90067C - Allen, Chris

ateMU', nCAMA ❑ DREDGE & FILL N9 90067 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
F-INew ❑ 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:
ISA NCAC 'li ❑Rules attached. El General Permit Rules available at the following link: wwwdeq.ncgov/CAMArules
Applicant Name
Address
City
Authorized Agent
Project Location (County):
State ZIP Street Address/State Road/Lot#(s)t'+./'"
Phone # (_)
Email Subdivision
city ZIP 24f S
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj. Wtr. Body `��°.t�. �i)r� (cvic.i (nat/man/unk)
AEC s : OEA IHA UW SPIMA PWS �l O ❑ ❑ ❑ ❑ ❑ Closest Maj. Wtr. Body J _l
ORW: yes/{to,, PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length -1
Fixed Platform(s)
Floating Platform(s) '20 '
Finger pier(s) '
n i
Total Platform area r"-
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 rt
Permit Conditions
(Scale: )
17�!)ff tIc vfil ❑ 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 Fee(s) Check #/Money Order Issuing Date
Expiration Date

�`°"`� L�]CAMA ❑DREDGE & FILL Nv 90067 A B'.,c D
V GENERAL PERMIT Previous permit
Date previous permit issued
[New ❑Modification []Complete Reissue ❑ Partial Reissue
As authorized by thee State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC L:l H 12 t,f) pp `` ❑ Rules attached. 0 General Permit Rules available at the following link: www.deq.ncgov/CAMArules
Applicant Name Authorized Agent
Address i Project Location (County):
City 1" State ZIP ' -;'Ir I Street Address/State Road/Lot #(s)
Phone # (_ )
Affected ❑ CW
❑ EW ❑ PTA
AEC(s): ❑ OEA
❑ IHA ❑ UW
ORW: yes/
PNA: yes/no
Type of Project/ Activity
Shoreline Length_
-
Access Length
j
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
-'
Finger pler(s)
Total Platform area i`, i
Groin length/#
Bulkhead/Riprap length -
Avg distance offshore
Breakwater/Sill (-
Maxdistance/length -
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing _
Other is
�1 X14in
❑ ES ❑ PTs
❑SPIMA ❑PWS
Subdivision .-
City /i.}l,:vi-; arx`i C(n ZIP
Adj. Wtr. Body
Closest Mal. Wtr. Body
SAV observed: yes no ' f h
t
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: !yes no _ . _.. L.. _.. -Ll__l
A building permit/zoning permit may be required by: -� 1!'.,t i.si':'• / �n
Permit Conditions _ 'Fzt wl
rr"C., '
t
(Scale: I , c 70t) ,
❑ 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
Signature -*Please read compliance statement on back of permit"
A
Permit Officer's PRINTED Name - --
Signature r
Fee(s) Check#/Money Order Issuing Date Expiration Date

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N.C. DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT RtOUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. Chris Allen
Address of Property:
533 N Kinston Ave Atlantic Beach, NC 28512
Mailing Address of Owner: 10609 Old Pine Ct Ratelgh, NC 27613
Ownor's crnail. cation0ailenem.com
Agont's Name:
Ownor's Phonafl: 919.669-3635
Agent's Email:
Agent
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be com fated by the Ad'acent Progerty Ownery
I hereby certify that I own property adjacent to the above roferenced 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 dlrnensionfi must tiv providel with thi ,, ir�ltvr.
X . I DO N01' have objections to this proposal, ____ _--1 00 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
rnalled 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
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 1.5' frorn my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap rovotments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive somalaif of the 15' setback
9rgnatu Ad%spent Rr rian Rrope�
_OR -
I do not wish to waive the 15' setback requirement (Initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Joseph Lancaster
Mailing Address of ARPO: 2704 Ayrshire Place Garner, NC 5101 27529 t
ARPO's email; Lllancaster5662fgmail.c0m ARPO's Phone#: 441r-3S77921 Date � 11�4 f R.3— -waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
North Kinston Ave Atlantic Beach, NC 28512
535

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner Chris Allen
Address of Properly 533 N Kinston Ave Atlantic Beach, NC 28512
Mailing Address of Owner 10609 Old Pine Ct Raleigh, NC 27613
Owner's email callen©allencm.com
Agent's Name
Agents Email
Owner's Phone# [phone]
Agent Phone#
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adfacent 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
X 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. Drvision or Coasrai
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 [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 revelments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive somefall of the 15' setback
Sigr to f Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO: Stuart Giroux
Mailing Address of ARPO: 1440 Mill Road Bangor, PA 18013
ARPO's email: SN4 UXpyu400(°1 ARPO's Phone#: [phone]
Date: �� ) 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
531 North Kinston Ave Atlantic Beach, NC 28512