86571A_Leman, Hugh & Amy_20220513

�A``' 1�SICAMA DREDGE & FILL S 86571 B C D
Previous permit 1S614 a7A
3 GENERAL PERMIT Date previous permit issued ir7 2/
❑ New ❑ Modification ;K Complete Reissue ❑ Partial Reissue
As authorized by the State of North Cardin, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC 6114- I 1 Cad d `7 A. 11W ❑ Rules attached. ® General Pernik Rules avaitable at the following link
. wwwdW.nc-=YLCAMAruIes
Applicant Name Authorized Agent e-
Address '2 3 ReQcn �� Project Location (County): 2 i �_
City - �rt�a -J State �a zip 0279'N Street Address/State Road/Lot 4(s�j_ t O
Phone # (bn l' (- 1� p1 $ a3 l tieeA 16,1"4' L r.
Email 11? thCtn ilk A1. C2 Ma'l I., COvy\ Subdivision i r
City t Qr n �{ P D i g
Affected ❑ CW ❑ EW ®PTA ❑ ES ® PTS Adj. Wtr. Body TTl b !k�'tf QP-i f CteLkQnxin/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ Pws Closast Maj. Wtr Body , T l h�a.rlw I D
ORW: y ne PNA: yes/oo�
Type of Project/ Activity (1 cL tw(Z 3d' rt4v,r S • 4Co.'3t,+ nk Al ` jr le
Qx WV X .21 X /br a.r tK M' )t IZ' Ar►V\ (Scale:
Shoreline Length
AIxeSS Length+r.: 1 L _ Ti�y� �!r f• , `! i i
--i1 -=f
a/xPier {dock} length _�xaY� $Flied Platform(s)
.r x 1� n- i - -i--, --t- - �- r--}----� -- --7--r -1-- r r—r--�1'� •-mot
I Zt )t 121
�- t---r----r-t- t- r r- �-r-' -r-r-r _r-T-T- ! r -- s r- l�r-+-� i.---'--f--►-�
Floating Platform(s) r l r j f l l l ( l ,I I 1 ,AyQi ,c 11 r,
Finger pier_s) -•1�
:-�---:- • r � ---1- , _ Ale - • r—i L-
i ! --�Total Platform area 34o I 1-'t i
Groin length/It
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill 1 ! r i l � ►� i 1 I r ; -�- A_ y
,_.4.._-_1_�•, _a.-...t..�.._.._L..� __..J.__...�_ .i _ r 1 ,� ..ram r
1 1 '� 1 S , �--r- -r-?-
Max distance/ length I-r- t- -
,
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift - - - 1 —T- j i` - r 1 + + r
..
Beach Bulldozing
_• j _�_..�_i...,._•
� tl i• �. (jj„ �_ T— ..-Y
'T
Other �C 1e S-1, 1 _1 :.. t T r 1 I 1 1 �-{ r F -+-. f� }
i—+---ti-_'•—__"_ham— _r"'_1.--,-'_"t'--�'—ti-- � - �� �_�__L_ �__J
t � 1
aLl •-.._.- .1�-L.1 ,..—` r-•— 1 _�.A�l._! l_.J_.-..-..'__4 ... j .�. ,.. ! ,�. ,_ r 1
SAV observed: yes 1 t , I 1 1 1 r 1 1 , 1 `�- r - I u T'1
Moratorium: yes no
She Photos: no ��-,-:- -�*--`—+-+••-+
�Ti1s M4�0.alrl.►�: 1 I i l I i , t , i , f r { Ir , 1 , 1
Riparian WahrerAttached;
� ��
A building permit/zoning permit may be required by: r A
Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER(drd. one)
e ` W\f 2 ❑ See note on back regarding River Basin rules
GILn 1`t�Q
T ❑See additional notes conditions on back
\ . /i
I AM AWARE OF STATUTES CRC RULES AND CONDMONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or MAic
MTED Na Permit O s PRINTED Namg I
M , tea. i -
Signature ` lease read compliance statement on back of permit" Signature
�001 ar spa 2.1 5/r 3 /ate 9/r3 Q2
Application Fee(s) (Check p/Money Order Issuing Date Expiration Date

Name of Property Owner Requesting Permit
Mailing Address: ':�'3f 'R
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development D411- 117 j 11Qf7
)OULkLh-tad
at m property located at ,_, ' l t p j j� �� r•�
in !County.
i furthe ore 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
NN Print or type Name
Te
Date
This certification is valid through / i

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIaT gEQUESTr-n or uANO =gy
(Top Portion to be oompleted by owner or their agent)
Name Of Property OWn•r
Address of Pmmtr
71
W `P �,
• �//
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
I hereby t that i own Property Qdjsoontto the above reiaronood Prop". The lr4vWual a
pemit has described to nee, as Shawn on the attached drawl�' evethe dlo �!' are Pt prvpmna fcrthis
Y � or drawlna with dimert�ons m � �� ostrtfl, e I DO NOT have ob}e Wns to ft proper I DO have oblectlone to this
proposal.
ff You haw obJ•ctions to at is b9lW9 ProPas•d, you must no
U&nyunent (DCA#) in wriiJno within 10 days of n • 'C' on o!
mal/ed to 401 S, arM9n o•lpt of this not/ao. COMospondon�o should be
contacted at (252,) 26Q- �. /yo, ENzabe�ir City, NC, 27 DCM rMpr'vaentat/vq can also be
noWled by Car n*2 3 b co"dared tM same as no o41*Worr ll you haws baari
I understand that any proposed pier, d WAS SECTION
o* mooring pilings, boat ramp, breakwater', boathouse, M, or
gChis does not roin Must be set back a minimum diftnoe of 16 from my arse of riPaden scoese unless waived by me
the apProPrIste blank WoyY lktioads or riprap re�retmertts). (if you Wish to welve the seftcK you MUMLIiM
I DO wish to wWvs song W of the 1S setback
.ow -WMGNB ofAMOertfR, fterty Owner•
I do not with to Waive the 15' estback require nent4oul the bkugo
Slgrmblm of Adam d Riparian Property Owner.
TYP+d/Pdlftd Menu of AM: Pj1g
Maly Address ARPO: P2
ARPo's Wfth
•walvr Is valld for up to one
yaarirwn AP"s afpnaturub
Revfsed Msy 2021

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