HomeMy WebLinkAboutSnedgrass, Anthony 76399CAMA /.DREDGE &FILL No. 76399 A B D
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 /� 7 /'
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 0 7,4,
ePgRules attached.
Applicant Name Project Location: County O n �,` a 1/
Address 3- G r-G I Street Address/ State Road/ Lot #(s)
City ? State ZI�
Phone # 0-0® ) 53 — E-M ail
Authorized Agent IK\w �B(� S
Affected ❑ CW , `•• WTA -kfS ❑ PTS
AEC(s): ❑ OEA ❑ HHF ❑ IH ElUBA ❑ N/A
❑ PWS:
ORW: yes nbl PNA ye 1/ no
Type of Project/ Activity
Pier (dock) length r-
Fixed Platform(s) r
Floating Platform(s)
Finger pier(s)
Groin length
number
ulkhead ipraplength
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure yes no
Moratorium: n/a yes no
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction) n
Notes/ Special Conditions
MlLM'rM
or AdDlicant Pri
Signature ** Please read compliance statement on back of permit **
A- q 0 0 01 -,- -?R)3q
Application Fee(s) Check #
Subdivision
City l ZIP
Phone # ( ) /River Basin
Adj. Wtr. Body Pa Ccew-,L- nat%/man /unkn)
Closest Maj. Wtr. Body ,New K, yPS
/if
(Scale: ! o )
❑ See note on back regarding River Basin rules.
G:
all
R(al
Permit Officer's Print Na
Signat re
Issu' g 154te Expi ation Date
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit: A n�fi �� `�- V'aJyl e� �61od► sS
Mailing address: `S 3 1 L,2-) 61'aA C.i C-Je,
n act S e ��y NC. I � 0
Telephone Number: 110 ` 3 � [ - '7 -3 31
I certify that I have authorized Kew i fl w ood5 (agent/contractor),
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of al d rg- C loe z)f
at my property located at 3 3 cin^c� / 5/lea,1S �� C , V h'.c
This certification is valid through kau5f C),DoZ D (date).
(Property
An4c
Print
fD.'�
�r Information)
mature
T 6-nC)CL ro
ype Name
1 . ,6 nAq (-a -z>s
comer or
ate
9/0 3R1-7331
Telephone Number
�arn.Sficc���usS:�-t�1) Gf��i.itC�V�71
Email Address
RECEIVED
MAY 0 1 2020
L�CNj-mw UTY
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to /u 5yv�c�c, s
(N4, a of Property Owner)
property located at / /v� (� A �Ts 1--11
(Address, Lot,. Block, Road, etc.)
c j on Ar,),25 L42'y i( _,in_ N.C.
(Waterbody) (City/Town /or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
,JCS 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, 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 I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(P
(a f4ho 4 1-1 - i>Aodd Cg.�'s �
Print or Tye Name
I IU(?i:� �i?64fi 0i'rc1e.
Mailing Address
5n euJ 5 kz gin' y I') C
City/_StatelZip
-3Vcl-"73.31
Telephone Number
03 AP21 t ar0,-3Q
Date
(Adjacent Property Owner Information)
Print or T pe Nam
'o 05-0x_ If a
Mailing Ad Tess
City/State/Zip
°l19 - U31)- 3 y,l
Telhone Number RECEIVED
Date
(Revisey'6II AA420
UCM-MHD CITY
-PA !A04, t 'W�Af
Al
Pli
4W~Wdy) 4fvllf��i
DF-SCRIPTION ANtMOR DRAWINO OF PR()POU`T,� CAVVI, f )".UNT
Ondividiml proposing dovalopmaof strut fill dry dawl0koo ho,, If1w 04'4tholf 0 -040
qr -,-c,SN
OM 0 12020
!DCM-MV40
WAIVER SFECTION
,i firdef VOW tb,31 a W--f, drr k . rrPX'OiN PiliNS, Ixtiakwater, tXiathollue, lift. or Orwrl most be set
Oat* a _Mla -- xtv3 unlemb w,, v y f ,
cl 15 frrxn my area (4 riparian av b rm 0 you
4 I do Wish tQ wOrvf,* the 15' s Mftar;k. rw4uiremarit,
''I do n(A W1,3b t(YA'alve file 15's(.Abac� re-quwernent
Lxa'-�
0(;M-MV41) ell-?