86959A - Hunt III, Ross

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❑CAMA El DREDGE & FILL N° 86959 fJ L I'X)B C D
GENERAL PERMIT Previous permit N
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. 0, General Permit Rules available at the following link: www.der.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City - State ZIP ` Street Address/State Road/Lot #(s)
Phone # ( )
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body r (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
ch..roR,.o i oeorR t ...
Access Length
I
No
■
■■
��
■■■■■
■■■■■ME
■■■
.��■��
�■
El
■
■
■
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■
Float!
Finger pier(s)
Total Platform area
...■n..�
Groin length/#
molls"
1
!110
1013
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
�:�
jNo8
HH
■
0
Boat ramp
e
a
will
N
■■
■■
nE
MEMin
NEcyam,.■■
Bulldozing
ri.
Moratorium: yes no
.
■■
■other
■Crrl■
■■■■�■i
■�..■
1.
41�®■��
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■
■�■■AR
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■�®■■■■=I■■■MEMO
Riparian Waiver Attachecit 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.
Agent or Applicant PRINTED Name - Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit** Signature
.�. • . �Z
Applic"on Fee(s) Check M/Money Order Issuing Date
(Please Initial)
Expiration Date

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Ross Hunt III
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3/27/2023
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This ONMCaa0t1 Is valid through

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DocuSlgn Envelope In 4EE67699-CE93-4707-AFOD-605C32nAID10
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N.C. DIVISION OF COASTAL MANAGEMENT
RIVER FORM
ADJACENT RIPARIAN PRIRh RECEIPT REQUEPERTY OWNER nTES D_�LA DEI.L�RY
RTIFIE13 MA ne
(Top portion to be completed by owner or their agent)
Name of Property Owner.
Addressolproperry:
1,222 tavKRxdo1�;s
Mailing Andreas of Owner._-Ot-
-------��
Owners emaiLV_t_\kMq Owner's Phonetl:
Agent's Name'�i1l1WUUOL1 M�`_��(ICLdnM Agent Phones': ��J1 r17_ Z_— 5-7 L—
Agent's Email:t10y GjY \.(,OAA ----- -----
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Scttom portion to be comglatadby the Adlrent ProaeM DOOR)
I hereby certify that I own property adjacent to the above referenced property The IMwrdual applying for this
permit has descrtbod to me, as shown on the attached drawing, the development It" are proposing. A
DO NOT have objections to this proposal. _ 100 have objections to this proposal
a fo what Is being proposed, you moat nodty the N.C. n of Cosecs/
wt (OCM1)n wrMng witlNn fo drys ormicerpt ordrls notca Conerpondence ~d be
001 S. Griffin St, Ste 300, EllzabNh City, NO, V1109. DCM repraanfadvoa can Or" ba
of ran 2".Mol. No resoonwla censIdared fAe acme as pro OANCUG/l N yoo far" been
WAIVER SECTION
I understand that any proposed pier, doe*, mooring pilings, boat tamp, breakwater, boathouse, lift. or
groin must be art back a minimum distance of IN from my area of riparian access unless waived by me
(this does not apply to bulkheads or rpaep revetments). (If you wish to waive the setback, you mwt sign
the appropriate blank below.)
I DO wish to waive somelail of the 15'selback
Signature ofAdjacent Riparian Property Owner
-OR. — ee
I do not wish to waive the 15' selbaek requirement (Initial the blank) n«�so
Signature of Ad)acent Riparian Properly Owner.
TyptdlPrinted name of ARPO:
Mailing Address ofARPO:
ARPO's arnall: _- _ ARPO's Phonon: 0.F+
Kyle T17licr --- ----
Delta: --'waiver is valid 10, up to ono year from ARPO's Signaturo-
Revised July 2021
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Ainsworth
304 Griggs Acres
Fisher
312 Griggs Acres
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