86415A_Lekki, Bernie & Debra_20211115

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KCAMA ® DREDGE & FILL �N9 86415 B -C DPreviouGENERAL PERMIT Date pspourDaze previous permit issued
❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the'!S�tm of North Carolina, Departmentm
of Environmam:al Quality and the Coastal Resources Commission in an area of envi oncntal concern pursuant to:
he! C
I SA NCAC - I 100 Rules attached. ® General Permit Plies available at the fdkmdng link: wwdCq.w-VMrAMAMJM
Applicant Name 3�t-n '� C t bebm L.e k k I Authorized Agent Ear-* J ck kart (ld rb1�
Address U O 5-mmll 17r. Project Location (County): ?0--Aa l c I f-aA IC
City 51:WoF _Ct h_ State zip a,I109 Sti Addres/StateRoad/Lot #(s)
Phone #1 JLj:) 15 34 - 9 (o `rA4 1 30
�St1nC.ik T)i1^. +
Email VVYP- LTGFD @ vahen. Corns subdivision Lo .d
city _F- z.a1%e-4+, C, zip 213.439
Affected ❑ CW K EW PTA ® ES PTS Adj. Wtr. Body WtIlk G Imoo� r r
AEC(s): 7 OEA II4A 7UW D SPIMA E]PWS CkuestMo. Wtr.Body IgNe tcd nF- 14fr[`
ORW: yes _' PNA: yes/&
Type of Project/ Activity krsa-e-R l l5` N W : R, -1K�R_.,jj a ` CLj
Shoreline Length 1 !�
".,-'-r--+--
Access Length
Pier(dock)length
Fbnd Plat6orm(s)
Floating Platforms)
Finger pier(s)
Total Platform area
Groin length/ff
(...«.
ulkhea Rlprap length ( !'S ' -•
Avg distance offshore 2-
Breakwater/Sill
+--ri-
+
Max distance/ length
Basin, channel
*- r
Cubic yards
i
Boat ramp
Bgathouse/ Boatlift
Belch Bulldozing .�
Other
SAV observed: yes
Moratorium: �-O yes
Site Photos;
Riparian Waiver Attached: yes
Qb
no ._
noJ
d9 -----
A building permit/zoning permit may be required by;
Permit Conditions
Name
Uc
iy =3d I
TAFVPAWNEUW13UFFER (drde ane)
See note on back regarding River Basin rules
See additional notes/condltions on back
REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Permit OfflCerl PRINTED Name
Signature' **Please rAd cbmpilad i statement on back of permit** Signature v
sgCU, ,&' 1959 11/1-51V '511,'/2l
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 'E)E tz I E LE i- k.l
Mailing Address: .-'�0 SmAt_.L -Dk .
—Cl- I A6EfY1 C IL"v . t c '�T)09
Phone Number: (3'. 5 - S 3 Li - q t114
Email Address: -f ire (-<QF-,> a.hc-0-cc) rti
I certify that I have authorized
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
f !�
JKISTlat_t_ KPPR-U`-. ���j��h VIN�jL fjut KHE�t�
at my property located at 0'jd S a'L- "Da ,
in o K County.
I furthermore certify that 1 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:
Signature
L'c kk- I
Print or Type Name
Title
I aq l --�/
Date
This certification is valid through ! _Ld ac

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that 1 own property adjacent 20 Arnie 4'17Qhra- I f-V-
property located at 's
(Name of Property Owner)
_ � �Q jy�,A LL � �
on N
( ( (Address, Lot, BI k, Road, etc.) �—
Q.u� LAtJ n �l' k L�- , in Uo+&n- N.C.
(Waterbody) (City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location./
✓ I have no objection to this proposal.
I have objections to this proposal.
ucaUKIF t ION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Indlvidua/ proposing development must fill in description below or attach a site drawing)
i 0;MLL. i P YOY- I lcj I
y
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 initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
0-+k-1 do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
Svigrnatur, I
nir- L�t24LA L-Eal
Pnn or Type Name
`)m*-a Z�e
MI I itAddress�'
i r,l 1JC
Clty/state/Zip
;� 15 - 534 A(,-1 q-- _
Telephor;e Number/email address
Date
"Valid for one calendar year after signature"
Signature
EF-1K XQ. "-nE [.-AuhfnJc Cli
Print or Type Name
-- q a7 S rwA L'L Da.
Mailing Address _
�L1LAf�Frl� GT NC c�rIGIDq
City/State/Zip —"
.6—, r;lL Ldnaen
Telepho a Nail ddress
A/ /nlfl'�n l al
pate'
(Revised Aug. 2014)

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
hereby certify that I own property adjacent t0 (,l.rne 4- V bra- Ltk 6 s
(� (Name of Property Owner}
property located at �( �Q 'L"LL T i2 . _
/t (Address, Lot, BI k, Road, etc.)
on �eOt t- UA l.Y 2C.k , in �r�h l)ot&MK N.C.
(Waterbody) (City own and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
-l_
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)
�,W�TILL Epp >'o� 115 ` �►Ny� �� �����
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.)
(� I do wish to waive the 15' setback requirement.
1 l do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Info do
Signature Signature
Prin or Type Name P' or Type Name
"1 !�J c�XY14.LL 17t2 . 1
Ma'ling Address Maifipg Address
CitylState2ip i Ciry/gtatei2i 7 %/
Telephoqne N tuber / email address Telephone Number / mail address
l����l �Q// l
Date Date
(Revised Aug. 2014)
`Valid for one calendar year after signature'

4

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