88457C - Herman, Ronald

ENERAL PERMIT
Date previous permit issued ._... ,_. ..._._.._
ear FlModification Complete Reissue �: _� Partial Reissue
As authorized by the State of North Carolina, Department. of Eavirr`arirrren1.-11 ter. ality and the Coastal lesources Cof rimission in an area of envircannaeratal concern put'suaat to:
i SA NC, C ached -lit Rule- bat the following link: vdrvciresatitt_aA
Apfaiic�ant Name
Address I y:
City 1 f ` p._ St act' � . � t IP ' t�.
I ..................:........ �x.�...
€honed#t
tiffeccecf �
..__wI 'it ES PS
AEC{s : I SEA ! ..:..) IRA OU1Pst t.; SPIMA Pw
ORW� yes/nu PNA: yes/no
Type Of ProjeCtl Activity n tai
Authotized Agent
_ ....................... _.
Project Location (County)", ...:... �A��
.. ,
Street. Address State Road/Lot #(s)
Subdivision
" stcan
city --711P
, di, Wt.r. Body
Closest Mal. '+ly'tr, Beady
- #r.4,- 1 nat anlunk1
..a. .. �..... ,,,..w.._........._.... � ` � �mm ................................... � (scale: `r
Inter(dock) length :.:...:........................:.w:::::::...:...,.:::.,....
Fixed Vlatfoem(s)
Floating Platfoirm[sl
Finger pler(s) _ e
k
Total Platform area
Groin length/ft
Bulkhead/ R prap le
rrgtlt �r �r ..,.....
Avg dist<anCe offshore �
Oteakwater/Sill
Max distance/ length
Basin channel •,
_....._._........_._.__._........
Cubic yards I -el
Boat ramp'-'_
Bo athouse/ Iftaatlift-
Beach Bulldozing
Other
SAV observed: yeas o no
Murat; riutw n/a YV+s
Sate Pftcatncyes
ftipartara Mliver Atfachedyes r}r3 p r ! [
A building p€trmitfznning permit may be required fate:
r'rrra?it f:oriclrtirata5 ll...._kDl z 'r .5 t. ._ # r 1: r t i _ TAP,aPA%t NEU EdBUFPFR (circle; one)
` ... .' a _ ..:, a a c:: r t. ► ' .............� �, * $ ._ (, k See note can hack regardingregard)ng €fiver Basin males
fee atf€fitionai naat:e1s/c-oraditicaits on far
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REViEWE0 COMPLIANCE STATEMENT. (Plet-ase Inrttall
C
iAK
KIb rye - — ............
,'Agent or Applicant f'tt16+J D Name
v7p,na' are k kPlea se r€'ridrornp!iance `::taterl ent on back € f permit's �
Application Fee(s) Check tllMorwy Orde a
plerinit ffretares Pill N fED N arne �
_ ) &
. .....,,,d:._.. .._... ..,,,..,
t,�EYit€=? `�rII4' :Ygrr.3tla?f` T)3�£

COW41 AMA DREDGE &FILL ! N � 88457 A B j 4. D
�yc l✓
y = GENERAL PERMIT Previous permit
Date previous permit issued
2/New❑Modification [-]Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal esources Commission in an area of environmental concern pursuant to:
15A NCAC 011 1 Rules attached. Gener
V al Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
City EVA%i` .�;� — State
ff I \1 U ZIP
Phone # -7 ZJZ2 — k l
Email i 1 y - i r f
ORW: yes/no PNA: yes/no
Type of Project/ Activity 1 ) 10 f
Shoreline Length i n
Access Length
Pier (dock) length r�
Fixed Platform(s) f
Floating Platform(s) ems'
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 O
Other
Authorized Agent
Project Location (County): ' © ,SS
Street Address/State Road/Lot #(s)
Subdivision
SAV observed: yes §no
Moratorium: n/a yes
Site Photos: yes,`
Riparian Waiver Attached: yes Una � (� +7 CJ(X+[1 lC"
A building permit/zoning permit may be required by: p 4y�
Permit Conditions h0v 710 ( 1A-V-�.1r� b12 Ci. ne-3t► x f (A-d 4 a to-A�
(Scale: N'r 9
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)
'c
Agent or Applicant PRINTED Name
Signature "PPll�eassye read compliance statement on back of permit"
Application Fee(s) Check #/Money Order
Permit fficer's PRINTED Name
l
Sig t re
Issuing Date ExpirationD

Authentisign
n
.o'er
4e�
�y
f
5

Authenlisig n t D: I EDI
.............
. . . . . . . . . . . . . . . . ......... ......... .......
(Top portion to be completed by owner or their agent)
.. .... . ....
Name of Property Owner: f�
Address of Property-,
Mailing Address of Ownei
Owners ernail, iV' ownes Phone#.
Agent's Name- t­!,; i Agent Phone#.
Agents Ernail-,
Arof AM
I hereby certify that I own property adjacent to the above referenced property, The individual applying for ths
permit has described to me, as shown on the. attached drawing, the development t.,11ey are proposing. A.
DO NOT have objections to this proposal, I DO have objections to this proposal-
... ... . . .......
Nr
at [phone]. No response is considered the same as rto objection if you have been notified b
Certffied Mail.
I understand that any proper sea pier, dock, moonrigpifings, boat ramp. breakwater, boathouse, lift, or groin
must be set oack a minirnum distance of 16from my area of riparian access unless waived by me (this
does not. apply to bulkheads or riprap revetments (if you wist° to waive the setback, you MypLsi _ILn the
appropriate blanK, below
I DO wish to waive sorne/all of the 15'sett
h 5tut ntp3ott
-OR- -'bNokikfR�pan_an Pmperty (-')wnp, r
i do notwish to waive the 15: attack requtremerit (initial the blank)
h
Signature of Adjacent Riparian Property Ownw: JaJhemp6oit I
t=??2x,47Jz2?TI." PIP OM I
TypecUPrinted name of ARPO:'_J.' Lim L:.,2c, i
Mailing Address of ARPO: n
ARPO's ematt: lty% ARPO's Phone#,.
. ..............
Date:2',0 2 2
*walver is valid for up to one year from ARPO' s Signature*
Revised May 2021

complete items 1, ., and I
Is punt your naMe and address On the rev s
so that we can return the card to YOu.
Attach` this card to the back of the MaMPIeGe,
i s t front S rMit .
or a \xe
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B.
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4i$'Ir':Jm ite'n 17 L-j Era
0 priorlty tAwit Expresss
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Rest6 Md Del' e

LISPS CKING
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9590 9402 0069
United States
address. and
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as ct?p�
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First -Crass
ia1ss ma10lEpo"tFees
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