Keeler, Michael 88604C

[ y (_ i FELL 88601A �
Previous permit
I R GENERAL PERMIT Date previous permit issued —
New (. - Modification L] Complete Reissue 1 1 Partial Reissue
As authorized by the State of orth Carolina Deffartment of Cnviroorneatal Quality and the Coastal Resources Centmission in an area of errv�ironneenesf toruern Pursuant tc
d SA-NCAC — r j� _ . _+ _ d __ .. .._..__ ; �� Rules attaehe�f_ Generalf ermit Rules available at the following link e.�vzv �f�q.t �.a�
Applicant Name-_
City r
State.
I a
E€tail-
Affwed �CW ) AJ16kEs PYS
AEG(s): OVA W, IHA .IUW 1[JSPiMA PWS
ORW: yesl ;D PNA: yes/4'
Type of Project/ Activity
Authorized Agent .... _ ..
P-
proiect Location
Street AddressJState Roadfl of #(s) _ a
Subdivison
Adi- Wtr, Body
Closest Mal, Wtr, Body
N
Shorefirie Length---
Access Length _
Pier (dock) length
Fixed Platformo�l
Floating Platform(s) _
f ing?er piers)
Total Platform area
Groin lengthJtt _
lulkheadl R"prap length
Avg distanceoffshorr
Breakwater/Sill
Max d6taoce/ length ,
Basin, channel _
Cubic yards
Boat ramp
Boethous Baati€f
Beach B
C}Lher 3
SAtr observed: Yes n,.,.,,,
Moratoriums nfa yes cl)
Site Photos, Ylri
Riparian Waiver Attached: e no f N' d
h bui-d€ng permat,ftaning per €t € y be fe wire€i by. „_�, �t _ _ _ 9''�
Permit Conditions Tfi�RiP0.i`�1%iVEU3EiEiUEEioR (slrcfe one)
_m ..u_ _ „�. _.._<. _,.. S note on back regardingitiiee Basin rules
See addlticnnai notes/conditions an back
Permit Officer's,
statement on back of pefmh* Signat r
Cheek i{1Ntcrney "der ss , og Cho e L p•rad Date

`E500A
76Yi2111
WHOM I
State / V Li ZIP
❑ CW pirw-
FIOEA ❑ IHA
N.kCAMA ElDREDGE & FILL ��%�' NY 88604 A B ©D
GENERAL PERM 1 T Previous permit
Date previous permit issued
XNew ❑ 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:
S 15A NCAC Lf d o ❑ Rules attached. General Permit Rules available at the following link: www.decnc.gov/CAMArules
r
Applicant Name
City
Phone #
Email
Affected
AEC(s):
ORW: ve
Type of
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) " /
Finger pier(s)
.®�A ❑ ES ❑ PTS
❑ UW ❑ SPIMA ❑ PWS
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathous / Boatli
Beach B i g
Other
SAV observed: yes o
Moratorium: n/a yes no
Site Photos: n
Riparian Waiver Attached: es no
A building permit/zoning perrpit yi
Permit Conditions ® _
./"`
Authorized Agent oq
Project Location (County):I{�i
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Adj. Wtr. Body
Closest Mal. Wtr. Body
----------------
o tes
f
I AM AWARE OE STATUTES, CRCLRULES ANDGONDITjONS THAT APPLY TO THIS PROJECT AND REVIEWED
Agent orppliy7nt PRINTED Name ` `� Permit Officer's
nk)
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please
S' a i e "Plea read compliance statement on back of permit" Signat rg Y
ba /1,7 AZ;Z
A lication Fee(s) Check #/Money rder Issy(ng`/DvR e EfpiratO Date

3C

N.C. DIVISION OF COASTAL MANAGEMENT
Name of Property Owner:
Address of Pop
Mailing Address of Owner:
fir.► ,
�#
M
OO - ,
Agent's Name: ro `� _ Agent Phone#:____ u
Agent's Email; m
1 hereby certify that I own property adjacent to the above referenced property. The indMdual 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,. m st, begrowl led with this letter.
100 NOT have objections to this proposal. _ I DO have objections to this proposal.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, beat ramp, b akwater. coax,-,0 _ se . H1, cfi
groin must be set back a minimum distance of 15' from my area of rpar'ar access unless
(this does not apply to bulkheads or riprep revetments). (If you wish to waive the Setback, --- raw; ,.t 4
the appropriate blank below.)
I Doi wish to waive some/all of the 1 ' setback
Signature at Adjacent Riparian Property ,;ine
R-
I do not wish to waive the 1 ' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner*
Typed/Printed name of ARP : (`
Mailing ,address of ARPO: � ' a sue_,- �, �, �) "�, �. L 2,55 '
ARPS 's email: PO's Phone#:
t,
Date: " � '��� *waiver is valid for up to one year from RP 's Signature*
Revised May 2021

COASTALN.C. DIVISION OF
(Top portion to be completed by owner or their agent)
Name of Property Owner: {v`1"C �' � � � � 4 - _____._
Address of Property: 61 E-a Cam"- t ,
Mailing Address of Owner: it
rK ill
Owner's email. nwer's Phone##:
Agent`s dame: Agent Phone#:e
Agent's trail:
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
escri lion or drawin .with dimensions must be rctvided wait this letter.
V' I DO NOT have objections to this proposal, I DO have objections to this proposal,
!f you have objections fo what is ream prrpaseet you rnusf rtotffy fhe f1> fvisr'c►n of Coastal
Man ernent (Z7Cil9} in writing within 10 days Of receipt of this notf , Correspondence should be
rrtailed toRdi C��rrrerce Ave,, ArForeead City, CVC 8�. Lattif representatives care arcs e contacted
at (2 218d - . No
response fs consi ered €he same s no nfajection f you have been notified,by
Certified Mail.
X
l 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 vou we �, to waive the setback, you mast slcan
the appropriate blank below.)
l DO wish to waive some/all of the 15'
of
ME
l do not wish to waive the 15' setback requirement (initia
Owner
Signature of Adjacent Riparian Property Owner: r 6 s
Typed/Printed name of ARPO,
Mailing Address of ARP£>:
�` �. ft C l
..
ARPO's email: ARPO`s Phone#: '—
Date: ~ '�, *waiver is valid for sips to one year from ARPOs Signature*
Revised May 2021