Britton, Andrea - 91385C

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❑CAMA ElDREDGE & FILL N9 91385 A B (c) D
GENERAL PERMIT Previous permit
Date previous permit issued
❑ 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. ® General Permit Rules available at the following link: wwwdeQ.nc.gov/CAMAruIe§
Applicant Name
Authorized Agent If
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Address
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Project Location (County): (✓, ✓t°
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City
State
ZIP h,� i (; -.
Street Address/State Road/Lot #(s) 1,9
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Phone # (_)
Email
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Subdivision
City Ale ti AC7✓YI
ZIP i�f15r?.a
Affected ❑ CW
❑ E W j',] PTA
❑ ES ❑ PTS
Adj. Wen Body R ✓ • ([,/ v P C (\
(man/unk)
AEC(s): ❑ OEA
❑ IHA ❑ UW
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body
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ORW: yes/hq'
PNA: yes�nto
Type of Project/ Activity
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1117d
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(Scale: TS )
1
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Shoreline Length I 1 5
Access Length_m-
Pier (dock) length S A iO
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Fixed Platforms)_ I G A ri 4 "
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Floating Platform(s)
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Fingerpier(s) �i `X l7 r/ �l `i•,i$ r
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Total
Total Platform area •, -(
Groin length/q
in
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Bulkhead/ Riprap length - IG---
Avg distance -
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offshore
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Max distance/ length
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Basin, channel
Cubic yards
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Boat ramp
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Boathouse / Boatlik I
Beach Bulldozing
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—y-
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OtherIA
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SAV observed: yes no
Moratorium: n/a yes no
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_
_
-
—
—
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
Q TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
ElSee additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TOTHIS PROJECTAND REVIEWED COMPLIANCE STATEMENT (Please Initial) i`, 1•
,
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
J)
Signature "Please read compliance statement on back of permit•
Application Feels) Check p/Money Order
Signature
Issuing Date
� ) I !ll-"
Expiration Date

����`°"'"v,�❑CAMA ❑DREDGE & FILL N° 91385 A B (P) D
GENERAL PERMIT Previous 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:
I SA NCAC ❑ Rules attached. EJ General Permit Rules available at the following link: www.de .nc. ov CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
Authorized Agent I
Project Location (County):
State /ii C ZIP i" ,i l: Street Address/Stare Road/Lot #(s) ° !_
i
Affected ❑ ON EW E] PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORIN: yes/J/ PNA: yes
Type of Project/ Activity
Shoreline Length ) 1 S
Subdivision --
City ,Li(..,. li P� ✓J ZIP
❑ ES ❑ PTS Adj. Wtr. Body r" . �iiat/man/unk)
❑ SPIMA ❑ PINS Closest Mal. Vi Body ' V / i
/-/' — :
(Scale: IV Ti )
Access Length ""
—
_
T
Pier (dock) length 5 A 0
Fixed Platforms) _Lu A
Floating Platform(s)
i
Finger piers) %�d;iL'
Total Platform area -E
I
---
-
-
--
-
-
'-',r•
,I
_
Groin length/p
_
Bulkhead/ Riprap length ,,
-------
Avgdistance offshore --
/17
Breakwater Sill --
!
--f
—
0
.
t
-�-—
Max distance/length
!
-I
Basin, channel -
!
Cubic yards
goat ramp
Boathouse/ Boatlift I'i
Beach Bulldozing
Other d
:
li
-
-
SAV observed: yes no
Moratorium: n a
yesnoSite Photos: yes noi#
Riparian Waiver Attached: yees. no
A building permit/zoning permit may be required by:
Permit Conditions i
. I
TAR/PAM/NELISE/BLIFFER (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 THATAPPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
'A
Signature **Please read compliance statement on back of permit•* Signature
i
Application Feels) Check if/Money Order Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: A riot recce ,;tJ J f 1 S Br T.& in
Address of Property:
Mailing Address of Owne
d r/ Tons t/*�✓2r/2� Owner's Phone#: 3 G I Owner's email: &,e 206 S2 0
.sv'e t
Agent's Name: A I/ert Aa ryl � r 1 arv�_ Agent Phone#: q1 j "92 O - `% 2/ 3
Agent's Email: na rarer ra >'rn,c��. p e©ros'Tr ue f ems✓ .. r nirl
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 forthis
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.
1 DO NOT have objections to this proposal. I DO have objections to this proposal.
ir you nave objections to wnat is being proposect, you must notify the N.G. Dlvislon of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been 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, yoRo
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback MAY 0 S 2n
-OR-
Signature of Adjacent Riparian Property Owne -811H1) CITY
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: 1t1,6pS' r /?rr/GR 1)R zlwz=n� �r L e� 0
ARPO's email:
ARPO's Phone#: lj52 4557 I I D
Date: C / 3 —*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

513 yiptDrive Property
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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:
Address of Property: 7 S ,, // Pa T /JrriJ ✓e / 2 KC
Mailing Address of Owner: -%2/y Ya rrnoet / A /la ced /V9W /.3 An AIC ? eS6'Z
Owner's email: 11=L n 7 L4.✓S Ael?IZ64,1,yetfvner's Phone#: 16/ 2 a G Ste% V
Agent's Name: River �n� 141mm-p- Cti Agent Phone#: -ft9)!2-92o-92/
Agent's Email:
H
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.
1 DO NOT have objections to this proposal. I DO have objections to this proposal.
ff 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response is considered the same as no objection if you have been 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.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR- RFCEIVr=D
I do not wish to waive the 15' setback requirement (initial the blank)
APR 2 0 2023
Signature of Adjacent Riparian Property Owner��DCM-MHD CITY
Typed/Printed name of ARPO: L x v-\c2\ ` `e.
Mailing Address ofARPO:
ARPO'semail: o��\.CCNIARPO'sPhone#:
Date: M - JC%3 *waiver Is valid for up to one year from ARPO's Signature*
Revised July 2021

501 Lilliput Drive Property
(Gustafson Property)
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