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Home My WebLink About88574C - Grant, Linda1*�``°"SU�LN O CAMA ❑ DREDGE & FILL 9 88574 A B c D Previous permit Z GENERAL 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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # ( ) Email Subdivision City ZIP 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 (Scalej1:, j. ) Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Total Platform area Groin length/# Bulkhead/ Riprap length 1t 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: yes no --I- Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions ❑ 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 4 Application Fee(s) Check #/Money Order Issuing Date Expiration Date 5 1*F`°"""1 ❑LAMA [IDREDGE & FILL Na 88574 A B c D y = GENERAL PERMIT Prepermit ., Dateeprevious 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 Phone # Email Authorized Agent Project Location (County): State ZIP Street Address/State Road/Lot #(s) Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS ORW: yes/no PNA: yes/no Subdivision City Adj. Wtr. Body (nat/man/unk) Closest Maj. Wtr. Body Type of Project/ Activity (Scale:/ ) Shoreline Length. Access Length_ Pier (dock) length Fixed Platform(s) - rioat ng Niatrormts) Finger pier(s) Total Platform area Groin length/# 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 nom— Moratorium: n/a yes no Site Photos: yes no - — — Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions ❑ 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" Application Fee(s) Check #/Money Order Signature r, I ) nj Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: L o N t10- Gs-cw Mailing Address: Phone Number: Email Address: I certify that I have authorized � r �,►- I �e�nt - , Ageon rac r to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: CC) .--p +4 0- ''L,/� :C- at my property located at �S�f^ ��e C k c� , inC -eh County. I furthermore certify that l am authorized to gr Division of Coastal Management staff, the Local on the aforementioned lands in connection wit permit application. Property Owner Information: Signature LiN Print or Type Name Title 7_l�l� Date a h nt, and do in fact grant permission to Permit Officer and their agents to enter evaluating information related to this This certification is valid through I I RECEIVED JUL 2 5 2022 DCM-MHD CITY adjacent to i 1✓ I hereby certify that 1 own property 1 N property owner) property located at �, ®. Ct (Address, Lot, oc a®f N.C. . on '� m (CJty/Town andlor County) (waterbody) he licant has described to me, as shown below, the development proposed at the above PP VO I have no objection to this proposal. _ I have objections-ts0-tis-PropcLSa--- `---- _y-- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPiMEN ijelow or attachite drawing) (Individual tposing development must till in description I I �,,� i 1, vv✓1 �.1 I fry-��/1/' '`� l� (` � L WAJV =R SECTION - pilings, s, breakwater, boathouse, lift, or groin must be set I understand that a pier, .dock, mooring p 9 WED area of riparian access unless waived by back a minimum distance of 15' from my date blankbeloww.) wish to waive the setback, you must initial the appro P AL 2,5 202-2 VA I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement_ ----- (Preperty Owner Information) e PrOf or T k' ify/Sfate2ip _ Telephone Number eel, a,d, (Adjacent Date DCM-P+r HD CITY Information) q/ (,Revised 6/18/2012) R1PA AN P PERT pDJACEN adjacent to I hereby certify that' own prop. - property located at T (Addr®ss, Lot, 's if Properly Owner) `d, et N.C. . own and/or County) ow "1--1- .- above on {Waterbody} osed at the ' nt has described to me, as shown below, the development prop. e applicant location. I have no objection to this proposal. E1.OPMEN -- —�� WING OF PROPOSED DEV aftach 'rfe drawing) DESCRIPTION AND1OR DRA Pion below or )ndrvidual p oposing development must fill In descnP � � � N t �U I� 1 WAIVER SECT10 toathouse, I'rft, or groin must be set j V ilia s, breakwater -me. If ou - `- area of riparian amens unless waived by Y i understand h t a pier, dock, mooring pilings, blank below ) back a minimum distance °ou must initial the appropriate wish to waive the setback. Y I do wish to waive the 15, setback requirement. _`,_ I do not wish to waive the i 5' setback requirerne pier Information) ((Adjacent Property (Property Owner Grin or Telephone Number f 1. aM'1 / L V�-U d n Print or TKpe Name � i Y i iyr ,Waiting Address r r 2 � c. CitY/State/Zip Z Il\ o Telephone Number Date Revised Gil &?012) RECEIVED