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HomeMy WebLinkAbout84986_Jesus' Hernandez_20211119 " WCAMA '1-1 DREDGE & FILL ,..0. le .,, , .,.- — ..... ' .`t ' ' N° 84986 ' A at c D ' E (1,51 V2\ revious permit 4 Pi A c0 P .,.4 1 GENERAL PERMIT- 7-r---if) k Date previous perms sued Ail!! New III Modification 0 Complete Reissue 0 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: I 5A NCAC 0 4 4.'4'. I 2.0 0 ' . 0 Rules attached. General Permit Rules available at the following Iink:www.deq.nc.gov/CAMArules ‘ i i ,In Applicant Nam:cm-2 ,..---:.,L..A.<-....,/ 11 W.\'''' CAA iN\'.9 -4-- . - ,Authorized Agent p - 1414/, r`fi/_11+y1,71," 7 rIti It, -. - Address ,c*0 C ill I.ARYDY 14 26-eit. TZA Project Location(County): City :11/,,I fsrw or State )\-I C.,- ZIP Street Address/State Road/Lot#(s) Phone#PA7:,), I i-- -1_ (-1 <r-N < rnt-tYcN, /i (71rk- 2. ;\ , 1 j di / Email ` Subdivision /13/ City ALAY-0 r ZIP 221-S(254-) _. . Affected 0 cw 0 EW ZrA `- .IDES 0 PTS ...- Adj.Wtr.Body n ILI()Og ' 1 ,VT), t--, (..... ., A st/rytan/unk) AEC(s): 0 OEA DIHA ' 0 UW 0 SPIMA 111PWS Closest Maj.Wtr.Body 1 01.tri )CT) 'g,1,0er- ORW:yes/n1) PNA:yes/a1) . e.).,,, Type of Project/ActivityCn644)/ 176 CA)(6/1<? km 6)/ a 111)44-14114%g Z i 0 0-6- 1,./•e,•71"11a4,3 a., ifel' X', / -Z-1. `74, 7.ti t,.-tleal --d,-_,-,./.Pb---%-7-1 4-- go.+iic-t- i-r,,c3" , (Scale:/// ), -4-- I 96 ( , . Shoreline Length - Access Length 4-- /b6 .>4.1.v( L " " ' 4 11°'It 1 " . it: 'Ij. .1;!.' Z.(...NI' 111111iiiiill N9111 I 111111 1111 1 11111111111.-,15 r-). 9110 Pier(dock)length , (-9/ ......,-- Mali ..1 al I I II 1111111111111 Ill II II Fixed Platform(s) 7.0' .`,‘,' 20° iii-„,. ii a 1-- 1111 - a pima mani inn - 111111111MIM II ; 1111 MIR 'MOP E,M4 'SO(1 yin Floating Platform(s) IMOB11111111111111111111111011111E"; iliM111* 1' 11,1111111111111 infil1111111111 / num 1111/1111MINVIIIIIIIIIIIIIMIMMIMI tillRaillfrUIMPIIIIIIIIIIIIPEwd. - Finger pier(s) / girl: 1 4 NIMBI'INIffill 111 i Total Platform area / INIIIIIIIIPIIIIIIMINEMIN111111111111411111111111111111,1111111111111 r' tifontS3 Groin length/t! 111111111111111Millq111111 MEI 11111111111 111114110111111 ' Alkitalli • Bulkhead/Riprap length muliviiins AINNIII 1111111COMI -I, 111111 111111111.1111111M 11111111111111111 IMIlliMiielv ' 111111 ' Avgdistance offshore ailimmossammanemaimaationownimulteatimmillill Breakwater/Sill IN1111111110111111111111111111111111111.1111111111111011111111MEMMIIINIril1111.111111111111111111 Max distance/length ), .M111 1111111111E1111111111111111111/2111 1=1111011111111111111111 ; Basin,channel I Ill= 1111111111111 11 NM 1111111111 MON - 11511111111111111E Cubic yards, • I MIMI 111111111111111111 fil illi 111101111111 IIPI11 111211111111 MINI - Boat ramp / 11111111111111 IS 11.11111111101111E11111111 111111111111111111 1111111 Boathouse/i cflt 1,7 `,Y I.;;),' mosso 5alimr;flanitailiullailligmBOREMM111111111111111111 • Beach Bulldozing / all 1 II i t4L--ill wii Other 111 IIIMIIIIIII I II III 11111111111111111111111111 isommarai ' 11111111111111111/11111 11111. . ,4„, IN11111111111111 1111 ; I., 11 1111011 IMPlettittirl SAV observed: yes ilula 11111111111111111 111111111lislow ,\!Er n 111 ,IN MIN 0 ,,RX 11116114 11111 di Ai .... 4111,W, Moratorium: n/a b Him P - -1 rill #4 Site Photos: yes no 1 yes amiire7 . airimiat 1 44191 fii... - am Riparian Waiver Attached: .yes no 11111111111 .-- Tii:4MIIIMPI Orr irr A building permit/zoning permit may be required by: Ti0.; G1 1,44-i-,,, ),(-- L. , _ ri TAR/PAM/NEUSE/BUFFER(circle one) ' Permit Condition /-r-,_1- i< ./1/6 --.- '14 4,fit,-, (-1,-- ,-.., f Z7,- ,e,„. t,..:9 pcfe. ..s-- - c,u_ c.- t.,..),,e.4-t conN-r 115) b.e 6i a,. ri See note on back regarding River Basin rules , ,>nil 0 1 ryi IA 4'1 Dk--- V uo.e.--. 1,i.,I-4--)Aw)) st,„),±-,,,a4--e . ' - • ri\ See additional notes/conditions on back . ., A......." L.--- I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) ic'hijiA, ON)'1 Lt.- ' A-511 te'44 tc ref y-) v , Agenf:611,:oli8ant'PRINTED Name PegnitOfficer's'PRINTED Name _144 , - ( 6 , Y __----- '' " Si ig,nqttfire**Pkasf read cginpliatice statement on back'of permit** Siggature vii. '..'" , . icr s' NW--7,61,1 . - /9 - #1/le ei, -,,, Zot2 1 C..\,, -11 o .i? 7-00.°-,- . Application Fee(s) . Checkft/Money Order ' Issuing Date • Expiration Date, " .. • - , Statement of Compliance and Consistency - This permit is subject to compliance with this application and permit 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: 1) 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 from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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: Tarr Pamlico River Basin Buffer Rules 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. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889 252-808-2808/1-888-4RCOAST Fax:252-247-3330 252-946-6481 (Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:252-948-0478 Counties) (Serves: Beaufort,Craven—north of the Neuse River,Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington,NC 28405-3845 Elizabeth City,NC 27909 910-796-7215 _ 252-264-3901 Fax:910-395-3964 (Serves: Bertie,Camden,Chowan,Currituck,Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 S'rk f,CAMA. El DREDGE &•FILL . b Jam , ,.N9 84986 - "A , C D �} ► `(j Previous permits' GENERAL PERMIT" • Date previous permit issued .A.r 1 a ',/4V 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: I 5A NCAC 0 414- • 12Z 0 ❑Rules attached. General Permit Rules available at the following Zink:www.deq.nc.gov/CAMArules ,: f' }} 1, , In i i .,,j, Applicant Name Q `„,-t A r' f-i" V=--,c3.,=i f. `,•Fx' "t... Agent ): - >h 'f tic s;r ! Authorized ent r :a r y f. s 'et,. a 1 Address c"C.e�±j Kil ir.F=r7Y (. h1G E C`4t� Project Location(County): t''•->rw,.. ,-- (• -:. `" City �*'I i'''.e r.ft State }' i(;' ZIP ,71 (;`: =Y.% Street Address/State Road/Lot#(s) , Phone#(�''=s,'"4.) 1 �447 't 1�,t'• 47, >"'+` �R �1, r/ ( r"-= ;. 4- t Email Subdivision A.,i r r4 r • ' City i'l't.,1 r•»r' ZIP 2.. • t,..e,5 ,\ \ " Affected ❑CW n EW laPTA ❑ES ❑PTS Adj.Wtr.Body 1 V, wJ c" r s. e. < (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj.Wtr.Body (21 1 I C p'^•, I iCY ' ORW:yes/ PNA:yes/0 1- *Type of Project/Activity T i�'J c c/ , 1. (.4 o 1 ktAd a4,f a E''}'7!,,ir^'vvii i,it 'f ,,,so,,,;.%- 4, ?4.1, '., t ' :...f.>'S'.tt7'`"/ - 6.. 1: ° x, r i'?-1'r i C.. G ! / `.kcy:, ):1 }r '1./1 'f i,""-t j, �.. i.„a,.. ;`7," t (Scale: ''—*)r • "ti J Shoreline Length }G'(� r " ' ' / )\ Access Length - ��r�� �'(�r ,4-• i• or . �. � �11111111111111111111111111111111111111M111111.1111 i` 1 i C., Zc' ' - r s --- - al am: „sr ......, Lin 1 Pier(dock)length •'_= ? �CII - • Fixed Platform(s) 7t ' -,' .7 '1 .. slim -I. allilimilla II= .-..,in Floating Platform(s) / ■ Mill annimilifinFinger pier(s) r! r } :a iiiininii iiiiiiiiirs7.7.,: Total Platform areamu a Groin length/# I I Bulkhead/Riprap lengths -- -- --- NENE -k- _I �___ ENE Mel Km. Avg distance offshore ‘ - Breakwater/Sill I Max distance/length I jf i.-- - Basin,channel t II . Cubic yards . Boat ramp MOINE MOMENNEME MENU EMENNUENNENEENNEENEN Boathouse/Boatl ft') I'2 >I ( IIII/ i ,°S,}. r,_/111111 Beach Bulldozing ! • 1 lyfl > 1..'` 1 r tel :. ]`. Other t j SAV observed: yes C opin IMIIIIIIIINIIIIII all i _1611111. r Moratorium: n/a yes no:, i i iliki td i Site Photos: yes no : F " _„ ammumo tatiliiiiiIiiRiparian Waiver Attached: yes no 4 �. ��'�,, '� z1 ' . um ' A building permit/zoning permit may be required by: r>s)C,r.";-i'a'•v' 1 - ff r f n TAR/PAM/NEUSE/BUFFER(circle one) Permit Conditions �r d �•-.� F . + -g f�- ,; G'f"_ 4 (( < f !_)-C.� f,.) 1-1 ,t ,€ be f1,�,AN- CA N See note on back regarding River Basin rules 1)--;I r'- i 41 da'f flli" /:, ` i-e,--- 1A,t" ?"i/:)-`);`,\- �-7,/—2"'i'•/6T"c ❑See additional notes/conditions on back f I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) i r } Agent ofApplictant'JPRINTED Name Permit Officer'srPRINTED Name • " f Signature**Please read c mpplllii7iapynce statement on back of permit** Sig ature ( ' ✓j}}� y{� i! �J/)CAI``{(L t�l f' f� A. !•^-r)D.a"c• - I -' /0 f U- L 6 1 - 17 - •.i I(1 C./'-,'c / Application Fee(s) - Check#/Money Order Issuing Date Expiration Date r , Statement of Compliance and Consistency , . This permit is subject to compliance with this application and permit conditions. Any vidlation 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: 1) 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 from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889 252-808-2808/1-888-4RCOAST Fax: 252-247-3330 252-946-6481 (Serves:Carteret,Craven—south of the Neuse River,Onslow Fax:252-948-0478 Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S.Griffin St.Ste.300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax:910-395-3964 (Serves: Bertie,Camden,Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 / • N. ROY COOPER rt: Governor MICHAEL S. REGAN Secretary ' Coastal Management • BRAXTON DAVIS ENVIRONMENTAL QUALITY Director BUFFER AUTHORIZATION CERTIFICATE FOR PIER AND DOCKING FACILITIES ACCESS WAY A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico & Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 026.0233 & .0259.The Division of Coastal Management (DCM),through a Memorandum of Understanding with the Division of Water Resources (DWR) has reviewed your project proposal and has determined that the project as proposed complies with the aforementioned regulations. Those activities covered by your Coastal Area Management Act (CAMA) permit have received Buffer Authorization provided the•project is constructed in a manner that continues to meet all of the conditions listed below. Failure to comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the construction and/or land clearing to a civil penalty by DWR of up to$25,000 per day per violation. i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer perpendicularly(which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The alignment shall minimize the removal of woody vegetation to the greatest extent practicable. 2. Pervious Materials:All reasonable measures shall be taken to ensure the access way is made of pervious materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the maximum extent practicable. 3. Access Width:The width of the pier or docking facility access way shall be limited to six (6) feet. 4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your property indicating the relative location of the pier or docking facility and any requested access way. This,: drawing will be used to aid in compliance and monitoring efforts. o Pre-project site conditions:Lam"' /,5 /i /i, I'-�• /Ain . �/ r r Goe#0/ c be ata-51--, tler/lee ', By your si:nature below you agree to be held responsible for meeting all of the conditions lis4i / ..„ ,-........,--ted a :nd '•rify that •oat" pr idtd is complete and accurate. abov- / • _. Agent or Applicant Pri ted Name Per i74.ffic-r's Signai • (brti V OA) I 7- Agent or Applicant Signature Issue Date f CAMA GENERAL PERMIT#: 5Z ( .(...c.) State of North Carolina I Environmental Quality I CoastatManagement Washington Office 1943 Washington Square Mall Washington,NC 27889 1252-946-6481 • Wilmington Office 1127 Cardinal Drive Ext Wilmington,NC 28405-3845 1910-796-7215 Morehead City Office 1400 Commerce Avenue Morehead City.NC 28557 1252-808-2808 ) ,,,. ,.- .,, Iv, , IZOI km 3043 1.1004011116.441$0 Ism wird, ... ;:tueiv.b9 osuppy am", ..............................................--....-m................ ....n.........•••••........6.1001,ens. :0411V ie 24140 P.14144‘904104 ;- - )01k4410 4.040.44 OtItiatilti AA1)011)0V 10 ittrAPUOIS 4*WI*1414 00Ouil smewo.mbel ippon s, sig 40464 Of goom lett op f , -80- ., leempur 444.074d uptipAth.Awe vik*A) ( ' ''41 I ' * * ,A LA 'irl, ,-se I if-. idarglorits.14 AD)0 1114ntioir Moe"an wow%oa i I Notim*ow strotkuddo*4 milt=No,A 40041.1%04,4,4"tok 04 itur-so w ilmsu4sits,doudiu.it,vfivakivro oil At**Ka/tow*40) sma ki PiiMi4S *Sawn SW7J10 U111141E44 r 1r4.14t Alia',WA 44 iti 0OWS413 tUflUaltillUt II otoi 00? au Am fbgemtatv,g *Pohl 1,44144 4*,,q vAU ott tita)0014.*-)0C" `04$rxmoottort 4Lio Teta glu Pt-al i NMI 1t3 3AIVM itatiV P641111.2 ittl Paimitts, Love.it&Avg itraor ao Leobooloo okt sr*toff alp posAip 0 I lima+it!tsiousidile•opi ) *it arge sr _. log OSP iNta 444.daffibseichk,41*.ce &fizz wy'400"*4111441 Wort 410,0*$tiotaiipir VI osr i'l x foo*moos oultoousdrwmoro *,riou orip 44*mileas.*iv*41FP di 1114044i#00)41•44 it* .)soitpootruvoit lelsItn.11.._..,,,L,L,KL2fLocei 444.6.,st,,,,,, na4 lattoctord Age,go,mmt Di ' 1, * ... itrunties40,44;14 twat 4,4444# ape.)4.,,,c;4 - *1446 0.14 tiu41 et 44.404-444k)6.404,i06,1 0$t)$ - 4 (-lir>V 7 t-et,2)- Aloi0r#411,1044,*taX.4=4,,,,4,411O)0/1t4:141154AT4r-4)74 itgAgrOfTV.LORRY51611! 6 t**CAtt MI '1"."al 0441614"P 7,.,.., 4L &44)°44 e44 AA*Jr4I'vvail Ott; 04Jorix,,,,/7.1040‘4,4 ki 1:.4 4,4144},dp*As,..41434,4441,44+40 4 AV 414.1.1"44.'44 4" 14.- 1111=0- * 4 f*Coliratolittt S)/3)474.0.4.41113441044 likoltAreett 111931fraV "11"/00"1"111".inglemrri_ kkumammosimrstemmusuommeam- _ _. loommemor 4 , -r-• , pow z i omry i--,f r '1.* 1'4'LO' ol.„-..-4 ape 06051,4 1 t owPrA44. ogwita i Mtchatal r 1 I ri., *,,,, i c , -- - _. _ ,t,..„,,,.. 4,044Oet JO-te*Arets,4.110111,1V 1 ` *x,m-1-7 --- -, -.- ii'" r. ., ,.,1,p1.;1,- Nitiol,e1 4,161d04.0 io'waft t ptAgie Air*oe a440444c,44 004900.0410 60 06 txtfpOil 4104.) ) * AiriArTleflANICtifrIlirSirninainam ,..-MI,MairvoWtailiairitt 444 ' PraOS hiaillilriAff#01.44r)biL101e VatiNto 04,1111 .4.P.4.1firWiWit ANII*OraY • ursiviteloworo?corm**0 OCIbilialit Wrir '...-1 , •:: ' . .'s 1 3 46 0MP H/SwS C ION, COMPLETE THIS,SECTIOND E ON' _LIVERY ' • Complete items 1,2;and 3. A S uo-nde.... /� p 0 Agent • Print your name;andaddress on the reverse • W!.< 2-2 so that we.can return.the card to you.- r 0 Addressef • Attach this card to the back of the mailpiece, B. Recei b-(Printed Name) C. Date of Deiiverl or on the front if space permits. /77&1(_ __-1 1. Article Addressed to: ':,::?7,,`� D. Is delivery address differ ❑Yes eleY �.n b'o (� If YES,enter delive ¢tC{r� � . 4 o �5 t,Je1c,�- _+, :,��:. k c'.1-I or-e I C R .a.jS 33 NOV 0 0 2021 3. Service Type ❑Priority M I Expres O 11111111111111111111111111111111111111111111 Signature0 Adult Signature 0 0 Adult Restri ed Deliv 0 Reg eeryed Mail er TMestrictE 0 Certified Ma ❑Certified Mail Restricted Dell ery ignature nfirmationl, 9590 9402 6766 1074 5554 26 ❑Collect on Delivery 5� ign Confirmation 2. Article Number(Tiansferfrom_ser ice_Iabel)___.._- 0 Collect on Delivery Restricted Delivery estricted Delivery 7 118 3 0 9 0 0001 9562 3802 stricted Delivery • PSI Form 2F 1 1 1:h 11v'9n'f)PGN.ian_n�_nnn_4n4a1 III I r)nmactic'Return Receipt USR r c ;# ,:• First-Class Mail 161 Postage&Fees Paid 111 USPS Permit No.G-10 9590 9402 6766 1074 5554 26 United States •Sender:Please print your name,address,and ZIP+4®in this box PostaJrvb Carlyle 16 Laiei Prurcyc: nc afSoP IhpIIiij),Ill:)II,)ii)lI'1)11i1}1I))')11'I)))il),I))")1)II)Il) U.S. Posta ervice • CEI3VFIED MAIL° RECEIPT • Dc.,mestic Mail Only • For delivery information,visit our website'at www.usps.com®. °° nip' E. XI Certified Mall Fee n $ $3.75 0035 rExtra Services$Fees(check pox,add feel; 2 ) rlr� ' 0 Return Receipt(hardcopy) $ Y 1 t„0 I ❑Return Receipt(electronic) $ $11,11[I Postmark ❑Certified Mall Restricted Delivery $ llfl Here l ❑AduSignatureRequired $ ❑Adult Signature Restricted Delvery$ • $6'00 r� Postage • $0.58 nTotal Postage and Fees 11/02/2021 •• $ $7.38 • Sent To StreetandApt NE'.,or PO box Aro. ' ' . 7 r. City,State,21P+4a . . ' .. ' -am inn{-i .nICHI J c F.v VIYCJ%IA wI11wrn MU ucncuLJ. r A receipt(this portion of the Certified Mail label). for an electronic return receipt,see a retail r A unique Identifier for your mallpiece. associate for assistance To receive a duplicate i,Electronic verification of delivery or attempted return receipt for no adronal fee,present this •delivery. USPS®-postmarked Certified Mail rrrelpt to the IArecord of delivery(including the recipient's retail associate. 'signature)that Is retained by the Postal Service" -Restricted delivery service,which provides for a specified period. delivery to the addressee specified by name,or to the addressee's authorized agent mportantReminders: -Adult signature service,which requires the i You may purchase Certified Mail service with signee to be at least 21 years of age(not First-Class Mail'',First-Class Package Service°, available at retail). or Priority Mail°service. -Adult signature restricted delivery service,which ,Certified Mali service is notavailable for requires the signee to be at least 21 years of agr international mall. and provides delivery to the addressee specified Insurance coverage is notavailable for purchase by name,or to the addressee's authorized agent with Certified Mail service.However,the purchase (not available at retain. of Certified Mail service does not change the •To ensure that your Certified Mall receipt is ,insurance coverage automatically included with accepted as legal proof of mailing,it should bear a certain Priority Mail items. USPS postmark.If you would like a postmark on For an additional fee,and with a proper this Certified Mall receipt,please present your endorsement on the mallpiece,you may request Certified Mail item at a Post Office-for the following services: postmarking.It you don't need a postmark on this _-Return receipt service,which provides a record Certified Mail receipt,detach the barcoded portion of delivery(including the recipient's signature). of this label,affix it to the mallpiece,apply You can request a hardcopy return receipt or an appropriate postage,and deposit the mailpiece. electronic version.For a hardcopy return receipt, \complete PS Form 3811,Domestic Return •`Receipt;attach PS Form 3811 to your mailpiece; IMPORTANT:Save this receipt for your records. rm. (Th c, Z.b . _ 4/1 44- 44e- 14evid'iej- ) W 1__ 't;tat' Ai-.71/A 4 606s,- /416-A--5 pi;A. 46,r7tly /27: 6- Aii0L b4114- Li_ 6 err; Aw cot:xi/ -ine A-I olft‘ e).Q4,1ihi1iN6). Cke - oz c/g-I/ tyttd Le. 747e K"`"1-5 cf0A1kvC .1^e Gi e A.,,,t) 19LL . m-A,CLi cA)44-. & iced". 74/ A515 -191A, 1 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: ' S Z L -- eZ Address of Property: - 5b.� tie ad C -ee L /�ri1,Y�}1G� 71�C� Z� c y Mailing Address of Owner: S 44'i l£ Owner's email: Owner's Phone#: Z a) Z/ 4/6-g / Agent's Name: A.(.a) )t oler-13.0 f' Agent Phone#: ZSZ s D b'5.? Agent's Email: tole V rl t)e e_& /4 h 1'44L , Cow ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Owner) I hereby certify that I own property adjacent to the above referenced property.The individual applying for this permit has ' shown on the attached drawing, the development they are proposing. A nption'or drawing, wi sions. must be provided with this letter. I DO NOT have objections to this proposal. I DO have objections to this proposal. If you have o jections 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be contacted at(252) 946-6481. 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 . k ou must sign the appropriate blank below.) I DO wish to waive some/all of e 15'setback Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15'setback requirement ini is the blank) • Signature of Adjacent Riparian Property O • Typed/Printed name of ARPO: deo/1.5 e r/� ✓�I-1�-� %�r-- i) Mailing Address of ARPO: &- "+��� al• L.GAte am 3 S 3'3 ARPO's email: ARPO's Phone • Date: *waiver is valid for up to one year from AR • e* 1 e LL B r�t� ((tcfe 4eitt_rd May 2021 1 ,4 74/171/4.1-r- . 7 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION � 9 Name of Property Owner Requesting Permit: `;?fh4rA 4- �J14f Mailing Address: ��OS �u dcy CieeL /`i'(/t�J� Phone Number: ' 5- Z Z) ct 4L? • Email Address: I certify that I have authorized F t,J'e4 I ( ti°M b�-� L<< Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: j7 RO f ko - L o 9 w (-t%, zo r Zv vT-e) 1iv) Lr•�� at my property located at $ 0 S— irht dar C re e.i( in /3.62Auggv4" County. 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