Dixon, William 88607C

CA,MA fJ ONEOGE & FILL
GENER/AL PEHMIT
[New f]Modification ffComplete Reissue [_]Partial Reissue
As authorized by the of North Carolina, Depanment of Environnrental Quality and the Coastal Resources Commission in an area of environmental concern pursuartt to:
l-lRulesattached. ffi*rt
),19 lttt6t)7 A s G) of"il::lil:W
I5A NCAC Permit Rules available at the following link: wwwdeg.nc.gov/CA|lArules
Applicant Name
City
Phone #
State ztP
Authorized Agent
Proiect Location (County):
Street Address/State Road/Lot #(s)
Email ...__ - SubdMrion
City 7t9
A{fected
AEC(s):
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Type of Project/ Activity
ORW:
IHA
PNA:
Shoreline Length
Access LenEth -/
Pier (dockl tength
Fixed Platforn{s)
Floating Platform(s)
Finger pier(s)
Total Platform area
6roin lenBth#
0ulkhead/ Riprap
Avg distance
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Eoatlift
Beach Bulldozing
Other
* Al[ prnuious f* r,Ai+ c,A;{ans
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SAV observed:
Moratorium: nla
Site Photos:
Riparian Waiver Attached:
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A building
Permit Conditions
may be reguired by:
TAR/PAM/NEUSVBUFFER
see note on back regarding
l*l See additional notes/conditions
--l l : :-'
staterfient on back of permit'
Fee(s)
PRINTED
Check lllMoney Order
Permit
Date
lnitial)Kr
)
H.C. Blt,lSION OF COASTAL iTANAGEIIENT
ADJACENT RIPARIA]* PROPERTY OWHER NOTINCANOMYTAIYER FER}I
{Top portion to be completed by owner or their agent}
Name d Property owner: Brian and Kimbedy Pelkey
Addrese of Proprty:113 Cap Point Bhrd., Cape Carteret, NC
Mailing Address of Owner 104 Dora Court, Cedar Foint, NC 28584
ownefs
"*";1.
[e-mail] Ortrnefs phone#:(252}3fi7-15eS
Agent's Name:Restoration Systems, LLC / NCCF Agent Morgan Rudd: (804)-38511981
Agenfs Email:mrudd@restoration systern$. com
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AOJACEHT RIPARIAH PROPERTY OII'NER-S CERTIFICATIOI'I
fSottom aortion te be comnlatod by the Adiacant Prep€rty Ownerl
I hereby certifu ttat I onrn
permit has descrihed to
property adjacent to the above referenced property. The irdMduat applying forthis
me, as shovrn on the attached the development they are proposing. A
I DO NOT have objections to this proposal.I OO have objections to this proposal.
I*anagement (D€.fr) in writing wtthin 1O days of recerpf of fris notrce. Coneepondenca shorrtrd be
mailadta4OO Cornrneree{vrc., ifiorcfiaadeifts, rYCe8657" OCiilrapmesrrfatirrescanalsoiccon*achd
at (252) l\lo rusponse is considerud ftra sarne as no obj*tion if you have 6een nofffied &y
Caftlfred Neil-
UYATVER 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 revelrnents). {lf you wish to waive the setback, you must sisn
the appmpriate blank below.)
I DO wish to waive somelallof the 15'setback
of Adjacent Ripaian Praperty Awner
-oR-
I do nat wish to nraive the '15' setbeck requirement (ifitpl the blank)
of Adjacent Riparian Ornar\t \r
&
TypedlPrinted name of ARPO:
?ffi r*-^es C.e<rK {1/, 5.-ko*', I {.}C.illailing Addreqs of ARFS:
ARPO'a email:
&l
f}o-s?h-er{
for up to one yaar from ARpO'r Signaturc*
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Bate:? "wairrerisvatid
Revr'sed July 2421