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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-?