Dittmer, Erick 84225C

d "4 Y AMA ❑ DREDGE & FILL 4,T(J J A BID o
Previous peit
y G NERAL PERMIT Date preiouspermitissu�ed -'f
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized
rbyytthe
�Scale of North Carolina, Department of Environmental Quality and the CcU ounces Commlssion In an area of environmental concern pursuant to:
ISA NCAC C� f 7l s i I Q ❑ Rules attached. General Permit Rules available at the following link: wwsvdecnc gov/C N6Ml s
Applicant Name / L ( Authorized Agent fjflJ
I , ^ems " � i
Addressss, ,l ifi^^c_J" /JJ f '� in �.t_J) [J( _, /�>'1 nraux Project Location (Coun 1):
City '!S� �'-t�M.l State NL ZIPZ64Street Addretss,75,nte Road. #(a) Q
Phone #,(-/ O LS 6YI �t�i� C V V e/
Email_ YJ/'42 0 ,10"10iJ. e'0177 Subdivisi n
City Zip
Affected 2/CW �W [TPrA ES ❑pTS Adj. Win Body 45WWd
/� �1 (naV unk)
AEC(s): ❑OEA ❑INA �.,❑iUW ❑SPIMA ❑PWS Closest Mal. Wtc Body 1#1kV)t
ORW:Y PNAfve V
Type of Project/ Activity"```"'"'''"''''EEEEEE�ddSSSS//////!
(Scale:A%t)
Shoreline Length
Access Length _
Pier (dock) lengtl
Fixed Platform(s)
Floating Platform(s) f
Finger piers) "�
Total Platform area
Groin length/#
B Ik / Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards_ /
Boathouse/ Boatlift.
Beach Bulldozing /
Other /_..
SAV observed: y Moes
Moratorium: n/e yes
Site Photos:
Riparian Waiver Attached: a?yb,'
A building permh/t�ng,perml
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❑ TAR/PAM/NEUSEJBUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DEL
IVERy
(Top portion to be completed by owner or their agent)
Name of Property Owner: i:�ri ,ck -I CI DtT}(I� , j -
Address of Property: �I �' C�) LyC K ..I &CC $ �/ :5/� t 5 f CL
Mailing Address of Owner: d ', 121 C _
Owner's email: � 7—/W"IV yCM. Ld/1 OwnGeg Phone#: 11 'l
/- - L%l C' ` ey
Agent's Name:EaQelf Mori nC ( n DA-tl(ht jAgentPhone#:
Agent's Email: enf)P..'i nYjr1CIP_/ito.54riii4nn/;rainn,.'I ,-
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom nortfon 4o ba comole4ed b 4he Adjacent PTOf !& Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing.
descri4 on or drawing with dimensipns must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
Jf you have onjec4lons to v✓ha4 is being proposed, you must notify the N.C. Division of Coastal
Management (DCAf) in Wiling 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
Carolled Mall,
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin be set back a minimum distance of 15'from my area of rian access unless waived me
(this doest of apply to bulkheads rriprap re etments). (if you wish oaweive the setback, you mus4 ston
the appropriate blank below.)
{ G S 100 wish to waive somelall of the 15' setback
-OR- Signature of Adjacent Ri avian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
✓
CS1hl `y TvpadiPrinted name of ARPO: L+i.�� �„ P
Mailing AddresQ of AhvPO:
5 at2po's email:,enn' r aj/7/-f8�3
ARPO s Phone#:
O:J Goll. CmPo
Date: -_� �✓�d,2 *waiver is valid for up to one year from ARPO's Signature -
Revised July 2021

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Name of Property Owner Requesting Permit: b
ar
Mailing Address: / I % 7 / /,�:.l, /, e i
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development:
at my property located at .i /
in —Lai 1 it ill, County.
2 JCCi 1 l 'Q 11
l furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal AAnagement 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:
Signature
l
Print or Type Name
Title
A3 1 /'y I l o Z 2
Date
This certification is valid through _ /? / / i 2023

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 6LLC,:._ bm"o)�_
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
i L'7L&ifL''ICAlSl(i
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: -IL. wc, f j
at my``property located at (, ` ���tCl Cv t C,� S%jC `� `a J(•
in Lil b 1 � L L County.
I furthermore certify that 1 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:
Signature
Print or Type Name
Title
/Z-11�y_, zozz
Date
This certification is valid through /Z I / 12a2

. I "

N.GDIVISION OFv-0A55TAL MANAGEMENT
t1;MFie.s:NT RIPARW'4 PROP Ea`T sMME NQ i:,-ICA "IONI MAIVER €::-RNP,i
(�.-: (.;tr; 'Ica' rni rrr-'-�In gip: lraT' EQ c i DE-1
(l op portion ,) be completed i)y v n[s; or their agent)
Name of Properiy Owno":
A.LIiirBSS of rroperiy;
iu^.`sllll'g Addr cans m Owner.-
-Owners email: Owwrc s Phor:e?i:
Aaewi''s Npmo h il-it"1 _=i ,r.'1`, 4, en'.: ' GJeJ1 L
—y
Ac.e;nis E-mail:
P.€i.t,",4',iwNT RIPARIAN PROPERTY
:3�fPd :h'� tt�t?'t'9FIU�I'It�M
(�ca73om„�io�a{can tca i?e c��n�sieisd r�� the �c3jacsrit der©.pa�i"t�f3_�ncr
f I'Ifle-by cer tI �' tha, I o'wn propeity gdjJCept `i:: the a%G'it" reierem'x' f propeft ' �i I:z'�?41�.{iYidU81 a(»tylt?L`, 5Jr lilir
pr9r171111 ha5 d"cn,bpd 10 me. as S,'hnvm on the attaLyied ;jrawin1 ... 'he C)£?'J810I7iitom they ore proposing,, �\
D`; NO: have OOjections tG UN,5 propu&bi. 117i? i'•b'Vta 6vj2< !JO,ng iC tn18 't7:'GUGSae.
if you have objections to whine is b:Mlg prc€ osec-', you rnusi antify Fhe W.C. Division 0a cogmA i
tdls.,ag rnert (DCM) jr, writing within 50 days of receipt of this notice. Cerrrespondenre should 9;v
anfile-d to 400 Commerce.f ve., rr orahrad City, t4C R85,57, r CAP r. jamsentatMIS cat, also be contacsed
.at (252) 08-2808. No rasp fans is cansldorod tftr same as no Objection if you have bvien notified ky
Ce14f "ee Alal).
WAIVER OECTION
t understand Thai, arp' propasca pies, ciocx, rrmorincg pilinGS; boat ramp, breakwater. hoathouse, lift,
groin must be set back a minimum c isYa.nm o; 95' from my area of ipadan access unless waived by mte
(this Cif'!ss 10' apply to bulkllp_ads or r;pmp revotmenis). Nf you wish t" wale^ t_nt' £ai'ilac". VGu must pi
the a;pproprinieol nkbek.nv.j
!. DO u;isl, to v. ai•re ;omelaii of fl'ra 'i � set ack
Signatc, o, Adjacent Riparian Pr .rer! r:r•n r
OR
i c:., stoY Wian ;u'.vah;a mo i 5 sciba_c:: rFgdramr nt .initial the blan!:i
Sipature of ,'adjacent Riparian Propei-ty Owner:
Mailing A ,rsress of F�arj2�E3� ,r��( .Z 4v
4r;G s eecsaiiw's h4ns#'���
t�ata: vtaitrer is,, valid 40r cep Xo arae ;ewer 'from ,° RPO's fttnawre"
Revised :July JCs T

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICA T IONIVJAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: �l_ L k Li i m Lar
Address of Property. I l L_( t 1'IQ 0 Uvi(K _H)(il_ 5 Ui :J/,[_fc,15 7ifi/
Mailing Address of Owner:
Owners email: _ P/7/—Xtf& ;t-1///L , 6d/I Owner'e Phone# �7/f • G: Gi �I l Y
Agent's Name: Gnne1f liri 11 JSIC LDl"L 6GnjMAgent Phone#: III D- 027- . 4//775
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERT►rlCATION
(Bottom portion to be comoleted by the Adjacent Progeriv Qwner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
�,X 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.
AICJ I DO NOT have objections to this proposal. I DO have objections to this proposal.
It you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (I)CM) 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]. it:o 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
Lk\ 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 sim
the appropriate blank below.)
�WS 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)
k� Signature of Adjacent Riparian Property Owner: _ S
COj1�h Typed/Printed name of ARPO: Z ell .i e„L e
6� Mailing address of ARPO: fill eli J ,i L lr
�Ll�l
5 ARPO'semail:&nn. ARPO'sPhone#:
_4i»
Cate: /12 /c/;o1�Ld
for up to one year from ARPO's Signature's
Revised July 2021

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