88860C - Helwig, Ronald

30+° °ter" ❑CAMA ❑DREDGE & FILL NU 88860 A e C D
GENERAL PERMIT Previous permit
Date previous permit issued
❑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.deq.ncgov/CAMArules
i
Applicant Name Authorized Agent n i> (_I /'d' t �, r
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email Subdivision
City ZIP
Affected CW F] EW E] PTA ❑ ES PTSAd' Wtr. BodY 1J -'"e, (na iK_!4nk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body-
ORW: ves/nog PNA: ves/no)
Type of Project/ Activity p
Chit line I noarh
Access Length
-
Pier (dock) length-
FixedPlatform(s)
�
Floatin s
g Platforml)
I.
I
I
—
Finger pier(s)-OL(,lal
Total Platform area
Groin length/#
Bulkhead/ Riprap length ---
-
--
--
i
I
-
--
-
Avg distance offshore
-
I
Breakwater/Sill
+
Max distance/ length
'—
`-
-'
-
7
-
—
-
-
-
-y-j
Basin, channel
Cubic yards
r
Boat ramp
Boathouse/ Boatlift
t
a
i
t�
tit
Beach Bulldozing
'
0..x
I
i
Other------
�
_
_
SAV observed: yes no_4_
Moratorium: n/a yes no
Site Photos: yes no
'yes
_
---
---
Riparian Waiver Attached: no
it ouiimng permyzoning permit may oe requirea Dy:
Permit Conditions
❑ TAWPAM/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) i
r
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name /;
Signature --Please read compliance statement on back of permit"•
iliw
Application Feels) . Check #/Money Order
Signature
Issuing Date
Expiration Date

❑CAMA ❑ DREDGE & FILL N9 88860 A B C C
GENERAL PERMIT Previous permit
3 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:
1 SA NCAC ❑ Rules attached. _.❑ General Permit Rules available at the following link: wvrw.deq nc gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot
Subdivision
City
Affected ❑CW ❑EW .PTA ❑ES ❑PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no'
Type of Project/ Activity
Shoreline Length Iir-)
Access Length
Pier(dock)length
Fixed Platform(s) '
Floating Platforms)-!(, �X 10
Finger pier(s)T'
Total Platform area i
Groin length/q
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
w
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
(Please Initial)
Signature **Please read compliance statement on back of per
it** Signature.
Application Fee(s) Check p/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Lp.. �I I
Name of Property Owner Requesting Permit:j,�U1G� dy 1"`� l��a �°' S
Mailing Address: ��P IJrC{,Y1y2
Phone Number: aoa• (0q6 - 5io5
Email Address: I i1011t)bgEc&- (f - WM
I certify that I have authorized Man
��� N�uG Wafter /�irr NN Cortsf
Agent / ContRactor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: u1, 5 P4rorP1. OFF 4/j<ACn'p
at my property located at ( (4 P�CeC G1W00L� 2 T 4����Qi ,
in County.
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
1 Signature
LA\446 0-0-64,WlU
Print or Type Name
OI KLk) REM70
Title v
I O , zq I d0a2. NOV 0 0 2022
Date
DCM-MHD CITY
This certification is valid through I

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: S'[Il
Owner's email: 1VVAWL4 l0 eC. (tM Owner's Phone#: aJ (oLKp' 5905
Agent's Name:
Agent's Email:
Agent Phone#:
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
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 rip rian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15'
ISITCa
I do not wish to waive the 15' setback requirement (initial the
Signature of Adjacent Riparian Property Owner:
P rF-!VFD
NOV 0 9 2022
Typed/Printed name of ARPO: I� J, 1- 101 )41,>_ _1
I� (� E)CM-1vIHD CITY
Mailing Address of ARPO: V , B�� 9 �Q `1
f: l 0^/1
ARPO's email: Dr-(r F�2 /7i 11i60 ARPO's Phone#: �lli 'Zy�' 30&�
Date: 10 liq 7, *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

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