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Home My WebLink About85644D - MALPASS❑ CAMA ❑ DREDGE & FILL N9 85644 A B C D PreviGENERAL PERMIT Date previous ious permit //artial Date revious e/Onm issue New ❑ Modification ❑ Complete Reissue Reissue JAs authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of enve I concern pursuant to: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.decncgov/CAMArules Applicant Name Address t lr f City State /' ZIP Phone # ( ) Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) _ 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. Win Body ORW: yes/no PNA: yes/no Type of Project/ Activity 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 _ Beach Bulldozing Other SAV observed: yes Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: yes A building permit/zoning permit may Permit Conditions (Scale: ) ❑ 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. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Application Fee(s) Signature Check #/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 1-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 , A� fy LIM= P w. AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:/ Mailing Address: Phone Number: Email Address: L��,n-- a a a s� x �� C� I'm cr r CD�y 1 certify that I have authorized i—r'Cc K Agent/ContraftV to act on my behalf, for the purpose of applying for and obtaining all jCAMA permits necessary for the following proposed development: X14 1-// -e gE of at m roperty located at �% dtr/ . l� l f97'}S� i Z �t/G in County. l furthermore certify that l 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. PropertyOwner Information: Signat e Print or Type Na e Title l/ Date This certification is valid through ' "V D.ft 7' 4t a 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: 4130AAR-F0- Address of Property: s l 5f �& e 12e, ,A- P Mailing Address of Owner; r1E S°aQ /,ynr Owner's email h rrr 4s . d' z0JA; , - Owner's Phone#: /h r a, Agent's Name: —AWL- C�V.11-:A 1 Agent Phone#: i%� Agents Email: �-e-Vi e-yt(e�-4 Z-1-h-r:fJre--,-IS,s°it_ _ C',e ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent 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 Coastaf Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., 14ri►mington, NC 28405-3846. DCM representatives can also be contacted at (910) 796.7215. No response is considered the same as no objection if you have been notified by Cerfified 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 Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner._ ( -.nt 1402+� UC � Typed/Printed name of ARPO: Mailing Address ofARPO:c ARPO'semail0:o"1RC+ etip5��9 RPO'sPhone#:��1)�3o`p'1�&41 Date: t�ei✓ 1L. ` b r - *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 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: I `' :` ,+ > �v, = r, =; fy.l-- Mailing Address of Owner: .? )=s hg, ,- Owner's email: j`1��.�� %4i✓J�/.».Owner'sPhone#: Agent's Name: _1CP.41 1-- Agent Phone#: /ICJ Agent's Email: E; ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent 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. ZI 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 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be contacted at (910) 796-7215. 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 a i n rop y Owner. I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Properly Owner:,�i��fta..,' Typed/Printed name ofARPO: *AT tcJOt Mailing Address of ARPO: AAJe ARPO's email: ARPO's Phone#: Date: 12 ° L -Z? "waiver is valid for up to one year from ARPO's Signature* Revised July 2021 Date Received Date Deposited Check From (Name) Name olPerma Holler Vendor Check number Check amount Permh NumbedCommenis Rocel t or Relund/Reallmated Column! 12/19/2022 Column2 Coumn3 Sea Dog Marine Construction, LLC Columnd matthews Column5 First Bank Columns 2000 Column7 $ 200.00 Columns GP #85777D Columns PA rct: 18635 12/19/2022 12/19/2022 LBI Property Management LLC Figure "8" Beach HOA, Inc. Welch same Bank of America First Citizens Bank 1823 10128 $ 200.00 $ 200.00 GP #85782D GP# 85855D PA rot. 18634 RM rot. 15509 12/19/2022 Coastal Dock Builders LLC Malpass Bank of America 1044 $ 400.00 GP #85644D JD rot. 18740 12/19/2022 Coastal Dock Builders LLC HobartlWeyher Bank of America 1045 $ 400.00 .GP #85643D JD rct. 18739 12/19/2022 Coastal Dock Builders LLC Cox Bank of America 1042 $ 200.00 GP #87546D JD rct. 18738