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Home My WebLink About79413A_Halsey, Craig & Melissa_20210819C'- (L L---- 1 24 CAMA / K DREDGE & FILL GENERAL PERMIT 9New ElModification OComp4eteRe=ue EIPutWReissue N9 79413 8 C D Previous permit Date previous permit issued As authorized by the State of North Carobna, Department of EnvkonnwwvW Quality *114 Coastal the Coas�Resources Commission in an area of environmental concern pursuant to 1!>A NCAC m 0 ,W Applicant tNawmw rr.,,,, �t ke-h., c 1W Project Location: County C. nl Address Ojuk, d !�j Dr Street Address/ State Road/ Lot #(s) city Est ____ __ State_W 23P 3 z 712 Scarf �tdf- Dr -- Phone # NZ-7 'NZE-Mall QrCQkJkabA.-@q V pctoYa 'W Authorized Agent City zip C) CW 99W CBPTA MtS Iff"s Phone # River Basin V"" Affected 0 OGA 0 HHF CJ 11114 L. UKA I-] IWA V— AEC(s): 0 PWS: Adj. �Wtr. Body___Jq Closest Maj. Wtr. Body ORW: yes I& PHA yes /6 Type of Project/ Activity kvv%�� 0� V)VX--) cl (Scale: Pier (dock) Iwo Fixed Pladonn(s) Fwtft Pladorm(s) linger *r(s) Groin $engdi number Cdkhe;O PipraD levh avg distance max distance OffdOM Basin, channel cub4c Yards Boat ramp .. ........ Boathadi" Boca Beach Bulldozing— aher ShorWine Laigth SAV: not sum Y" Moratorium: yes no phows: n. Waiver Attached: A building permit may be required by: see note on back regarding River Basin rules. (Note Local Planning Jurisdiction} NvtW Special Conditions Apm or Applidm* Prwftd Hwne *,.w. *Ok"rid cmnp"sweffmntonbackafp&T*00 ADPlicatfon!'*s) Chu*# P1W,m*1 i rioted Nam Signature V, Aa /19/21 Issuing Date Expiration Date ■ Complete items 1, 2;-and 3. ■ Print your name anQ'address on the reverse so that we can return the card to you. ■ Attach this card to the back of the matlpiece, or on the front if space permits. Article Addressed tQ: M�Rk I+L-:R3F-y 14 f,Mo i A,>,jrr Wo/LUo A. Signature X &1�/� ❑Agent kt��6 — ❑ Addresse B. R ceI b (Printed a e) C. Date of Delivel D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No ZSGD GpWrvl�iT '*✓6 3. Service Type 0 1 I III'I III II I III I I II I (I I I I I I' I III ❑ Adult Signatureiority Signature ❑ Registered Mail S gnaturre Restricted Delivery ❑ Registered lMail Restri ❑ Adult 9590 9402 6070 0125 8207 80 ❑ C❑ Certified Mail Restricted Delivery Return Repeipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service lahall 10 Collect nn nolkla ,, mestricted Delivery ❑ Signature Confirmation ❑ Signature Confirmation 7020 1290 0002 1294 4032 d Delivery Restricted Delivery USPS TRACKING # First -Class Mail 1 '1. Postage & Fees Paid USPS Permit' L �9590 9402 6070 0125 8207 80 United States Postal Service • Sender: Please print your name, address, and ZIP+4® in this box• -DA�I 1,E1- I`E RR�64FKAY „+liill„�,I�,�i,IIIl1,lll,�11,I,1�1l�11i1'�1'II+ILI�I,ili�l,lll T"" T6 411 c 1� d � twa �R DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or NAND DELIVERED Name of Property Ownr f • • . 1; Z 0 (Lot or Street #, Street or Road, City & County) Agent's Name # Agents phone * we I hereby certify that I own property adjacent to the above referenced properly. The individual applying for this permit has described to me as shown on the attached drawin the development they are proposing. I-'-3��A' 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 (D(;M) in wrung within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909, DCM representatives can also be contactual at (252) 264- 3901. 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 sign the appropriate blank below.) 1 I do wish to waive the 15' setback requirement I do not wish to waive the 15` setback requirement. (Property Owner I tion) f act r St' , Print or NO �/Jl� 7- afi n Address cn}1� 1 �- 7?3 CdylStat+a/Lp Telephone Number/EMT Address a� 'Valid for one calendar year after signature` (Adjacent Property Owner Information) Signature' Print or Type Name Mading Address �7esJUL 793�1 Caylstaftop -142 CA Telephone Number/Email Address Revised 2017 s co DIVISION OF COASTAL MANAGEMENT ENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM FLED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Property Owner Address of Property Agent's Name #: Agents phone #: -5.4 tLot or Street #, Street or Road. City & County) Mailing Address: 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 hey are proposing. A description or drawing with dimensions. must be provided with this letter. 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 fDCM; in writing within 10 days of receipt of this notice. Correspondence should be .mailed to 401 S, Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 254- 3901. No response is considered the same as no objection if you have been notifies! by Certified Mail. WAIVER SECTION 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 sign the appropriate blank below.) f f 1 s7 I do wish to waive the 15' setback requirement_ E I do not wish to waive the 15' setback requirement. ;Property Owner Information) Signature Print Cr Type :Na 3 e Mailing Address %'vi 1y,1State2ip Telephone Number / Email Address Dol `Valid for one ca'endar year after signature* {Adjacent Property Owner Information} ture Print or Type (Fame 7/u,5-u- ',(0 L l)T,ve..- Mailing Address Ed CitylStateiZip 277 - Telephone Number/Email Address Date' Revised 20? 7 -L S.bue -,q� gyp' "'� z1 [ I s� -,e Y , F• •• !S r I � r • :1 r Y�' p712 Surfside Dr Alto> ",tea N Google Earth t,I oft_