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Home My WebLink AboutSea Isle Plantation N. HOA 84152C#F]New ❑CAMA [IDREDGE & FILL NU 84152 A B C D Previous permit GENERAL PERMIT Date previous permit issued []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: r . I SA NCAC ❑ Rules attached. �, General Permit Rules available at the following link: wwwden nc gov/CAMIArules Applicant Name I-- ?f f" / a l i4 1 1/t ,� {- I 1 � A Authorized Agent t - ' Address g i ] Project Location (County): City Instate +J`��.ZIP - /�/ Street Address/State Road/Lot #(s) Phone#(_) Email Subdivision l� ' City :,"',(-:';w ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body, f % 1 (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wt, Body ORW: yes/ho PNA: yes/no Type of Project/ Activity et.5 (Scale: (. ) (dock) length Fixed Platform(s) n iPier i ■■. ■ V ■■■■ ■ ■■ ■■ Ell �� ■I, ■■ ■■ ■�■■ ■ Floating Platform(s) Finger pier(s) ■. ■■■■ . .ui■ . so ME W. ■� :®N::: A building permit/zoning permit may be required by: Permit Conditions ' ,'1 ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note 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. Agent or Applicant PRINTED Name r,. Permit Officer's PRINTED Name •'t Signature**Please read compliance statement on backof permit** Signature Application Fee(s) Check k/Money Order Issuing Date (Please Initial) ' Expiration Date aotcouar ❑CAMA ❑ DREDGE & FILL ti N9 84152 A B c D Previous permit . GENERAL 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: Rules attached. ❑. General PePermitW Rules available at the following link: vdeq.nc.gov/CAMArules ISA NCAC ❑ Applicant Name r . ' t ' 1 1 Authorized Agent Address Project Location (County): Clry State ZIP �, Street Address/State Road/Lot#(s) - Phone#O - Email Subdivision City ZIP Affected ❑ CW ❑ EW Q PTA ❑ ES ❑ PTS Adj• Wtr. Body (naUman/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body ORW: yes/no `. PNA: yes/no , / Type of Project/ Activity (scale` ■■■■■ ■ - SEES■■ ■ S■E■■■ ■ M aES■■■ONMM■■■■■■■■■ INS ■� ■■■ CAM■■■ ■ESS■■M ■■SENSE ::■ :::■ ■�■S■ ■i ■ ■■ SS:■:.■■.:■1AIS■l,:■::::.:■■..::::::: Floating Platform(s)':: EN EMONSME :S:s::om:s ■.C�m: III �::A::::::m:::::m : ::::::::::mos .:. amME■■■ONN■■■■S!.FWM 0 ■■■■■S■ iil7■■■■■■■■ ■; EMEM! ':oE■O iN■iii■..■io■u:`i■'■� :: 1 � :Nmollimmmmlim on HERMES= ■' E gym: N :EMER" �: ES EMI Ion i. � :®m�ESSE =EEI NE:N OMos BEEN NJ on M E ::■..■ME .es .....:..........■. SAV observed: yes Photos: Y ?Anp s:�:::m■ s::::mom::� :::::::� ■ ■ ■ ■ .MEMOSite ■. A building permit/zoning permit may be required Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules 1-1 See additional notes/conditions on back AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) U" (. Agent or Applicant PRINTED Name Permit Officer's PRINTED Name t Signature "Please read compliance statement on back of perpnit" Signature - Application Feels) ICheck Jl/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: IJv !? i r iv �• TG�--L Phone Number: Email Address: I certify that I have authorized �i� (Carob SS� n ......11 r`nnrr�rfnr to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Ro-xi-" at my property located at C4% Ste.' _ KI t> inefltf , j�z Lz. -Lj County. I 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 information related to this permit application. Property Owner Information: Signature Hie '• [ /'e L��t" � Print or Type Name Title l 7Z- Date a� `/V5y This certification is valid through 1 I RECEIVED FEB 2 4 2022 DCM-MHD CITY l-t ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to Z c iGY �r. t�� u �� s (Name of Property Owner) property located at k --"I- (Address, Lot, Block, Road, etc.) (Waterbody) (Cityrrown and/or County) The applicant has described to me, as shown below, the development proposed at the above location. f 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development mustfill in description below or attach a site drawing) b CS— 7o�tc--�' �lw Hve Zy'tlt j >_ ;fir (17 Or t l Lt'i FNI C Et/ `SOt WAIVER SECTION I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.) _'53 NA,,_- I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) "i Signature 1ZiC1�`• �!sR'tLtrr1 Print or Type Name z ' -I & ZGC> .. C, -X& 3 ct:k Telephone Number/email address 7.1Z1kZ'2- — c"A L, co M *Valid for one calendar year after signature` (Adjacent Property owner Information) A'oCU'1f� I imllM�lti-> Signaqture* `fit 1 SQY) Zvi i 1 l 5 Url Print or Type Name , , n T1�1 C_Z"7 f 4 d0"tiAktn@-a0l . wt-q (RevisedFAWOMFED N� FEB 2 4, 2022 DCM-MHD CITY- ADJACENT RIPARIAN PROPERTY OWNER STATEMENT t hereby certify that I own property adjacent to —5- iC K r ' T_-' s (Name of Property Owner) property located at (Address, Lot, Block, Road, etc.) on_�p SSifi._ Ati, cA — cin 1 v—hrc f�>flE�"�'rN.C. (Waterbody) (Cityrrown and10 County) The applicant has described to me, as shown below, the development proposed at the above location. v� I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) o Zs"— Fxiac-��tz S><�3L J rr_ t4- zH ,a s �� 3 t� alp tz,L Vz t- L_E_� i Ac_-t ti WAIVER SECTION I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.) L I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property O/w�nerrIInformatio 5'1g4qtUre Print or Type Name ; Mailinq Adgress 3 ! I email address 2 1;?.t 12,2 'Valid for one calendar year after signature' (Adjacent Property Owner information) (Revised Aug. 2014) FED 2 4 2022 UCM-MNC) CITY