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Home My WebLink About86136A_Bomgardner, David & Pamela_20211122•,*"TV EICAMA ❑ DREDGE & FILL f�/ N° 86136 A B C 1D s �-` Previous permit i I GENERAL PERMIT Date previous permit issued New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue 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: 15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules Applicant Name _ Address City Phone # (_ ) Email State ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City P Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s) i Floating Platform(s) Finger pier(s) Total Platform area Groin length/# Bulkhead4 Riprap length \Avg -dfis[ance offshore Breakwater/Sill x distan length 3 Basin, channel 1 Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no. Moratorium: n/a -yj�& no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions (Scale: ) ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back 1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant. PRINTED Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check #/Money Order Permit Officer's PRINTED Name Signature Issuing Date Expiration Date A14TlfURL4T�FOR GAbFh FEft�MTF APPLICA'fK7N faarna of Pfvyparty C3/mur Re<arest,rp Pemv( .�?.(E�Yi ll....... �"�_�� ZI r ve Phone Nvrnbef_..e.......:...{e_t._.:.._�.�.�z�1....,_.___._._. EnW Address. %%3�rtis �0L1 I C" not I NfM avooiw ;Jtotff jg-jkh*"4% 'a- I Cwmapm ` :o aO on m r behatl. w :,. pu pp of aWY'tg As ar<.i a0f1a.'rfg aX CAMA qjgi Ruh nerossaty mr me full a fts wop0 j Oeveh:pmi m _.lt,LY� LI1 q f !@Lid , atmrvfopertrau aedw_ r z ,< T�_�� +�1'.+jfc.�kCounty / fl)lihan✓ae GBfaiy }/14lt ! em aut) X+Ml tp tJ�8l3t aY t tSy rtr lap 9 " 0eflffiA9Xpt to t -&n of Co&SW &ISAVenwv muff. ft I c at ner Offiox and Mor ag" w M w oe the ataro r Oxwd tarrfs n cwnecbf f itn eveJuedxj .vun'nahrta f6W W to ffa pervert appmefrwm, P iv .�/ Fort: of T}pa Marne _ rfu�rt wf. tR N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property: aZvl 5b TG� rpo✓� IZCI Mailing Address of Owner: 1,30 q %Yi () 7_c4/ - aDr•i -ue�I o �Z i�10 i L I3Pri(Lk - \%A- 23 q-$l Owner's email: 3 (30 YN S 6) C O X - n dw er's Phone#: 7S-7 " % S^ 4 41O Agent's Name: LYA&Vc s 4LYK Agent Phone#: Z5 Z - ZO-7 '-b /Z Agent's Email: Lt L'1 u I:keL4d S ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) 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. X. I DO NOT have objections to this proposal. I DO have objections to this proposal. if you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) 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) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed 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 (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback -OR- Signat P djacent Riparian perty Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: ,AGO nj 1U0 L J 7-0h-J Mailing Address of ARPO: 3 33GG 2D \JA QEq,Gt{ �I A Z345-7 ARPO's email: Ti,+- C%OZf�4AJL ARPO's Phone#: (y)5-Jx>1 Date: a�2 I /Z I "waiver is valid for up to one year from ARPO's Signature' Revised May 2021 iC N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property: Mailing Address of Owner: i ,30 q hi D ZGir* Dri vex Owner's email: 3 130 YA S ® G O X -11SIner's Phone#: 757 — Agent's Name: Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Owner) IFZG 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. �* v- ✓I DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Gruen St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted 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 any proposed 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 (this does not apply to bulkheads or nprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback C -OR j Sig turi of cent 4aria roperty Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: ARPO's Phone#: Date: *waiver is valid for up to one year from ARPO's Signature* Revised May 2021 ,urrituck County GIS Data Viewer Currituck County GIS Phone: (252) 232-2034 E-mail: gis@currituckcountync.gov �rgTRw� Addresses R Communities Aydk-tt Barto Coispck Corolla _ ' Currituck Gibbs Woods Grandy arbenor 32 2 Jarvisburq Island N P� Moyock Rx, Point H rtwt Poi, ranch 4Shawbr POW Point Sligo s Wate County Boundary -- State — County Streetsi Wright Memorial Bridge Major Streets 2248 —Arterial_PrM c ipa I - Arterial_Major — Cobttor_Mapr Parcel Land Hooks Parcels Currituck County ----- i! Aerial Photography (202t -- NRad: Band_l EGreen: Band_2 Me": Band-3 his map should be used for general reference purposes only. Currituck County assumes no legal liability for the informatioi sown on this map. '= s�;