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Home My WebLink About86954A - Jennings, Sean & Danielle#L] CAPAA [I DREDGE & FILL N9 86954 (�A B C D 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. Ef General Permit Rules available at the following link: wwwdecinc gov/C.AMArJIes Applicant Name _ Address City i Phone # ( ) Email State Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑ OEA ❑ IHA ❑ uW ORW: yes/no PNA: yes/no Type of Project/ Activity ZIP ❑ ES ❑ PTs ❑SPIMA ❑PWS Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) I_()'� .tj Subdivision City ZIP Adj. Wtr. Body Closest Mal. Wtr. Body (Scale: I, ) mom . ■■■■■ ■� �,ilt3■■■ONES ® ■ ■ � ■■■■� ■■■■�■�■■ aE�■gym ,®t:�u ■■C■1C�CC.C■.■ SE': KI :��"� Total Platform area�1O0■■.� ��■C�■■■■■■■SON Groin length/# Bulkhead/ Riprap length Avg distance offshore :-. .• .®...■a■.■ ■� ...................�i F1C ON I ■■■�i■ I■BD■�E■�I�.!■■■�i�■�i■■s■■■ii■■■■■■ ww..ee �1 a � SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no I IN SO A building permit/zoning permit may be required 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" Application Feels) Check #/Money Order Signature �3 7/ Issuing Date Expirati� o�� 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. c5eem Address of Property: Mailing Address of Owner:-r1a Souk( (S&k byte,,.. , Z4owj" A)G Owner's email: br softa nra . Owner's Phone#: _$7 �- G aD -2,w(o Agent's Name:, Sear? JT vlvtl VI I> Agent Phone#: Agent's Email: S;evtVti r1?(o(v�/yret/t'�S�rCZ,(S)ctil - v 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 fort is 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. 1 DO have objections to this proposal. If you have objections to what is being proposed, you must notify the N.C. Division of Coss 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 /s considered the same as no objection if you have boon notified by Certified Mail. WAIVER SECTION 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.) 1 DO wish to waive some/all of the 15' setback N A- I Signature of Adj �(cenf t Riparian Property Owner -OR- 1 do not wish to waive the 15' setback requirement (initial the blank) L 1--) Signature of Adjacent Riparian Property Owner Typed/Printed name of ARPO: "CCA 0CAVqaU(4"A Mailing Address of ARPO: j r�(SV v1 <� �y,1c) i P ARPO's email: ARPO's Phone#: Date: iS 10 ?•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 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. ( i?d I✓Gill% e �� E�/I nib fS / Address of Property: ��3 r�"0,01 �A61"P , LP , / r1Z; 7,�r_ /1- Mailing Address of Owner: ZD 500,1ci A)G Z. "I L Owner's email: LSiP, nnLnsg iv T„rr'a /,..Ownner's Phone#: 7's? — 6 30 —2i („ / Agent's Name:. jPc(✓i - 1 e_N{il I y)�G1�> Agent Phone#: 2 ,1�'7-(o 3O Agent's Email: SSevtvCin + vC tiv(�(Ur�lvCCriiYSVtZ.CrJvi! ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom Portion to be completed by the Adiacent Property Owner) I hereby certify that I own property adjacent to the above referenced property. The individual applying fort] is permit has described to me, as shown on the attached drawing, the development they are proposing)) A desc11lriotion 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. It you have objections to what is being proposed, you must notify the N.C. Divislon of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Grim 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 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 . I / A I Signature of Adjlcent Riparian Properly 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: 1— } i 4 rnl Vy e c_.\c,y Mailing Address of ARPO: 7�� c'v 1 -�1c::1 C `>L ( CI �OC� %�C. ''�I�Lj / ARPO's email: ARPO's Phone#: Date: � waiver is valid for up to one year from ARPO's Signature* Revised July /Nam �o4knFrcrt'i'' � a�ytn� d Mil s' !`3 y ji��IY4 C�a'�S�%