84462C - Brown, Casey

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�`°"wJCAMA ❑DREDGE & FILL N° 84462 A B n o
GENERAL PERMIT Previous 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 6u 1200 ❑ Rules attached. I General Permit Rules available at the following link: wwwdeq nc.2ov/CAMArules
Applicant Name (./ 61 0(LDv40 tt���� Authorized Agent ' Scott
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Address�j (D `F5 Q Project Location (County) A Ir4cT
City 1-�!�.L �C� State_�ZIP V Street Addreesss//SttaatelRoad/Lot
t#((st)).PPUZCj&) /lY` 1✓ V,-
Phone#(—) fwd �J7 J�\`T? Ityf,,f ,ti,
Email Subdivision__ n/
City Y4Fr/E2 II ZIp Z�'1
Affected ❑ CW 2„FW �F] PTA ❑ ES ❑ pTs Adj. Wer. Body �It.— (/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body Ykl l o,04
ORW: yes/iio PNAO/no
Type of Project/ Activity Y V' /9" O n/t 1 IFT 1k) N 8X06PA6 GIP
(Scale:pff > )
Shoreline Length.
Access Length ,
Pier (dock) length
Fixed Platform(s),
Floating
Finger piers)
Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length _
Basin, channel
Cubic yards
Boat ramp
Beach Bulldozing
Other —
SAV observed: yes
Moratorium: n/a yes
Site Photos: es
Riparian Waiver Attached: 5 o l,t1 I,�✓,/
A building permit/zoning}permit may be required It, _PA\I��.1s�Ra r./'(N•
Permit Conditions 1 I �'I.J t (-A AI \ M (f'lU�'.v_I �-7 �P
I AM AWARE OF STATUTES. CRC RULES
Agentor
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A{, ❑TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Tature"Please read compliance statement on back of permit-* I�
(? 6 5 _
Application Feels) ck /Money Order
Date

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I hereby e:91fi 'that I own t r r lr Property ao)ar:Foil In
gNema of Properly Ovinnr)
pn�paAylocatadl3l_.f,��._l.tr.�nl:--.�._�(f,Jj/. `a,. (,P ✓._,.... ....._�-___.. ___ �. _.
(Addrea4, of, Blaek, Rontf, ale) lLG
(Ratarhady) (ClryrTowrt And/or County)
;I Iva NPRIWA t has described to van, as siurvn below, the dovalopmanl 1110Pa30d at Ihn Anw.,
no ob)pctlon to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED OeMFLOPMEnr
i1twWfrropostrig do"Apnraenf rnmAl OHM dartagpflon below Of 0soh a Me ~lrtgf
K.9jY€R§ CTJUI
I understand that a pier, dock, mooring p3ings, boat remp, breakwater, boalhoune, lift, or groin
must Ire sai back o mtnirautn distance of l.`i from my :,lea of riparian access unksss war ed ey
rne: (I(40d wish (o waive the setback, you ("uat Initial the approPriato Wank below.)
tiro I5 setback ivilWerntint.
I do not Vigil In walvp the IS'settrack reclukeracint.
Owoor Inforinallon)
`VOW tcs are s<dWrntar VVU plloi O*Wwe°
(Pkvv;sedAarj. Z014)

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7020 0640 0000 2726 0031
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Tracking Number: 70200640000027260031
Your item was delivered to an individual at the address at 3:36 pm on July 18, 2022 in
BURLINGTON, NC 27217.
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July 18, 2022 at 3:36 pm
BURLINGTON, NC 27217
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Property Addre91
Drawing Proparod BY: C� Scotl, Inc 11A Tidal Bluffs Court
Date: 6130122 Pelletier, NC 28584
Scale: V: 30'
Property Owner:
Casoy Brown
Proposed Work:
-Install tour 10"
piles to support a

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
1 hereby certify that I own properly adjacent to If U 61 Va u 1 ✓1 — ® S
� Namo of Property Owner)
Properly located at I (1i I Irt ( R III t^ A ( t-
on ,Lot Block, Road, etc.)
on (r}1 , (urL� (+Yfl k In [)L I tI t V N.C.
(Waterbody) (City/Town end/or County)
Initial The applicant has described to me, as shown below, the development proposed at the above
Here on �1 , tion.
one of 1 I have no objection to this proposal.
these
lines I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(lndivldual proPos/ng development must fig In deseripNon below or attach a site drawing)
�cc attached/
initial
Here on
one of a
these
firm&
WAIVER SECTION
1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area or riparian access unless waived by
me. (If you wish to waive the setback, you must Initial the appropriate blank below.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
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'Vekd for ono calondar your alter signature• (RavisedAug. 2014)