86889A - Craven, Seth

a d,toura<y ®CAMA ;4LDREDGE & FILL N° 86889 2� A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
A 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.ncgoy/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Ad!. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtc Body
ORW: yes/no PNA: yes/no,
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/N
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/ayes no
Site Photos: yes no
Riparian Waiver Attached: yes no,
A building permit/zoning permit may be required by:
Permit Conditions
CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED
( , i% o
Agent or App i _nt PRINTED Name Permit Officer's PRINTED Name
Signafure *'Please read compliance statement on back of permit" Signature
(Scale:I )
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Application Feels) Check q/Money Order Issuing Date Expiration Date

N.C. DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(TOD portion to be completed by owner or their agent)
Name of Property Owner_ S d T h
Address of Property: 3`%V stile // b %rh h f- a rl
Mailing Address of Owner9/9 15 /q/ �in t an 401b D l- mob"I e iQL 3G to 9 5
Owners email: � Owner's Phone#: �rl � % y?3
Agent's Name: L kHGEr1 /%fir%� ey Tim /A//gent Phone# 41a ��l
Agent's Email: / den 1nar'� e� //YO7f ,I t �. [�O ,L
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be co feted by the Adjacent Property Owner)
I hereby certity dud I own property adjacent to the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing. the development they are proposing --A
h• tl r• �.�, cur, � � . �. r.rr. , F• �,�. cri. �- . a �. � ,r
If you have objecFmns to what IS beins preposea you must noy the KQ t v wm or LWoasra►
Management (MW In writing witbrn f0 days of mcwpt of dds notice Correspondence should be
marled to 401 & Grit St, Ste. 309 Effn6etb CKy NG 27M OCM representrtires can also be
contacted at (2M 2643M. No response is considered the same as no objection ff you have been
notified by Cerdfiied Mail.
WAIVER SECTION
I understand that any proposed tier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 16' 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.) j
I DO Wish to waive some/all of the 15' setback,,'
SignatureofAdlacent Properly9wner
MA
I do not wish to waive the 16 setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner
RECEIVE®
MAR 13 2023
TypedfPrk ted name of ARM: CM —EC
Mailing Address of ARPO:
ARPO's email:
ARPO's Phone#:
Date: "waiver is valid for up to one year from ARPO's Signature

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTMATIONf WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND OE UVERY
(fop Portion to be completed by ovmer or their agent)
Name of Propedy Owner St -AA ROlerEL C/Otren
Addressofpwpedlr .3`/us.rta//Or 6!'s " nc 1?141
mammAddressof Owner q4 q //W�,;4n oak it; �ta6;�ar s36 3loGyS
Owm&s _ w/+ I OwnesPhoner�/R
AsenesNamew.LA" 0A.4.4 Tnc Agerdplt�
ADJAcENrRfpARUWPROPERTYOWNf3Cscsnu CA710N
tOoftmn omOon to ba completed bvtim Adim=AProoeft Omer)
1 haebyce+faythetl ownp Wslyafammmatheaboverdamnoad p�oU y.Thaind v�fatetoplyinBforHds
penal has 4ppmibed to mew as Shower an the attadred drarri,g. dhe developruetd draft am PloP0sh - A
NOT hmeObjections to5nsploposal - IDOt000tlgdwstoHdsproposal.
have objerbaos fo sf f is being pmpose4 ym mmnuay >+m mu- immm w L-wasau
e(OMIn.rwitUnfoaaysofPW0WCfOft aavespapdmoasrmordbe
1"7edto401&GalenSt,We. 36q.Elia6elft CfiY.NC.27904 JDCM relantsentatives can afro be
CoffftCCgdatr4W 2",ML No response is considered the aameasno ekixiiendyon hnv been
no67redby Cer~1{11aH.
WANER SECTION -
I vmde stand that any proposed pier, dock momi q pM gs. boat ramp, bmaMrater. boadwuse. Nk or
gmh Karst be GA back a n* mean dstanoe of I from my wea of riparian axes Mess wa M
Ms es Wy dorat b0cheads or ripraprevetmads)_(if you wish to waive the sdhadc,you a "Li
the app oviateblank below.)
I oo wish to waivesome/au of the IN setba* MAR 1 3 %UB
phae�R%A�
R lc DCM—EC
1 do not wish toWSIlea 1S Setba* nXR*enwrd (initial the blankf� IM
SignAveofAd*erlPW rPM"Ovner.
7jrpedWVfutednwneofARPO.-
�� �•9' / / /
Slamng Address
H/
AIM, EDAcEZOOS e? 9ftm0' ARPO'aphones: ZSZ-S% 3- eq6 3
Data: 'waiver is vaildtorup to oneyearfmm ARMS ffigrrobnet'
Pieria Re>45j-j- L,a�cle^ rtar).,e.Xoic
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