85219B - Russell Howerton

( \L 'CAMA I I DREDGE & FILL
��� ,V" tiSL i J A j C D
= GENERAL PERMIT I,D Q O Previous permit h1/1�}
Date previous permit issued /UM-
Y- 11"<ew [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�N._ / O 11.'L-iAa [ Rules attached. [ General Permit Rules available at the following link:www.clQwK.gov/CAMArtiles
Applicant Name 1 u5S(,/[_ CA)
CYi-on Authorized Agent`7N/It`'Address 10 it 5 r� CO
�__ Project Location(County): l_
City N17i b II Q .2 State C ZIP a9Is Street Address/State Road/Lot#(s)
Phone#( 34_ 12.
- a Ge yE r,i /o5^c Re4t/I ry&: y RO
Email_r '\ta..,(r�_�L (p t�.I t . .,-. Subdivis' n/ r�!. M t!! y
City_ OI jf.ef /'G'_� 7' ZIP A `t,R$
Affected []CW REW PTA ES PTS Adj.Wtr.Body '' icimanjunk)
AEC(s): [OEA [IIHA DUW 0SPIMA El PWS Closest Maj.Wtr.Body 4J /774y',•__._ 5Qm el
ORW:ye no PNA:yes
Type of Project/Activity .Sfrl/ /$ A' 7_6'L l e.4"ffG1` 4 7�f( raes771 ii j in bdr 'J."f741 1 A Inn a}, '4 35" fL)i1aYrttitr4 Oft- 4e _tea o_c- +1`e -4She- pia)- (Scale:/r=30/
Shoreline Length 1 4 '
Access Length Best S ew y
Pier(dock)length
i ..----------------01-
Fixed Platform(s)
Floating Platforms) C{`:4 /
Finger pier(s) �S•tt sle ^�5 tg'
Z 4 ,er' .
Total Platform area y oiiksi
Groin length/q
Bulkhead/Riprap length
Avg distance offshore _!f gnat
Breakwater/Sill �7
Max distance/length �X f ,
Sr7
Basin,channel Po I! ----.►• ?k 2tRe.'
Cubic ards / y E 1`i ,,,S
/oat ram f U L2 O/(--
Boathouse/Boallift ZnISfal) /S'� o—
Beach Bulldozing ��M�ZO4, ,5�^1 S�>6ir
Other()) 'Pfee ietri b s'i 5 A t�
YInc,pii.,s bAN1
SAV observed: yes hQJ } t, vt"`S 13'^0=�1t s.J S fy `��
S Q t G fe)/J10 ,F
Moratorium: n/a yes vow
�IV/
Site Photos: yes 40 Riparian Waiver Attached: no Fkcta ?lay?
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n
A building permit/zoning perm may be required by: l v��e�_ _ C.•PU,
/ ' f I I TAwPAM/NEUSE/BUFFER(circle one)
Permit Co loons_(�D Q h fj;t.0 Jrd 1-4. .,__ � /� GCS
(owe°b y r J S . r r boe 5h ,t__ f t__ J`{ -e _q [ See note on back regarding River Basin rules
{� L�� 4a1 _ _X�e\ /5 4f' y- Zi Lao I I Sec additional notes/conditions on back
!� jl�l {y J` �+ q
I AWARE OF STATUTES,CR RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND EVIEWED COMPLIANCE ST TEMENT. (Please Initial)
e.
or Apollo PRIN e ) P mi O c is PRIN Name
a re' e rea lianc st .ment n ack of permit" Sin ure
tJ D r — (-0<x)c)'3(g*/)c tb - //lay --( Jd' -- /A - 'pi • 202G
Application Fee(s) Check ft/Money Order Issuing Date fr Expiration fate
!h -(h1J

gl NC Division of Coastal Management 2 0 4 2$ A C D
Cashier's Official Receipt
Date: AI A zo.
ausiel/ Aw n - r f g
Received From: �•+ r� 7�] •y� �I...S/ �� g �{�,"
Permit No.: R'Ja)9 ! � WAN, Check No.: I 2a
Applicant's NameRI e)" /4 14) ,, County:1 r4`/
Project Address: /r'A1J Ski if /e V &Left a r a c` 2
Please retain receipt for your reco •: as •' .f of payment for permit issued.
Signature of Agent or Applic. t: � "J" rear,
atre� / Date:
Signature of Field Representative: � �� / Date/ 4 goZ2

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be comp ted by owner r their aggent
Name of Property Owner. !`--(A S� c� l A©Ul (2 ct0 A(uu K,‘ rtt
Address of Property: -- i�14� ��� 1{►,)�'v
Mailing Address of Owner: 3 ?e OP-(CS V 5 C/'P U
lc v P•Owners email: VW • ers Phone# c 7 71/11 ^-7
Agent's Name: Agent Phone#:
Agents Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
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.
xI 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 receiptof this notice. Correspondence should be
mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252)948-6481.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 scan
the appropriate blank below.) ���►( �j�
I DO wish to waive some/all of the 15'setbaciSrci C Jt 1 tr t '^'
Signature
eoof(A jacent Riparian Property Owner
-OR-
•
'I do not wish to waive the 15'setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owrnyer. W�(��elta w'
Typed/Printed name of ARPO: 'Eura ` ` tc_I I IQj' no . / S
Mailing Address pof ARPO: 1D31 tWk5 GM load lolumbi��(a,(t1C a-taco
ARPO's+ email: etockot (kd •(em ARPO's Phone#: 4I2"1r52 -941 1
Date: 4 `�I '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/corn leted by owne or their agent) �t
Name of Property Owner: !�"�-J� i ��i(,f* (�& /�I o ft ,6( l�'
Address of Property: s 5 aPei (tl /U C-
` d7c25-
Mailing Address of Owner: 76 7 Pect7 Cc,-
S C /i-ee , 117v At�•t)r!NZ.e ic9 c
Owner's email:vtk'UV+ 'P & I 'Own ea*iPhone#: ��ae l70 Ili 9 7C67(
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property.The individual applying for this
permit has d cribed to me, as shown on the attached drawing, the development they are proposing. A
descriotio r drawing,with dimensions,must be provided with this letter.
I 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 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be
contacted at(252)946-8481. 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 _1 V✓
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank).
Signature of Adjacent Riparian Property Owner: /
Typed/Printed name of ARPO: / E/6T /(-) ,Jo AA) me D..( -'k
Mailing Address of ARPO: /0 * I .20 1 l s I C AO a 7 a 9 5
ARPO'sremaili"W IS 0t3 l.° lu ``4'h� di 0's Pholiet��, 7 10 ! 7 —4(
Date: 7 4 /9 a. 'waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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