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Home My WebLink AboutCharalidis, Peter 84477C�aok COAT/A,&c❑CAMA ❑ DREDGE & FILL Na 84477 A B c D GPrevious permit 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: 15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name _ Address City Phone # ( ) Email _ State ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City P 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 Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) 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 no 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 (Scale: ) ❑ 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 Application Feels) Check #/Money Order Issuing Date Expiration Date 0 1p1 toAR41 ❑LAMA ❑ DREDGE & FILL N9 84477 A B C D s = 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deg.nc.gov/CAMArules Applicant Name _ Address City Phone # ( ) Email State ZIP _ Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) 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 Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) 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 no Moratorium: n/a yes no. Site Photos: yes no Riparian Waiver Attached: yes no (Scale::` ) „..,...16 NCI Illl�i�„Illlle NCI IIII� Illay .,� I�y,.11�u .,y. 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 Application Feels) Check #/Money Order Issuing Date Expiration Date ADJACENT p C' DItASION OF COASTAL MANAOFJAEN7 RI ARIAg N PAOPaR7Y CER71pgp�IL Fnr OWNER NOTIPICATIOWWANFiI FOAM = Rh Rp PIPY AEO�E6YEor i - HAtW DELNIM - .. (Top portfOn to be campleled ovmer m lhelr agent) J Noma ofPmparly Owner y ,, M 'Addrgae Proparty: �+ (�r�nnd " Maens aa�reea ofOumeC 3/-T WJ Se.1u dise a ownersemWl,. ar.. ,'`' (•�`y OwnaNPnanar; ` Agenl's Name: _ }q�� 4Plark�a'._9�Q�rltA-Olmsy —rADJACaNTRrPARIgN PROPERTY Oy{NER'B CERTIFlCATION - LB ettem rtl in d cum rated by 1 - Parmp has daslxlllor+n Properlyaajacem to the above referafted Property The lncrWaal app"forthi - tred to me,.as shovm --- }• d an the etadhed d ord - m yaDya is Wile, pmenl trey ere ptepgging A .. / I DO N07 h"ne06Jeq�e 10 Ws proposal. _I DO love obleallm W 1hls proppsal, (,(„ '� H Yob h s'p objeeNorta to : 1ret. s bring P.P—d, You miss! notfly the N.4 DN " on Cmetal (DCM,' In wrrflna wffhln to days of rwwpt a dda nW,:a. Con -pond— —_- } -*011dt-4 should bo - me(/adWA00 Comm—nA-.,Morehead City, NC 2SSV. OCAI reprhasaataWu can oho Da oontactad 1SPB_ No re, Mnse (s cona/darad the — - aeme es no od AWL bja don NYou have been notllled by � - - .WAVER SECTION i undersiand that any proposed pier, dock,, mooring pilings, boetremp, txeakvifilar;:hoatMusa;.tR, o<yips must be set back a minimum distance of t 6' from my a n of dpadan eocem unless waWed by ma (the - _� • • • ;• ' does not apply to.bulkheads or riprap revefinents),(it you wish to waNe the eelbaek,.yqu bha. �. ••::" " approprlete blank betow:) - - - 00 wish b waive Wmar it of the 15'-setback - Signature of AcfXGsnt Ripadan Property Owner - -0R- I ddnot wish to waive tie 15' setback requirement (inlbai the blank) T— L. - - Signature of Ad*ant Riparian Property Owner: Typed(Prinfed name aARPO: � t t ( J Malting Address of ARPO: Z M`"�' Phone#: 2 aa-- � J'2:."'� -l-`. � ARPpre S Small: -a(-ku, a ARPO�e Date: z 'yyalver is valid for up W one yerrfrottt ARPO's 8lgnuura* Revised May 2021 e�:,i.�5d4H�i1'jte}1H9t4YifJ��i}Bfftif�f'PJ"t}.�ijkh?iM?,'�:,t��l�,.a.h1e%IL�t3r�i1:"trt �l�@if�s�ta��}.,3 4 . a6A• t