79930D - Chavonne

0 'CAMA / DREDGE & FILL N9 79930 A B C e
GENERAL PERMIT I e Previous permit#
>G 1New Modification Complete Reissue Partial Reistue r 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 I 5A NCAC 0 i,.
❑Rules attached.
Applicant Name OVA CI C 44 tiali1L Project Location: County g0/115v✓4( jL
Address l�(1 ' VW Ph A _ Street Address/State Road/Lot#(s)
City r Aa 1 e kv A. Stke-iki G ZIP)<0 0 1 Sb '(R 4C - 1v1(,1�/.� Dr Aft
Phone# n1�v 05� G� i ��/
( )�� (0 E-Mail'1�� G�It `t��'4�V�Qt Subdivision
Authorized Agent \\{10)`) — )q�( vioek uV11, City �0 k\ ij.((L���, ZIP 2?46 21
Affected ❑CW NEW_ X PTA ❑ES ❑PTS Phone # ( ) ,�[_ _ River Basin LA �L r
AEC(s): ❑OEA ❑HHF ❑IH ❑UBA ❑N/A =Adj.Wtr. Body ' r. ` "t'L at if k/ at /man /unkn)
ORW: yes / no PNA yes / nod Closest Maj.Wtr. Body (,oi.tnOck / if
Type of Project/Activity + r , 36,Q4a' 2 fJ)ct e pr L_'� j i,,l.t_ , fl dívvt A 1 k(
k \f i.L r' ISCt iG r (Scale: tJ\5 )
Pier(dock)length 4 r x $Q I -
Fixed Platform(s) 14 x I] z t� polo I
Floating Platform(s) 8 )c I6� taw .-="17)
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Finger pier(s) t ! _ i _
Groin length I 1 !
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number 1 _ �^.U._�.._._.._._1.._..
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Bulkhead/Riprap length — tV re a
avg distance offshore — dad(IG, ;rr- I
max distance offshore'^ `ti` Ia r 1, -, 1 `' —hp-ea YY1 /1
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Basin,channel ti '{©� =i/ - 1 45'T 7 el" (lj st(f i
A a �•i fit► 11 t (Ji
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cubic yards — - - i, • i-iv, / , ,P
Boat ramp -- fir- I � W
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Boathouse/Boatlift — _ ______._—...T__ _ -i ... - :""ill_Allni-11 ;
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Beach Bulldozing _ I . 'itiaM ,
Other // 11 - - ii
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(-0.30,Q 1 �weA l 1d S 1
Shoreline Length I I I j i
SAV: not sure yes I i I-. f -u' I
I i I j
Moratorium: n/a yes ` 1 ,~
Photos: yes ©o a 1 �/� r,_
Waiver Attached: yes (c e , ~ 116.t /6 i Iwa A/rl Dr, ,c- I I
A building permit may be required by: Tn�e 1 /2 P C l El See note on back regarding River Basin rules.
( Note Local Planning Jurisdiction) li
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Notes/Special Conditions �..0/91 1/) limq C� /1y1, , Q, 4, /lijfpac /;/ SIRS li[f�l/)rip/,
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Agent or Applicant Printed Name Permit Officer's Printed Name
�% c—�
Signature **Please read compliance statement on back of permit** Signature
/V)>q wu`J'cJ c icr1 .c, ( 5 f3IAi 5Ab1
Application Fee(s) Check# Issuing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(910-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-6481
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
401 S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-3901 Fax: [phone]
Fax: [phone] (Serves: Brunswick, New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates, Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

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CERTIFIED.MAIL .2RETURN R CEIFIT REQUESTED
. ,
DIVISION OF COASTAL MANAGEMENT
. ADJACENT RIPARIAN.PROPERTYOWNER.NOtIFICATION/WAIVER,FQRM
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Name of Owner.'---ruki y rvulue;
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isto yoch1- k)iiitiel che 46
Address of Property: : _ ,_ _ : '
(Lot or Street#, Street or Road, City&County)
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Agent's Name#:: kil C*Strait iit/Mi Odraor)Aailing Address: Da71 neacti uv---
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Agent's phone#: q/0--tic/3-tien 7 , , 0/6 kr-- &VAR
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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...devalopment
they a, :•roposing:AlgapUtttairatrIWItlairtieniiiiistriiithtWitatii:recarthIftigiettet
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. .., have no objections to this proposal-
, P P osal• I have objections to this propOsal.
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If you have objections to what isbeing proposed,you must notify the Division-of Coastal Management .
(DCM),in writing within 10 days of receipt of this notice Contact information for DCM offices is
available at httP;PWWw.nccoastalnianactement.neliweb/cm/staff-listinti or by calling 1-088-4RCOAST.
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, mooting pilings, boat ramp, breakwater,'boathouse, or lift must
be set back a minimum distance of 15'from my area Of riparian access unless waived by me. (If
yo '' ith to waive the setback, you must initial the appropriate blank below.)
1
I ..' ii.„,,----• _ do wish to waive the 15' setback requirement.
I do not wish towaive the 15' setback requirernent: , • —
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P roperty Owner inf rrnatiorif 00 (Rip-rianb Propert Owner Information)
..?(Ariklae..ern!:V'...?"*.-,6„.A-;:-•.*43:iiii::,.''!-',,' nrg-1
sign' ' 're ,.'i. II V001
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Print-or Typo Name - ' ' TiPnTor Type Name
513q &am ae.
Mailing Address 0 ailing Address
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City/State/Zip '.-- City/State/Zip s/
q161-- 1140 qg r
Telephone flumber 1.Email Address Telephone Number/Email Address
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Date ; Date
° - (Revised Aug. 2014)
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AGENT:AUTHORIZATION::F elk:CAMA-'PERMIT APPLICATION
Name of''Propetty Owner Requesting Permit: I 't"1-4► (`
Mailing Address: I Rota .mow 5T•
Phone Number Qwa .,48 77 . �` :Email'Address: +ontife
t5.. g ►cw.vazrc r< . r
. I certify that I have authorized° � - . - � a.
Agent I Contractor
Io act on,my-behalf.for the purpose Of applying for and obtaining all CAMA'permits
necessarVfor'the following proposed development: d?,i1f 2. of t,vlt 'i c
at,my property located at `15G0 `i% -cr . w ,
.in ( {2 su3 uc County.
1 furthermore certify that 1 atn. authorized to grant; and do in fact grant.perm»ssion to
Division:of Coastal Management staff..the Local Permit Officer their agents to enter
on the'aforementioned lands'in connection with evaluating information.related:to this`
permit application.
PropertyOwnerinformation:
Print-br Type Name
Title
O% !: ,,3D I Zarzl
Dater . : -.
This certification is valid through 6' l s 0 I Z I