Winbourne, Curt 84359C

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1°``°"St4e&I n,CAMA ❑DREDGE &FILL 9 84359 .,., A g c b
G E N E RAL PERMIT Previous 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.deg.nc.gov/CAMArules
Applicant Name .t .
Address
City f i -' I State zip
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) -
Subdivision
City
Affected ❑ CW ❑ EW ❑;PTA ❑ ES ❑ PTS Adj. Wtr. Body
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length f / 1),
Access Length
(. �r
3
Pier(dock)length
Fixed Platforms)
/
;11
Floating Platform(s)
Finger
pier(s)
Total Platform area
1
Groin length/#
Bulkhead/ Riprap length
-
--
Avg distance offshore
Breakwater/Sill
m
I
Max distance/ length
Basin, channel
Cubic yards
i
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
nk)
(Scale:+ �)
SAV observed: yes no
Moratorium: n/a yes no T'
Site Photos: yes no )-
Riparian Waiver Attached: yes no %f «(, `- --
A building permit/zoning permit may be required by: i - "' ' z,,1 ❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
J . ❑ See note on back regarding River Basin rules
r-
r —� ❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

1* oj COAR41 EICAMA F-1 DREDGE & FILL N9 84359 A B C D
Previous permit
4. GENERAL PERMIT Date previous permit issued
0 F-1 New F-1 Modification D Complete Reissue F1 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 SA NCAC FIRules attached. F-] General Permit Rules available at the following link: www.deq.nc.gov/CAMAruIes;
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone #
Email Subdivision
ZIP
Affected El C%f EIEW [71, PTA
AEC(s): F-] OEA ❑ IHA [J'UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length i f
Access Length
Pier(dock)length
Fixed Platform(s) .)I i
Floating Platform(s)
Finger pier(s) ------
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
FIES EIPTS
❑ SPIMA ❑ Pws
LY
Adj. Wtr. Body (nat/man/unk)
Closest Maj. Wtr. Body
I
(Scale:
'ITSAV observed: yes no
7 i _.- - ----.. ._
Moratorium: n/a
E
yes no
. . .....
Site Photos: yes
n
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: F❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions J.
0 See note on back regarding River Basin rules
ElSee additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTtD Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

Styron, Heather M.
From: Curt Winbourne <[e-mail]>
Sent: Tuesday, December 7, 2021 1:18 PM
To: Styron, Heather M.
Subject: Re: [External] Info.
Attachments: Calico Pier Completed Forms.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Sparer.
Heather,
The completed forms are attached. Thanks.
Curt Winbourne
Manufacturer's Representatives
252-363-6092
www.engineeredfluidsystems.com
On Monday; December 6, 2021, 10:04:42 AM EST, Styron, Heather M. <[e-mail]> wrote:
Thank you.
From: Curt Winbourne [mailto:[e-mail]]
Sent: Friday, December 3, 2021 10:20 AM
To: Styron, Heather M. <[e-mail]>
Subject: Re: [External] Info.

CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam,
Heather -yes I did. I'm getting with my neighbors to complete. Thanks!
0
Curt Winbourne
Manufacturer's Representatives
252-363-6092
www.engineeredfluidsystems.com
On Thursday, December 2, 2021, 02:32:59 PM EST, Styron, Heather M. <heather.m.styronancdenr.g_ov> wrote:
Did you receive this email from yesterday?
From: Styron, Heather M.
Sent: Wednesday, December 1, 2021 1:06 PM
To: Curt Winbourne <efsinccw(cD.yahoo.com>
Subject: RE: [External] Info.
I see the neighbors signed the waiver section but they also need to fill out and sign the bottom of the forms

From: Curt Winbourne (mailto:efsinccvv(c�yahoo.com]
Sent: Wednesday, December 1, 2021 12:32 PM
To: Styron, Heather M. <heather.m.styron(ancdenr.gov>
Subject: [External] Info.
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.
Sorry about that. This should be correct.
Thanks
FMI
Curt Winbourne
Manufacturer's Representatives
252-363-6092
www.engineeredfluidsystems.com

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPAAIRIARPROPERTY EC ©PTNER REQ �STE AorIOHq HAND FORM
CERTIFIED M
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
1, i ( � C " z
�If
k '_
Mailing Address of Owner:
j
'' ` ner's Phone#:
Owner's email: (?,IS
Agent's Name:
Agent Phone*
Agent's Email:
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
.,, —+ hA nmviripH with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
_....—.—.-- ..... ... _—.._.__, _._
you have objections to what is being proposed, you must notify the N.C. Division ofCoastal
ould
if
Management (DCM) in writing within 90 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557, DCM representatives can also be contacted
at [phone]_ 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; i
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
t_.
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: <" . , 1-72 l 1-2�
z
t y t
Mailing Address of ARPO:,�.---(;—
�ty V-46"i'Phone# k5` , - ; r ��
ARPO's email: '�- 1 -) L - -=
l _
Date: " / L "Waiver is valid for up to one year from ARPO's Signature*
(�, Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN OPER
RTY OWER NoTIFICATI0t41WANDDEAIVER FORM
CERTIFIED MAIL - ECEIPT NREQUESTED or HLIVERY
(Top portion to be completed by owner or their agent)
Name of Property owner,
CrtyAle--
Address Of PrOWIT
mailing Address of owner, -5 -2 601—
owner's email'. _e:E$- owners phone#. 43----
Agents Name:
Agent Phone* -
---------
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
portlonto be LppleLed!Vjt:he�kiii�RtPro �""er
Taltmm i hereby certify that I own property adjacent to the above referenced properly. The individual applying for this . a. A
j
permit has described to me, as Shown on the atted gdaohdrawing, the development they are proposing
rovidv Lt h his le�ttel,
dqg§0ption org �win with dimensiognImust be p—
� Do NOT have objections to this proposal. _ I DO have objections to this Proposal.
must notify the N.C. Division of COastaf
---y- --jo—whiji-is—beint
Tf you have oblec ions dance should be
Management (DCM) in writing within 10 days of receipt Of this notice. Correspon
can also be contacted
mailed to 400 commerce AMorehead City, NC 28557, DCM raPrOsOnt0tives d by
at (252) 808-28o8. No response is considered the some as no objection if you have ben nOtifhied
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, Mooring pilings, boat rampt breakwater, boathouse, lift, Or
groin must be set back a minimum distance of I 6from 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 n!42L1n
—iq—
the appropriate blank below,)
I Do wish to waive some/all of the 15'se"thack
Signature of rtjacon f2i an property owner
-OR-
I do not wish to waive the 15, setback requirement (initial the blank)'
2
Signature of Adjacent Riparian Property owner. ner.
ti Typed/Printed name of ARPO'—
e o
Mailing Address of ARPO:
VA ARPO's Phonel
ARPO's email: aft(
at,: LRC—C-7-1—*waiver is valid for up to One YOar from ARPO's Signaturo'Revised May 2021

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