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Home My WebLink About86872A - Griffin, Randall & Gionna❑DREDGE & FILL N9 86872 A B C D �rGENERAL PERMIT Previous permit Date previous permit issued [New ❑Modification ❑Complete Reissue Q 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 Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # O Email Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ORIN: yes/no PNA: yes/no Type of Project/ Activity (Scale:,) i '> ) Access Length Pier (dock) length.,-- 11 Fixed Platform(s) Floating Platform(s) _ — Finger piers) 1 A Total Platform area I __]_ t. � _ �, _ . Groin length/# Bulkhead/Riprap length {. -- 1 f Avg distance offshore I , i it tJ / iA Breakwater/Sill Max distance/length TX'-` ' Basin, channel` �- ` Cubic yards r Boat ramp I r-- G... _ ! ....I T - Boathouse/Boatlikt It } Beach Bulldozing _ v Other SAV observed: yes no iit11 � Moratorium: ,- n/a yes no I Site Photos: yes no Riparian Waiver Attached: yes no .. . _.._ y .! i _ ( L A building permit/zoning permit may be required by: 0k..IL rn .I. � y Permit Conditions TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back 1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) ,� "(r Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Application Feels) Check #/Money Order Signature Issuing Date Expiration Date 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: �� r dg h V 6-1 d-i-; Address of Property: 11�( N� R�v.z- Oeao4 Loo ,fire_✓,5%L,3, N627YL17 Mailing Address of Owner: 05 ey%o\-�e Owner's email: Y tt r r l 2 91-50 . co* i Owner's Phone#: 252 - 26 2 -7 3 2 I 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 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 (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION (Choose only one) 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 -O R- I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Typed/Printed name of ARPO: 11 f tlt f Ck 1 nn L"r 1 T f Mailing Address ofARPO: 4C 13Q�iC� U\ AC(fVl 5ba 0 fJL. 279147 ARPO'semail: n.CQr\ znJe14�J ieUC kl 1eC�RPO's(Phone#: (oi`1-5(-?-(o'��J ) Date: 7 Z -2- *waiver is valid for up to one year from ARPO's Signature* Revised August 2022 U H a a \ , , , , , 1 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: R a n,/d / Iy, C%:,-f r, h Address of Property: c� Ln �4�✓;5��NC 2 79 V7 Mailing Address of Owner: 'T5 a� o VC Owner's email: weir 42@hnzh,cow Owner's Phone#: XS2-2y2-7321 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. ✓ 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 (252) 264-3901. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION (Choose only one) 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- I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name ofARPO: Mailing Address of ARPO``: I V<f r �r� �� n ARPO's email: �im Kr T rn«i 1 ARPO's Phone#: 2 740 - 52,5`G% 3C1t7 Date: /fh Aza �2ca3 *waiver is valid for up to one year from ARPO's Signature* Revised August 2022 s *4 0 t m �i "tW44, [DCAMA ❑ DREDGE & FILL N9 86237 A B C D PreviGENERAL PERMIT Date re iousp Date previous permit issued ✓ ❑f4ew ❑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 )"/ - 1--' ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc goy/CAMArules Applicant Namek:1 Address tH `J-, J" I: ;L•(i` r_^h i City. -l.c i,- State ZIP Phone#( Email i r Affected ❑ CW E EW [3 /PTA ❑ ES ❑ PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/rid PNA: yes/nq% - Authorized Agent i,_ zt r� e (I 1 n C ` , Project Location (County): e t• `-i;;ie_e r �f v, Street Address/State Road/Lot #(s) I i Ad- 1 k „-- f Subdivision City Adj. Wtr. Body ,{ �(nayman/unk).. Closest Maj. Wtr. Body Type of Project/ Activity ) 3(,. - , i' "i :✓ / ,- 1-' k t "'-r ' "1-- (Scale: Shoreline Leneth - Access Length Pier (dock) length N. Fixed Platform(s)-�- - Floating Platform(s) 1411 ' 7 Finger pier(s) ) I L — Total Platform area .� ((? •7 t J ! I I I -I f f I r }} n L -, Groin length/# Bulkhead/ Rfprap length l y - - -I-.— _ j�- Avgdistanceoffshore Breakwater/Sill 4-'-= I Max distance/ length Basin, channel '_ '40 I. r j— f �- �_ Cubic yards Boat ramp �- + _ _ __'_ _r_ t _ - F- _` I - -� -" T Boathouse/ Boathft% I f > 1-? - }— I � j --�- r I Beach Bulldozing Other - r'r-- _ SAV.observed: -yam no I Moratorium: '2/a yes no Site Photos: 'Yo no - I I -" t— I__ I _ Riparian Waiver Attached: yes Anna ,`, !_ -- A building permit/zoning permit may be required by: I -} s_ t Permit Conditions I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROD entor Applicant PRINTEDName Signature " Please read comp Iiaoo statement on back of permit' Application Feels) Check q/Money order ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back Issuing Date Expiration Date