Earp, Jae - 90099C

° AMA ❑ DREDGE & FILL N9 90099 A B C D
GENERAL PERMIT Previous permit
Date previous permit issued 1 w
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by 7t�he State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC bq �A ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deo nc gov/CAMArules
Applicant Name ^.4-'
City
Phone # ( )
Email
State N'i f , ZIP
Authorized Agent L""LA, k'Fr
Project Location (County):/
Street Address/State Road/Lot #(s) _)`'•�"t'
,...., n,.� (rain. c.,r.dn.:.:.... ....................._
r'
City fc+.+n.. urr) zip
Affected ❑ CW ❑ EW ❑ PTA .ES ❑ PITS Adj. WI Body (nat]man/unk)
p r.
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity iD r f >a zr; l i. ,�yu , c
1
(Scale:i'I--
Shoreline Length lin 1
Access Length '� �.. Jt {-
fl`I
a}-
a
r
•"I�`
Pier dock length I
—1-
L
L
'—
t—
'—
--{
Fixed Platform(s)
s
Floating Platform(s)
r_
Finger pler(s) I-
Total Platform area
Groin length/ft
Ir
Bulkhead Riprap length /ior to-
Avgdistanceoffshore .. -'..,_ 1 _
'
F
_...-�.
�____
4_.._�_-
Breakwater/Sill !
Maxdistance/lengthit
r'
-
----F
—---�
—
—
r
P.
Basin, channel I I
Cubic yards
i. -
—
,K
-
r
-
Boat ram
Boathouse/Boatlift
—
_r
Beach Bulldozing
��
_
1
f�
, _T
i
_
I
_
Other
l
7
-
SAV observed: yes no
ium: n/a yes no
�.
!
__.._
. _
I'
L
--_I-
-._J.
__.�.
�.—i
I_...
_E.p-.-__
Site Photos: es no
RipariMoratan Waiver Attached: y
p yes no
!
A buildingpermit/zoning y q y: p g permit may be required b r7rinA
Permit Conditions ..�pr( ciQf r`mg.(.LQ, ,..,v{(fJ¢ ❑TAR/PAM/NEUSF/BUFFER(circle one)
-� t ,•�/ i •rC'�)'^ciS QW(�"Cf 2+q', ❑ See note on back regarding River Basin rules
'r•'( 'R4)b✓Otr�IUM tYaE��i
—� ❑See additional notes/conditions on back
1 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
Issuing Date
Expiration Date

AMA ❑DREDGE & FILL N9 90099 ,;
A B (C� 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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deo.nc.goy/CAMAruIes
Applicant Name _.7_n-4�. C',!O
Address i .,,:-t ! r tr , ,. r'CL
City ` (J t' State /0 ( ZIP ri I
Phone#('>s5Z) •'iy - t-)N-7Z
Email C.f Ll C't.
1lp`c, C il.n 1
7
J
Authorized Agent �` h < (E1C t f i n, Vl
Project Location (County). ..-t-fA t i
Street Address/State Road/Lot#(s)}-`l• {,
Subdivision
City !'ot.v�.�)„ ZIP
Affected ❑CW ❑EW ❑PTA ES ❑PTS Adj. Wtr. Body rJ CA_ G_},,.wf Qinan/unk)
f11`•,
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body - ! ati. °�-y - b' { •,�Q
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length '`-
Pier(dock)length
Fixed Platform(s) ✓ ''' �i
Floating Platform(s)
i
Finger pier(s)
Total Platform area
Groin length/tt
:Bulkhead/Riprap length�-
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel .✓'"�
�"'
Cubic yards
Boat ramp
Boathouse/ Boatlift /
Beach Bulldozing
Other
SAV observed:
Moratorium: n/a
Site Photos:
yes (A0\
yes no
yes �no
)
Riparian Waiver Attached:
!yes\ W
i
A building permit/zoning permit may be required by:
Permit Conditions'
j
(Scale:! SDr)
❑ 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 Nome
(Please Initial)
it
Signature --Please read compliance statement on back of permit" Signature
Application Feels) Check q/Money Order Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: r/ a P L a,e"
Mailing Address: 2— � % Cope lam el
AeA v -(O4 � N( , )- f '5-/
Phone Number: ZS2 — 3�6)-- 4-132-
Email Address:
I certify that I have authorized 4:,
Agentl GoprractorI -'—
to act on my behalf, for the purpose of applying for and obtaining all CAMIA permits
necessary for the following proposed development:
at my property located at 2 & `i C'/' `
in �Gvi c `a` County.
/ furthermore certify that i am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Ed
"Signature
C/ �— AlextiyLtf-
�
e Print or Type Nerhe
U✓CriC"r
Title
S/ io /
Date
This certification is valid through ILl ( 1 Z3
RF(II�IVEV)
DCM-MHD CITY

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. fetve A, &f4
Address of Property: 2 p 9 Cot 1 ah/W , 24SW
Mailing Address of Owner:
Owners email: ja e- f a l-p & g lNa i i•Ow er's Phone#: Z.sZ 3 if 2- �I3Z
5
Agent's Name:
Agent's Email: -
Agent Phone#:
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.
I DO NOT have objections to this proposal. 4— 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. No response /s 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
-OR-
Signature of Adjacent Riparian Property Owner IRFCP lV F-D
I do not wish to waive the 15' setback requirement (initial the blank) MAY 0 8 2023
Signature of Adjacent Riparian Property Owner: DCM-UHD CITY
Typed/Printed name of ARPO:
Mailing Address of ARPO: 1 ( tJ 1y' („ r} tQI (- C) i✓
ARPO's email: i ARPO's Phone#:
Date: [ _ —*waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

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: SA e A. e7e
Address of Property: 2,92 ��pe �a n /tid , !! ea u tak t AI C• 2 s! b
Mailing Address of Owner: 154 wr
Owners email: /2 e e69 q,m Al �. t Owner's Phone#: 2 �Z � 3 4 2 413 2-
Agent's Name:
Agent's Email:
Agent Phone#:
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.
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. 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
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
Signature of Adjacent Riparian Property Owner
-OR- RFCFlvH,a
I do not wish to waive the 15' setback requirement (initial the blank)
MAY 0 8 207s
Signature of Adjacent Riparian Property Owner: -- DCM-MHD u1 Y
Typed/Printed name of ARPO: �A 'DSO t l Lp" f
I1C Mailing Address ofARPO: 3D((�� CL�j ti� �C.v�y�
ARPO's email: F' �Ai [1 )AY A, (�]ti.-ARPO's Phone#:
Date:.. %) :L) 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021

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