86499A - Gobbi, Richard

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°`"�®CAMA ❑ DREDGE & FILL N9 86499 �' e c D
pe
GENERAL PERMIT DatePrevious
it
jssued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authortxed by the Sate of North Carolina. Depermiem of Environmental Quality and the Coama! Rwources CammWIon In an area of environmental concern pursuant to:
I SA NCAC lif - % 2 co ❑ Rules attached. ® General Permit Rules available at the fallowing IInIc www.dea M eo+d['n�ti+i ndX
Applicant Name K ', c htxrA Q66 Autho,tzed Agent -U k ! 11 �Q4
n I0Ce°ansjcre 1'ha ,j,..
Address '?, O. QpX aq3 Project Location (County): ew!", "-
City PU021 Hill State NC ZIP 219 Jam% Street Addr*sySaae Road/Lot #(s) \ 0�
Phone # (10J) ibt''j - % %101.5
1 vt'k el.S _
Email r tCaa.r n. .nrtl7ni 11�04�ii. Om Subdivision 5C[rtGh `^ialI ? V� -
v city Meynj Zip ai4S'r
Affected ❑ CW Kim [RPTA ❑ ES ❑ aTS Ad). Wtr. Body ( ❑,/� j1�f _ S ( )
AEC(s): ❑OEA ❑ IHA ❑ UW SPIMA ❑PWS Closest Mal. W11 tr. Body ,mn r-lp 56k1i
ORW: yesf) PNA yes
Type of Project/ Activity Cc I Cyr k (o, gi er W % LOr X t� di �•�,y Q t,�
Ut ! Z, f co, V1 (Scaler~
Shoreline Length +I- i 2t1
.-. 1
ACCe55 Length F
Pler (dock) length ���I r ?cam/ 1 1
Fixed Platform(s) (01 X10I
Floating Platform(s)
Finger piers)
w
1
Ir
Total Platform area
Groin length/#
Bulkhead/ Rlprap length
T- t
Avg distance offshore
�- t-�-t---t•-�t-
Breakwater/Sill
l '
Max distance/ length-'-
Basin, channel
�.
I, I l l r l
Cubic yards
Boat ramp
Boathouse ad' 14 , x I Z t I 1 1, I
Beach Bulldozing
I j
Other
I I
7 i 1 1
SAV observed:
Moratorium:
Site Photos:
yes i1
yes no `g,}� i
" '
no -X`rl
Riparian Waiver Attached:
yes
A building permit/zonhng permit may b required by:
Permit Conditions
ff
-.t.-
❑ TAR/PAM/NEUSE/BUFFER (dnck one)
❑ See irate on back regarding River Basin rules
❑ 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) % i!
Agent or RI Name Permit is INTED Na�'�/,
L
signature' Please compliance statement on back of perm it- • Signature
601 2/ ry/ZZ b/ S�/Z 2
Application Fee(s) Check N/Money Order Issuing Date Expiration Date
I

AgENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 2+ Can rd aG o i
Mailing Address:
Phone Number:
• �• .
MfYViA giII 4CIj
2'ta5�1-d2�3 —
301-704-4017
Email Addmss:
1
♦ ♦ i lCcili-raC19-0
J ' Agent/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 51001 "A I k&)a%j
at my property located at w ,(t ill
in CJer:!Jc. County.
1 furthermore certify that / 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
Richard Gobbi
Print or Type Name
Tine
Nov 171, 2021 /
Date
This certification is valid through l I

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVEBY
(Top portion to be Completed by owner or their agent)
Name of Property Owner: r l�L%1Lt d ro wot
Address of Property: _193 Que -SVk 4.A,) It H•ey-yw H 1, It _ NC. 2-1 qsj
Mailing Address of Owner: IP.Q. 6:9c 2143 A1tr✓ "i tl IJC 2--Ka]—CZ43
� 2 r��
Owner's email: rishEerd. a+D�b;P1ina ur*,t.w3rOwner's Phone#: l Iv-1 " 40 1-1
Agents Name:. Ali QiAm LOCeartS1k etAGAgent Phoned
Agent's Email: octanslde.�j,n�ltT�
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom portion to be comMeted by the Adiac-ent Pfonerty Owner
I hereby certify that I own property odjaoontto tho above referenced property. The Individuai applying forthia
permit has described to me, as shown on the attached drawing, the development they are proposing. $
1 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 notffy the N.C. Division of Coasm
Management (DCM) in writing within 10 days of roceipt of this notice. Corrocpondonco should be
mailed to 401 S. Griffin St., Ste, 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the some as no objection if you have bead
notif/ed by Cettffled Mail.
WAIVER SECTION
I understand that any proposed pler, 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 dprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the IS' setback
Signature of AcUacent Riparian Property Owner
r•. A
I do not wish to waive the 15' setback requirement (initial the
Signature of Adjacent Riparian Property Owner!
Typed/Printed name of ARPO:
i
Z
Mailing Address of ARPO: %,d ( '1L
J ►"tt-IA-� ,� � rdc S 1 lc czm IQ c - 4 a' -za �
ARPO s email: m 1 C� P ,-, r= ARPO s Phone#: inf; 14 6 J�tjI
Date: � _*walver Is valid for up to one year from ARPO's Signature*
Revised May 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONtWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUTED or HAND DELIVERY
(Top portion to be completed by Owner or their agent)
Name of Property Owner: " rd a0 wo,
Address of Properly. Ion Quetzlsgzgl� r mf±��1 i( iVC 2'145�
Mailing Address of Owner. PQ 6w- 2y 3
Owner's email: f►.a ao4!1jfDlinuMLL2nowner's Phonat _
Agents Name: Yic�% 'dcent Phor
Agents Email: 0C-eAA,,iJt rAarn'rtitlp P Gina; t . WM
ADJACENT RIPARIAN PROPERTY OWNER'S
(Bottom portion to be completed by the Adia�e
I hereby certify that I own property adjaoent to the above referenced F
permit has described to me, as shown on the attached drawing, ti
descrirtiion or drawina. with dimensions. must be provided wtth this
I DO NOT have ob*Wns to this proposal. I DO
K you have objections to what is being proposed, you must
Management (DCAV in writing within f0 dayr of roceipt of thin
mailed to 401 S, Griffin St, Ste. 300, Elizabeth City, NC, 27901
contacted at [phone]. No response is considered the sa
nottfled by Cotified A149.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ra
groin must be set back a minimum d'istanoe of 15' from my area of
(this does not apply to bulkheads or dprap revetments). (If you wis
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
S#Wure ofA49c&# Rif
-OR-
I do not wish to waive the 15' setback requirement (Initial the blan
It
o
of v 'x
iV a E ..
stm
E :5 V cc
cio`r�dE
Signature of Adjacent Riparian Property Owner: _
Typed/Printa d name of ARPO: (kdO tk &11+yLt M P AA S5e [ (
Mailing Address of ARPO: 1 7:? -1 N k+'� 5hy e e . YJi AdSQ-N C 27gb-Uglta-A
ARPO's *mail:
ARPO's Phoned(:
Date: "waiver is valid for up to one year tram ARPO's Signature*
J
60
N
ReviSed May 2021
I

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: 11� i (-Y\o (d a)hj
Address of Property: I0'�) �Ule�,rSVJeLAJC�-, MC4,f.A 1�� �JC 2-1251
Mailing Address of Owner: PO box 2s-l�jl Me{, -(A H i it L 2195l - oZ4-7
Owner's email: r,`rtv_z��;12 Owner's Phone#:
Agent's Name: lt,a[LA a?a.rc;A " Agent Phone#:
Agent's Email: OCtcu 5.c1 >!. �or1 iYac-�, (off✓V1q i (" Gt� . I
ADJACENT RIPARIAN PROPERTY OWNER':
(Bottom portion to be completed by the Adiact
I hereby certify that I own property adjacent to the above referenced 1
permit has described to me, as shown on the attached drawing, ti
description or drawing, with dimensions, must be provided with this
I DO NOT have objections to this proposal. I DO
K you have objections to what is being proposed, you must
Management (DCM) in writing within 10 days of receipt of this
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27901
contacted at [phone]. No response is considered the sa
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ra
groin must be set back a minimum distance of 15' from my area of
(this does not apply to bulkheads or riprap revetments). (If you wist
the appropriate blank below,)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Rip,
-OR-
I do not wish to waive the 15' setbacK requirement (initial the blank
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: NjA i Ll/e i' prt,SP(vartc4
Mailing Address of ARPO: giar wel Sl 5 � DuiharA �-.2-7--k:)1
ARPO's email:
Date:
ARPO's Phone#:
'waiver is valid for up to one year from ARPO's Signature"
Revised May 2021
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__ _a Parcels bertie_nc_parcel_annotation Green: Green-te,�,1
0 0.01 0.0"I 0.07 km
County Boundary Orthoimagery_2020 � Blue: Blue .2� IT5-7
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Red: Red ,gr<�I1,'Weh Appitmldcl
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103 Queensview Ct