86560A_Pilkins; David & Crystal_20220620

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r4 ❑CAMA El DREDGE &FILL N9 86560 �A': B C D
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
Address
City State
Phone # (_ )
Email
ZIP
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)
i
Finger pier(s) 4
Total Platform area
Groin length/#
L..
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: yesno
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
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(Scale -VI S )
❑ 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 Efate

AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: _� I
t —_
Mailing Address:
Rhone Number: — ?.f-r2___ C.2-��1
Email Address: ��' "S_.�t+1�0ri
i certify that I have authorized .__-1}��1�L ►� _ I L''1,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMAz permits
necessary for the following proposed development:
Z210 t -Z V - . a Le't ✓t Tt' tw 1 C -" 11 2 -
at my property located at ����._______21240 �_..._Z Zt'L ��<ti_�cs�-� ,
in 4, C�&�pounty.
I furthermore certify that t 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 Ow er Information:
Signature
AVi1) _F:', L_I. I'S
Print or Type Name
S
Date
Title
This certification is valid through

Beach Bulkheads & Construction
Santos Elmy
Po box 140
Aydlett Nc 27916
Phone: [phone]
Email: [e-mail]
Date: May 14, 2022
To: Carova corp ,& Ocean sands do Co
Tom Wilson- Goodman & Co
Hello,
My name is Santos (Beach bulkheads & Construction). We are representing your
nieghbors David & Crystal Pilkins at their properites located at 2210 do 2212 ocean
pearl rd in carova beach nc. The pilkins would like to construct a new vinyl bulkhead
along the canal on both lots with 10ft retun walls that adjoin your property as
indicated on the enclosed drawing. Mr. Pilkins would also like to install a new 10ft x
20ft dock behind his new residence, but npt within the 15ft setback.
If you do not have any objections to the proposed project please fill out the
highlighted areas on the forms (1 for each property) and return it in the stamped
envelope provided or you can email to me at [e-mail] . You can
contact me by phone, email or text message with and Questions or concerns you may
have. Thank you for your attention to this matter.
Kind Regards,
Santos Elmy
Beach Bulkheads & Construction

ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: C �, A ` T. ., `YV11 V6
Address of Property: PG
Mailing Address of Owner: Z_2-1U O Cat A u 1 201.E 1
Owner's email: ; K C, :V \UQ- rlt l-i Owner's Phone#:
Agent's Name: }�[Gc -i'1 U kk- <,, Cts Agent Phone#: 1-`�� ` 7 ? - tv `l :TEq
Agent's 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
1 DO NOT have objections to this proposal. 1 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]- No response is considered the same as no abjection if you have been
notified by Certified Unit.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ram, 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
Signature of ent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) _J4__
Signature of Adjacent Riparian Property Own I.
L�5 .
Typed/Printed name of ARPO: �C=F&A h J ✓ '
Mailing Address of ARPO:i��c K-Ds t�tz-► ✓ =1�cr rr �� 5 t�o,z -s, '`t -141
ARPO's email: . Co MARPO's Phone#:
Date: slz (+ LZ d Z_ z— 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

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