84531C - EP Properties of NC

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XCAMA El DREDGE & FILL 984531 A B
GENERAL PERMIT Previous previous
ik�ued c-
Date previous permit issued rModiffcation 0 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:
ISANCAC- S'f4 Rules attached. General Permit Rules available at the following linl<: www de�nc gov/CAMArules
Applicant Namme-1;k[- JJCQVI2liii'Cy3 Or hi_.- _--_ Authorized Agent f Cf Vtn,a. �vwr•�-... _
Address
1�(�v ,��I>!�S%Qtl' ,tt,'t!�� l - Project Location (County):
City_ Hugoz�-),�,,� State —A)(/ „--,__-ZIP�V'.la� Street Add�resss�/3SiateJRoad/Lot /f(s)t t' ,f('
Phouisfl�IV--�)� ece 13°(0 _� kL�-p-i t •—� iG PJ III AW1,
Email—j.,yri7.{>v�Ft- Subdivision .._
Cityflt,
Affected �C'W ,kEW [XUA �ES �PTS Adj. Wtr. Body .�4 U(; CVV)t� 1(&midunk)
AF.C(s): �OEA []IRA �UW �SPIMA ❑PINS Closest Maj. WmU. Body--Q V
of Project/ Activity
Shoreline length 7(Y)
Access Length v_
Pier (dack)length
Fixed Platforms)
Floating Platform(s)
Finger pierjsl
Total Platform area `r
Groin length/R
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel- !
Cubic yards /
Boat ramp
Boathouse/ tll(p hT`y l3
Beach bull zing
—
Other
SAV observed:
yes
Moratorium: n/a
Mo
'es
Site Photos:
yes
Riparian Waiver Attached:
yes
�l.`l.tihlu R{?' lSOfi-ryir r
(scale: I
�-A 1
TARJPAM/NEU$FJBUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES ANO CONDITIONS THAT APPLY TO THISPROfECT AND REV)€WED COMPLIANCE STATEMENT. (Please Initial)
Name
Signature "Please read compliance statement on back of permit' �r tj j Slgnatu
Applu:adon Feejs) eck tMoncV Order Issuing

❑DREDGE & FILL N9 84531 A B V D
a GENERAL PERMIT Previous permit 0u�iud
Date previous permit issued
Modification []Complete Reissue ❑ Partial Reissue
As authorized by �tLhe Stateof
nNorth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC oT H ' UVO ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeg.nc.gov/CAMArules
Applicant Name _
Address / ZC
City f1l)geos , State N%/ ZIP
Phone # ((7 _) eLXo fN)
Authorized Agent Ei v VOLE ov( v ( I `
Project Location (County): i%NS1-0 W
Street Address/State Road/L
J A ( ;;;)ot #(s) A'(
b jfT AW,
Email " UTAAAI( . LLM Subdivision y�
City ZIP s
Affected ❑CW 1�9EW [�§TA ❑ES ❑PTS Adj. Wtr. Body 22YAli6 ✓00N//V (� I&rnan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr, Body RO Iy V VLxV 4!D l/
ORW: yey/n6 ) PNA
type of Project/ Activity Am
(36vi-ry F< X _
Shoreline Length
Access Length
Pier (dock) lengtt
Fixed Platform(s)
Floating Platform(s) /
Finger pier(s)
Total Platform area /
l _0 G, C� aet
s.
Groin length/# /
Bulkhead/Riprap length /
Avg distance offshore /
Breakwater/Sill !1�'
Max distance/length
Basin, channel NNW
Cubicyards /
Boat ramp / q
Boathouse/ tli i!T'Y jJ
Beach Bull T
Other
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
Agent or Applicant PRINTED Name
(Scale: A S )
w
N
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
COMPLIANCE STATEMENT. (Please Initial)
� 1
Signature **PleaCeckse read compliance statement on back of permit** 3 V 53 Signat�r� V- / 2,� , 72-
icaUtion Fe App e(s) oney Order Issuing bate IExpiration Date

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: L 1 tr'.('(' VA\1-,1 vQ
Address of Property: -L2Yi F . (' (1Q &-\A A 1 , .2% 1 e 3-,) AlB-b �Y`- A
Mailing Address of Owner: ='LU-tFP\'lt�
Owner's email:
Agent's Name:
Agent's Email:
Owners Phone#:
Agent
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent 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
description or drawing with dimensions must 6o 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 being proposed, you must notify the N.C. Dlvislon of Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should he
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response Is considered the some 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 of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (iAllal the blank)
Signature of Adjacent Riparian Property Owner: /l Al,
Typed/Printed name of ARPO:�,—D ojI)Y) e L
Melling Address of ARPO:F(-' %'17 % 7 �J rtXl
ARPO's email(I-I/1r il/5 ��A{)nn. PnM ARPO's Phone#:(25Z) (a-7l-5(r8$
Date: ( U 2 0 Z L. 'waiver Is valid for up to one year from ARPO's Signature*
Revised May 2021

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: f2 tL(`M-N\,tj (k ��Q
Address of Property:
Mailing Address of Owner: t:AFSZtL x-� CP r f ii 11h 1 ai �Prffi'L-6,6
Owner's email: [e-mail] [phone]
Owner's Phone#:
Agent's Name: EZ DOCK SOLUTIONS
Agent's Email: [e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent 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
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 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 City, NC 28557. DCM representatives can also be contacted
at [phone]. No response /s 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.)
1 DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR [ 5
I
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner. - �4A z--b
Typed/Printed name of ARPO: Brad Haste
Mailing Address of ARPO: 295 Wilmington Hwy Jacksonville, NC 28540
ARPO's email: [e-mail]
Date: 1/20122
ARPO's Phone#: [phone]
*waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

2wAi I.ed );'r,51904UM �+
"d"r" AMA, ElDREDGE & FILL 1i93 N9 84847 A BD
GENERAL PERMIT Previous permit (/
Date previous permit issued
ew codification El Complete Reissue ❑Partial Reissue
As autho i ed by the State f Nortp roline.ADepartment of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant to:
15A NCAC :1—Y ^ ^ •VI ❑ Rules attached. I--Lyeneral Permit Rules available at the following link: wwwdeq.nc.gw/CAMArules
Applicant Nama f / L" Authorized Agent
Address,e *.Jl GPool ct Locatkm (County)' /! 2City Stat ZIP f 1 Street Address/State Roaac/Lot#
Phone# _
Email Subdivision ((
City ,� I,� ZIP,
Affected ❑ CW -tFf trW PTA ❑ ES ❑ PTS Ad). Wtr. Body JIQ4 f L cAr'1.� nat/ an/unk)
AEC(s): ❑OEA ❑INA ❑UW ❑SPIMA ❑PWS Closest Mai. Wtr. Body "��"��
ORW: yes o PNA: ye no
Type of Project/ Activity y
(Scale: )
Shoreline Length
Access Length ,
Pier (dock) length I..s N
Fixed Platform(s)
Floating Plattorm(s)
Finger piers)
Total Platform are
Groin length/q � /
Bulkhead/Riprap length
Avg distance offshore aV /
Breakwater/Sill
Max distance/length
Basin, channel f✓ sue'
fubi. yard.
Boat ramp
Boathouse/Boatlift -
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
yes
yes
yes
yes
1 71
(,.tM
❑ TAR/PAM/NEUSE/BUFFER(circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back