86228A - Nixon, William R.

OCAMA PJ DREDGE & FILL
W 86228 Q a c D
a
GENERAL PERMIT
Previous permit
.
Date previous permit issued
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 Tt (� % b �' ? t L b� ❑ Rules attached.
® General Permit Rules available at the following link: wwwdgq.nc.gov/CAMArules
Applicant Name %� �� i Q- w. (� 'V 1 �
Authorized Agent L
Address P' .., 7 yS
Project Location (County):
City G lj e L a State zip 2 -7 % �%
Street Address/State Road/Lot #(s)
} y
Phone #3 .i — S a 4 2
Email L-JIt 1 Ihi IZ-o n, Ck A r` .0 b ti GiQC..r Cb
Subdivision Sr-1 4 S Q a i
City S C. o ZIP 2-7 7 3 (o
Affected ❑ CW EW ® PTA [S(ES 1?3PTS
Adj. Wtr. Body G4A/� (na man/ nk)
AEC(s): ❑ OEA MIHA ❑ UW ❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body / 0.ry, % t e
ORW: yes(to,:) PNA: yes no
Type of Project/ Activity I e Rt.O J¢. S IBC. / L r a o G ►< P,,Q p /cq, c 7 S ' at c. K� fl ca a�'ectJa� C�
o a_,A-� S- 4-1 n.q t J �.,) 1 � Tn s i-a l l <S >L; a � i �i rc4 s �n � / S �� ,Q (Scale://i U f
Shoreline Length 61 2 5
Access Length j Alier (dock) length Q.
!"
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
th/#
u�Ikhi�,�PaRiprap length S
Avtance offshore 2
Breakwater/Sill
.2
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other S e" j 1 n a S
I0
SAV observed: yes >o
Moratorium: n/a yes no
Site Photos: 9 no
Riparian Waiver Attached: no
A building permit/zoning permit may be required by: _
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Permit Conditions V d d di J I-K bw1 c-'k— /i ") 4-n-W -r-O Z Z)
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
7L WiL.LiAr" �V►�C�r.2
Agent ('o�rApplican RINTEDName
7�- I,J;,I► �f�
Sig ature "Please read compliance statement on back of permits'
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Application Fee(s) Check #/Money Order
A.
Permit Officer's PRINTED Name
Sig re
Issuing Date Expiration Date

RECEIVED
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
F EB - 7 2022
Name of Property Owner Requesting Permit: V�XLL% (� , (�,�x,� DCM-EC
Mailing Address: P.J. G--," 7g5
Phone Number:
�_l �zl�2r rt C tTy "Q 1�ga-7
251- `1'5-so(z
Email Address:
I certify that I have authorized Z (--car-
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 1'1514 J2 oQkl,,ru-�,7-
i,
at my property located at 5cx>`�'A c-v FR s(-z� &A. z-753b
in 0 AV- %z-
County.
0
/ furthermore certify that 1 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 Information:
` (2, tS-).,
Signature
W tL'-. A" 2. (�xo �►
Print or Type Name
¢> w ,.i ;
Title
Z / \ / 7.32Z
Date
This certification is valid through l l l

N.C. DIVISION OF COASTAL MANAGEMENT ����D
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER F
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
F E B - 7 2022
Name of Property Owner: V� NL-u An+ R • (�' xv n CM
A _ E C
Address of Property: 500`i� Fa-ta- 3oorn LT F2ka N �V�
Mailing Address of Owner:
P_o. 3ox 745 EL%za(asn" C kTv nlc
Owner's email: ,, tkAt --% a n•ico—c eA--
Agent's Name:
Agent's Email:
Owner's Phone#: `Z52-435 -5-11
Agent Phone#:✓-)3
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.
/ 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 400 Commerce Ave., Morehead City, NC 28557. 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
41 1 ( t tX
-OR-
Signature of Adjacent Ridarian Pr6pky Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: ',rj.Lp1,rQs_
Typed/Printed name of ARPO: �Su C- L WC—AWCA-A I rr. U,
Mailing Address of ARPO: Pc es., lev+ 1311LLx:1 (jc- a- !3 .2d
ARPO's email:
ARPO's Phone#: 9,!Da ) `1% - C)+ag
Date: I f AI a,-z *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

RECEIVE®
F E B - 7 2022
DCM-EC
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTMATIONIWAiVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: g . N "" J
Address of Properly: 500R 1 c r Prz,Scz, tz L
Mailing Address of Owner: P. o . bz,+ -7y5 B C v -r N c.. Z7 4&0-7
Owner's email: w+•lln 01% P- A-W-J- Kam• & -
Agents Name.
Agents Emailt
AAentPhone#:1-? '�)-_33
I hereby certify that 1 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
descxintion or drawing with dimensions must be orovided 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. Dlvislon of Coastal
Management (DCA) In wrltfng wJthin 10 days of necelpt of this notice. Correspondence should be
mailed to 401 S GW% St.. Ste. 300, Eft*W td City, NC, 27M MU igxesentnb%w can also be
contacted at (2 i4 280-3001. No response is considered the same as no objection if you have been
notified by CwtWed M WL
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 blar k below.)
(1D0 wish to waive somelall of the 15' setback
-OR-
I do not wish to waive the 15 seWvx* requirement (initial the blank)
S M Adjamt Riparian Property Owner: �7 7ypedlPriried nrms dARPO: AD. C 4-z
11 0 0 Address of ARPO• t Z �c t r e,% 2Pc-c rJ
ARPo•s wash c-4 ..,'mac . J e 1- ARPO's Phorra#: g i 2 7 9- 2 7 q�(
Deter /' -�L `{ *waiver Is wAd for up to ors your from ARPO's Signature•
Revised Judy 2021

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RECEIVED
FEB - 7 2022
DCM-EC

This map is prepared
jy
0
,�
4public
from data used for the
inventory of the real
property for tas
purposes. Primary
information sources such
A.as
JL
worded deeds, plats,
wills, and other primary
-ver7! tlRss\`
records should be
consulted for verification
of the information
contained in this map.
50099 Freebooter CT
Frisco NC, 27936
Parcel: 011786000
Pin:051607784196
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Owners: Nixon, William R -Primary
Owner
Nixon, Erin K -Primary Owner
Building Value: $171,500
Land Value: $124,400
Misc Value: $9,000
Total Value: $304,900
Tax District: Frisco
Subdivision: Brigands Bay
Lot BLK-Sec: Lot: 205 Blk: Sec:
Property Use: Residential
Building Type: Traditional
Year Built: 1990
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