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Home My WebLink About87580D-WAYEgCAMA ❑ DREDGE & FILL V4"' V v U 7580 A B C d% to,GENERAL PERMIT �3 Previous permit — I Date previ s permi issue New ❑Modification [; Complete Reissue ❑ Pa al Reissue /�a �� As authorized (`byyttile State of North Carolina, Department of Environmental Quality and the Coastal Resources Commissi area of en " me al concern pursuant to: 15A NCAC �✓ t R � __ __ _ 0 Rules attached. General Permit Rules available at the following link: %nn .dgq.nc.gov/CAMArules Applicant Name Addressssj-:-' 4 ' City Phone # (_ ) Email &. t't4 lto. State 11 14A ZIP 'Lb ) Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) �",k Subdivision City L Affected 10 CW L7__I EW ITPTA ❑ ES ❑ PTS Adj. Wtr. Body `-1 �-- Q— __(j;i t/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW D SPIMA ❑ PWS Closest Maj. Wtr. Body �'` ►` ORW: yes/� PNA&_Vno R fir. Type of Project/ Activity a ' w o"'iA x "V\— (' (Scale: Ulf ) Shoreline Length J L "( o � Access Length y/. l Be r kiG Pier (dock) lengthtt- I — Fixed Platform(s) Floating Platform(s) Finger piers) Total Platform area Groin ngth/# Bulkhea Riprap length Avg distant ffshore Breakwater/Si Max distance/ le th Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing +_ Other 6, rtYVAL nh,��tS 411 Mv0.t'S� SAV observed: yes Moratorium: n/a yes NN i lV Site Photos: yes d Riparian Waiver Attached: yes A building permit/zoning permit y be re uired by: w Permit Conditions � x"Y Tt* `a \r _kV 1 1l, . � •r/-�114(tiv 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 STATE NT. (Please rrbll) C� �C� JAL Lt ern 0.*i �LriC� Agent or Applicant PRINTED Nam Permit Officer's.RRIt�TFD a e 1 eJ Sign cure PI se d c Ila ce(sTotiment on back of permit•- Signatur Application Fee(s) Check #/Money Order Issuing date * Expir tion date CAMA ❑ DREDGE& FILL GENERAL PERMIT NY ZS/Mu Previous permit Date previous permit issued A B CW TNew ❑ 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 l v t i 1 OU ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules Applicant Name _ Address �! , �I City �y' Phone # (_ ) Email 7 pp �� IIk k e44 tCVC Authorized Agent Pw, (V� LProject Location (County): State 'Ili pt zip 2d Street Address/State Road/Lot #(s) Subdivision City 29`,LZ Affected cW MEW YPTA ❑ ES ❑ PTS Adj. Wtr. Body (H= Q/man/unk) AEC(s): � OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body (If F — ORW: yes/W PNA&no Type of Project/ ActivityI -W �1ei� �'�� • (Scale:1.3Trj ) Shoreline Length 'i(' CIO Access Length Yl- I so ' )'& Pier (dock)length+1IZA-) K� Fixed Platform(s)��vE�ry� Floating Platform(s) Finger pier(s) Total Platform area Groin ngth/# BulkheabkRiprap length Avg distanc ffshore Breakwater/Si Max distance/ le h Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other 67¢ m5yk OCS 4t1 Am tc-S11 SAV observed: yes Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: yes A building permit/zoning permit y be re uir Permit Conditions t \`D1 mo �' I I i M .q ZA- Oaf rtl*—� ❑ 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 FUGES AND CONDITIQNS THAT APPLY TO THIS PROJECT AND REVIEWED WMPLIANCE STATENT. (Please nitial) or Applicant PRINTED Name Permit OfficeriF�RMLTED Signpture "Please read compliance statement on back of permit" ` 7.O J\ 1 AppXion Feels) Check #/Money Order Signatur 2 i!hh[7q Ij uk-"' Issuing date Expiration date M .q ZA- Oaf rtl*—� ❑ 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 FUGES AND CONDITIQNS THAT APPLY TO THIS PROJECT AND REVIEWED WMPLIANCE STATENT. (Please nitial) or Applicant PRINTED Name Permit OfficeriF�RMLTED Signpture "Please read compliance statement on back of permit" ` 7.O J\ 1 AppXion Feels) Check #/Money Order Signatur 2 i!hh[7q Ij uk-"' 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: F-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 E ��iE� �l#A i • 2EURN REe mpT, �t�• r., :r ADJACENT RIPARIAN PROPERTY N �EDIVISION OF COASTAL liR�A�L4GEliAENi NOTMOMI iONAMVAIVER FORM f4amc- of Praperly Owner. Address C?, p, ope11W Agent's Narne 4-. "iFf[^ 1 Weil{G3gAddm . J� Ec' Agent's p horse 9. k ?1e1196y 09rufy that i ovin Property adjacent to the properky ;'� irdividuai applying for this permi~''�as described to me as shown on the attarhea :�mWng `he d;ffeEopMen". {:hey ere proposing. a . on or drawing vatic d' pensions Mast be with th` t r. I Dave no objections to this kZ15 pIOpOSc'is? n �� . If yeu hstra csh}ecd0m tv what hr behng proposed, yo4 ratust alotify the pivibica of ccastaf m&,Tag ament(DCg in sq"Yisr7g wrthln'Q da309 receipt of t/i1Cs rroiice, Cerr�ande� = shcwid be rrrailed fo f27 Cardinal DrAm a-t, rV71 tington, HNC, 284arp-S"M DCM represenwaves can also bs 06hfacW 5,, f3f(A} 796.72?5, No response is MnsidwW the $am& as no abtecti n if vru, -hs,� r.a .....�.:. ,:.r_ WAIVER 8ECfq unders►ania; Lhat a pier, dock, Mooring pilings, breakuiater, Boat louse, Hh', or groin musi be set bac.k a minimum distance of 1 T €rom my area of riparian access unless waived by me. {if you 4vish to vvshee the Setback,'LIcG Mi s�€fa! the aonrnp*iate- biank bald .', .� I do wiah to :naive,- e � ' seti�ac!c rer�uirerre � . ! do not wish to t1e i setback; rs�4�:resreni, roperty Owner inforina€ion) S:gtzaNre "Mt or Type rgMe Malilrtg address r`alepharre Mu�rtder Date arty O'n-mer inform2tioni Signature Print or Type Norris Mailing address crrt.��2�s,�fc � e1 -1011a 1��1fr!+her a - Date Q �?avised 611812012 i' ■ Complete items 1, 2, and 3. i! IN Print your name and address on the reverse 3 so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: A. Signat X Agent ❑ Addresses . Received by (PrjMed Name) C. Dat of D ivery D. Is delivery address different from item 17 ❑ Yes If YES, enter delivery address below: ❑ No 110' C 3. Service Type ❑ Priority Mail Expresso Adult Signature ❑ Registered MaitT"' ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restricted O Certified Mail® Delivery 9594 9402 6666 1060 7827 14 0 Certified Mail Restricted Delivery O Signature ConfirmationTm El Collect on Delivery 0 Signature Confirmation ��...,..h.,r rrrancfar from Service label) 0 Collect on Delivery Restricted Delivery Restricted Delivery '7 Insured Mail 702.1 2 7 2 0 0003 3112 3990 3 Insured Mail Restricted Delivery (over $500) — Pq Fnrm 9811. July 2020 PSN 7530-02-000-9053 Domestic Return Receipt .�)K�N\ �4C:5 Vi L Epl�t 13x� Lf p -L --o Construction same I First Citizens check 19898