Wilson, Heather 84237C

+° °"'w ❑LAMA ❑DREDGE & FILL N° 84237 A B c D
GENERAL PERMIT Previous permit
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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deo.nc.eov/CAMArules
Applicant Name _ \
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body ((naUman/unk)
i
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity I
(Scale: )
Access Length
Pier (dock) length
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Fixed Platform(s)
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Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
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Avg distance offshore
Breakwater/Sill
Max distance/length �'�
Basin, channel--
.
Cubic yards
Boat ramp
Boathouse/ Boatlift -�'
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Beach Bulldozing
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Other-
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SAV observed: yes no
Moratorium: yes a no n/ --
Site Photos: yes no -
Riparian Waiver Attached: yes no
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A building permit/zoning permit may be required by:
Permit Conditions.
rF-_�-! ❑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 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*` Signature
Application Feels) Check#/Money Order Issuing De
Expiration Date

e tomr" ❑CAMA ElDREDGE & FILL N9 84237 A B C'' D
ao Previous permit -
- GENERAL PERMIT 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:
15A NCAC ❑ Rules attached. ❑General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent - t I ,'-�;" f (.L(it,J (.4.
Address Project Location (County):
City State ZIP 1 Street Address/State Road/Lot#(s)
Phone # ( )
Email I I I Subdivision
City % ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body ( �i) L I _ (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Mai. Wtr. Body iL, l
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length.
Access Length
Pier (dock) length
Fixed Platform(s).
Floating
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 no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by
(Scale: )
❑ 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 RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) II
Agent or Applicant PRINTED Name ,
Signature **Please read compliance statement on back of permit**
Application Feels) Chec
Permit Officer's PRINTED Name
Signature
Order Issuing Date Expiration

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: &AA.L 4 I s" " I h n_Swt
Mailing Address: 2�Z L-y61'lP LuNis, h✓
makls ull " Nc- 29sS3
Phone Number:
Email Address:
I certify that I have authorize(
2S2- So:;- oo(s
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: (a r �f DCiC
at my property located at I Lig
in 0 W>10 vJ County.
I 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:
II -- ' Signature
L V nV I ISfnn �o V1h SrM
Print or Type Name
-� ow at/
Title
0 l I o 1 I 'Z-d Z3
Date
This certification is valid through t I

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
l (Top portion to be completed by owner or their agent)
i n r\_ . .,
Name of Property Owner:
Address of Property:
Mailing Address of Owne
�i Owner's email: CCAP
*-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 description or drawing, with dimensions, must be provided with this letter.
1 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. 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 15from 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
Signature of Adjacent Riparian Property Owner (ARPO)
M
I do not wish to waive the 15' setback requirement (initial the blank)
4 Signature of Adjacent Riparian Property Owner: LdQtic- l r�ti��J /?JQ�
sRTypedlPrinted name of ARPO: /,, Ct k % I /u/ J 1 {
`-Mailing Address of ARPO: l ` 4 61 f/���/��� E r. I�f�r
�ARPO's email: OADo��S3'7 co McAA-0ARPO's Phone#: CI)b �S'���D�
Date: I '- � (0 —�� 3 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021

J
Wilson, Heather D
From:
Heather Wilson <[e-mail]>
Sent:
Monday, November 28, 2022 10:56 AM
To:
Wilson, Heather D
Subject:
[External] Cama mom
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Heather
t

Wilson, Heather D
From:
Heather Wilson <[e-mail]>
Sent:
Monday, November 28, 2022 10:55 AM
To:
Wilson, Heather D
Subject:
[External] Cama mom
Follow Up Flag:
Flag for follow up
Flag Status:
Flagged
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
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Ll
Heather
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