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Home My WebLink About89664A - Davis, Howard�° &❑CAMA ❑ DREDGE & FILL N9 89664 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: ISA NCAC (-) ( f- ( , I r ' ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name t.)L Address ) (..C)�` i I f '' 9 4' City ,)-A Li .x )C. �•�. State ��,r� ZIP .7 Phone#( �)� •Yf i •r •"" 'r) t M 9` Email,/<'xJ t 4ytc:.C.1 I C-t> 1atA Affected ❑ CW FEW 0 PTA ❑ ES ❑ PTs AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no: PNA: ye$/no ) Type of Project/Activity 7LVI'5+<:t_IJcP,+iG%1. ca' Authorized Agent Project Location (County): I Street Address/State Road/Lot #(s) Subdivision City— Adj. Wen Body Closest Mal. Wtr. Body B (Scale: N Y.a) Access Length Pier (dock) length Fixed Platform(s) ®C:I:N ::■: 111MME ■O :. E Floating Platform(s)N■::::: : :��main Finger pier(s): : : ::::: HIS Beach Buldo Other zing Y .i. :.:® :�::finN ■n: WE ■ NON n.N■' no' ■■■ I■ N ■■ ■fin■■■►A MON ■IN ■��■ NONE :uiiin......■■ LN E :�■■ SAV observed: yes no: Photos: yes no Waiver Attached: yes no ■..n� "snags" WESite ■■n■■as Ns N N■ r n r l ■N■ -Riparian i NINE A building permit/zoning permit may be required by: Permit Conditions I THAT APPLY TO THIS PROJECT AND REVIEWED CC Agent or Applicant PRINTED Name Permit Officer's PRINTED Name ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Signature "Please read compliance statement on back of permit** Application Feels) Check N/Money Order Signature Issuing Date • Expiration Date RECEIVED DIVISION OF COASTAL MANAGEMENT APR 14 Z023 AGENCY FORM FOR PERNIIT APPLICATIONS DCMI Et caner of the property located at: P' (properry owner Coble, M—Uuip�_—o�Ic.. roPern do hereby authorize acing as agent) to act as my agent for the purpose of ob i* ` -mane�c= Area Management Act and/or Dredge and Fill Act permits, that may be nr Lb- a .-Redevelopment at the above - indicated property, which entails: &,.& (' 1+ aw (describe proposed developmenz `or which permits are being sought) This agency authorization is limited to the specific activities described above, and will expire on: (date on which figency authorization expires) (siimaturel (date) o f property) (printed name of owner) (titie, if o)jjcer of -orp. owner or trustee or N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to becompletedby owner or their agent) Name of Property Owner. �✓Ou/a �'v' �Qy�f ✓n" Address of Property: CrJlJia S'L e �o c y' L '�7y Mailing Address of Owner: <d "1.0 Owner's email: i�t1�G^r �'�"� Owner's Phone#: A0t)"- 35'I9 Agent's Name: Agent Agent's Email: 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 - - - - ..,.k ,r.;, 1offor r 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 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 nprap 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- ..S� Signature of Adjacent Riparian roperty Owner -O R- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner Typed/Printed name of ARPO: )r 14 r 0 2.7 )1; 0 Mailing Address of ARPO: / �tti EL( f, 1L"_LcTLI� L .// fwt/{ S'Pt d ARPO's�email: s �l�d"'I-Cc11'rC//�K0 ARPO's Phone#: i 5 Z�51� e Date: )/`) -2 }' 'waiver is valid for up to one year from ARPO's Signature' '� Revised May 2021 N.C. DIVISION OF ADJACENT RIPARIAN PROPERI (Top portion to be Name of Property Owner. Address of Property: Mailing Address of Owner f;4 ^ � MANAGEMENT NOTIFICATIONfWAIVER FORM by owner or their agent) Owner's email: .Cavay2ot;/Nla / Owner'sPhone#:99M Agent's Name: Agent Agent's Email: 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 -Afk +ki�ioeo, I DO NOT have objections to this proposal. I DO have objections to this proposal (f 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 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 �1^ Signatuuure1of Ad acent Ripari roperfy 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:Mailing Address of ARPO: 1 0 ARPO's email: ARPO's Phone#: !242-2-6ue Date: � "waiver is valid for up to one year from ARPO's Signature" Revised May 2021