Scarnecchia, Mark 88416C

'J'Wrl` 2CAMA ❑ DREDGE & FILL NI?88416 A B E)D
tA Previous permit
GENERAL PERMIT Date previous permit issued ,--
[RNevv ❑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 b t'"r�. L.LJ� ❑ Rules attached. General Permit Rules available at the following rink: �ftnc.codCA!'l4rules
Applicant
Cyri a.
Affected ❑CW ❑EW ❑PTA ❑ES
AEC(s); ❑OEA ❑IHA ❑UW ❑SPIMA
ORNf( 'no PN . yes no
Type of Project/ Ac#vity Z
Access Length
Pier (dock) length,--�__
Fixed Piatform(s)4X'-siD, YiW"r)
SL+tC12-
Floating Platform(s) /
Finger pier(s) ' i-S
Total Platform area �?%h
Groin lengthfg
Bulkhead/ Riprap length _
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubicyards
Boat
r
Authorized Agent tro ".,t ' "
Project Location (Camty) ' !d bli
Street Address/State Road/Lot #(s)
.1
Subdivision
C6tA City ZIP
❑ PTS Ad]. Wm. Bob, aN Munk)
❑PWS Closest Maj. Wtr. Body, �, t"•�
(Scale: j
NW Fo 23-c"- P
to neta�hboBrien��{-It
IT.
i
Y
%.
V-
W
rA
>L
M1 -9 W M
%!thous- Boatlift
Beach Bulldozing_ . ✓ "
Other F7 yr -
SAV observed: yes no
Moratorium: n/a yes no �kV5 1
Site Photos; no` 1 t� `�j
Riparian Waive�sJ/ Attached: yes no ((\' ty.g) F-F"tir 1'rGs ( Q�
A building permi�ning permit maybe re2lui�red by:_ ❑ TAWFAMMEUSE/BUFFER (circle one)
Pernut Conditions �f lA. 4Pt9 AA, r 611-ems(_ 't'� —
�❑See note on back regarding River basin rules
inbotlrM drTcL[l� —.-- ❑See additional notes/mndidonsonback
r AM AWARE nP STATOTFS.CRC RULES AND CONDITIONS THAT APPLY TO THIS pRO1ECTANO REVIEWEDCOMPLIANCE STATEMENT. (Please
k
'biQX�D�
4 X'1?o'
(rss/Rf�o� e,
3XV, bor~4
�tnc�Br�►'rC�
�y Y A.-
J-'
Ir y
f
Signature "Please read pr statement on back of permit
)-, a
Application Feels) ( Check R oney Order

A B c�o
MCAMA El DREDGE & FILL N9 88416
GPrevious permit
GENERAL PERMIT �
Date previous permit issued
9[ql<ew ❑ Modification ❑ Complete Reissue []Partial Reissue
As authorized /IbI��yy the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC V % T' • I ❑ Rules attached. General Permit Rules available at the following link: wwwden nc gov/CAMArules
Applicant Name 1—
1 1 L
1 L%—,
Authorized Agent 1% r U%..N_ Q s sas:a
Address
r
Project Location (County):
r
City s(]
State —
ZIP
Street Address/State Road/Lot #(s)
1
Phone#(�ll ��^f�
-� �� fFY( /'
Email Ana#rna_rin.e.,�nC7fsL1l�,
1_
Subdivision
C3(nCL,A,(6/VX
City ZIP
Affected ❑ cW
❑ EW ❑PTA
❑ ES ❑ PTS
Adj. Wtr. Body. at/ an/unk)
AEC(s): ❑ OEA
❑ IHA DEW
❑ SPIMA ❑ PWS
Closest Maj. War. Body �4, 1y • V
OR . ye no
PN . yes no
Type of Project/ Activity
1
Shoreline Length A All
Access Length l
Pier (dock) length
Fixed Platforms) 4X3"],!;!f) `+j_
)4xi2
Floating Platform(s)
Finger pier(s) 3x-a>o,
Total Platform area
Groin length/M
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ram
ii ,� r
oathouse Boatlik IaY .71J
Beach Bulldozing
L' k
Lov ¢
3x36 boa�il
�tnp�Gr�(er
Other
SAv observed:
yes
no��
Moratorium: n/a
yes
no
Site Photos:
no
Riparian Waiv�7e(J �A/tttached:
e h„nrn no r.a r9bnninu nerm
es
it may
no /�1y�/N�•1�,��
In. J i &H hv
I AM AWARE OF
Agent or Applicant PRINTED Name
1' 4
r
,y
f
OV
s
I'LX jp T (Scale: )
NW+o eK �
i
y-d N- nel�hboor 12t�8`I-h
GoJere-d
14�Y IL
•v 1
V" y
4
N,r \P &, a(
Ito 4 LUA4-er I4c�a1 t.
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Signature -'Please read compliance statement on back of permit"
$ ano ©) 4-7LH9
Application Feels) CheckR oney Order

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 6i Y k J CGI (rl� t? CC h I G
Mailing Address:
0
Phone Number: q I q -°%/,5
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all''ICAMA permits �•
necessary for the following proposed development: 1 a ' X 14' U 6 Ck �1' ,Y � o' Tr n 9e r
J
n, aY. AAA /,/r- �,.,n-( )'i "Y WI - J,I)A - An/DL�P k-lMrr / -)lY'v)' - /_/ Y
dt mynpfoperty located at / /
in P61)de r County.
I furthermore certify that I 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:
Signature
Print or Type Name
Owne r
Title
S l iL l
Date
This certification is valid through ! /.

ProP 4,14y� uh
un� ik/ii
wk�• ,' e3'+
O�cA
qa
/lo fiJ�✓tifr� /�f��ti dk,

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWANER FORM
C,�ERTIBED MAIL RETURN RECEIPT REQUESTED4_r U6 D DELIYEM
(Top portion to be completed by owner or their agent)
Address
', : +, 1 Property
a 1AfI1�1��I1Q9///I���1lAl<el
Mailing Address of Owner. t1 �C I t ) L
Owners email: L6 i` /�l e 1l1 Qt" )'W10' m®s Phone#: q I �% - $�p CI - .5 7/5
Agent's Name:E1111P7fIYCIYICIi Did,�i���U�GIYIAgentPhone#:��D`�r%-1����
Agent's Email:
,
ant®oisi�.a��nmw��a arrm
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
( om ggrtion to be g9gIRIM bythe Adjacent ErMfti Qwner)
\1 hereby certify that 1 own property adjacent to the above referenced property. The individual applying rot this
permit has described to me, as shown on the attached drewing, the development they are proposing. g
t�l dewA211on or dMinp 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 lWho proposed, you must noft the N.C. Division of Costal
Management (OCM) In writing within 10 days of receipt of this notice. Correspondence shouo be
malted to 400 Commerce Ave., Morehead City, NC 28057. DCM representatives can also be contocted
at [phone]. No response is considered the some as no objection N you have been notill4d by
Carti/led Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, c
(Q groin must be set back a minimum distance of 15' from my area of riparian access unless waived by
(�1 (this does not apply to bulkheads or dprap revetments). (If you wish to waive the setback, you M.0
the appropriate blank below.)
J I DO wish to waive some/all of the 15 setbac
Signature of Adjacent Riparian Propdhy Owner
-OR-
`( C'0\y
I do not wish to waive the 1S setback requirement (Initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPrhtted name of ARPO: �KP(n,C r r /11� , t / r , Age
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#: �� i7/ ) L 12-'� a a I
Date: _ �b-'Lj _ __."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 NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
IVERV
(Top portion to be completed b owner or their agent)
Name of Property Owner
Ii, I /" _
MaMg Address of Owner; W) I'
Ownses email: gig- &q-j-q,5
Agents 11'I wrine I/ I r / A
Agent's Email:
• • ❑
�.Ltl4( J;t• Eif] ;. A':ITA it ra'IrF.11 ;,1S.1t% $ 41'.
I hereby certify that I own property adjacent to the above referenced property. The Individual applying f4 this
t�a\ pemtit has described to me, as shown on the attached drawing the development they are proposing.
( ft9dDtion or drawing. with dimensions must be provided mO this letter.
y C
()P 2!'L I DO NOT have objections to this proposal. 100 have objections to this proposal, j
eke
Dmli` .
k�bn
Sec
If you tram ob/ecOons to what Is belnp
Management (DCAh In wrftlng ndtidn 10,
mailed to 000 Commence Ave., A/orshead
at [phone]. No response Is eons/a+
Cerl/wed mail.
of receipt of this notice. Correspondence
NC 28W DCA/ representatives can slso Im
Me some as no objection ff you have been
WAIVER SECTION
I understand that any proposed pler, dock, mooring pilings, boat ramp, breakwater, boathouse, oft, o
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you MM j
the appropriate blank below,)
I DO wish to waive sonWail of the IV setback
e•�
1 do not wish to waive the 16 setback requirement (initial the blank) Ao•
Signature of Adjacent Riparian Property Owner:
lYPed/Printed name of ARPO:
Melling Address of ARPO:
M
L
753
ARPO•s eman: I i 2 D irex;9(a1(•c'a 1A ARPO's Phone#: 91 4 • iPd y8 /S&3
Data: - ant �-a (2;L •waiver Is valid for up to one year from ARPO's Signatures
Revised
be
by
',A9s,uc