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Home My WebLink About88610C - Beasley, Wanda Sue#M-New ❑CAMA Ef DREDGE & FILL N9 88610 A B C D GENERAL PERMIT Previous permit Date previous permit issued ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by tthe State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC < -J l z �Sti '' ❑ Rules attached. FNI General Permit Rules available at the following link: wwwdec.nc.gov/CAMArules Applicant Name IF. J r 6 t Authorized Agent Address .-�� ^ ) VP{r:A, ( (� iC l�%f�,. Project Location (County): /_ 4 �, 3/( < i + City 'i /A \I f� / State 4d--4 Zip � i`r rJ" Street Address/State Road/Lot #(s) >/� , Y r-, Phone#(,4�) 2'7~� 17r` Email "' Subdivision city ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body •-J O(.' '� 7 1jj��:' _- _ ^--- i (nat/rpan/unkJ AEC(s): nOEA ❑INA ❑UUW ❑SPIMA ❑PWS Closest Maj. Wtr. Body /1/�{i ��' Li V( �I ORW: yet/no / PNA: yet/no ) Type of Project/ Activity Cn V9 ` /'r� \ r i ;,I Y ' -'a ) ` (> - — ' (Scale 10 ) .....,............... _ Access Length - i i - �l Pier (dock) length_ Fixed Platform(s) -� I ' I Floating Platform(s) / / Fingerpier(s) — Total Platform area Groin length/p— Bulkhead/ Riprap length Avg distance offshore i _ _ ,_-..__ _. ___ ------ - Breakwater/Sill - - Max distance/ length Basin, channel Cubic yards i - ----_-- -1 - - -- Boat ramp Boathouse/Boatlift ti j �_)'- -� Beach Bulldozing Other —t— SAV observed: yes no Moratorium: n/a yes no "' F Site Photos: yes i no z! Riparian Waiver Attached: yes no -- -- - -- — — I A building permit/zoning permit may be required by: Permit Conditions i - j TARJPAM)NEUSEjBUFFER (circle one) F9See 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 readicprppliance statement or) Back of permit" r Signatur , Application Feels) Check k/Money Order Issui g Dates / Expiration Date �`°""❑CAMA ❑ DREDGE & FILL N9 88610 A B C C GENERAL PERMIT Date uSpepreviouusspermit ermit 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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq n�ov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # (_) Affected ❑CW ❑EW AEC(s): ❑ OEA ❑ IHA ORW: yes/no PNA: Type of Project/ Activity ,r ❑ PTA ❑ uW s/no ❑ ES ❑ PTs ❑SPIMA ❑PWS Subdivision City Adj. Wtr. Body Closest Maj. Wtr. Body ,') ' (Scale:!!', 1(1 ) - ME MEN ■EM .CC1 ■■ ME ME CC. CG .. ■� HE ■. A building permit/zoning permit may be required by: Permit Conditions ❑ TAWPAM/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 Feels) Check M/Money Order Issuing Date ' Expiration Date Owner's email Agent's Name: Agent's Email: N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed byy owner or their agent) Name of Property Owner. Wo r) ;( i 4 I i'J2(S L1 Address of Property: '%.'�l� Y 1yP 1 D 1L. r( Mailing Address of Owner: 7 it'll f'q'za G II iQ, &O )Owner's Phone#: n -A-0Kj-C 1-0 I: X�h I7.1 S�QU Agent Phone#: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom oortion to be completed by the Adjacent Property Owner) 3z— I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawing 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 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER 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 orriprap 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' setbac( L- - p ,/ - �� J Signature ofAdjacent Riparian P perty Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: i2b �1 �.• b ,n- Fo So �✓ I 4 �} Mailing Address ofARPO: 2 1 G /� 1Lt/�, tJa li, AY��OC ✓' ��> �L ARPO's email: ARPO's Phone#:-2,-r.1---5/14- /s% / / Date: / / -It) TbIxWer is valid for up to one year from ARPO's Signature* i Revised May 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top 1po'rtiontobecoCmpletedfb�y�ownerortheiragent) Name of Property Owner. t,��,lbX) 0 U��l 'I,�ICOR k / Address of Property: 7 -ZU K-1 lip} o 1-i�. D 2 Mailing Address of Owner: ��t I �An l"' oc k MrI\! � Owner's email: fYIOVJl'Q-dD, `I V i• (J00wners Phone#: Zc--) Z Ay (_� ) Agent's Name: �- . h�(�` V k)� Agent Phone#: 7— � &- 1 2-S-ICA `15 Agent's Email: ' Y\Y)Y�f'Ci Z�C ✓ li Y C •l'pV�l ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to bill completed by the Adiacent Proll Owner) I hereby certify that I own property adjacent to the above referenced property. The Individual applying forthis permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. G9 D tl I DO NOT have objections to this proposal. I 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808.2808. No response is considered the same as no objection If you have been notified by Certified Mail. J17LllrlU&IM111 091i1 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 orriprap 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 Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: ti i i,,e A • 4h1 (��»� Typed/Printed name of ARPO: In) r )^ t f r1 1), %f D 0 A\r A L 1) Mailing Address ofARPO: / i 3 h� K! 5 i I� UR. tirt t/ti �o( fjAti(. ,Y153 ARPO's email: ARPO's Phone#: ',41 I ,'4-W 1777 Date: *waiver Is valid for up to one year from ARPO's Signature* Revised May 2021