Critz, Chris 84178C

" �CAMA ❑DREDGE & FILL
GENERAL PERMIT
J NO 84178 A B (D D
Previous permit
Date previous permit issued
[y�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:
1 SA NCAC ' I • 1-.EJ ❑ Rules attached. riGeneral Permit Rules available at the following link: wwwdeq nc.gov/CAMArules
Street Address/State Road/Lot #(s)
Email Subdivision
Affected ❑CW EW ,'�PTA ❑ES ❑PTS
AEC(s): ❑OEA ❑IHA ❑❑ W SPIMA PWS
ORW:y /no PNA: ye n
Type of Project/ Activity
Shoreline Length u U
Access Length '
i
er
Fixed Platform )
Fixed Platforms)
Floating Platforms)
Finger pier(s)
Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
rviax instance/ iengtn
Basin, channel
Cubic yards
Beach
Other
City
Adj. Wen Body
Closest Maj. Wtr. Body
L
/.i Din cJf e)/1
krawj1130 by WE6G
N11 7/fQ0a1 6
SAV observed: yes
Moratorium: n/a yes
Site Photos:
Riparian Waiver Attached: yes no A building permit/zoning/perntt may be required by: F-) n`p
, � f I oy1 a�J
❑ TAWPAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back

Name of Property t wrw Requesting Permit: e"" (Q rT1
Mailing Address: �Z28 SAtstR '?A-TP K-t>
11�1t �1J�L SF+OQt�� N C z b 5 Z
Phone Number: G 1 c)-Cr 1 2- 19 3 S
Email Address: CCIP+er Aev- @ Vp"w'Cuk , W^^
I certify that I have authorized A,,i Dec: V-1i;W
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits
necessary for the following proposed development:
at my property located at Zze SALTEt'R Pknt I?� , Td, �✓ S S,ti�
in I0Ae-T�--2.tT County-
1 furthermore certify that I 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 inthrmation related to this
pemW application.
Property Owner btfornwAon:
C,,lt4S-4PA4tztZ G. (a -TZ
Print or Type Name .
0NA/ .4&-k-
Title
p i I 2A) 120 2.L
Date
This certification is valid through 0 (, 1 0 1 1 Zv LL_

N.C. DMSION OF COASTAL MANAGEMENT
MPAIGAN PROPF_Ri OWNER MOTIFICA710NIWANER FORM
fil�IADJA,I-
I�f l�l ,lnN 2 0 BIMj ` fJ op porfion to be completed by owner or weir agent)
Name of Properb Otkw.
�'NRjf
foPgt'tt:
/ lZ
— - Address of PMPW.
ZZO
SgcTe-c Y,v�N �av
�i KN°U SNNCFS NC —
MaiYng Address of Owner SPmt As .46yE
e,,, ec p,,,,rm* 9/0 - ga - My
owner s eum
Agent% Name: 4&vw Pta
AgentPhoneh' Zs2-495-q-q."F
� NO1 .14 . • •:1Ham.
1
! .1.6 SL .'i;.. . 1LL' '_L•�.LLaI
ItwebycobdyVudIown properlya*cwttothe abovereferencedproperty.The irrdwrdWWplyngf #As
peme't has desalmd to no. as shorm on the attacked drawing. #0 devOMPment they are PrePOSN- A
I DO NOT have objections to this Proposal.
M tw 11 0 M 1111
at(M 8064 M No respome is
CerlBied ArM
I DO have objedtom to this Proposal.
)oaeq year runs[ nary are arc. ransrorr or GOMM
orrec*corMkaoft& Camspnadence should be
NC2M7.0='* ammel ira'Caaakobecorrfatted
thesaoeasnoatjasii, NyoahM6een. H Medby
WAIVER SEC7M
I understand that mry proposed pier. dodr, mooing piirgs. but ramp. breakwater, boathouse, Mt, or
groin amst be set bed* a rnlydrnum distance of 15' fmm my area of riparian acoess ordess waived by me
(this does not apply to buld*eads or dprap revabrranls). (If you wish to waive the seVA k, you gust sign
the appropriate blank below.)
I DO wish to waive some/ag of the 15' setback
I do not wish to waive the 15, setback requirement
Signature ofA48md Riparian Property Owner:
TYpedJPdntedmN OefARPtx_%ow>J of PNE' KA&G 5,a6eeEs - 3rrp,v Kruh,F,c
gk9AddressdARP0:/OD /yfuNlG/OnG L/c E77,^�4-04c SuO/((t /vC Z$S/Z
ARPWa ft"L.• ARPO's Phone: Zs' Z V? 5 3
Data: /- Zo Zb22 .may k VWW for to ore
uP jroarirom ARP'O•s Sigrtthme
Revised bay 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTWICATIONNYAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
1KIS
tOprl X
407-Z
Address of Property:
ZZ�
5406A Prr&
YWP FirvE 4Var. SN0916S NG
Mailing Address
"of owner. Snare M Agor•C
Owner's email: r a A(' f., Pr �� Wfisw t co
OOwner's Phone4: 9/0 -
Agent's Name: _'f" D2! 14ISS Agent Phonet: Z5 2 - 665 ' y378
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
@Ottom Portion to be Comokted by the Adi scant ProoeM 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 m1h wns must be Prrndded with this letter.
I DO NOT have objections to this proposal. 1 DO have objections to this proposal.
H you have o6liacUons to what is being proposec( You must notYy the N_C. 0/vision of Coastal
M+nsgemem (DM it w hing within 10 days of receipt of His nofim Correspondence should be
mailed to 400 CorrarwrceAve., Morehead City, NC 28667. DCMrqpreserrdtiws can also be contacted
at (252) aOfldaOt. No response is considered the same as no ob/ecdwr if you hares beer► notHied by
Certified MaIL
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings. boat ramp, breakwater, boathouse, kf1, 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 bukheads or riprap revetments) (H
Y
the appropriate blank below.)YOUwish to waive the setback; yogi must sion
I DO wish to waive some/all of the 15' setback
n�a
Srgr MIUM of Ar liscent Rparian FioPa►y Owrttrr
I do not wish to waive the 15' setback requirement (initial the dank)__
Signature of Adjacent Riparian Proparly Owner. �J�
TYPedlPrintednameofARPo: AvAJ*i kXjv7— M I LGQvM 1�l/
Mailing Address otARPo: 43.2 C b �(dJ ) �� A � � '1
ARPO's email: 6 ( jZfalyt �� L 9 ARPO's ! O
PhaneY: 72
Date: 'ygNBf 1a Vaud for Up t0 orte
Year from ARMS SignatuW
Revised May 2021

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