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Home My WebLink About84681C - Byrne, EdwardsOCAMA El DREDGE & FILL Nn 84681 A B C C fA 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nagov/CAMArules Applicant Name Authorized Agent` --- Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # Email Subdivision City Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity i.•i� c6.. ho I nn oth (Scale: ) Access Length Pier (dock) length I I Fixed Platforms % I ._( ..� N r) Floating Platform(s) _ _ I Finger piers) •T-- I � j; r�ql i' � Total Platform area Groin length/q I(- s r-F- —I - I - — Bulkhead/Riprap length Avgdistanceoffshore Breakwater/Sill Max distance/ length i� Basin, channel Cubic yards Boat ramp - Boathouse/BoatlittBeach Bulldozing Other SAV observed: :yes no Moratorium: n/a yes no Site Photos: no yes Riparian Waiver Attached: Yes 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 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" Signature -... Application Feels) Check N/Money Order Issuing Date Expiration Date Rz�`°"`"+ ❑CAMA ❑ DREDGE & FILL N9 84681 A B C D 1 I GENERAL PERMIT Previous re ouslpermitissued F71Nevv ❑ 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: W .deq nc gov/CAMArules Applicant Name Address City Phone # (_ ) Email Affected ❑ cW ❑ EW ❑ PTA AEC(s): ❑ OEA ❑ IHA ❑ UW ORW: yes/no, PNA: yes/no Type of Project/ Activity ZIP ❑ES ❑PTS ❑SPIMA ❑PWS r Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Adj. Wtr. Body Closest Maj. Wtr. Body (Scale: ■ Total Platform ..�:.a■■■■.■■.■.■��...■■■ .■ ® ■;;.■Bulkhead/ �; �.■.■�■ Groin length/# Riprap length Avg distance offshore Breakwater/Sill n OM31 M -: ■ Boat ramp.. Boathouse/:..■ME ;■;■a�� ■innther ■M SAV observed: yes no ::: ��i ::■fin■■::■ Moratorium: n/a yes no Site Photos: yes 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". Signature - k:. Application Feels) Check q/Money Order Issuing Date Expiration Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 4" 5 2022. Name of Property Owner Applying for Permit: Mailing Address: 166 41Trej 7l.,, I certify that I have authorized (agent) 4 ,{ S L, iI'wt e►, - -* to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) (� �. 1t� r �Y �r� ot,tr rAel' Ne This certification is valid thru (date) l ;l.- 3 I — ZyZ Z . I-P2.'+- Property Owner Signatu ADJACENT RIPARIAN PROPERTY OWNER STA EEMENT 1 hereby certify that I own property adjacent to _&-20 L J'w D 1 N.0 Ad s (Na to of P operty Owner) property located at 1416-e cl )e 6rlo . s-pr // {Addon ae-w-kress, I in L t> Block, Road, etcyyyyyiii��'''//nILA (t�iatePkodY) (CIVTowA andior Oount1t) The applicant has described to me, as shown below,.the development proposed at the above a`ion. I have no objection to this proposal. I hav_e_objQctiorts DESCRIPTION ANDiOR DRAWING OF PROPOSED DEVE1LOPMN € (indiEiiduad Proposing de lGfo pment -must fiii in description bedow or attac!7 a site drawing) . �r°�vst i iYBpes Q r ' VVA�a�as SECTION ION _ I understand that a pier, dock, mooring pilings, 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 roust initial the appropriate blank belov✓.) I do wish to waive the i 5' setback requirement I do not wish to waive the 15' setback requirement. (Property Owner information) (Adjacent Property Owner inforrnatiot Signature �I�aysf � ✓star Date (P,evised 611812042 ,ILA -CENT RIPIARiAN PROPERTY OWNER STWEMEN" I hereby certify that I own proper y adjacent io Av&HLC �� c �I (Nal ?s o, Pfoper zy Own iroperty located at s�� ^� U �o �r%ae�e e g P� jo e- !Address, W, Block, Road, etcyy��/`� on _ )h PYe un e_•_ in Gila-6t e N.C. 4s6'aieEoad�; "CitilTowh andlor County! i he applicant has descrihed to the, as shown belotk/ the development proposed at the above location. I have no objection to this proposal. I have objections_io_iais_proposal_._____,.__, D-dCRi ? iott AND/OR DRAWING OF PR prSrl `� EJai e opr =r 1 a_ Ni\: (i,nd'111tduaf PYOPoS1MC7 de11GigP�era'l 1YUst BY/ afa deseriofiop. badow or a�acr a fife draw=f?g), o Irf P 9 rc,Ir4 r !.understand that a pier, dock, mooring pilings, breakwater, boathouse, Irfi, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (It you Nish to mraive the setback_ you must i€aitia€ the appropriate blank belmm) �' I do wish to waive the 'i 5 setback requirement I do not wish to waive the 15' setback requirement. �3rooef f Clamor inform, atior, �QCI;c`IC0T3[ prZJ�G'iL'f1 c"oN1riG'�' inor,i3si:ty�� Print or TYPO Nye 255'71 W 1prbnrro P,d rungddres� Crzv/State/? -y Date 0 a 2 i ,,evised 61, 812012i