Register, Croft 88811C

❑CAMA ❑ DREDGE & FILL
GENERAL PERMIT
N9 88811 A B C D
Previous permit
Date previous permit issued
l' 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. Q General Permit Rules available at the following link: wwwdeq.ncgov/CAMArules
City State ZIP Street Address/State Road/Lot#(s) ------ �-i.-(-1(4
Phone #
Email
l
Subdivision I tqj"% � . �ifi � /Jl. t,f_'J4�
City ZIP
t _
Affected ❑ CW . DEW ❑'. PTA .❑ ES ❑ PTS Adj. Wtr. Body � ( ' DD s . L ' -'_ .. , nat nnan/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body
ORW: ves/no PNA: ves/no'
Type of Project/ Activity
Shoreline Length I --
-
—
-
----❑
I
-
-
Access Length
LL
I
Pier (dock) length
-
-
Fixed Platform(s) _7 iC -
E.
c
-
`\
a
_
Floating Platform(s)
Finger pier(s) /
I
❑
F
i
_
_
-
-
-TTTTT
Total Platform area
_
Groin length/q
Bulkhead/Riprap length-?`
-
-------
- (r----
\
I
-
--1-
-
----
Avgdistanceoffshore
Breakwater/Sill
r;
Max distance/ length
Basin, channel'Cubic yards
e1
--
I
---
--
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other_-
i
f_
I�
r-
SAV observed yes no -
Moratorium: n/a yes no Site Photos:
no
III
-
-
1-
t
Z,z;-.
41
-
-
yes
f-
r
Riparian Waiver Attached: yes no
LIE,oA building permit/zoning permit maybe required by: er _
❑TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions r
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 f
Signature **Please read compliance statement on back of permit** Signature
Application Feels)
Check#/Money Order Issuing Date
Expiration Date

❑DREDGE & FILL N9 88811 A a C E
Previous 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:
11
I SA NCAC ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAlMAruIw
Applicant Name Authorized Agent
Address Project Location (County): I
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email Subdivision /
City ZIP
Affected CW . ❑ EW ❑ PTA ; ©ES ❑ PTS Adj. Wtr. Body ! _1 r (nat/manfunk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body6
i
ORW: yes/no - PNA: yes/no
Type of Project/ Activity
_.._. _.... __..
Access Length
-
Pier(dock)length-
�
�
*—�
Fixed Platforms X />
_.
_
Floating Platform(s) �r'�
_
_
r
-
—
Fingerpier(s)
_.
--.__._
_
Total Platform area i
Groin length/#
,J—
Bulkhead/ Riprap length -'
Avg distance offshore
---'
- --
—
- —
'
--
-
---
Breakwater/Sill
L
21
Max distance/length
J
-
"`
�
Basin, channel i
\
f
- 7
—7
1
�
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
T
OtherIX,
SAV observed: yes no
_
Moratorium: n/a yes no
Site Photos: yes no
_.i_
i..µ-
Riparian Waiver Attached: ves no
A building permit/zoning permit may
`may be required by: 1 V(/- r �%l��l
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** t _ Signature /
i�
Application Feels) Check#/Money Order Issuing Date Expiration Date

CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner:
`a 7' -� Re-c? f1.t'
Address of Property: 20 2 A k5: -.r 14h LQ.✓le, /0C
(Lot or Street #, treet or Road, City & County)
Agent's Name #: h i A� ( Mailing Address: '�(1,6�
Agent's phone #: ZS2 72 8 72- L/ 2 AC
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 drawina with dimensions must be provided with this letter.
i/ I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at LlyR.•//www.nccoastalrnim2g2mentnet weh/cm/staff-listing orby calling 1-888.4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of 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.
(Prop rf�Ow r Inform; ' n
Signatt r// -
C,ropa�sTsT�e%
Print or Type Name
202 AL"asf�
CT
Mailing Address %
�q✓��6GG� / � `-
d
Z O �3 2
City/StatelZip
Telephone Number / Email Address
Date
(Riparian Property
//Owner Information)
Signature
A111—WA � [J! i / fL�11�
Print or or Type �me
2_-o14- /'fit,LcicLsV,, - Cvu-r l-
Mailing Addregs
A,gJ,o,Lc— <�AJ- 2q" 32
City/StatelZip
? 2-444- 2rr2-
Telephone Number/Email Address
t o --,31 22
Date
(Revised Aug. 2014)

p

CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: (_ r D
Address of Property: 2O2
(Lot or
tzvr- 6d, X 2-fT3 2
#, Street or Road, City & County)
Agent's Name #: I;1T5AA Mailing Address: D �s�a•�rl 1?!
Agent's phone #: —16
?� 2 72 g 7 2- q 2 l W ' f N� 2--L
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/ I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available ath ,,://www.nccwst--- alliagement.net/weblcrn/staff-listingorby calling1-888.4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of 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.
(-' V M I do not wish to waive the 15' setback requirement.
(Pro r Ow er Informat' n
atur /� Print or Type Name c
2e� ��ugf� Cf
Mailing Address
/7 �j
w�-E C/I/1 Ck 21i�3 2
City/State/Zip
Telephone Number/Email Address
io /z�?' /z�
Date
(Riparian Property Owner Information)
Signature
Print or Type Name
!C>7 /�ur1CC5TZt C� t f
Mailing Address
4,A,Vg,f&c- 1 1Q, Oe,5,32-
City/State/Zip
Z62- 01-- /w, 7-
Telephone Number/Email Address
Date
01 /At LL
(Revised Aug. 2014)

¥
f©
�
� ƒ
,

tce�xl�3tc�re rr Ax vs�3�l. rcd �`
RaNaFlkl A'ame __—�.
A�
lb 2G t
o,as
This certiirtvrtien is vmd Vxoe„_„,,,�9�