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Home My WebLink About86544A_Jilcott, Beverly & Steve_20220714`ASTV FICAMA ❑ DREDGE & FILL N° 86544 A' B C D 3° o Previous permit 3 GENERAL PERMIT Date previous permit issued 0 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.dgq.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 (Scale: ) 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 _ _ _ _ . . 771 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: ❑ TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions ❑ 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 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Mailing Address of Owner: ) 1 d ! S ham-' (2"-_OU&S-e 2• �K , Z7W'3 Owner's email: i—); j r d f :b V* JXZ2 .[' Owner's Phone#: --%1 �L Agent's Name: Agent's Email: Agent Phone#: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion tQ be completed by the Adjacent Property Owner) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. ,/ t DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback -OR- Signature of A cfacent Rip n Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: �17g1iY Typed/Printed name of ARPO: Mailing Address of ARPO:�Ottnnj Ut4j, ARPO's email: C1YY1 ►�rpr1 tq CYrs �Ci 14f fARPO's Phone#: ' Ce rvt Date: *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: &t� pip( Am, T 6 Address of Property: 106 Al. Pt WVsr R wX, ColmAUK, 27,7Z y Mailing Address of Owner: //0 t ;�7kh0- No 27q'&3 Owner's email: i tVillGo}-�y�t6t_kW - CRM/ Owner's Phone#: Agent's Name: Agent Phone#: Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawing with dimensions must be provided with this letter. I DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive somelall of the 15' setback Sig ure o Jacent Riparian Pro y O� w— e -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: REC Nt- MAY 2 - 2022 Typed/Printed name ofARPO: 6toraQi R &t'M DCM—EC Mailing Address of ARPO: Jt/. LuNI,f,J %1jh Qst(i%`. �oaa( (p164-k , 114, Z 1 q 2-'- ARPO's email: ayyt, ARPO's Phone#: Ir257- 217- 60f(, Date:*waiver is valid for up to one year from ARPO's Signature* Revised July 2021 �� er FwNYf 7'&- 3,WOt 4V24 C/,� * eve r-) G ff. i 5/9/2022, 10:23:22 AM Centerlines Parcels County Boundary ArcGIS Web Map I" N r,5 �` bertie_nc_parcel_annotation Green: Green Orthoimagery_2020 Blue: Blue ■ Red: Red 1:1,128 a 001 001 003 mI 0 001 002 004 km Sources Esri Airbus DS USGS, NGA NASA CGIAR N Robinson NCEAS NLS, OS NMA Geodatastyrelsen. Rijksr:aterstaat. GSA. Geoland. FEMA Ar(:(',ISW bAppBuildor Esri Communitv Mans Contributors State of North Carolina DOT ',C). OoenStreetMao Microsoft Esri. HERE Garmin SafeGraoh. GeoTechnolooies Inc METVNASA USGS EPA NIPS US Census Bureau USDA I N Perrys Beach .SL�-t- ^-A LooGgle Earth�'j2 fVk�x,u Icchnoloyics N 200 ft