86818A - Shoemaker, Jeffrey & Luann

1
NCOp x� jCA AA [7 DREDGE & FILL Na 86818 ( B C D
s Previous permit
i GENERAL PERMIT Date previous permit issued
[X New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environments! Quality and the Coastal Resources Commission in an area of aw rvnmental tt concern pursuato:
I SA NCAC f LI ' a� Rules attached. Genera! Permit Rules available at the foboiMng link. www dgg-nc.gov/CAMArules
Applicant Narm e Vi- Lj d L(.,,o nrN Ade thc(K e- Authorized Ageat 1?s n w►�, S ) , .,cto_ gALe Uy-.-
Address
�,A}io`� 1-t tZ x (o+ 5 0c! t ! a 3o Se2�. -- SV--At�Tect Location (County): _ C o WC.
City _ �� sta-e !t Jzip 9.L _ s )treat Addresststax RaadjLot #(s) t ~j d_ —
Phone
Email- 35)nisean" G AOL, Coy% Subdivision_.) to s_ rES
Crty Cal e.r�r ----ZIP
_ZIP
Affected CW FC] EW X PTA Es L pTS Adj. wo: Body ._�i L� Q /T% 'te {{SQ 1•r�y7^ P afY . an/unicj
AEC(s): OEA 01HA UW D SPIMA '17 PWS Closest Mai. Wtr Body _ ' -,u`gi
ORW: yes6 PNA: yes r�
Type of Project/ Activity Qor.S} t"Cl-
n S n. L(67" x(e'
Shoreline Length tf ei 3y t
i
Access Length }
Pier (dock) length
Fixed Platform(s)
s
t
Floating Platform(s) ;
?:finger piers)
77
j
r -1
1
Total Platform area ILO �tQ4f
4
Groin length/#
_-71
Bufkhead/ Riprap length
r j
Avg distance offshore
' I
Breakwater/Sill
-
Max distance/ length
r
Basin, channel
Cubic yards
sJ
i +
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
—
Other
t�Q t`��--%ait� �rs2�t�eiry�av2c� {Scale:
t i
t' r r � � ._'► r t
Ems{,,,-a_.a
i t t i i i ► �C_.1...'� t _i _ i ! ltr$� �,1 i }. i! l i i t t
t1
ir i 1 i• r r I rl II ° !{ � 1Ij
i.
F
i. r r_ •-r--t—t—--u--i_ .T. r .i..._t_.! i , 7 :_ i t a t r l i r'
I }
SAV observed: yes { r r —r'-t"1- r ;- - -r-t-
Moratorium: a` yes rib ^�_.iz) i
Site Photos: no+ —
Riparian Waiver Attached: no
' 1
A building permit/zoning permit may be required by-.
TAWPAM/NEUSE/BUFFE:R (circle ane)
Permit Conditions _-----.-__ _ _
❑ See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STAT CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please initial)
Ag nt or Applicant P INTED Name Permit Offi s P NTED Name
" V 1

AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name of Property Owner Applying for Permit:e'�"
Mailing address:
Telephone Number:
V-OLZ n S �r1j '-'" t1/'� 0j-'1,; 11 (agent/contractor ,
I certify that I have authorized )
to act on my behalf, for the purpose of applying and obtaining all CAMA permits
necessary for the proposed development of 'r e- ' r- ; ^.a o V- 4 0 c,
at my property located at
This certification is valid through i/ C'. i -''� j,� ( `—' (date).
(Property Owner Information)
Signature
", S>
� o1Q- wN "C -V
Print or Type Name
Title, co. owner or trustee for property
Date
411
5 2- -- 2 't M �`9 33
Telephone Number
Email Address
RECEIVED
1AN 0 5 N23
[)CM -EC

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; �� 1� %✓� �� ✓ �2v�ri �%��L
Mailing Address of Owner:
Owner's email: 5koa vv— �`' PAul- Owner's Phone#: 25
Agent's Name: j \5 f'c.,;, -) ^ Agent Phone#:
Agents Email:
►�td��,c;.ei�V{`J�© vt}1
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
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 Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. 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' setb ck
-OR-
Signature of Adjacent Riparian Pro Owner
I do not wish to waive the 15' setback requirement (initial the blank)
RECEIVED
/ ` ` JAN 0 5 2023
Signature of Adjacent Riparian Property Owner:` ,e l� ,-..c.._ __..
Typed/Printed name of ARPO: �U� .G
Mailing Address of ARPO: / 3_sK
ARPO's email: o j ARPO's Phone#: .s" 1 r V r
Date: f-'='� ,��' c: *waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

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Perimeter
145 ft
Area
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44.48 m
Google Earth Imagery date: 3/23/...

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