Flannery, Kevin 84546C

d at" [CAMA i :; DREDGE & FILL '_ 9 84) A a CC. D
Previous previous GENERAL PERMIT --
Date previous permit issued --
L%New EjModification 0 Complete Reissue ❑ Partial Reissue
As authorized by the
SSmte1off North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern Pursuant to!
I SA NCAC — "4 r '� t 0C � Rules attached. LU General Permit Rules available at the following link: v�d c-g9y e
—. __._ l_....r gq,.x. v
s _ { Applicant Name V'A- --rDnN—Olf Authorized Agent.r�� /�!j; j:�,ltdG- !J
Address _C��Jtnh.�ftt._�.(� Project Location (County): __
C'ry /l nj`��. State _. 1, V 4:v ZIP L.�7.. _ Street Addre gn,.te RoadRot fl .
Phone # f1t �_y�'Y��SL_-'—
Email �% t/ 1'L +f) _ Subdwisioriz,�.x
Affected [�;CW %W (PTA [KES + jPTS Atli, Wtr. Body
AEC(s): Lr OFA I H A Lll UW SPIMA C,IPWS Closest Maj. Wtc Body %ti-DOl,-4.___`J
ORW: yewK01 PNA-=ll,'
Type of Project/
Shoreline Length ¢ U�J ,y
Access Length `_ x.AT
Pier (dock) length. t1 ( 'X
Fixed Platforms)
01 Ipt
�+
Floating Platformjs)"' l6 f`T
Finger P(er(s) i
Total PlaHorm area ��
Groin length/#
Bulkhead/Riprap length
Avg distarce offshore
Breakwater/Sill .+ _
Max distance/ lengthy"
BaSin, Channel
Cubic yardr:
Boat ramp _•-�
T—
Eloathouse adi 73'Yc13
Beach Bull inr _
Other -- -
SAV observed: yes �rr�� h 6
Moratorium: n%a yes 'I•i[, ass ll7:+•
site Photos: yes n \ �^•'��
Riparian Waiver Attached: Eves no ��p� �y-`
A building permit/zoning permit may be required by: ��O5L_/�.Y.._
Permit Conditions m1(•il 13 YwpliF' t^l tti�(tRff�il'.5 I
rV\
t4
fll.1tujJVD
1%
NkW
jScale:�1s )
�0 �h,jp5
`._--
�51
Al �U TARtPAMlNEUSEtBUFFE R (circle one)
.._ Y"� t Ll�h v •tts..-- See note on back regarding River Basin rules
See additional notes/conditions on bask
rtx--U_7
1 AM AWARE OF STATUTES, CRC RULES AND CONDjTIONS THAT APPLY TO THIS PROTECT AND RE IEWEOCOMPLIANCE STATEMENT. (P!ease initial)
nt
�natCeA.p Pie�aserRINTEa pame at@ment on back of permit" I' S'g at
r
_.. _nuingg
Application Feels) ack ;Money Order Iss

❑DREDGE & FILL N° 84546 A BE) D
GENERAL PERMIT Previous 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:
15A NCAC OH u' '� "`-'� ❑ Rules attached. 9 General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
Applicant Name L-eV1
n f tunw if
Authorized Agent I'NfVCII
✓YI/7TNINtJ st/rV)I Fw� IJJJV
Address�••--�,��1
hm
Project Location (County):
0(�W
City IY(C�A�Ad
'I�
State WL- ZIP 'UNOD
Street Address/State Road/Lot #(s)
Phone # ("K) 4140
Email W�41.7i-I
r.YZ✓6 �LeyI2�. /�il
A
Subdivision
'�1��%dd nADUAM
City 500tt/ F�ee�
r/ ��""
zip 761161
Affected NCW
%W OPTA XES ❑ PTS
Adj. Wtr. Body. FULL
k9C ftV-- n�f3fhnan/unk)
AEC(s): ❑OEA
❑IHA ❑UW ❑SPIMA ❑PWS
Closest Maj. Wtr. Body
,t �
Vg'tyrU *'V ttir—`J/i'N
ORW: yewe
PINA:&no
Type of Project/Activity roP5I2ULT A ti'fiw, gta wm-\ A Zy'Y1111 ft-TIAIJy 09Uetrb 7f--WM
NO '& ^ 1. (3' I<I Vy5pAV) f l (Scale:N-( )
Shoreline Length
Access Length *
Pier (dock) length 119 IMt
Fixed Platforms) ' N
Floating Platform(s)�
Finger pier(s)!
Total Platform area Y
Groin length/H
Bulkhead/ Riprap length —
—
Avgdistanceoffshore
Breakwater/Sill
Max distance/ length
Basin, channel "_
Cubic yards
Boat ramp —
Boathouse atli
Beach Bull mg�
Other --
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes no 1
Riparian Waiver Attached: (Ye; no
A building permit/zoning permit may be required by: t AP ('C C,FIV .-
THAT APPLY TO
Agent or Applicant PRINTED Name
x
Signsssyy�r �*Please read compliance statement on back of permit**
GfC7rQ' !q)
ApplicationFee(s) eck /Money Order
CY
�ID
Nuw
.1 1
44AUUt
[, rn �TAR/PAM/NEUSE/BUFFER(circle one)
b_i ,y�i/ 6Awr s y<ji�rkL See note on back regarding River Basin rules
Q�I (
!S ❑ See additional notes/conditions on back
No REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Permit

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: KZyI n @n n n e ry
A—, -1 1 • I it fill
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
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: i 4_' X jV o ck w 1 L 4 x N roof,
h
in )_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:
Yew
�i Sign
7�ature
C_uiU FbtA,uC7tV
Print or Type Nam
tJl>')nPr
Title
3 //-� / -2
Date
This certification is valid through I 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
Address of Property:
Owner's email: JuA lbe k PVerI ZO -Owner's Phone#:
Agent's Name:Ff1►1P-AMori tic n udibgAgent Phone#: ID'Jed`l-9475
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to bg completed by the Adjacent Property Owner)
I hereby certify that 1 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
1�01�`a descdONon or ftVI rg,yy((jt dimenwoo, must be provided with this letter.
��.•-- I DO NOT have objections to this proposal. _ _ I DO have objections to this proposal.
if you have objections to what is 6-91ii—pproposed, you must notNy the N.C. DN/slon of oasts/
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead Chy, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the some as no objection if you have boon notiNed by
Cent~ Mail.
WAIVER SECTION
(R`I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 16 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 mug stan
py� 5tlt the appropriate blank below.)
J 100 wish to waive some/all of the 1 V setback
Signature -0R-
of Adjacent Riparian Prop arty Owner
I do not wish to waive the IV setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypediPrinted name of ARPO: _ IlICI
Mailing Address of ARPO: yY 7491,
ARPO's email:
ARPO's Phone#• l / > v L ' ;3 / 9
Date: 3 % 3 61 L 2 2- -waiver Is valid for up to one year from ARPO's Signature"
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER 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:
Mailing Address of Owner:
e A i i ice'
Owner's email: wI+htr40 �Ver120 n' Owner's Phone#:
Agent'sName:Enne}�Marl &nj5I-tiG�bq Agent Phone#:CjIO-.�i�'7=,3415
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'$ CERTIFICATION
(0oftopt_pg_rtion to h2 comQig%gbythe Adtacent Property ner)
certify that i own property adjacent to the above referenced property. The individual applying for this
aMdescribed to me, as shown on the attached drawing, the development they are proposing. A
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 400 Commerce Ave., Morehead Cit)6 NC 28557. DCM representatives can also be contacted
at [phone]. No response Is considered the same as no objection If you have been notMed by
Cerdf/ed Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
(Q groin must be set back a minimum distance of IV 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.)
J I DO wish to waive some/all of the IV setback
of
I
I do not wish to waive the 15' setback requirement
Signature of Adjacent Riparian Property Owner:
\�
41y Typed/Printed name of ARPO: __ wyj'"M Pw.; i
� bt\ Mailing Address of ARPO: 415iS' i'HXNiUt '- S;L4G zG -ALA /Z!
ARPO's omali: W I cx kCARPO's Phone#: S ri Z 4F2 607i
Date: 3L`1 ZZ "waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

I