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Home My WebLink AboutHicks, Judy Mynick 87341C° N❑CAMA [ DREDGE & FILL Np 87341 A e C D a° Previous permit GENERAL 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 I �j,' �- ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules I Applicant Name Address City State ZIP Phone # Email Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) City Affected ❑ CW ❑ EW ❑ PTA ES ❑ PTS Adj. Wtr. Body (nat(man/unk) AEC(s): ❑ OEA ❑ IHA ❑ uW SPIMA ❑ PWS Closest Mal. Wtr. Body ORW: yes/(io PNA: yes/no Type of Project/ Activity (Scale:; _...,. _..... __.. . Access Length j TF - Pier (dock)length Fixed Platforms " Floating Platforms) _ �_ I I - Finger pier(s) ---- Total Platform area ---- Groin length/# ---- Bulkhead/ Riprap length ' s„ Avg distance offshore Breakwater/Sill '-`-' �-- -j -V--- - 1 - - I L -. __- I , Max distance/length ---- - - -- J- - �' Basin, channel ----- --`-� Cubicyards --- _�- � 1 - -1 Boat ramp - Boathouse/. BoatliR `"—"- s - .r' ! c? .� ___ h Beach Bulldozing - Other- SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no - Riparian Waiver Attached: yes no - - - - - A building permit/zoning permit may be required by: I f._I I 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 Signature **Please read complianc@"statement on back of permit*t,*i /)P Application Feels) Check #/Money Order Permit Officer's PRINTED Name 1 r Sign ture ' - 1 ure I ng Date Expiration Date #F-]New ❑❑ CAMA 'DREDGE & FILL N9 87341 A B C D GENERAL PERMIT PreepSperm'` Date previous permit issued ❑ 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: I SA NCAC ❑ Rules attached. ❑ 'General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules Applicant Name ' i Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # ( ) Email Subdivision City ZIP 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 I Type of Project/ Activity (Scale:' ) Access Length Pier (dock) length Fixed Platform(s) MEN ■ MEN E so E E Floating Platform(s) NEI Finger pier(s)v ' .laME ••::::::' ME �1ME .. Boathouse/Beach Bulldozing Other ■■ .■1::.1.■. L�OI::�mCC::� � 1�®■■I�■■N:�■p■■■■ SAV observed:Moratorium: n/a Photos: Yy;e; n. C.1 ■: .. 1.�...Site .1.■.�. 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 Signature '*Please read compliance statement on back of permit'• Application Feels) Che�k #/Money Order Permit Officer's PRINTED Sign I t� I c ' � 1 i %la Isfung Date Expiration Date A7—XUTM0=2ATION FAR CAII.A PERMIT APPLICATION I=rx+e Itz-ber fat,e fanarg ?`� Of /�wt elm p Koh fa G'jCce�O 2 1lc�f /N �rowf mf IF'ipS�'yt) tea atrtlpr�bca at �V l"YAI��wm6v 16xtPemp Cety that l am autfafrzed to grant, and do in fact grant pemtission to CsmsM of Coastal Management staff the Local Pernit Officer and their agents to enter on the aixw)en� lands in Connection with evaluating inbmtabon related to #n PWW - I afore Pr##t f Tyo Name /11AMu^,K— toe -3 jail qS RECEIVED This certification is valid through l 1 APR 2 0 2022 E)CM-!LAND CITY Mt ,tmommomm. � i ' InG4ULOILV DMSION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIMANER FORM Name of Property Owner: 1t�1 C1C, ^tC�S (yjl Address of Property w el /g s I a (I.ot a Ste. Street o Roed, City, 8 me Cariytt)��,,,, �11 Agent's NaIf �W t e Ma" Address: Ytl �J Agent's phone # — `LJ�IIV)k� � t\ a N / 07V I hereby cerbty 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 dravmg the development they am pfOposing. A desmotion or Braying with donensions must be provided with this letter. _ __- I have no objections to this proposal. _I have objections to this proposal- ffyou havaobjections to what Lc beingproposed, youma lWMydxDNislonofcoasraiManagement (I)CM in writing Widdn 10 days of recelpt of fhb notice. Comacl Irdonna0an for 0CM oRces is avallable at btfp•1Mww.nccoasm/manaoementneVwea/cMstaH lislina or byw78rg tA081RCOAST. No response is considered Me same as no obl tin Hyouhave been rmWmalby CertihedMa(t. WARIER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or IM must be set back a minimum distance of 15 loom my area of riparian access unless waived by no. (ff you wish to waive the selback, you must initial the appropriate blank below.) I do wish to waive the 15 sel6ack requirement I do not wish to waive the 19 selback requirement (Property Owner Inforrnation) 0 i ve C17 iz- Telephono Number /Emal Address 3 �y�a >�r (Ra MdAug. W14) APR 0 0 2022 CITY w vyn,u•rrmnfr n6iyry\nGVsIr1rr%4wr9 GV_ rr 6 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIwAIVER FORM Name of Property Owner.� A(l1C 1 tCkS tip Address of Property: _.—W i AAk{tav fii G 8 51 (Lot orslreet il. Skeet Road, City & County) AgenfsNamet &A U1 MailingAddress: Qo I/ry—VX— 3-3 Agent's phonet� a-_CJLq (i� wk� UA 1,' K i hereby cerky that I own property adjacent to the above referenced property. The individual applying for this pemdt has described to me as shown on the attached drawkQthe development they a}e proposing. A descriCton or drawing with dimensions must be amvided With this letter. ��i_ I have no objections to this proposal _ I have objecfons to this pmposa - wMin to days of necefpt of this notice. Contact bdornfeoav for DCM oHkes is WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boafhouso, or Rl must be set back a minimum distance of 15' horn my area of riparian access unless waived by me. Of 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 IV setback regairetoent. (Property Owner Information) 914A 7. 4V 1 gf-601-ill f11 Telephone Number/Email Address Dale r riam Pro y Owneriniprmation) Sr afore _ CY�) Print or Type Nacre MadingAddfess RE N C- 26SI �" RC Cdy/SYete2ip gA Tk SIN APR TelephoneNareber/ErnadAftess Ui.:llli-A ��(,r / 20 Z- Z-- Dafe —T---- I (Revised Aug. 2014) ��I•IJaAes� �i�9C�>clt�T�1�t;1c4ri11 0 2022 CITY