80228D - Enyedi

0❑CAMA / ❑DREDGE & FILL No. 80228 A B C Ce
GENERAL PERMIT Previous permit#
A lew ❑Modification —Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina,Department of Environmental Quality �i //�O ,�� '
62 and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC (T
Rules'attached.
Applicant Name / ` (/ y 645 N/ Project Location: County k 7k-----
Address / (0 7 f2/NG(/l)/Sr pi . Street Address/ ttaattee/Road/Lot#(s)
14 City C f Ft- /t ( State/- ZIP 2 1' '. �Q 64/ 1 LiseA e .
Phone#')�/0'COD E-Mail / Subdivision
Authorized Agent / 2 -4 City /v ('�-, 4 ' ZIP
, I
El Affected CW y
"I'am'
PTA ) ES ❑PTS Phone# ( ''yer Basin � 'a •
AEC(s): ❑OEA ❑HHF ❑IH CI UBA ❑N/A Adj.Wtr. Body M S Q VI / ..AriftrO m. unk
❑ PWS: i
ORW: yes /'no PNA yes /'no
Closest Maj.Wtr. Body �S' Bvr' ' •
•
Type of Project/Activity �.
. G?e— 1;t /(.ti 1./ Gl - /✓A.--'Q i I�{
(Scale: P `Z p/ J
Pier(dock)length
i
Fixed Platforms ? i
() --t--- � N ttS CAI+
Floating Platform(s ,
Finger pier(s)
Groin length • e'�r7 I N 0 f
�
number ) _
6ulkhe4d/Riprap lengthIA- Y _ .__._. _
/
i j i
--= /avg distance offshore ( i
max distance offshore / O(t j LJ {
Basin,channel J I 10- J(41
cubic yards ' - Nr I I
Boat rar4.,
:
i
Boathouse/B tlift I..-(r-it0-!44- s—;41°- "r I
I
Beach Bulldozing ! I
•
Other J
_ , l
l I j
Shoreline Length -f! ' (7 I """"'� ��j `'—
SAV: not sure yes n l
/y/� i
Moratorium: n/a yes
Photos: yes r __..__�._ ..-, f { (u: -
Waiver Attached: yes Al ' : 1 i
A building permit may be required by: ��J . 1 I See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) 7--t-r-;.P
Notes/Special Conditions
(," it 1kU�- IA (I— iIQ-zI
Agent or, I' ant ' ted Name itOfficer's Printed Name
12-to-21
Si nat,-e * Please read compliance statement on back of permit** •
g f P . ; _ _. , In

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: M Ac0.vd- E t €I t
Mailing Address: << t)q Pt tAkkitSt �R
C rtgPcL rTy . N C 215 i 7
Phone Number: 4 i' - 810- a U O
Email Address: Menyec► coM
I certify that I have authorized Gem" A%&// veb-4 )3-Y:ic. I' ,41-77
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: , uL /-iJ,1 Z
1-444 ;11 Docx. 8 'x /& '
at my property located at 3 v S AJC , / NC ,
in PENv County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signatu
Print or Type Name
Title
7 1 2 12oz/
Date
This certification is valid through / l

%ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
■ Complete items 1,2,and 3. A. Signature
• Print your name and address on the revArse X 0 Agent
so that we can return the card to you. 0 Addresse
• Attach this card to the back of the mailpiece, B. Received by(Printed Name) C. Date of Deliver
or on the front if space permits. —/f
1. Article Addressed to: D. Is delivery address different from item 1? 0 Yes
,r v If YES,enter delivery address below: 0 No
e/'o ,4fr414.1
3,44 Qi,h iao40 At
RA-le�k. is) Z7bO7
3. Service Type ❑Priority Mail Express®
11111111 1111 111111111111111111111110 Adult Signature Restricted Delivery RegisteredM0 Adult Signature 0 Registered a ITRestrict
0 Certified Mall® Delivery
9590 9402 4781 8344 4916 32 El Certified Mail Restricted Delivery 0 Merchandise
l�pt for
❑Collect on Delivery
P. Article Numhar(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation*
isured Mail 0Signature Contirmat4on
7020 0090 0001 8322 6 514 over I Restricted Delivery Restricted y
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1 , il , 2 . ______-. _ Ameriiii:r--- mra
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•
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner. M NU- EWEbt
Address of Property: 308 QRzo6ERSAveTop5ftp- gam; PC. 28'14 PeP.ot`�
(Lot or Street#, Street or Road, City&County)
Agent's Name#:( i n A-l2l3YV Mailing Address: l�7 4',5 my c i
Agent's phone#: [phone]c,r I7?XT&fda n/ - „g7V 5
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.
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(DCM)in
writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext.,
Wilmington, NC, 28405-3845. DCM representatives can also be contacted at(910) 796-7215. 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, 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 do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner In rma on) ( jacent Property Owner Information)
fil" CIA
Signature ignature
PARQt' EN'fEtt
Print or Type Name Print o Type Name
Mailing Address Mailing Address
}APEL_ Ant. PC 27577 IVC-
City/State/Zip City/Stat
1I9 - $to- og$o q' tek 'Avg lo -
Telephone Number Telephone Number
7 /2 /2021 13112\
Date Date
Revised 6/18/2012

Check
Dab Received Date Deposited Chock From(Name) Name of Permit Holder Vendor Cheek number amount Permit Number/Commenb Receipt or Refund/Reallocated
Cokimnl Column2 Column3 Column,. gherrl6 Colurnn6 Column? Column6 Column9
81162021 Dolts Dock and Boaein Dams Can Rot Clears Bart 9137 8 200.00 GP/80228D JD rot 14086
8/162021 Data Dock ana Ooataft JArk Emrd Fin Cleans Ronk 9136 6 80000 GP e602260 J@ffi,1e087