86274A - Flaugher, Gerald

Ism
rlgSCAMA F1 DREDGE& FILL NY 86274 OB C D
GENERAL PERMIT Previous permit
wNew []Modification Ll Complete Reissue []Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concem pursuant to:
I SA NCAC 7 Rules attached. F] general Permit Rules avail" at the following link: wwWdgUnQ4Qy&A?1AnA%
Applicant Name (;_t ratd F- tCL "Qcr Authorized Agent
Address 110 Q Fr-b
Proiect Location (Cour;)_
City --R&A�PC-J St-W_AK__.___ZIP ,a-7qq1_ Sweet Address/Stitte RoadiUx #(s)
Phone # Sa q - (o I 17
110­13, Sro^)r Sli-,
Email Subdivision
City ___ZJP_
Affected L i CW pTS Adj. Wtr. Body
AEC(s): F-1 OEA 0 INA Ouw E] SPIMA D Pws Closest Mal- W1r. Body 2e_nq_
ORW: yesid PkA: yes/@
Type of Project/ Activity
X
V )c 2 1
2 4
44 h-v
CL'J 'I r,%kcJ%
C. 7( 4 %DQCk_
(Scale: 1": 'Sd
Shoreline Length tq(
Access Length
L
L
A..
Pier (dock) length 32-1 if
4 A
Fixed Platform(s)
4-
Floating Plaftrm(s)
A—
Finger pieffs)
K.
r
Total Platform area ic iz ]w
Grain len&/#
A
Bulkhead/ Riprap length AL
A A&I
4- so >
Avg distance offshore 1. 4
Breakwater/Sill _--n --------- 4----_A'
T_
Max disWncel length
Basin, channel
L
Cubic yards -iia, AQ 0 U01
I Ink I
Boat ramp
I m
Boathouse/ f-.—VA N 16
Beach Buildozi r-
r
SAV observed:
Moratorium: <2p
Site Photos;
Riparian Waiver Attached:
A building permit/zoning permit may be required by; TARIPAMINEILISMIFFER (cincl, am)
Permit Conditions
See note on back regarding River Basin rules
E-1 see additional notes/conditions on back
I AM AWARE OF STATUIIXS, CRC RULES AND CONDMNS THAT APPtY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
(Please initial)
Agent or lwo 1`cant PRINTED Name
Permit Officer
PRINTED Name
Signatur;'"Please'read compliance statement on back of permit**
SignatureV
- d2i:m. Q� 1(,04J !K
, :Vlq
Application Fee(s) Check #/Money Order
. .
issuing Date
Expiration Date

• Flo Dvc-S
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: \ 1 d t-� CrQ ( (t E EJZ�J---0 -A) (�i L r,2 ILLS
Mailing Address of Owner: �G-
Owner's email: � I`���t / 1- Owner's Phone#: 6 / ( _
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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.
%1l.. 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 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 [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
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' setbac
Sijnat a of Afijacefit Ripan erty Owner
-OR- ,
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO:
'k (J
Mailing Address of ARPO: ��� (rj' i' i1 �Si qt' v� tti^r C�T
ARPO's email• `'v (t ` kARPO's Phone#:
Date: " *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

d- SUL�L-1 V&-�
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: C eIL orLt w Ft_.-r OeTtI rQ
Address of Property: I t YV . FP-0r's l S-1 , H [—RT7,,Q9-9 - (\JC_. 2PV� 4-4-
Mailing Address of Owner: I k 0 t-A �OIlrF 5S1 HOPT 0 - IBC • C�' q-"
Owner's email: <G��e e 13 S' on- CAMP t owners Phone#: S2-L( b 2
Agent's Name:
Agent's Email:
Agent Phone#:
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 forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
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 [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
-OR-
Signature Adjacent Riparian Property 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: _ /a ��� � �� NrC{{ (� [ �WC71giiV/L4-L /VL
a o2�1
ARPO's email: ''k 1 /& 6C) ARPO's Phone#:
Date:
'waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

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3/11/2022, 8:53:20 AM
Address Points
Centerlines
perquimans_nc_misc
perquimans__nc_lot perquimans_nc_acres
perquimans_nc_easement Imagery 2020
perquimans_nc_dims 0 Red: Red
Green: Green
Blue: Blue
® Imagery2016
1:1,128
0 0.01 0.01 0.03 mi
0 0.01 0.02 0.04 km
State of North Carolina DOT, State of North Carolina DOT. Esn. HERE, Garmin,
GeoTetlrnologles, Inc. USGS. EPA
Perqurnans GIS
Fnr tax purposes only Not a "al document or survey Perqui nuns nor State of NC assurro any liability row" from use of this map