86527A - Krahenbill, Sally

'*OAX* li(CAMA F] DREDGE& FILL N9 86527 a c 0
Previous permit
GENERAL PERMIT Date previous permit issued
XNew L.lModificavon DCOrrkP4etePcI5sLte
j Pa trial Reissue
A. by ttw tateof W. It, Carvtlnt,o(Envkdxnrneal Q-bty *-4 die Coastal com-isvon . an ar:a of Q—Ofw�mtal —arn p""'Unt to
ISANCAC
AudWt7ed Ag"
App"q N—
Addres,
Street AddrasOtant Road/Lot kikl�'.Zl )L
city ZIP
ow"
AReczsd CW EW
X11 -3 1
[9,TA ElEs OM Aill,wrrBody Afbelylalte-
AEC(s): K4 L-1 VW E] SPIMA PWS Cjnest Mal, wtr Body
oftw ycs/a
Type of Project/ Activity
Tir-lZi C)k4-,,
P%A y-MAM
41-
shomw* Length
Aoxss LeVil
Pie, (dock) klq&l �5
56-
Fixed KW9,-(")
4
-K �
Roatrig Pladorni(s)
Te JA, - -----
-
Finger pierts)
v
T.t.1 Plefe-, "n,.
Grow lerwrtilli
Bulkhead( Riprap low
Avg dKtanc- offdwr
Areakwate'/S.11
Max dtrtaice/ length
sasir,' &armei
Cubic yards
Boat ramp
lite
Boathouse/ 11-atim
Beach
Uttar
SAV observed. yes 6o)
morm.n.", Ve5 w
Site Phows qO no
Riparian Wane, Attartyed; yes
A ty-kfpng peurnit/mning permit. may be required by
Permrk crw*,On%
P 1ARIPAMINEU5E/8UFFER(circk...)
S" note on back regarding River Oasinwies
See additional noteslrondWons on back
OAM_AWARE OFS14AYL14CRC AUlg�ANO CRt! �TKMS THAT �APPLV TO �IHMPRQJECT �ANV KE�VIEWEV CQ�MKANCESTATEMENT.
Agent or Appitiant PRINTEII.Nwise Permit Offir#VS PRINTED
Sigristure -Pk�.&e read compliance on back of permit'.
$ OQ
I _ 2W, rt'r'—U'— --
Application ",) Check M/M.,,y Order Issuing Date Expiration Date

RECEIV
N.C. DIVISION OF COASTAL MANAGEMENT
MAY 0 6 2022
IWAIVER FORM
OAN PROPERTY OWNER NOTIFICA ION
AND [)[,--Ll\)E—RY
ADJACENT RIPA IL TURN -- Elv, I UE TED of H
CF�RTIFIEQ DCM-E,
�RTIFIEQ to be completed by owner or their agent)
(Top POrlic'n
I—
JZ
P,E,rty Owner,
Na" Of Pro
Address of Properly _._�..--.._.---~ . P _.=,._..� i' � �� , l p `l�,�rr'=�._. ""1. J'f .','�,�'...
Mailing Address Of Owner -
owner's Phone#,
J:?WrW,s ef"Mill
Agent
Agent s Nanln'
Agent's Ernal
PROPERTY OWNER'S CERTIFICATION
'J" owner
;racent'�f 0 �
ADJACENT RIPARIAN owner
t� R
0 co� m ted b the; Elotlorn Rion to be SOM ieted �bth
The individjait applying for this
p e rly adlace n t' o the above referenced property A
I hereby Ceftlfy that I own pro as shown on the attached drawing. the development they are proposing
Permit has descrtbed to mest biro this'
.,_dedwith,tt—er
mensior-
drawin with dL __q_ _or I ()o have Objections to this proposal-
100 NOT have objeaons to this Proposal'
xim,;., "i Coastal
Division of Coastal
. .... osed, you must notifythe N.G.
io—,Wh—af FiS biiinlg proposed. e. Correspondence should be
oc�� have
obiections of receipt of this notice.
management (DCM) in writing within 10 days of receipt C, 27909. DCM representatives can also be
mailed to 401 S- Griffin St, Ste, 300, Elizabeth city, N contacted at [phone], NO response is considered the same same as no objection if you have been
notified by Certified Mail,
WAIVER SECTION
sed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, OF
I understand that ally propo
groin must be set back a minimum distance of 5from my aroea of riparian access unless waived by me
_
p revetmients). (if yu wish to waive the setback, you MMIt s ign
(this does not 3PPIY to bulkheads or ripra
the appropriate blank glow-)
I Do wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
1
'do not wish to wane the 15'setback req,,frement {initial the blank) 77-1
Signature of Adjacent Riparian Property Owner'
TyPeOlt'nrltvu fidgliv %A
�4
Mailing Address of ARPO:
I i,XRPO's Phone#-,
ARPO's email:
Date: *waiver is valid for up to one year from ARPO's Signature'
Revised July 202 1

N,C. DjvISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
- Ej VERY
U H� --iLR _
!FQ t� LEQUESTED or HAND DL��[,
(Top portion to be cornplete'd by owner or their agent)
Name of Property Qwner
Address of P'cPef`Y
ftling Ad-&e!5q of ('Ayr0r'
,A
DvvnersPrraii
Agent P,,cne#
Agwit s [lame '
Agent's Errail
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
fBottorn portion to be Tj [qelhy qo� _gwne,,
MAY 0 6 2022
ik DC6 , ,
A'O
I hereby own pi--*erty aj4-r--t t-e. Anc'.'e re-ze',rtl-rcec! p'opelty --e applying ',-irthis
pe-ri: has described to me, as Oic'-w- :)n t-ie atac`aec drawi-g, Ine devn c,p--ient they are propos r,g A
wrthdimersc-s ri.,.;tcnevi idedwth! lettef
if you hatr�+ objections to wvhar is boorty proposed, you mu-sl notify the N.C. Division of Coastal
Management fDCM) in writing wfthit' 10 days of receipt of this notice- Correspondence shou[d be
mailed to 401 S. Griffin St- Ste. 300, Elizabeth City, MC, 27909, DCM representatives can also be
contacted at [phone]. No response is considered the -"me as no objection if you have beer)
notified lay Certified Mail_
WAIVERSECTION
I .rderstano tra*. arty prcpfatier;* *-.r dock, mc-x n; piLigs, boat ramp, breaKw:rer b�athcuse lift, 3r
grog must -('- set tack a r7vnimurn d=stan',e of '5* from, my area of rjparan access Lln,ests: waived riy me
z toes not apply 1,o oulklieads or norap revetr',e!,ts) �':f you w,sh to waive the setLa.,;k yo- MgjjajM
the appropriate bark be ow
100 vAsn tcwave qorrpia�l of t"e '5'setba,-k
-OR-
I do not wish %) v,, ye �t•e ; ' serzzar-.% re-qui-er-en, i in t al the blank"
S,z'la-Lre of Aij;�r.H.-t Riparia- 'A ""'. 4
ty. �)W* H..
Typed.'Printed name of ARPO: r
Mailing Address of ARPO.
ARPO's email: ARPO's Ptionc#: 7
Date: waiver is valid for up to one year from ARPO's Signature-
D'19'-IiSvd July 2021

�l i CUh 'Fe.Cf1�
R , I VE-
MA Y 0 6 2022
VC;C

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Untitled Ma M
Legend
p 133 Nixons Beach Rd
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