87338C - Flow, Victor

�+°"°�4r AMA ❑ RE G & FILL N° 873A 13 D
Previous permit
f EN E RAL RM IT Date previous permit issued
[lew ❑ Modificatio Complete Reissue ❑ Partial Reissue
As authorized by the State ipf No(�tlt caaroliim, Da nt of Environme ital Quality and the Coastal rea eoastal Resources commission in an aof envlronmtali concern pursuant to:
c/t"Vv ❑Rules attached' L]aj.Co� Graj Permit Rules available at the following link: M dean" W&AMN111M
45A NCAC
Authorized Agent
Applicant Name
Address Protect London (County):
Addressi5tate RoaNLot #(s)
City State ZIPA-�r. �t ` •rn A — O �
Phone #
SubdMslRn
Affected ❑cW '114EW PTA �ES
AEC(s): �OEA ❑RIA �/� WOSPIMA
ORW:yes/'l_S� PNA: yes/n't./
Type of Project/ Activity1Y'iCi.,A
Shoreline Length 1 / 10 r
Access Length
�—
Pier (dock) length
Fixed Platform(s��
or _�
Floating Platform(,)
Finger
Total Platform area �!
Groin length/H
Bulkhead/ Rlprop lengtlo�
Avg distance offshorr""
Breakwater/Sill
Max distance/ length
Basin, channff"
Boat ramp _
Boathouse/
Beach Build
Other
SAv observed: yes toMoratorium: n/a
Site Photos: yes
Riparian Waiver Attached: 09 no
A building permit/zoning permit may be
city --%.X&XA.JO^�/
�pn Ad!. War. Body—.—L
❑ PWS Closest Mal. Wtr. Body
AMMU—
/, -
Y
(Scale:
.t 11 TAFVPAMINEUfJBUFFER(circle one)
ElSee note on back regarding River Basin rules
See additional notes/conditions on back
,�esssrcancnn. IPIe mltia
PRINTED
Issuing Date Expiration Date

o1+609° AMA ❑ DREDGE & FILL N9 87338 A B 0 D
GENERAL PERMIT Previous permit
3 Date previous permit issued --
)) ew ❑ Modification ❑ Complete Reissue [-]Partial Reissue
As authorized by the�Stat��e JQf.No/,rt�lh Carro�lina�, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC r LI�1 OC/ / ❑ Rules attached. [Y General Permit Rules available at the following link: wwwdec nc goy/CAMArules
Applicant Name 7V�3�19I�� /IlM/IL�I/,L[6fgFlf�, �
_
City ►1iAddress
71��11,JILC.'State III_ ._� Email Subdi
Affected ❑CW XEW PTA
AEC(s): ❑ OEA ElIHA ��U,W/\
ORW: yes/40 PNA: yes/n_\/
Type of Project/ Activity P.—CW4i0L A
Shoreline Length
Access Length
Pier (dock) length_
Fixed Platforms
Floating Platforms)
Finger piers)
ux J
Total Platform area
Groin length/M
Bulkhead/ Riprap IengtF,,�
Avg distance offshorC�
Breakwater/Sill
Max distance/ length
Basin, channer—
Cubic yards
Boat ramp
Boathouse/ oats
Beach Bulldozing �—
Other A.W.
SAV observed: yes o
Moratorium: n/a yes o
Site Photos: yes
Riparian Waiver Attached: (9 no
A building permit/zoning permit may be required by:
Permit Conditions 1) 4'L.ueAae,.l�/_110
❑ ES ❑ PTS
❑SPIMA ❑PWS
Adj. Wtr. Body
Closest Maj. Wtr. Body
±4
�::i \/�✓
r � TAR/PAM/NEU f /BUFFER (circle one)
t Vl See note on back regarding River Basin rules
See additional notes/conditions on back
'TO THIS PROJECT AND REVIEWED COMPLIANGEST'CEMENT. We elnitia
Agent or Applkar(t PRIVD Name Per 's PRINTED
Si nature ** a read compliance statement on back of per ** S' at e
t� () -- F I���
Application Feels) Check tt/Money Or erd Issuing Date
Expiration Date

AGENTAUTHORIZATIONFOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: rrieyorL k/5U/
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
o 9 Ate,
k 2?6'!
33 6 S i3 25'53
V,u 111loW I Z/1 to n.., 604"
r6,PZ17vvs @ oui i14Vy • Gam
/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 3Arrti igerrPO4,0 ns
G L J /lnOV/" ,,._ Lnn n71A&.FA 0107VR dl OS .L 134v 1"S
at my property located at leg Av 37 boAU fohT & . , 85/6
in eAAYr&"7- County.
1 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:
Sign re—
v, e, kvu- # a3a
Print or Type Name
©wN+('
Title
H I 1�- RECEIVED
Date
APR 27 2022
This certification is valid through 9 I_L/
CCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVERFORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: V L Ly4 4 ,FLI cxt) -A-, - ----
Address of Property:
Mailing Address of Owner:-
Owner's /rl04oz- 00 nw er's Phon43 � Y 1�'? $� S
Agent's Name: rv,, c' v.2CnyuSy �u�hu� c'n �i�3f� Agent Phone#:
052-3Y7-3"o
Agent's Email: '"''OP-6.0 ,e o✓"cw
(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 forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing with dimensions must be provided with this letter
fltk 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 nonry me l..�. v,.111�•1 �• ---•-•
Management (DCM) in writing within f0 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 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 si n
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Propetty Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: / /��4tL(G
a�
Typed/Printed name of ARPO:
Mailing Address of AARPO:
ARPO'semail: 41 , ARPO'sPhone#:
Date: 2 S 2-'waiver is valid for up to one year from ARPO's Signature`
ReV09C 21
D
APR 27 2022
DCM-MHD CITY

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND D DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 1 r" 4,9
Address of Property:
Mailin Address of Owner
LOi'i
g/C>l
Owners email 6v ner's Phone#: 331a
Agent's Name: 'foe-0- 6VA6hAy9 - cv+ARL+A C_,&04Agent Phone#: i S)- Sly- 1
1ST- gy�� 3bSo
Agent's Email: 76 uR64,u�3 (A) ec7too P- COM
WN
(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 nonry me n.�. U,.,1,�., ����•-•
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 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.)
1 DO wish to waive some/all of the 15' setback �///. z 5--.1
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO:
Mailing Address of ARPO:
er,2/ 4t
ARPO's email: WAVL'/I_P C / Ci #RPO's Phone#: �i S�
Date: *waiver is valid for up to one year from ARPO's Signature"
RECEIVised May 2021
APR 27 2022
DCM-MHD CITY

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RECEIVE
APR 27 2022
DCM-MHD CITY

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RECF-IVFD
APR 27 ZON
®CM-MHD CITY

Rr-( i\>3..d:f
APR 21 MR
DCM-MHD CITY

RECEIVED
APR 27 2022
DCM-MHD CITY

A

APR 27 2022
DCM-MHD CITY