Aldridge, Sequoia 88471C

dcouw MCAMA ❑ DREDGE & FILL N9 88471. A B © D
Previous permit
GENERAL PERMIT Date previous permit issued
Eqf ew ❑ Modification []Complete Reissue ❑ Partial Reissue
As authorized
r-byy-the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
ISA NCAC v ' 4. ( ZW _ ❑ Rules attached. "G eral Permit Rules available at the following link: wuiwdeg nc eov/CAMArules
Applicant
a /1 j C (J-+ Authorized Agent
Address_J� ►�p�,,,.. A /� UU Project Location (County): _
City(�L1L�/��4�nn1f WIAX.r State NJ yam_ zip _ Street Address/State Road/Lot #(s
Phone#(-/ly I / -qj1121a
Email e .���_�.�. L Subdivision
City / zip
Affected ❑CW Dew Q9riA ❑f3-- ❑PTS Adj. Wtc Body na an/unk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr.Body
_
ORW: yetE>— PN es o
Tyne of Project/ Activity -- — OG(�/J 022
(Scale:X4S)
Shoreline Length
Access Length
Pier (dock) length�� �X Z� 5�1� Jolon
Fixed Platforms) 4 —Aq Y-�C`�fr`/S
Floating Platform(s)
( Finger pler(s) �. S+�
Total Platform area / F ILE,
Groin length/#Bulkhead/ Riprap length ��------^�
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards /
Boat ramp
Boathouse/ Boallik
Beach Bulldozing
Other i 11n� �'^!nAln1AA,-,,lfn,
SAV observed: yes
Moratorium: n/a yes Itsp� rV'
Site Photos: C._J `1 \v
Riparian Waiver Attached: es77 ��no �1 ,/ //// ` GlJ
A building permit/zoning perm ray be required by: f� �LV
Permit Conditions �� I..1 � U(.C�arl-'L_Pl� ___ ❑TAR/PAM/NEUSE/BUFFER (circle one)
J�t� ❑ See note on back regarding Rive/Basin s
See additional notes/conditions
(Please Initial)
Agent orlApplicanr.PRINTED Name
Signature"Please read compliance on hack of permit'* Signal
C�oD od 3s3� L
Application Feels) Check Money Order Issuid

❑DREDGE & FILL N9 88471 A B Q D
GENERAL PERMIT Previous permit
Date previous permit issued
[[lew ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized
t-t
byy the State offfNorth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC v ' 4 • 1 LCZ) ❑ Rules attached. General Permit Rules available at the following link: www deq nc.pov/CAMArules
Applicant
0
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s
/q(,
Subdivision
City
Affected ❑CW
[�JEOG
�p'A
❑ES--
❑PTS Adj. Wtr. Body e�4 '✓Cn na an/unk)
AEC(s): ❑ OEA
❑ IHA
❑ UW
❑ SPIMA
/
❑ PWS Closest Maj. Wtr. Body / V /iJ iC L//W
ORW: yet PNAQeslho
Type of Project/ Activity
Shoreline Length ./
Access Length I'll
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area F L
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore /
Breakwater/Sill
Max distance/length /
Basin, channel /
Cubic yards /
Boat ramp /
Boathouse/ Boatlift
Beach Bulldozing
Other i
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning I
Permit Conditions CA I
yes
yes CV0
yes no
be required by:
�SY 2-4
(Scale:wts)
s Jwn
pla' rN1\
Nvo
&&'"
0 AM(way
I I TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AWWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATUANT. (Please Initi
Agent or/Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
ns ea 353�
Application Feels) Check /Money Order
Date

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:
Address of Property:
Mailing Address of Owner: S6tmA, Qd AWOL=—
Owner's email: UA1&• G, a N41aSwner's Phone#:
Agent's Name:
Agent's Email:
Agent
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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone], 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 J
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: ga� d �ln1Gl. U Oft ��—
Mailing Address of ARPO: / T d LGt U
ARPO'semail: T/ a-ihy4t -Aqf c' AR APhone#: g/0 S4�f- 6ZGP'
Date: /07 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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:
Address of Property:
Mailing Address of Owner: I SQ_wn,-L a-S 4bDw-It
Owner's email: Q uAia. p(/r a ,'�Pner'sPhone#: 910-,94f--;339�
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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. 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 y u wish to aive the setback, you must sign the
appropriate blank below.) /
I DO wish to waive some/all of the 15' setback / y'4 /�
Signature of Adjacent Riparian Property Owwrrer
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adl t Riparian Property w er' " /o %y'""
Typed/Printed name of ARP �� r//r�
Mailing Address of ARPO: �� ✓��� p °��Sr"
ARPO's email: liARPo,s P-h-mwt9�D�yo 7 r J
Date: /� o�G Do�7-- *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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