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Home My WebLink About85746D - Medley`°"6741 ❑CAMA ❑ DREDGE & FILL No 85746 A B C D Previous permit Date previous permit issued GENERAL PERMIT El 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: www.c1g q.nc.goy/CAMArules Applicant Name VAk(A + :. , 04 (A `/ Authorized Agent Address CI1GSY;yir �41 Project Location (County): City W Y I Pf f}rackte U, ZIP ° ' Street Address/State Road/Lot #(s) SAM Phone # ( 2) kV Email Subdivision 15i PN City `` . f` =t( k ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS ORW: yes/no PNA: yes/no f Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s) I Floating Platform(s) - 3� Finger pier(s) Total Platform area �t Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes AAlh Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: yes A building permit/zoning permit may be required by: S Permit Conditionst' Adj. Wtr. Body. "e"�, ,t( t Closest Maj. Wtr. Body (Scale: ) 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. 4 Agent or Applicant PRINTED Name Permit Officer's PRINTED Name (Please Initial) Signature "Please read compliance statement on back of permit" Application Fee(s) Check #/Money Order Signature Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: F-1 Tar - Pamlico River Basin Buffer Rules F-1 Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 Kc MA C] cREom t FiLL N9 85746 A a c (g� GENERAL PERMIT e;ldt*w 0!1.mcw. ocampimftwm opm pub" �.arw..wrirraMesaa»afwwc.�a�..�+w*w�jv+walmsd moraN•.Cowdo �n.r�wr www..�..«.rrwr rrarere. ,we %W @Wom aw , F- embbilom •rrwmw m4w►1r4Y IIIdmrmswan ,� - . - AN mo mad 6640 a.*. doffAd caws "aft fto m w oosownwftom— am" ft*saws O&W sm ob arwak p. wmoUlm a� w. "&"New *w kWsWn Wojw Sedw /s � AbWWW4rudgra SpWWA wpw o ►omO M«+tnw jdftbM [� saraaa�wMak��Mrwiaw Mra Qsw*ift"MawA*mwA ww AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: /' � C'eIc /A-e-d /' Mailing Address: /O d Gy,�. V'o C/'('. Phone Number: Email Address: I certify that I have authorized qio - oa_o - la45 Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: i't C-.L- ' rN d &A e %, K el o / 54W"4_ S vk S�,M-� 40 } at my property located at in ut--1 A'S-,6VILc- County. l furthermore certify that 1 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: Signayre Print or Type Name Title 1 t Date RECEIVED APR 11 2022 This certification is valid through 1 ! DCM WILMINGTON, NC ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to �r")L �ey/L/ 's (Name of Property Owner) property located at _ __ I I, P �� 1 (Address, Lot, Block, Road, etc.) on , in - N• J 1X6"0�LC-- N.C. (Waterbody) (City/Town and/or County) The ap icant has described to me, as shown below, the development proposed at the above location. �1 ^� 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) y-,c f)vM'� i94k I' ��I' a"�'J WAIVER SECTION 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 must initial the appropriate blank below.) �1�yr•- I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. } r rty O ner I matii 4- Signature Print or Type Name (Adjacent Property Owner ner Information) l n\ Wtllr'�� ILty��a cl-►ghhcl' Print or Type Narne Mailing Address Mailing Address City/State/Zip City/State/Zip Telephone Number Telephone Number CEIVED Daf e Duce APR 11 2022 (Revised 611812012) DCM WILMINGTON, NC ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to /174t"IL /h 6('tY s property located at 1 U /(� ��,..�.r\L ( (Name of Property Owner) (Address, Lot, Block, Road, etc.) on in N.C. (Waterbody) (City/Town and/or County) �h�n✓ The applicant has described to me, as shown below, the development proposed at the above location. 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) �N.h L -r- d . Aor'�— WAIVER SECTION 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 must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pr efty Owner I formatio ) Signalure Print or Type Name Mailing Address City/State/Zip Telephone Number Dare (Adjac"t Property Owner Information) 1,�1'7CIllr1"C' nn V Print or Type Narne Mailing Address City/StatelZip RECEIVED Telephone Number Date 2022 (RevisTY(,6f(*fLIMINGTON, NC �,�a-i-,�.q � � � ►"-�. �� t �-' �� --may ^ `� , n rV d- n I N �� a Date Received Dab NPOSHed Check Flom (N—,J Name of Permit Holder Vendor Check number Check amount Pertnit NumbWCommenta R-elpt m Refund/Reallocated Column? C.1-2 Cdumn3 Cdumn4 Columns Co1umn8 Cdumn7 Cnlumn8 C01umn8 e 4/20/2022'' 4/20/2022 4/20/2022 4/20/2022 4/20/2622 4/20/2022 - _ _ _ F & S Marine Construction LLC Significant Performance, LLC Coastal Dock Builders LLC Cape Fear Riverboats, Inc. Samuel Ashley Blizzard Medley_ - _ - - Lon Point HOA First Bank -- - -- - - Alliance CU Bank of America First Citizens Bank BUT First Citizens Bank 1016 - 8202 1022 55479 $ 200.00 GP #85746D - - - GP #85788D GP #86098D GP #86042D GP #86100D GP #85415D KE rot. 16965 - - - JD rot. 17609 _ JD rct. 17612 KE rct. 16968 $ 200.00 Barber Marshbum same $ 200.00 $ 200.00 _ 2320 $ 800.00 JD rot. W- Eric Schmidt same 4499 200.00 BH rd. 17560