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Home My WebLink AboutRUA Front St 90046C,`te0.ir',,N❑CAMA El DREDGE & FILL N9 90046 A B t C D a GPrevious 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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name t-_ (.Fl i-/Wuthorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot#(s) Phone # ( ) Subdivision City Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj. Wtr. Body ..7lt t5k /:_a.J`<-t`k (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body A/E-'- -'k>.<-. I ORW: yes/no. PNA: yes/no of Project/ Activity I s-, i'r: 1 c .1,Y, } , < (Scalef' 60 ) Access Length Pier (dock) length 1h) 1i7Vl, rot 40 Fixed Platform(s) / N'% yfV4mf -_}" } -. - j - r '- 61i. Dbf T Q(E- I { 1 T - 11 ,'f��- —r 1'L>� L 77t y._ I 3- t {1N - I ( N I + ' '" +_ __ ,V - s) t. �✓ 1 - _ - Floating Platform(s) Finger pier(s) Total Platform area i Zi r `^ r �/ _I Bulkhead/ Ri Pra length r P Avg distance offshore Breakwater/Sill Max distance/ length jj` Basin, channel Cubicyards %" Boat ramp Boathouse/eoatlift Beach Bulldozing Other .__ -- _, ' - - F _ uv� iu 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: Permit Conditions ❑ 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 (.t Application Feels) Check q/Money Order Issuing Date Expiration Date �`°"'" ❑CAMA ❑DREDGE & FILL N9 90046 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 (i 0 - ( / 0 k , ❑ Rules attached. tjkdeneral Permit Rules available at the following link: www.deq nc gov/CAMArules Applicant Name -�"""1°� .TT.#�� 4.'(,{;� •0,4 -� t,(iQuthorized Agent ' ' �-1•"-' Address ' Project Location (County): City State %11J(. zip .l t�rl �9 Street Address/State Road/Lot#(s) Phone # Email Subdivision City �' .�-'6 Affected ❑ CW n EW >. PTA ❑ ES ❑ PTS Adj. Wtr. Body .�T r t.. -'r _r' _ (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body '+. (,�.- C7�: [:' . ,n_P 4., ORW: yes r. PNA: yes/po Type, of Project/Activity r �cc f (Scale: 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 f 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 Permit Conditions ❑ 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) �I Agent or Applicant PRINTED NarDe.,`- Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Signature Application Feels) Check p/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 9(4 / ' rywoea r Z 6 Mailing Address: -70 r Fros4 S4- iSeoyFdrl- A& ;28S'/6 Phone Number: Email Address: JC Cr''N certify that I have authorized �� Q� W1jf.4 p 0 r4— Agent TContractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the lowing Oc. at my property located at _ in_S OY ktife;'County. d development: T rip rdv e M eA+.f 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: Z "'4t t Signature CJL'41A)(f- :56LCZ/4- Print or Type Name P�rrjyG✓t- Title Date ��r.+►� This certification is valid through I I N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to beZcompleted by owner or their agent) Name of Property Owner: iy e4 ei.r, -,rK, Address of Property: i/d" )54406& �C-Aef-e- c3� 2u/�1p/ (s�ME Mailing Address of Owner: —j!"-o is aisv 4t l(/N. A 712.0 Owner's email: Agent's Name: Agent's Email: dcic�t one#: _33 6 - c5 ri6 `96VO Agent Phone#: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adlacent Propertv 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. _JZI 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. 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 Signature of Adjacent Riparian Property Owner -OR- �tF(',F11rk=ry I do not wish to waive the 15' setback requirement (initial the blank) _4�� MAR (I t �i,/ Signature of Adjacent Riparian Property Owner: CJci -PAHU (,I f `a` Typed/Printed name of ARPO: 6G`t d. /P"1+ccc�sc rg / Mailing Address of ARPO: ]70 89k .2tS D�f cvrus4c-- �g / " Ale— 11 '�� .t� CEtK ARPO's email:/3,Lri.@ Dw�cStml B�Dr>!n( ARPO's Phone#: J36 —SS 9( - Foce) Date: _2 iu -2 3 *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: /rl.(l�L ✓Address of Property: ✓Mailing Address of Owner: ��i� 7 t!y r t LI o—t (,a-e S te) a V[ .' �zele'JC Ak 8 671ok ✓Owner's email: Z 1 e ner's Phone#: 112 ii>,? 6 S Agent's Name: - Agent Phone#: Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Ownerl 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 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. 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 / f/ 1"? Signature of Adiacent Riparian Proger#y Owner -OR- CJ N?F:0,I=11rKn I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: tl/_�j 1AM P i 71i/ t `� OC:hN-11hNLJ a;j'�t' ARPO's email: /ARPO's Phone#: V/ Date: [ O *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 U Z 6M