87361C - Beach, Kenneth

o 1OQ COASrgr c ICAMA ❑ DREDGE & FILL Na 87361 A B c 'D
'Previous permit
GENERAL PERM 1 T Date pre io s permit issued
0 ❑ 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
UN
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
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
Type of Project/ Activity
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
Boathouse/ Boatlift
Beach Bulldozing
Other
1
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no _e
A building permit/zoning permit may be required by:
Permit Conditions
(Scale: )
❑ 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
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fee(s) Check #/Money Order
Signature / )
Issuing Date Expiration Date

o1°1`°"`41 NNI❑CAMA ❑ DREDGE & FILL Na 87361 A B C D
-ffih
y � GENERAL PERMIT Previous 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
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
Boathouse/ Boatlift
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:
Permit Conditions
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
P
(Scale: )
❑ 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 Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

Styron, Heather M.
From: Andre Webb <[e-mail]>
Sent: Friday, April 29, 2022 7:08 AM
To: Styron, Heather M.
Subject: [External] Needed Permit 219 Bayview Blvd
Attachments: Beach Agent Auth.pdf; Beach Neighbor 1.pdf; Beach Neighbor 2.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
Hey Heather! Its Friday! Need another permit for a seawall and replacing the dock in the same foot print. I have
attached the forms. Hope you have a good weekend.
Thanks
Andre
252-665-4378

Narne of Properly Owner Requesting Permit N0N�IN frAtl{
Mailing Address:
Phone Number:
Email Address:
?39S �a►soti ��� �a
Jill- IAMSraj rt rJ 2784Z
Z52 -`lY,5"- mj.-
I certify that l have authorized N%' WC--g6
Agent / COWWW
12�P4�a-- V 00" 1 /� SArYrl /�
at my property looted at Z/ 9 X 0YV1t-Ia 9CV P A%$ 40 ;TJ C g6f" .
in County.
I furthermre certify that I am authorized to grant, and do in fact grant perrraission to
Dtwsion of Coastal Management staff, the Local P+ernait Officer and their agents to enter
on the aforementioned lands in cow with evahm6ng information related to this
pemnt applirfion.
Property Owner kda ms ion:
r slgnaade
Print or Type Name
Title
Dal
This certification is valid tivough

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER N077FICATIONNVAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
3 =41
Name of Property Owner: 1<t1-)VA14-TN ?-pet
Address of Property: 31,orill e-,gj Ze !�p, y
Mailing Address of Owner 7 -57 7-A6&ov
17
Owner's email: Owner's Phone* Z-5'2 - /0"."
Agent's Nam: AV12"- LeffA —A
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
M—Ot-19MM61on to be c2ffipleted by the Adjacent Propeft0w neo
I DO NOT have objections to this proposal. I DO have objections to this proposal
Trw
WAIVER SECTION
I understand that any proposed pier, dock, mooring Pilings, b0at ramp, breakwater, b0afhOuSe, 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.
EM
i do not wish to waive the 1 V setback requirement (initial the blank) 44z—
Signature Of Adjacent Riparian Property Owner 4a
TYped/Printed name of ARPO:
Mailing Address of ARPO; -14 VLi-ir n r r a; r,-ez, it 4 4,
ARPO's email:f
ARPO's Phone# -
Date: —v4L-- *Waiver is valid for up to one year fmn ARPO's SiqnAatu

r
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETUBN RECEIPT REQUEEED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of property Owner. _ X&A/4-TN ?6p4y
Address of Property: _..-Z_/ 9 IgAY VI S bL l?Z vp . / rZ,vrTic 36,n e.is AIC.
Mailing Address of Owner. / 37s PR6w G4,'17 2 ao J 2,789Z
Owner's email:
,,// Owners Phone*ZSZ- 94/s- /63 3
Agent's Name: fin me- A4-y 4 Agent Phonet ZS Z - t;6S - Y378
Agent's Email: - Webbwo(G tJ 5eng, co.•.
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
0011100111122111120 tom completed by the Adjacent Property Owrwr)
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. I DO have objections to this proposal.
If you have objections to what Is bebrg proposed; You must nobly the N.0 Dlvislon of Coastal
Management (DCA9 In WOW within 10 days of receipt or this natlee. Corr+espondance shot" be
mailed to 400 Commence Ave., Morehead City, NC 28W. DCAf represe►rtatives can also be contacted
at [phone]. No response Is cons/dared the same as no 04� #you have been notlNed by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, kit, 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 somelall of the 15' setback
-OR- Signature ofAdjracerrt Riparian Pfopefty Owr>er
l do not wish to waive the 15' setback requirement (initial the blank)
n
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address of ARPO. - j0/ C4,4r) pr 4pryc tuC 2 -7 5 3,7
ARPO's email: SM�nnls,on.,,V, CbM ARPO's Phor6t: _ Df- Zi9-1331
Date: 17 'waiver is valid for u to one ,
p Y� from ARPO's Signature
Revised May 2021