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White, Leonard Sr.
4�. CAMA / DREDGE & FILLO %% O q B� p ENERAL PERMIT Previous permit# New I Modification ! iComplete Reissue Partial Reissue Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality //� �•y?l and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC W11; Rules attached. Applicant Nae L(' (iRA� ' e_ � �_. Project Location: County « �� Address �0,0 % W / i J j t.�))rf 5'Q rj � C. i V e Street Address/ State Road/ Lot #(s) G�� — `, r t — -- --- - - City �� � f � State-- �CZIP Phone # { J��J E_Mail _. _ Subdivision Authorized Agent City ZIP --- -- - Affected Cw XPTA i ES :_, M Phone # ( ) _ River Basi (iG e__ OEA HHF IH UBA I 1 N/A e.6 man /un� AEC(s): Adj. Wtr. Body dQ PWS: ORW: yes no PNA yes / no Closest Maj. Wtr. Body -- -,-IP Type of Project/ Activity Q 5 ous(), L-X I u 1 12/ - - (Scale: Pier(dock)length Fixed Platforrn(s) Floating Platform(s)_,� Finger pier(s)_ Groin length number - LL Bulkhead/ RiPnP length h f __. avg distance offshore � - ! .A! max distance offshore. Basin, channel 15, cubic yards mp 110 Boathouse B0atlift_2q j Beach Bulldozing— -- I , Other - _ Shoreline Length _-_ SAV: not sure yes�� 1 i� Moratorium: nta Yes Photos: yes Waiver Attached: yes V' A building permit may be required by: lS(Xyion CP I [ -See note on back regarding River Basin rules. ( Note Local Planning Jurisdlction)o otes/ Special Conditions 7 { ; U U _ (1i� i a pp % 1 O /Agent o P wit Printed Name Si cure "` Please read compliance statement on back of permit ILQA - T Check # Application Fee(s) PermitOfficer's PrintedNaNaamme�j+ Signat e Issu ,g Da Expi ation ate 4 -Nr4 �CAMA / El DREDGE & FILL cl 9 77108 A B C D NERAL 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 f and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC �` �{� o-= Rules attached. Applicant Name S Project Location: County Address 00 4Gl S' Street Address/ State Road/ Lot #(s) City IN Phone # Authorized Agent ❑ CW Affected AEC(s): ❑ OEA ❑ PWS: ORW: yes / no IPA 0 State _NCZIP c� -k69 5E-Mail I/ ,>CEW XPTA ❑ ES ❑ PTS ❑ HHF ❑ IH ❑ UBA ❑ N/A PNA yes 10 Type of Project/ Activity Pier (dock) length l Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length number Bulkhead/ Riprap length avg distance offshore max distance offshore 1 Basin, channel cubic yards Bo mp Boathouse Boatlift PRO Beach Other Subdivision City ZIP Phone # ( ) River Basi /4/ J�i S- Adj. Wtr. Body d + at man unkn Closest Maj. Wtr. BodyS� I �P nos P, Aii- e-k I Shoreline Length SAV: not sure yes — - --- — l.._ Moratorium: n/a yes Photos: yes _..—}— ... .... Waiver Attached: yes o %� A building permit may be required by: (S? wity ( Note Local Planning jurisdiction)® 11 6C) �^�Notes/ Special Conditions 1 ( I U—(;r, ►mil. f r i- 1 k . f Sr. Agent orfAppyEant Printed Name Sig ture "Please read compliance statement on back of permit" 30 Application Fee(s) Check # (Scale: [VT See note on back regarding River Basin rules. : r &AA r> � PermitOfficer'sSignat ._ I' �. D, ate ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to _- P;, s (Name of Property Owner) property located at���sJ> / (Address, Lot, Block, Road, etc.) on „��r� crr fz in N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loot. i ;n. _ > j I have no objection to this proposal.------'X/ 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) raJ,' t� tj f G 3� s t /.� ' X %i �yc:' c Gr J f t. % , ` f—� �t 1 �' h ct. iz _ -foie /5A.)c , 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 lank below.) ,X I do wish to waive the 15' setback requirement,.J�� J - I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature 4 e0 "7-/a_ r�l �'ce i� l t-J' A d e s4? Print or Type Name Mailing Address N8 L .) PC r"(/ ,t� (!,�; Z City/State/Zip 4eleph ne Number/email address 7_ -,,-7v2-0 Date (Adjacent Property Owner Information) Sig ature PrY r,TypeNa Mail' Add -s �+,g City/State/Zip Telephone Number/email actress a .2J, V / V - JX Date * (Revised Aug. 2014) *Valid for one calendar year after signature* i ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to a%"2-©zs .- .SFr Is (Name of Property Owner) property located at ,Low Gc111 P, (Address, Lot, Block, Road, etc.) onin , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above locatioq. i/' 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) �,tSl'7 �c� �vr�(�l �o�/X � �� / ��C�� Tr �GJ.S t r�� �cWS5 CA-dcy N RECEIVED JUL 14 2020 DCM-MHD CITY 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.) yl I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property OwnerInformation) Signature Print or Type Name g oye) &/ ,DA? Mailing Address City/State/Zip ' elephone Number/email address col,i O2.n Dcfte *Valid for one calendar year after signature* (Adjacent Prope y Owner Information) Si gAk ,Iy! Pry 6- k Print or Typ�n Name aa) � �J r&C"C-6)- Mailing Ad ss Cit / te/ZiD 2 Teleph 1, ne Number/email address ^9 7&-:7eaz) Dafe/* (Revised Aug. 2014) ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to I «', 's (Name of Property Owner) property located at Jooci r.g�)r,Zl,"g, Id (Address, Lot, Block, Road, etc.) on �ar�rf�a' C_ I� fz in - N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above loc ti n. ! I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual propos► g development must fill in description below or attach a site drawing) lv,`S%► tc '60, 7 a /.zv5e Z3 �'�h l�`�fi � tf� cc ,. ,;'Cfy'ar- /Z 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. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature l 4J ti ' f e- S/� Print or Type Name ,;?e9&0C.J.'%/.'�.�so.+� Pk Mailing Address City/State/Zip 4eleph ne Number/email address Date *Valid for one calendar year after signature* (Adjacent Property Owner Information) I— - ZfIzv— /('z-4� Sigl ature * Ty Ae.If Prirttrr Type Na , Mailippe� Addrqfs ,r City/State2ip Telephone Number/email acLdress bra 1 ,trt✓ JJ'FRECEIVED Date * (Revised Auj& T4 2020 DCM-MHD CITY