86577A - Richmond, Sharon

GENERAL PERMIT
Previous permit
Date previous permit issued
.NN. ``,
-:•:_ Modification [jComplete Reissue [-.I Partial Reissue
As authorized by the State of North Carolina. Department of Environmental Quality and the Coastal Resoorces Commission ,n an area of environmentalPS.Y concern Ov sC`A" to:
�S Li t 7 j7� Rules att ached. General Permit Roles available at the following link: v_n�ny dMI -1-'-
n Autltot'ized Agent _
_E'_ ►i1 L tnti iN
Applicant Name _ _ (,�,�i ---... --
��� �� ' Pro act Eocatttxt iCamtyl: _-_ ---
Add.ess l .11 '�-l�r=�.4Y' 1�.1. _D'ti'_1 z �� w H �/�(
State Street AskI r1;VStato RoatIlLot B(sl i Cr (r� ' ` `�
City State +. �_N.. ....__ ZtP , ,� _ i..�: t.._# 3` ; `)oe, .0--
Phone Jt (38foi `9 Dpp'�_0-+ 'i(p�. _ `% l H� i (i
Lr 5 0 � ` L _ � � 0 V:/1 Sulxkvisu+n � � � �i t�
Email }!�11 C! d- Coy (.rr* tit t'll-ci 'G .ZIP 4_..-1 ._ ._....._..
Affected �` CW )4W TA
AECtsi: OEA INA �-...�LIW
ORW: ye - PNA. ves9
IES L {PTS
SPIMA j PWs
Type of Project/ Activity l C A`T tl"..ULS --JF%-- It N
Access length __.._...... ...__
Pter Oeckl length
Floating Platforms► .-
Finger pl.,
Groin length?a jW
Bulkhead/ R,prap length
Avg distance offshore
Breakwater/Sill
Max distance/ length _
Basin, channel
Cubic vatds
Boat ramp
SOathouse
Beach Bulldozing
SAV observed' yes (-I r.) O O
Moratorium: yes M"-
Ph O •.S no
Atli. Wtr Body
Clou?u Mal v*r. Body
I
:A%�740
zu��
44
�1G u
*—I exi5h+V1 -�
I
(Scate:Nfe--)
Sae. otos.
Riparian Waiver Attitched �
: •: no �' •I
A bu4dtng permeJzonmg per t ay be required by. _ r
Permit Condmons _._._ .._..._._ _ ___..._
L TAWPAf- NEUSE'BUFFER (circle one
i
a See note on back regal din River Basin rule
`__1.t'1jjh j5� 6-) F�'tv -t- �cC 4, I,% OCA u'tiCl� �'
_fn " Y,{i_.t%1l .4tLL,�/ik1Lr 9�`��"Z C/��G �11(Il"i.6 .. ntieaAdditional nutes/conditionsonback
...._-s wo !CGclot l/ �. tr k -U-A 4 G M
1 AM AWARER F STATUTES, _ RC RULES ANO COq DIT�IONS� THAT APPLY TO THIS PROJECT AND REVIEWED COMPt1ANCE STAI EMENT, (Pie ase Inittal)
Dr
ZApplicant PRIW' E' Same Pel ind ttta rr's PRIN I ED N: u
sign,ture "Please read compliance statement on balk of permit" S,t nartur
Apphc.uton Fee(s) Check IfItAunry Order lssubtg ate Ehpaattun Date

AGENT AUTHORIZATION FOR CAMA PER
APPLICATION
Name of Property Owner Requesting Permit: _3Y)Gnf On- �'i-t lmoI_l�-
t
Mailing Address: Clp
a
God in(O-oY)
Phone Number: 38(4P__ IQ0_ 0i-7--7
Email Address: 'MUdd 1-Q OCjOg & gYV\1&i tp,M
I certify that 1 have authorized _ (A 'R� g t l Y. It t-ds I CV
iAgent ! Contractor — r
to act on my behalf; for the purpose of applying for and obtaining all CAMA permits
j necessary for the following proposed development: J-4
atmy property located at M-1 VkC>- )X\A t Vi-t__\^/ Q-/
in 0DY -e-- County.
i furthermore certify that if 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 Owner Information:
9.—Q-,-rt.
Signature
Sharon Richmond
Print or Type Name
Tale
2/19/2022
f Date
This certification is valid through
RECEIVED
MAY 2 1 2022
DCM-EC

LZ6�� --'q Agent
Received Y (Printed Name) 7—Addressee
CC. Date of Delivery
D. Is de' 's i-
livery address different from item 1 ? Yes
If YES, enter delivery address below: p No
3, Service Type
ype
it C3 Priority Mail Express(D
0 Adult Signature
0 It E3 Registered MailTM
Adult Signature Restricted Delivery 0 Registered Mail Restricted
Cert�fi M�
Certified Mail& Delivery
9.590 9402 6011 0069 6511 33 Certified Mail Restricted Delivery 0 Return Receipt for
11 Collect on Delivery Merchandise
ArtirIP N UM her ❑(rranSfer from service label) 0 Collect on Delivery Restricted Delivery C1 Signature Confirmation TM
?npp r, , , -, r., '-sured Mail n sinnnf,— e--c—,;—

N.C. DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
GER II= lCp MAIL IRE I - RECE-IPT RE4-11 lESTED or IIAND b -LIVERY
(Top portion to he Completed by owner or their agent)
S J`-\0..V 0VN
vx Q tt1%,.. ..._ ��11i
t>sl�a,i lt�����t� l �.��,,it� �� f )�rnea� ; 1 hr���• _
1-7
�1-miff t111 llkA I i< 't { t
A0,IACENI RIPARIAN PROPERTY OWNER'S CERTIFICATION
�Ir�Qrt!ythoACntP►rpntypn_?ir�rl
c-; ;ti ;,;;; ;:�.,; I„ ��h�rtY adtacent to the above referenced property CY:e mdwr44yat appt�t:rifl !�, s, s
tc me gas Shown on the Attarhed drawing the development th�:y are pr,tr�s�nJ A
0- Aw r V:rttt dimensions must be provided with this letter.
()C; N T have objectors to this proposal __ 1 OQ have objections to this proposa
If you have ob;ections to what is being proposed, you must notify the N.C. Division of Coastal
feanagement (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mat ded 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 objection if you have been
notified by Certified Mail.
WAIVER SECTION
u -d 'stano that any proposed pier dock mooring pilings. boat ramp, breakwater, boathouse. lift or
cro - m . st oe set back a minimum distance of 15' from my area of riparian access unless waived by me
r^Fs does not apply io bulkheads or riprap revetments). (if you wish to waive the setback. you must sign
me a propr:ate ^lank. below.)
' ``O wish IC waive sometall of the 15' setback
J r Signature of Adi nt , rparran Property Ov.,ner RECEIVED
.�c
r dr, not si sh t .va lr thr. t 5' selt)ack requirement (initial the b k) J U L 0 6 2022
jfrorurn of A.d t Plp'arran Properly Owner
DCM-EC
TypedtPrinted name of ARPO:
Mailing Address of ARPU-
ARPO`s email:
Date.
ARPO's Phone#:
'waiver is valid for up to one year from ARPO's Signature'
Revised J4:t

. .- -!
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Loeffler, Sarah W
From: Lauren Mitchell <[e-mail]>
Sent: Friday, May 27, 2022 4:50 PM
To: Loeffler, Sarah W
Subject: Re: [External] Permit application
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Report Spam.
3x8. Swivel over the platform. Thank you!
Lauren
D&B Bulkheads Inc
252-722-5774
On Fri, May 27, 2022, 4:17 PM Loeffler, Sarah W <[e-mail]> wrote:
Thanks Lauren,
I have started a file for Ms. Richmond. Can you please tell me what the dimensions are for the jet ski lifts? Also
please send me copies of the green card or signed forms when they are returned. The permit fee for this project is
$200.00 and I have scheduled a site visit on Thursday, June 2"d to take a look. Please let me know if you have any
questions. Thanks and have a great weekend!
Sincerely,
Sarah Loeffler
Sarah W. Loeffler
Field Representative
Division of Coastal Management
401 S. Griffin Street, Suite 300
Elizabeth City, NC 27909
[phone] ext 232
[e-mail]

CAMA / J DREDGE & FILL O ��� j 1 B C D
ENERAL PERMIT
evious permit #
ew []Modification []Complete Reissue []Partial Rei ate previous permit issued
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 14. 1 �-oc>
Rules attached.
Applicant Name 5kc rn ,-, Ri c.hmi-n cl Project Location: County DG %'Z
Address jCIO -} 4c rbav✓ Vie--,, IN,'
City Statetic— ZIP 9 4
Phone # (_b) ';iG.O - 61-11 E-Mail m- ,' Ja o C 0Y 49 9 ,x.. i
Authorized Agent Z) ° $ R j w-t-,J S
Affected ❑ CW JEW fAPTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ HHF b IH ❑ USA ❑ N/A
❑ PWS:
ORW: yes / &o PNA yes / �9
Street Address/ State Road/ Lot #(s)
Pci 0-+ 4a iho, r V. c.sw is r , Lo
Subdivision eul•rh�w� j}c��o., r
City Lulrwf­e- ZIP a'}gLl>�
Phone # ( ) River Basin P4 S" k
Adj. Wtr. Body A%6L,,•,c / 1L -IL, ` na /man /unkn)
Closest Maj. Wtr. Body 41be„% j 1, 50_._d
Type of Project/ Activity 'Lk X Li ' t^ 4 0d " P la t'll "M 1,....h-, 1 to�)C y L v �•.c r Q (o t-k»
(dock) length
F m7�T� 16'X4'
Finger pier(s)
Groin length
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshon
Basin, channel
cubic yards_
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
1
Shoreline Length } L4 b
SAV: not sure yes
Moratorium: n/ yes no
Photos: 4V no
Waiver Attached: _� no
A building permit may be required by: 6., L C�
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit #`*
+
Application Fee(s) Check #
.M\
(Scale: N . T, S. )
WIP"Aw
❑ See note on back regarding River Basin rules.
Permits Printed e
Si ure
Issuing Da et Expiration Date

Legend
1907 Harbour View Drive, Colington
Sharon Richmond - 5/2022 1907 Harbour View D�
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