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Home My WebLink AboutEvans, David 87394C,o1*1 COAR41Al+❑CAMA ❑ DREDGE & FILL �`' 87394 A B C D Previous permit GENERAL PERMIT J' 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 Subdivision City ZIP 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 (Scale: Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) 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 ❑ 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 :t Application Fee(s) Check #/Money Order Issuing Date Expiration Date °F`OASN,% ❑CAMA ❑ DREDGE & FILL Ida 87394 A B C D �� 9T 2 GPrevious permit GENERAL PERMIT T 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 _ Address City Phone # (_ ) Email State Authorized Agent Project Location (County): ZIP Street Address/State Road/Lot #(s) Subdivision City 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 Finger pier(s) Total Platform are Groin length/#_ Bulkhead/ Riprap Avg distance oU Breakwater/Sill _ Max distance/ ler Basin, channel _ Cubic yards Boat ramp Boathouse/ Boatl Beach Bulldozing Other SAV observed: Moratorium: n Site Photos: Riparian Waiver F Abuildingpermit,_ 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" Signature f Application Fee(s) Check #/Money Order Issuing Date Expiration Date XT"40:aA " FOR CAWA PERWT APLCAT" e —ail kf -x k.A UP,; 2,<Z 172 3 - -3 9-2 t-et I-exre aj--rj—,,---d 4,bc 1Hqo,;Me- k2efl I corm-4cx ic a,-4 on my b--al, Sx tp- pj?Dse of aoyng for and oUawg at CAMA PaTTVS 1` spry I-j, ',-P- tNowM v,--V-,sp-d deyeoixr�e , -40orAd in -e k CoLrrf any ftiat / am autJ)rxizo-d to grant, and do in bct grant perr4ssrofl to �- LDcaJ Pefra officer ei agoras ef?v t staff; t f t 0 and tf, r ts to , Laf)ds in coflr evaluating inbm�a related to U-ms te an ed Sxqrialure Riat ce Type Plante 0 LA, /L"z Tibe Gse T'Ns c0ification is valid through �(7 cwk RECEIVED MAY I I 2022 OCNI-MHD CITY t CERTIFIED MAIL RETURN RECEIPT RC UESTEb 1 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATInNlWANER FOFtM Name of Property Owner. Address of Property: (Lot or Street M, Stroel or Road, City County) l Sv--ua�s Po /3` )e 93 /ytc+ryN Madrn Address: N, C. 2 �S 17 Agent's Name #: �� g _ '7� 3- �2-3 °'Mh Wj Ci Agent's phone rY: 2SI that I own property adjacent to the above re(eren�d PPO�rty, The individual I hereby certify P periy r drawing_the development aping for this rmit has described to me as shown on the attached rovided with this leller. they are p ing. A description or drawin wish dimensions must tie I have no objections to this proposal. I have objcctions to this proposal. rlyouhaveobjectionstowhatisbeingproposed,YoumustnotifytheDNrsroa oCoastalManagement calling i-8otl-4RCOAST. Is (DCM) in writing aithln 10 days of receipt of this notice. Contact lydormadon for DCM offices avallabieathJMwwnccoastalmanagementnebweblcfWstaKilSUn orby No response is considered the same as no ob ecUon if ou have Aeen noted h Oohed Mail. .,ry< WAIVER SECTION . I understand that a pier, dock, mooring pilings, boat fame, breakwater, boathouse, nless waivea lift muss I be set back a minimum distance of 15' from my area of riparian access ud by mr . (it you wish to waive the setback. You must initial the appropriate blank below.) I do wish to waive the 15'setback requirement. 3 I I do not urish to waive the 15'setback requirement. (Property Omer informabon) Sigwfure Prinf or Type Name Af8&g Address c4aafellip ) 7 (o o 1 19 Telephone NumLber/E7marl-Address �/ (/ j J of d- Dife y n or type N 415--- tl�j z�6a 9 Tolophono Number lEmaifAddross r7`r7 -Z.J7- Date (Rovrsod Aug. 2014) r_' k i{ UESTED CERTIFIED MAIL - RETURN RECEIPT R.E----- DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FARM Name of Property Owner. Address of Property: (Lot or Street , Street or Road, City & County) Dies o Agent'sName #: %�IUG(� '" �'me Mailing Address �� x 93 Agent's phone #: ul' 7a3 —3SZ3 /�I�CtiC G ........... Property. The individual I hereby certify that I own property adjacent to the above referenced rthe development applying for this permit has described to me as shown on the attached drawing_ roin�ded with this l they are proposing. A description or drawin with dimensions must be I have no objections to this proposal. I have objections to this proposal. u must notify the Division of Coastal Management Hyou have objections to whatisbeing proposed, Yo OffIces is (oclw) in writing within 10 days of receipt of this notice Contact information for 8i38M4RCOAST. availableath J/www.nccoastalmana ement.netAveb/cm/s aNlisfin orbycalling No res onse is considered Use same as no ob •ection if you have been noufied by Certified Mail, WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of ripaaterian blank below.) ss unless waived by me. (If you wish to waive the setback, you must initial the app p I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Information) Signature Print or Type Name %) s— A _Qe Mailing Address ClWtate,Ep 9e 5--1419�`�B(e? Telephone Number/Email Address Zd— Dare—�— (Riparian Property Owner Infomiation) Signature n m I i t i Pnnl or Type Name Mailing Addross liU '605 City/Stale2ip r 6461 •— 3Lt, - 3,14 Telepho Number/ Emad Addross Wad°� t c evo 5 Dale y (Revisoo` Aug. 2014) RF-CF—IV MAY 1, 1 4012 (,II` Y