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Home My WebLink About86396A_Pollard, Mark_20220525d,tour,# ❑CAMA ❑ DREDGE & FILL �r V I' GENERAL PERMIT No 86396 Previous permit Date previous permit issued A B C D ❑ 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name _ Address City Phone # Email Affected ❑ CW AEC(s): ❑ OEA ORW: yes/no State ZIP ❑EW ❑PTA ❑ IHA ❑ UW PNA: yes/no Type of Project/ Activity ❑ ES ❑ PTS ❑ SPIMA ❑ PWS Shoreline Length Access Length �- - Pier (dock) length _ Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City ZIP Adj. Wtr. Body (nat(man/unk) Closest Maj. Wtr. Body (Scale:; ' ) z�. Fixed Platforms) Floating Platform(s) 'X,' Finger pier(s) V Total Platform area G_roin_length/# ,Bulkhead}j Riprap length Avg distance offshore t Breakwater/Sill Max distance/ length / Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no a Moratorium: n/a yes no ; Site Photos: yes no { Riparian Waiver Attached: yes no 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) /ye Agent Or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Signature Application Feels) Check #/Money Order Issuing Date Expiration Date Lj N NLij �A ftft m n'1 AT N.C. DMSIOI OF COASTAL MANAGEMENT MAY 0 9 2022 ADJACENT RIPARIAN PROPERTY OWNER NOTMATiONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY L) C N A._ "(C (Top portion to be completed by owner or their agent) Name of Property Owner: / 1 A 12 h PC) ( l u t f/ Address of Property: L 2 3 In.17i 1 r° Mailing Address or Owner: 5 )Im f: _135r3r75a Owner's email: �1 /A Owner's Phone#: L � S 11 L Agent's Name: Let LIPl�! %G!1 l /r ` Agent Phone#:Sd �- 331- 6,3 0 I• .: � �I/.CI�7LIL��iTL'[y+,til/��ar4'�L. ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION Bottom portion to be completed by the Adiacent Prooertv Ownerl 1 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 devekgxnent they are proposing. A description or drawing with dimensions must be provided with this letter. I DO NOT have objections to this proposal. I DO have objections to this proposal. ff you have moons to what is f-ing proper year must nofffy the N.C. Division of Coastal Management (DCMJ in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 & Griffin St., Ste 300, Elizabeffi Crap, MCy 27909. DCM representatives can also be contacted at (254 26449m. No response is conskkred the same as no objection ff you have been notified by CeedfKed Mar. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or grin 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 revelments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive sometail of the 15' setback Signature of Atyaoent Roadan Property Owner 5612 I do not wish to waive the 15' setback requirement (ir>itiai the blank) Signature of Adjacent Riparian Property Owner: ' TypedlPnnted name of ARPO: Mailing Address of ARPO: V 3 ARPO's email: N,,,N ARPO's Phone#.- `f — (�Q t, � d aL4311QG Date: — D *waiver is valid for up to one year from ARPWs Signature* Revised July 2021 x Ci k—, MAY 0 9 2022 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTMATIONIWAiVER FORM GERTIFIED MAIL -RETURN RECEIPT REQUESTED or NAND DELIVERY t,., M _ E C (Top portion to be completed by owner or their agent) Name of Property owner: M id R k Po I I I 1- ,mess of Property_ a 3 t. 1, fc P LOfv/, -D - Maifing Address of Owner: SiG/n'! Owner's email: /'i/A owner's Phone#: 3�� - ` 1 _3 Agent's Name: L u,46(er, r%% o rifle . Auent Phonem 5�) - 33 /- 6313 Agents Ernart ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION Sa t orn Dorton to be conmleded by the Adiacent Property Owner) I hereby cerfify that l own property adacent to the above referenced property. The individual applying for this pernfd has descrt� to rne, as 4sown on the attached drawing.1he development they are proposing- A deserkAion or dnnmxr, wdh dance must be provided with Via letter. I DO NOT have objections to this proposal. I DO have o4edionrs to itris proposal. Ifyou have objectiom to vWw is b--%g proposed; you mu3st m3ft the K.Q Division of Coastal Management (DCAQ in writing war 10 days of rr ceipt of Oft In Or F Canaspondierrce should be nu~ to 401 S. GrYffn St:, Ste. 300, EFzabedr My, NCB 27901 DChf hop mentatfr ss can also be contacted at (M) 264.39M MD respuig a rs considered the sante as no objection if you have been no~ by Ce iftd Mak WAIVER SECTION 1 tffKWS errd #Uj any Proposed pier; dock, mooring Pam• tot ranq). breakwater, boathouse, lift, or groin must be set bade a n**MNn aslance of IS from my area of riparian access unless waived by me (this does not apply io brldmads or rk ap revetments). (If you wish to waive the setback, you must slant' the appropriate blarrlk below.) I DO wish to wave sornelall of the 16 setback Slue ofA*weat P4wian Property Owner l ems' r I do not wish to waive the 15' setback reWkwnent f~ the blank) Signature of A R+parian Property Or■ner W TypedlPrinied name of ARPO: C4A-141.iCt MaNing Address of ARPO: OK - t rri-�rll�Ivy ARPO's email: ARPO's Phoned; 9,57 y55 _ nSi� Date: -t - 2 �L— -waiver Is valid%r up to one yewtirom ARPO's Si ohneY Revised Jriy 2021 Can Ui 's d d ,/ CEIVE® MAY 0 9 2022 DCM-EC Currituck County GIS Data Viewer Currituck County GIS Phone: (252) 232-2034 E-mail: gis@currituckcountync.gov IL Addresses Communities Aydlett Bare* Coitjoek corolla Curriluck Gibbs Woods Grandy Harbinger Jarvisburg Knot ts Island Maple Moyock Pant Harbor Poplar Branch Poweas Pant Shawboro Svc WaterBy County Boundary — state — county Streets Wright Memorial Bridge Major Streets —ArteriaLPrslcgal --- Arterial Major —Collector—major Parcel Land Hooks Parcels El Currituck County Aerial Photography (2021 NRed: Band-1 Wreen:Band_2 OBlue: Band_3 This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information shown on this map. yh4y 3 �- • �'� _+;J t / a�, +if� �K�. �C 3• 9 }