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HomeMy WebLinkAboutMcAden, Rufus 77138CO<CAMA / ❑ DREDGE & FILL N (y) ,, / 13 d'� D GENERAL PERMIT Previous permit # A B -�RNew ❑Modification ❑Complete Reissue ❑Partial 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 74, / /91,`ules attached. C Applicant Name kLiLL4 S Project Location: County vrj;IAvgn Address / Street Address/ State Road/ Lot #(s) q� o City State ZI �q5(D - Authorized Agent��� Affected ❑ CWS ❑ PTS ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A AEC(s): ❑ PWS: ORW: yes /,rrj- PNA yes no Type of Project/ Activity P%ao S Pier (dock) length Fixed Platforms) Floating Platform(s) '— Finger pier(s) Groin length number Bulkhead/ Riprap length l avg distance offshore max distance offshore Basin, channel cubic yards Boat ramp / Boathouse/ Boatlift Beach BWldozinz 1-1 Shoreline Length SAV: not sure yes// no Moratorium: n/a yet/ no J Subdivision [� City-A?A I��S�, ZIP Phone # () River Basin Q�e�S1e Adj. Wtr. Body 1 lle4 n man unkn Closest Maj. Wtr. Body ., (Scale: % ) Waiver Attached: yet� A building permit may be required by: OL See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) se�� � t ek • t � o % Note/ Special Confditions _ �A � _ �.. I �/l �I / ,._-A /- -. ' �c Q c� r C�1117& A p t or Applicant Printed me Permit Officer's Prin am ^ / � / V Si ture Please read compliance statement on back of permit" Signa re d &Application Feels) C✓heck # Iss ng D to EPt I hereby certify that I own property adjacent to 14 f'f : A �Wwe41 ame of Property Owner) property located at /jl/ I)A/ (Lot, Block, Road, etc.) on (Waterbody) N.C. `,,,�� (Town and/or County) Applicant's phone #: 4 -T2 7 3'�Ikt'ailing Address: A$ Z ii�542. He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. - ---------------------------- - - - DESCRIPTION AND/OR DRAWING OF PROPOSED -DEVELOPMENT: (To be filled in by property owner proposing development) (Information for Property Owner Applying for Permit) Mailing Address j �•t 7-4~5, AC z 5�S6 v City/State/Zip Teleph e Number �jy?i.�� Si a e Date (Ripa WianPro Owner Information) Signature Print or Type Name Telephone Number 4 -- / o-' Date RECEIVED AUG 14 2020 [)CM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I herebycertify that I own roe r� � AWe fY p p rty adjacent to v �&S /j s (Same of Property Owner) property located at (Lot, Block, Road, etc.) on &414f5<e 41 lJep, , in (Waterbody) (Town and/or County) Applicant's phone #: .S� 4 72 7 35P' ailing Address: % �l•�J% /2'l `� 4A 11/� e-A. 1 '/ZNO/J S IfJ*'C:' He has described to me, as shown below, the development he is proposing at that location, and, I have no objections to his proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT: (To be filled in by property owner proposing development) (Information for Property Owner Applying (Riparian Property Owner Information) for Permit) C e) le V Tx y ex 4,9 Mailing Address Signature City/State/Zip Print or Type Name Teleph e Number 41 S� Si a e Date 252.,�03(-3�5 Telephone Number 2 c7 Date C iC Z�f542 AI NCDENR North Carolina Department of Environment and Natural Resources Division of Coastl Management Beverly Eaves Perdue, Governor James H. Gregson, Director Dee Freeman Secretary Date �' ;� 5�- <2i 4--;, Name of Property Owner Applying for Permit: 7x�lw- /Ck.5 Y A ckle..t% Mailing Address: dad 5 ItIc- 7/ I certify that I have authorized (agent) to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) IL ature Date 400 Commerce Avenue, Morehead City, North Carolina 28557 Phone: 252-808-28081 FAX: 252-247-33301 Internet: www.nccoastalmanagement.net An Equal Opportunity 1 Affirmative Action Employer - 50% Recycled 110% Post Consumer Paper