HomeMy WebLinkAboutDavis Islanders LLC 77330CQ0CAMA / —1 DREDGE & FILL
NERAL PERMIT
fJeW ❑Modification ❑Complete Reissue
As authorized by the State of North Carolina, Department of- Em
and the Coastal Resources C mmission in an area of environmen
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Applicant Name I 'y II ; 1 U c y
City v .1 -".A, t or, State/ ( ZIP_
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Phone # (� ?� E-Mail
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Authorized Agent (/" CY
Affected ❑CW EW ❑P'TA ❑ES ❑PTS
AEC(s): ❑OEA 'I]HHF LIH ❑UBA ❑N/A
❑ PWS:
ORW: yes / no PNA yes / no
N9 77330 A B C D
Previous permit #
Partial Reissue Date previous permit issued
nmental Quality,�-
concern pursuant to 15A NCAC
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Project Location: County [ l•„ ulr�.r:a
Stree ddress/ State Road/ Lot #(s)
Subdivision .
City � " ^ r ZIP c i
Phone # ( ) River Basin
Adj. Wtr. Body i ( (nat /man /unkn)
Closest Maj. Wtr. Body
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Agent or Applicant Printed Name
Signal re -j Please read compliance statement on back of permit"
Fee(s)
Check #
PROPERTY LEGAL DESCRIPTION:
LOT NO.
STREET ADDRESS. 1 0 0
Please print:
Property Owner:
Property Owner:
PLAN NO.
�5 774
PARCEL ID: 2 L S 7 d a y
4347b'-676 a-33c�
4P-V'� LPL
The undersigned, registered property owners of the above noted property, do hereby authorize
lk �' �� of i
(Contractor Agent) (Name of consulting firm
to act on my behalf and take all actions necessary for the processing, issuance and acceptance of
this permit or certification and any and all standard and special conditions attached.
Property Owner's Address (if different than property above):
Telephone: 3 d 'L I i5
o i r.�C—a—Z
We hereby certify the above information submitted in this application is true and accurate to the
best of our knowledge.
Authorized signature
Date:
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to Davis Islanders, LLC s
(Name of Property Owner)
property located at (formerly Tract 2 John & Ann Humber) off E. City Road
(Address, Lot, Block, Road, etc.)
on MiddensCreek in Carteret County near Smyrna N.C.
(Waterbody) (City/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
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)
Please see attached plans.
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.
F. �. L'1 do not wish to waive the 15' setback requirement.
(Property Owner Information)
Signature
Davis Islanders, LLC
Print or Type Name
Mailing Address
4060 Blumenthal Road
City/slate/dip
Greensboro NC 27406-9202
Telephone Number/email address
Alle
(Adjacent Pr erty O ner Information)
h �
,Signature"
John L. Humber. ETAL Tract 1 John 8 Ann Humber
Print or Type Name
Ro f344T- L$"E
Mailing Address
756 Christopher Road
City/State/Zip
Chapel Hill NC 27514
Telephone Number/email address 'r L.
2sz - zYr- G /8S AR X411c YKrrrwNe- ,#0
Date" CC/)^ 2-!5- 2O 2-CD
(Revised Aug. 2014)
'Valid for one calendar vear after signature"
MIDDENS CREEK PIER PROJECT REPLACEMENT
APPLICANT
Davis Islanders, LLC
4060 Blumenthal Road
Greensboro, NC 27406-9202
AGENT
J.S. Mitchell
Gary A. Mitchell
1693 HWY 210 East
Ivanhoe, NC 28447
910-279-6587
LOCATION
E. City Road (Tract 2 John and Ann Humber) near Smyrna
SIZE
2.9 Acres
NAD 83 Coordinates
34.758534
-76.518228
HUC
03020301
WATERBODY
Middens Creek
QUAD
Williston
DEED
Deed Book 1661 Page 79
Plat Book 31 Page 301
PARCEL
7347-02562-339000
DESCRIPTION OF WORK
Repair and replace existing pier. Pier consists of an approximate 85' long x 8' wide structure.
TYPE OF PERMIT
General Permit Proposed
I S ate
Eastern r
Coun t `e of North Carolina DOT, Esr� HERE, Garn
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