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Home My WebLink About86824A - Bakeri AMA ElDREDGE & FILL N° 86824 �� A B C D ENERAL PERMIT Previous permit Date previous permit issued ew ❑ 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: www.deq.nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone#O City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (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:1 ) c♦,,..onno I nn h Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger piers) Total Platform area Groin length/#- Buhead/ Riprap length Avgdistance offshore Breakwater/Sill — f III--- �i - T {T •l f ' — Max distance/ length Basin, channel __ _ it _ Cubic yards Boat ramp Boathouse/ Boatlift -' _ _,__ 1 1 e •r -� rt - �_ Beach Bulldozing Other SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no 4 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. (Please Initial);�'Z. 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 Nwmof Property Owner Georg;a �ukc� mil. R'.Q� 5.C- a 15Gln Mo„e Huntm 5a - 7 as - 59 8Y Em fit �/e t MFSfy that i have authortaed t o y CAO /"A % S /1 t 1'n L /Irl * CanbaMr to act on my behalf, forthe purpose of applying for and obtak ft aN CAMP► pmft i , , 5 at my gopedy iocated at Lot o oia /v►c L4VIL4(c! Ol D F12. c.�� 4 c; a 2 `Lo `1 in pGc.4 k counti►- furthermore oeWy 6W I am a„Uxmt d to grant ad do in fart grant pwv* ion to DPvWon of ll AftWVWxW sftff the.Looai Perrnr7 OtBcerand iheiragerKs enter art the � � to oortr�n MV evatmf * x*nnaffm mtftd tb this Pm►►W W- � REC IV f —�PjWorT,rmNam 6 r.M t FEB 13 TU13 Tide 62,1_/3_1 20z3 ®li1V' -EE6' Dow 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 Address of Property: l,Uf ti# !>ID j`YIC�On4�C(RD Mailing Address of Owner. C feJS hLR��✓Ci sC�i (s Owners email: 111,4 Owners Phone#:�r)�'rrL�-159' ll Agent's Name: &!= de ✓1 111 il' A # 1 ,rn C Agent Phonee#: 3Q —3 1 - �� 3 Agent's Email: L&yden /�t' cilr✓1 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 I DO NOT have objections to this proposal. I DO have objections to this proposal. tf you have objections to what is being proposed, you must notify the N.G. unrision or ooaswl Management (DCAQ in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste. 300, Eiizabeth 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 noted 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 IF setback l (fNlwL'e A ct./E- ))1Gtn� �C Q Signature of A jacent Riparian fIroperty Owner -OR- 1 do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: L�— Typed/Printed name of ARPO: I l 01 -F htwBOJ4 qnM n Mailing Address of ARPO: U01401Affie MOJ�tYt4w�lal�fran IZI J AF Us hone#: A5a- 331 u3�a ARPO's email: Date: 'Waiver is valid for up to one year from ARPO's Signature` Lc,(1Cl eh Vv%ar" /l a P 0. (Box U a-S C1:dr. C'4y 1c arl?a(o ■ Complete Items 1, 2, and 3. A. Signature ■ Print your name and address on the reverse X b.ALf, so that we can return the card to you. ❑ Ads ■ Attach this card to the back of the mailpiece, B. Received by (Printed Name) C.ADS,,or on the front if space permits. 1. Article Addressed to: D. Is delivery address different from item 1 ,S If YES, enter delivery address below: ❑ No rhaIgu�� lit_ E I EC 71VE I,� a alp r�C -1:z. e:�y nc �'� ��`I FE« 1.� t023 t �t Pe iority Mail RRe ❑Adulo. 519 eleejy�❑Rre�gisred ❑ Certified Mail toted 9590 9402 4698 8323 4641 08 ❑ Certified Mail Restricted Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service labeo ❑ Collect on Delivery Restricted Delivery ❑ Signature Conflanationre 7 017 D 6 6 0 0000 7183 4 813 �—ured Mail gyred Mall Restricted Delivery ❑ Signature Confirmation Restricted Delivery sr $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Recy)pt I ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front If space permits. 1. Article Addressed to: JUMBS ? STPP�tan%C �cr�'Nrv�^ 1393/en �{,tu�eh Rb ��.z. r:4� a C. 01 1111111111111111111111111111111111111111 9590 9402 4698 8323 4640 85 2. Article Number (Transfer from service label). 7017 0660''0000 7183 4820 , July 2015 PSN 7530-02-000-9053 X ❑ Agent ❑ Addressee B. Received by (Printed Name) C. Date of Delivery D. Is delivery address different from Item 1? ❑ Yes If YES, enter delivery address below: ❑ No RECE1\ FEB 11 20Zj Service Type El Natty Mail Expresso Adult Signature ❑ Registered Mail- AdultSignaturpl{syar�, p.Reegglsteretl Mall Reslicted Certified Mall tT I very Certigetl Mall ric e v ry Return Receipt for Collect on Delivery Merchandise Collect on Delivery' Restricted Delivery D Signature Confirmation•r 'assured Mail ❑ Signature Continuation tired Mall Restricted Delivery Restricted Delivery lover$500) Domestic Return Receipt l 0� Microsoft Bing traps tracking number ALL IMAGES VIDEOS MAPS NEWS About 5,630,000 results Anytime - Open links in new tab Track USPS package 70170660000071834820 USPS package #70170660000071834820 www.usps.com Delivered: Sat, Feb 4, 01:19 PM Processed In transit CHAT : MORE Track Delivered DATE TIME LOCATION STATUS Feb 4 1:19 PM Elizabeth City, NC, United States Delivered, left with individual Feb 4 9:01 AM Elizabeth City, NC, United States Out for delivery Feb 4 8:50 AM Elizabeth City, NC, United States Arrived at post office Feb 3 3:49 PM Elizabeth City, NC, United States Departed post office Feb 3 3:22 PM Elizabeth City, NO, United States USPS in possess{/siio�o,�nrppo+f item ff' +iipppp{ Jf Data from usm om USPS.com@- USPS Tracking@ ' Leyden 4405 lPl' R',i9PlX�. 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Free Shin -Sian up Urt Microsoft Bing Paps tracking number ALL IMAGES VIDEOS MAPS NEWS CHAT I MORE Leyden 4405 About 5,630,000 results Anytime " Open links in new tab Track USPS package 70170660000071834813 Track ® USPS package #70170660000071834813 0 www.usps.com United Delivered: Sat, Feb 4, 01:21 PM States Postal Service CDUS government agency Processed In transit Delivered The United States Postal Service, also DATE TIME LOCATION STATUS known as the Post Office, U.S. Mail, or Feb 4 1:21 PM Elizabeth City, NC, United States Delivered, left with individual Postal Service, is an Independent agency of the executive branch of the United States Feb 9:01 AM Elizabeth City, NC, United States Out for delivery federal government responsible for ... Feb 4 8:50 AM Elizabeth City, INC, United States Arrived at post office Feb 3 3:49 PM Elizabeth City, NC, United States Departed post office Lr j Feb 3 3:20 PM Elizabeth City, NC, United States USPps3 si il� F`m r W 0 to r---. 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Agent's Name:ft[� J Agent's Brad: ADJACENT RIPARIAN PROPERTY Properly nalm (Boom portion to be completed 10 ric ar7ydP1 Ihereby certifythat IOwn property adjacenttothe above referenced property. The Individual app opoforthis permit has described to me, as shown on the attached drawing, the development they ace P vng• A descrrtttron or s.'th dimensions must be wdh this letter. 1 [)0 NOT have objections to this proposal I DO have objections to this proposal- Managw rent (DCNJ In Ong WMI" IV CW ni~ to 401 S- GnWW St, Sta. 300> contacted at (2rSZ) 284390E No rs notified by Certified MW �tMeis notice Cocresipiondence should be ,27 OCM ►epnm er►mtires can also be the same as no objection if you have been WAIVER SECTION I understand that any proposed pier, dodo m)or" Pam• 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 aPPty to bulkheads or dPaP revetments)_ (ff You wish to waive the setback, you mast sign the appropriate blank below.) 100 wish to waive somelall of the 16 setback Signafwe oij carrtl ►fin l'►oP Y : -OR- FED the blank) F EB 13 iu'j i do not wish to waive the 15 setl>gdt requirement (• Signature of Adjacent Riparian Property Owner C?' TypedffWn ed creme of ARPO: Mailing Address of ARPO: ARPO's email: ARPO's Phones Date: *waiver Is vast for up to One YON from ARPO's Stgnaftw oet.�e Resa6�:� F P• K g&X � (a.5 _ . '.1. r)C Ly Sul t u-' a C � J R p v � � d � v Glcl ML l-Ak-.001 Ka. Q w $�x c,t Fr-ess LAjc"'I Q wee, S C 2q5 G 6 < Z YRME77 OFF 6�