88464C - Dodson, Bonnie

0"tt` C�AMA ❑ DREDGE & FILL N° 88464 A BID D
htJ GENERAL PERMIT Previous permit /
Date previous permit issued
"ew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized bbyytthe
tState of North Carolina, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant to:
15A NCAC la/ 1 • ',1O� ❑ Rules attached. General Permit Rules available at the following link: wwvvdeq nc goy/CAMArules
Applicant Name � 11 Authorized Agent /
V Address 1 � Ir— lc>� �,.', ` Project Location (County): Dn��I C tuo CFs
City _��(d51'C— t6ta i'..If ZIP 2—;:Y 'is�`i Street Address/State Road/Lot N(s)
Phone # (al-* — JI
Email n0 drrr r)n (oV OON , rC7 f� Subdivision
CJ City ZIP"
Affected ) CWJ [�J4TA El ES ❑PTS Ad(. Wtc Body��ra! �.t—t.f r(Cnl an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body IN-y,
ORW:y no 1,,.P,N,,A: yesE p
Type of Project/Activity rJlii"—LA- tikEt
Shoreline Length !
Access Length
Pier (dock) length
Fixed Platform(s) /
Floating Platform(s) MY 10
Finger piers) /
Total Platform area 21 olsh oe = 31 It,
Groin length/g
Bulkhead/ Riprap length
Avg distance offshore _
Breakwater/Sill
) Off, to
Max distance/ length
Basin, channel e
Cubic yards
Boat
ramp
Boathouse(g)
Beach Bulldozing /
Other /
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zonin 1
Permit Conditions
yes
yes
no
1 rrw�t�
may be required by: yl
(Scale;()
.off NVJ
Q�]49
Ill
�e
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please
Signature "Please re compliance statement on back of permit'" Signa[ re
c 2� /70d /ll2/9�ZZ 3�Z�ZO%Z
ApiSlIcation Feels) Check /Money Order Iss�uinggDate Expiation Date

COMA,
9 [ /AMA ElDREDGE & FILL N9 88464 A Be) D
aa� y� GENERAL PERMIT Previous permit ef!
Date previous permit issued
M<ew ❑ Modification ❑ Complete Reissue []Partial Reissue
As authorized by the
tState of No�rt/h Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
SA NCAC �� ` L��� ❑ Rules attached. � General Permit Rules available at the following link: www.deq.nc.goy/CAMArules
Applicant Name (11 Authorized Agent
Address 1 d�t, Project Location (County): ©fill C�
City �Cl ds toy� ZIP LD Street Address/State Road/Lot #(s)
Phone #
Email nCaZY��()C) r^�%Jt(YY CDC Subdivision
/ City ^1 1 ZIP---,
Affected CW �,PW fA' ES ❑PTS Adj. War. Body C C�(JI�A`��, C/IL (wl 4 (`n� an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body _,Vl m
ORW: y no PNA: yes%
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length ✓ I
Fixed Platform(s) / 11
Floating Platform(s)_ _ IC)Y I (]
Finger pier(s) /
Total Platform area 21(n( (sli*o6
Groin length/ff /
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length �
Basin, channel
Cubic yards_
Boat ramp .I
Boathouse Boatli )ski 0 \\
Beach Bulldozing
Other / , \VVV�
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning
Permit Conditions_I
I AM AWARE OF
yes
yes
Agent or Applicant PRINTED Name
Ii''
Q. F
5Pa OJIE
PROJECT AND REVIEWED
(Scale
WrS)
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Signa re **Please re24 compliance statement on back of permit**
( CI 706
Apblication Feels) Check /Money Order
Signat re
//y2/; W Z -� 7, 3/2��7�
issuing to Expiration Date

0

e d
S SECTION
• N DELIVERY
■ to s 1 2 and 3. A. - atur
Complete t m
■ Print your name and address on the reversekT4,y�_ �1 "Agentso that we can return the card to you. c��Addressee
}? ■ Attach this card to the back of the mallpiece, elved rl d a a) C. ate of Delivery
or on the front if space permits.
1. Article Addressed to: D. Is delivery ad Tess different from ftem 17 E3 yes
' if YES, enter delivery address below: o
�pAo L�c�
► g e fit.
f4cg,�
I( ��
III 3rvice Type 0Priority Mail FxpressO Adult Signature 0Registered 0 Adult Signature Restricted Delivery Registered Mail Restricted
❑ Certified MaiI0 DO
9590 9402 7281 2028 0309 08 ❑ Certified Mall Restricted delivery C7 St�'e Conf'irmationTM
O Collect on Delivery Q 0t'ra Confirmation
2. AMcle NUMhAr lTrartcfor frrim —It— 1,k-n n r tie . in Dellvety Resirlj$8sidel�vary cfed Delivery
Mall
7021 2? 2 0 0002 4273 0454 Mali Restrkited Delivery
P$ Form 3811, duly 2020 PSN 7530-02-000-9053 ' flomestic RsC f Recelpt
. .aa,_,.v�- �.. � .,.,..

06c1 tt7 f�`3+% W+iVi otLiW3(ziit�' .
LAMA `vnspcctov askcd Vvtiv +o
Mod if y -te �, rdwaW jtxc Ivircl e t'
dv,R VU K� r �Y+G W9 fl a 1t%C 1M C T�ll�
Pevm;F ��� ( fi trnc� kh«F Gkf�uSe
e- kpe&lvc-,r ;c`I`b4cLcj(- us, t) o to Ai c`
(
tj off in
s r, c a cA l' f Y L4 0+ n
J
aN-6 t 0 U.
:�)o0/s 0?1

N.C. DIVISION Or COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HANp DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner.�i�.Lro,O5a�u3nkGi_GuY(O*nS�,nl�n�l�f i ('vim
Address of Property- )I2 or h[2,1 Sn ep,15
Man ng Address of Owner:
Owner's email � ti..r�a.i6� ltl.4t _ Owner's Phone#: 'i�) L'?1a—
Agent's Name: --_jJJ& Agent Phonelf.
Agent's Email — NIA _
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-
;, , :L1P0 NOT have objections to this proposal __ I DO have objections to this proposal.
If yodthave objections to what is being proposed, you must notify the N.G. Division of uoasrar
Management 1DCM) 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
of [phone]. No response is considered the same as no objection if you have been notified by
Certified Mali.
WAIVER SECTION
I understanc 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 (ths
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the
appropriate clank below.) a
i DO w.sh to waive somelall of the 15' setback
Owner
-OR-
4 do not wish to waive the 15' setback requirement (initial the blank)
S. I-a:ure of Adjacent Riparian Property Owner.
Typed/Printed name ofARPOJQ,ii*,Tarrr,Q.,yd
Mailing Address of ARPO: J,2r,�p1__� J1_C. XaI-kCnr�Vij��f Ivy .?$5'J!i
ARPO's email: A/�r( ARPO's Phono#: ,ft/ h W�
Oafe:._ n..._ w'waiver is valid for up to one year from ARPO's Signature'
Revised Maly 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: gOnnlr, &&KiX102df at k4' a tjd ¢ O �e
�Sa7
Address of Property: ( z A/& -A i&J
J", ndr &WJ h4c 28y620 Joha/fon
Mailing Address of Owner: 102 fforl%ky Z§JU � rt)r�4 As.//v0
Owner's email: WAOVYJ01i., 6toh)OMA/Z6)71 Owner's Phone#: 03-'7& 7-36116
Agent's Name: 1 V a Agent Phone#: AZ la
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
y 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
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) Q
Signature of Adjacent Riparian Property Owner: IOYviuJ/J �l°�L
r
Typed/Printed name of ARPO: Uz
Mailing Address of ARPO: IF I y Sba., "ad QY rl6Z'=tlnt///&,AA,_� -,usVv —
ARPO's email: g0.dd�'�"/� A O's Phone#: (gllb) i3i-is�10 3�20
z
/ Date: *waiver is valid for up to one year from ARPO's Signature* RFCr_WED
Revised July 2021
A P� - a ,,
JUt_ 1. X 2077
DCM-MHD CITY

No ..........::::::::::::::::: off.

N.C. DIVISION OF COASTAL MANAOEENT
ADJACENT RIPARIAN PROPERTY OWNER NO IFICATIOWWANER FORM
RTIFIEOmL R11:1WRI 1RN IPTRFOtJE5TED.o�kAtiQ_p z�
(Top portion to be completed by owner or thelf agent)
}
/ J �
Address W Property,
Markng Address of Ovma
Owners small, he rs phones: [&Vjk?—==-u
Agent's Name- �,� � Agent PFanetl:---+y fF+'—'�
Agent's Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
R(,�MM P001211to ha comolak by the Adiseont PronaRY �sU
I hereby caddy that I own property adjacent to the above referenced property. The individual applying for gde
permit has described to me, as shown On the attached drawing the development they are proposing 9
glitunew or drowino with denersions mgnt be emom wm M hdw�
A 6, I DO NOT have objections to this proposal. I DO have objections to this proposal.
in wrlfing wAhfn
0
Mad0d to 400 GOn1mwCRAM,MMO/INV wW,_..-lilac he" been odlfgdd by
at MV tog- . mo is sap das saxas as no oaj 006
Csrditad Nag.
WAIVER SECTION
I uMerstawd that any proposed pier, dock, mdonng pdmq$, boat ramp, breakwater, boathouse, lift, or
gran must be set back a innimurn distance of 15, from my area of riparian access unless waived by me
Ia"tW does not apply, 10 b sd eads or dprep revetments}. of you wish to waive the setback You us sign
t
->p I DO wish to wave s0me7sll of the 15'
S+gneN (rotAdja nr R',.. X'ProParN Ow+far
-0R�
I do not wish to waive the 15' setback requirement (Initial the blank)
Signature of Adjacent Riparian Property Owner—�^ _
,.,-Typsdtpdntsd name of ARPO: �6 � C-x 1 iA d r p
lealtMg Address of ARID:
pla uf 'eL Ci!:// �'tiSoNb'l
1 ARPO's smog: ARPO's Pho , �/i C .-y�i
r / -t l
Dena: tc u4— 11,z✓'w8ver is valid for up to one year from ARPO's Signature'
r .n t mot. i,� s e4., Rovised July 2021

I

9

Martin, Tina R
From: Bonnie Dodson <[e-mail]>
Sent: Thursday, June 23, 2022 9:34 AM
To: Martin, Tina R
Subject: [External] Adj. riparian form- Bonnie Crowson Dodson
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.<mailto:[e-mail]>
Attachment show Pic of receipt for certified mailing received on June 14th by Perry Llewelyn (east side property owner).
Please call if you have any questions. Thank you.
Bonnie Dodson
102 Northbay Lane
Snead's Ferry, NC 33547
813-767-3840
1