86515A - Hyman, Edward

O.CAMA ❑ DREDGE & FILL N° 86515 } B C D
Previous permit
Date V
GENERAL PERMIT
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 C.) Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name /� Authorized Agent
Address 1 L b �.V'1 exV A Project Location (County): OA nn, Jf t✓+�,
City r tx.w\ AtA,,-, State NJ r ZIP - Street Address/State Road/Lot #(s) � �1j a w
Phone #Ll (% -�3
r
Email •' � �Subdivision ",
( City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body PQ C3Q� b ��-,V tX -�-� V P—V- a-tljn�ann/unk)
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body Q, mw 6 'C'r'",^Y/LA4,r- Q4
ORW: yes/no PNA: yes/no j
Type of Project/ Activity
(Scale: N f5)
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length _
Basin, channel
Cubic yards
Boat ramp
Boathousel-boatliff-
Beach Bulldozing
Othef-
SAV observed: yes t no
Moratorium: n/a yes no
Site Photos: es no
Riparian Waiver Attached: yes ,- 0
—111
A building permit/zoning permit may be required by: ! O t,"1 ! L 4A � ' ! IV-, t .
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT
Agent or Applicant PRINTED Name
❑ See additional notes/conditions on back
TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Signature "Please read compliance statement on back of permit"
` Au .
Application Fee(s) Check q/Money Order
Lk t
Pe rmi Officer's PRINTED Name
7�
Signature
Issuing date Exp ration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) fix. +�
:�I��E I V
Name of Property Owner. Eddie Hyman
Address of Property: 113 Sunset Ave. Camden, NC 27921
Mailing Address of Owner: 113 Sunset Ave. Camden, NC 27921
Owner's email: [e-mail] Owner's Phone#: [phone]
Agent's Name:
Eddie Hyman
Agent's Email: [e-mail]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
APR 2 8 2022
DCM-EC
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
description or drawing, with dimensions, must be Provided with this letter.
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 notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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
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.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) �- r
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Richard King
115 Sunset Ave. Camden, NC 27921
ARPO's Phone#: [phone]
Date: 04-27-2022 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Eddie Hyman
Address of Property:
113 Sunset Ave. Camden, NC 27921
Mailing Address of Owner: 113 Sunset Ave. Camden, NC 27921
Owner's email: [e-mail]
Agent's Name: Eddie Hyman
Agent's Email:
[e-mail]
Owner's Phone#: [phone]
Agent Phone#: [phone]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
RECEIVED
APR 2 8 2022
DCM-EC
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
I DO NOT have objections to this proposal. 1 DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
Ego
I do not wish to waive the 15' setback requirement (initial the
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mike Goodman
Mailing Address of ARPO: 111 A Sunset Ave. Camden, NC 27921
ARPO's email: ARPO's Phone#: [phone]
Date: 04-27-2022
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

CAMAFSRKETCH SUNSET AVE 60' R/W
EDWARD T. HYMAN, JR
SHIL OH TOWNSHIP - -
CA MDEN COON T Y, NORTH CA ROL INA
APR/L 2Z 2022
GRAPHIC SCALE
60 0 30 60 120
IN F EDDIE HYMAN
1 inch _ 60 it 113 SUNSET AVE
CAMDEN NC
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PROPOS
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113 Sunset Ave, Camden - E. Hyman
April 19, 2021
Streets # Addresses
Streets [—] Parcels
Main Roads D County Boundary
1:783
0 0.005 0.01 0.02 mi
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0 0.01 0.02 0.04 km
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