UM 5ET- A -V6
Mailing Address
Cam DaAl NG 7,-79 Ztt
CitV/.St-'- n`-
_
Telep, ,une Number / email address
5/Z5 /zv Z,!!:>
Date*
(Revised Aug. 2014)
V
YCAMA /❑ DREDGE & FILL
N O A 53882
GENERAL PERMIT
Previous permit #
New ❑Modification ::]Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and
Natural Resources, 1
and the Coastal Resources Commission in an area of environmental concern pursuant
to I SA NCAC
Rules utad�ed.
Applicant Name_ jt(Ayl
Project Location: County
Address
Street Address/ State Road/ Lot
City State ZIP
M_
Phone # (_) Fax # (_}--
Subdivi ' n_____ _56� _1&) — I'CL
i ICYS n
Authorized Agent_._
City �(I,ll
ZIP.,,�,..,,..e._�
ElCW ) P( 'A OES ❑ PTS
Affected
Affected7.
Phone # (�
asin tl�
OEA ❑ HHF ❑ IH ❑ USA ❑ N/A
A
Adj. Wtr. B ;
t n unkn
PWS: ❑FC:
ORW: yes 1PO' PNA yes / nno Crit.Hab. yes no
Closest Maj. Wtr. Body
'411
:XIP-Zmad
c mpl' es tatement on back of permit 00
Application Feel(s) Check #
GoMAPS - Camden County NC Public Access
ruuaoxi
.,,INCE1.5
Tuesday, August 11 2009
N
'WARNING: THIS IS NOT A SURVEY!***
This map is prepared for the inventory of real property found within this jurisdiction, and is compiled fiom
recorded deeds, plats, and other public records and data Users of this map are hereby notified that the
aforementioned public primary information sources should be consulted for verification of the information
contained on this map. The County and mapping company &same no legal responsibility for the information
contained on this map_
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