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Home My WebLink About84611C - Hawkins, AdamJ�CAMA ❑ DREDGE & FILL GENERAL PERMIT No 84611 Previous permit Date previous permit issued A B(C `D ,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: wwwdec.nc.gov/CAMArules Applicant Name Address City H_ . Phone # ( ) (), Email Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no PNA: yes/no Type of Project/ Activity 5h . !: Authorized Agent .Project Location (County): (. 0 6-,-/ I Street Address/State Road/Lot #(s) Subdivision City 1, Adj. Wtr. BodyY /t�'L(ci"c !- Closest Mal. Wtr. Body,\ (Scat Access Length Pier (dock) lengtht Fixed Platform(s)MI ME INS �:1l:� ...1 ■ Finger pier(s) M M Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Max distance/ length Basin, channel Cubic yards ramp Boathouse/ Boatlift On Kim OEM M EMEMEMEME No ME :Boat ::::::::: a :��9.::.:.a:...........� :I:"a Othert: :::::ESAV observed: yes no Site Photos: yes no I � �114 RlDarian Waiver Attached: ves no ..: A building permit/zoning permit may be required by: Permit Conditions 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. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** LJ Signature Application Fee(s) Check Jt/Money Order Issuing Date Expiration Date �]CAMA ❑DREDGE & FILL 3 GENERAL PERMIT ®New ❑Modification ❑ Complete Reissue ❑ Partial Reissue No 84611 Previous permit Date previous permit issued A B C D 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: wwve.den nc gov/CAMArules Applicant Name - Authorized Agent Address f'i Project Location (County): City State ZIP Street Address/State Road/Lot#(s) Phone # (_ ) Email Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ Closest Maj. Wtc Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: ) MEMORIES SOMMEM MON =1110 11100 1 �ii■iiii1 E No■�C■■■■�eii�■■■■■■n■■■� ■ ■■ii� ■■ ■■� ■■■ ■■ ■■■ � C EC...11 IN .�CC� ■■■ -.:.. ■:�■®■■■■■■■rrnil.I on ,■■■■■■■■■ ■■■ C.. ■■■■■■■■I•I■■ 00 ®■.■� ■�.■ ■■■ ■ ■■■ ■.. ■ C ■■■ �ME 1M■1■.�. ■■C�C ...�A.�C� ■■■■■■ ■ ��{A■�■■■■■■■n ■�It�■■�■ ■■H■■■�■■n■■I■■■■■■Ifs®■�iQi■■■■■■■ ■ ■■■■ii�i■�0n1! C... ■■■■... 11 i■■ PE■■■■ ■■i■■.■:iC I.i■11 m.■CC■■■■li■ ..�■■.■ .■■. ■■.®I■■■■■■■■■■■■■■■■■■■■ ■■■■■■■1■■■■I■■■■I■■■■■■■■■■■■■■■■■■■■ 0■■niii ■n■M=ME®i■iiii�iiiiiiiimom .�I�..■■■�..■■C■■■■■■SEEM■■■■■■.■■■Site Photos; yes no SAV observed: yes no Moratorium: n/a yes no f NMI .. ■■.S■■■ 11 ■■■■■■■ A building permit/zoning permit may be required by: Permit Conditions 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. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" ��/y Signature / Application Fee(s) Check p/Money Order Issuing Date Expiration Date Postal Service'" L RTIFIED MAIL° RECEIPT stic Mail Only ivery information, visit our website at www.usos.comt, srt M m —0 C3 C3 C3 C3 0C3 ul r-R O ry i-'Kra ■ Complete items 1;"2;'and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1 • Article A dressed to: Illilllllllllllillllllllllli IIIIIIIIIIIIIIIIII 9590 9403 0457 5173 7810 85 -"..-1-1 r,Mnciar rrom SeNlce 1eb.0 7015 0640 0006 3445 4227 PS Form 3$11, Apr112015 PSN 7530-02-000-9o53 A. X COVE CITI P.O. 201 E SWET BLV9 tOL&St3617TV 920662623 1-WZ75-8777 28523003 Term ID: 003 Clerk ID: 000001 sale **'.•* '"'0616 DEBIT Chip TOTAL: $7.38 03125/22 11A5:51 Inv t2: 000003 Appr Code. 962494 Receipt M 00000287 All sales find on since and Postage. Ralunds for Guaranteed W as Only. CUSTOMER COPY US DEBIT AID: A0000000980840 AC: 7E 2A 25 81 47 C8 CE 28 CVR: 42 00 00 IAD: 06011203A0A000 TVR: 80 80 04 80 00 TSI: 68 00 Adel Stan, at USPSrondshop of call 1•I00-stalro24. Ca to USPScooloAhnsldP to Drift 61infifP lebds eiA poshoe For other into cat MOO-161t4SPs. D. Is a very addmm different tram Item 1? ❑ Ye; If YES, enter delivery address below: 0 No ❑ Adult Signal ❑ Priority Mail Expresse ❑ Adult Signature Restricted Deliver ❑ Codified Male Delivery ❑ Codified O Registered M,V- ❑ Registered Mail Restricted Mall Restricted DeliveryDelivery El collect on Delivery Return Recelpt for Merchdise ❑ Collect on Delivery Restricted Delivery O Slgnatme Confrmation*a ❑ Insured Mail 7 (over$Mal Restricted Delivery (ove r SOD) El Signature Confirmation Restricted Delivery Domestic Return Receipt, 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: A011 t t CHR15TINA I-)AWkT,\35 Address of Property: 2-Q ?U21fFY u uAn-TF2 Grzi_E(< Qnr C.OU6 LITY �J.0 Mailing Address of Owner: In Owner's email: Gtick"t(e, eG e — i nG , CM+Owner's Phone#: 252-560 -92 10 Agent's Name: Agent's Email: Agent 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 for this 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 notity the N.G. Utwsion of coastal Management (DCM) in writing within 10 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 (252) 808-2808. 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\ \ \ . Signatu?"f,11d cent Ripa�roperty -OR- \mil I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: J U Ofty 4 r1ILl) EAL PVSk'AYy Mailing Address of ARPO: ARPO''semail: W16 p9gULt1S 56--gl0L-iARPO's Phone#: 20-7 l)5'-506- Date: q1 #I gp' *waiver is valid for up to one year from ARPO's Signature* Revised May 2021 � r t r ♦ .n -j U2kE�l . All QUARTER Cit 5 APPRox 250N . • SNaR� tp 5 HanC .. _3�Wp'rER s�EPrM r� • y2' ST►kucTuR!E `—Ne."!'ti " 1 PROPERTY OF ,l T 1 1 . • •`' nLt�:2 F-C>2 , AOAfhd GHR=S-rj:vjA )4Awak=NS P(ZOPKRiY C7C� PV$KATY • ,iilii��