75595A_Matney, Bobby & Eleanor_20200423

I"�CAMA / XDREDGE & FILL m;
~' � GENERAL PERMIT Previous permit# B C D
'ANew i_ Modification CComplete Reissue --Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality -It S
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ; l� 41
{ Rules attached.
i
Applicant Name_ y,� ea,9t 0 f_—LAA}�; - Project Location: County
Address i '�j��Cj,( „rig Street Address/ State Road/ Lot�-
Ciry State__ ZlP '27'J Z 1 _.� .__. �,k� fil i�%_ r —e _—
Phone ,' 3 35-t/ail Subdivision1..t3s
Authorized Agent
Cw AEw )(PTA kJs PhTs Phone r (�)River Basin
AffectedSts2
AEC s : ` OEA FiHF IN 0 UBA N/A
O Adj. Wtr. Body_...__�__.,I"Q.
PWS:
ORW: yes / PNA yes / Closest Maj. Wtr. Body
Iype of Project/ Activity 1�t , .5 fU t^i (k bo dhoad Z lwa i e "wattd Cif C
r �y
art - ,&a �+ / i er w, li ,ut , (Scale: tt )
Pier (dock) length ^•^�"�+�
Fixed Platform(a) 7
Floating Platfort>Xsl
Finger pier(s)- _.-._ v_'''
Groln length
number
Bulkhead( Riprap len th__ it
avg disaince offshore
max disrance offshore Z t
Basin. channel T.,�
cubic yards ---. Cl.
Boat ramp
Boathouse/ Boadift
Beach Bulldozing____`
Other.
Shoreline Length .� ty ,ni N
SAV: nor sure yes
Moratorium: yes no J' . _"G-• KRiWt�
PII0CC15: Y(-•.t no
Waiver Attached: yens
A building permit may be required by: note on back regarding River Basin rules.
{ Note Local Planning Jurisdiction) . !�
Notes] Special Conditionsp
hcant Prin e I
e —__-- - Permit flicer's
Si cure a Plea r dcompliancestateme nbackofpermit" Sig tt
t
Application Feels) Check # Issuing
Name

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
ti(iA f
Address of Property: 101 tkge t,1u-jcod '1)v Cat'ld1P. ,f (6&w e, cd)
(Lot or Street #. Street or Road. City & County)
Agent's Name #:
Agent's phone #:
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this permit has described to me as shown on the attached drawing_the development
they are proposing. A description or drawing with dimensions must be provided with this letter.
i/ I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at [phone]. No
response is considered the same as no objection if you have'been notified by Certified Mail
} 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.)
f I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
Property fMai�}_ (Adjacent Property Owner Information)
--
��f
SiQnaltrre
V6, 6 Y,16 VLk&ty
Print or Type Name
(a t 14A), )cod -
Mailing Address
CdtiA&Ae.+_ UC_ a7i Z 1
City/State/Zip r
<52^ RU (6.
Ce) 103-_63�
Telephone Number / Email Address
Print or Type Name
Mailing Address
City/State/Zip
Telephone Number / Email Address
Dolt, Dow
'Valid for one calendar year after signature'
Revised Aug. 2014

DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Property Owner:
Address of Property: to( 44WW-Jw04P I -A- CAI ca"'d"W co�
(Lot or Street V. Street or Road. City & County)
Agent's Name #:
Agent's phone #:
Mailing Address:
I hereby certify that I own property adjacent to the above referenced property. The individual
appiyi for this permit has described to me as shown on the attached drawing the development
they re roposing. A description or drawing with dimensions must be provided with this letter.
"ve no objections to this proposal. I have objections to this ro osal.
P P
if you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 1367 US
17 South, Elizabeth City, NC, 27909. DCM representatives can also be contacted at [phone]. No
response is considered the same as no objection if you have been notified by Certified Mail
WAIVER SECTION
I underst4a that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must b set back a minimum distance of 15' from my area of riparian access unless waived by
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.
pert^ . rN I�ifyiration)
06 6by-,- �-Tlti
Print or Type Name t
lot (-dve4i wovd) �
Mailing Address
City/StarelZip
,2- c,1.2- - -?�35 - `4 (6
Telephone Number/Email Address
q-lb- Z6-zo
(Adja
Sign
Print or Type Name
er Information)
�-
Mailing Address
Cily/State/Zip
Telephone Number / Email Address
1)(11t, Dail,
'Valid for one calendar year after signature'
Revised Aug. 2014

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