89732A - Bunch

❑CAMA ❑ DREDGE & FILL
GENERAL PERMIT
New [:]Modification []Complete Reissue ❑ Partial Reissue
N° 89732 (L A e C D
Previous permit
Date previous permit issued
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.deq.nc.gov/CAMArules
Applicant Name r ' J .i..
pp Authorized Agent <'<PCiI
Address - Project Location (County): f
City State ZIP Street Address/State Road/Lot#(s)
Phone # ( )
Email (1 r
Subdivision
City
a_+9a-k-
Affected ❑ CW 0 EW ® PTA ❑ ES ❑ PTS Adj. Wtr. Body G1 It rt i - + (nat/(�an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yeFCng PNA: yes/no
Type of Project/ Activity
Shoreline Length 19 41f
Access Length
Pier (dock)length
Fixed Platform(s) JC) r 5' 1 Cis r
Floating Platform(s)
Finger pier(s)
Total Platform area `".L'Or.) r '
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore /
Max distance/
Basin, channel
Cubic yards _
Boat ramp
Beach
Other
SAV observed: yes no 1 1 i—
Moratorium: , n/a yes
Site Photos: yes n
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: - f k C ��✓ 9 1 1 tn"�` r
(Scale:; ,; i yt")
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
`s
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) 7
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** SignaturLr
Application Fee(s) Check#/Money Order Issuing Date Expiration

v0
f
(rr(
4� !
•!v
i^
iw
v
!t
b
A
4
�L
f)
,.
it r 3
�3 `.
tg
LI'
i
1
I DO NOT have objections to this proposal. I DO have objections to this proposal.
r_ U-r.....v..v.v.vcd/ vnrr mice nnfifv the N.C. Division of Coastal

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL . RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: ��f 2 YC� l @✓t �,�t�/iC%1
Address of Property:
Mailing Address of Ownei
Owner's email4b, g.4&) Adkntcu,•tom Owner's Phone#: 2-(0o" ,316 - 6Y$y,
Agent's Name: 13 eu C(n �b lit- Vt aj Agent Phone#: 25 2 '-Zak -fa5zt�
Agent's Email: t PG C�VI� �k d� et1� s> 4jYLc�j 1 C o ry
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.
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 [phone]. No response is considered the same as no objection i/ you have been
notified by Certified Mail.
WAIVER SECTION
1 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.) > /
100 wish to waive somelall of the 15' setback , — 4;2— h 4t
Signatule of Adjacent Riparian Property Owner
mca
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:
ARPO's email: ARPO's Phone#: or-S 3- tiS�S '�C'
Date: ' v I'waiver is valid for up to one year from ARPO's Signature'
Revised July 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 byowneror their agent)
Name of Property Owner: �71-e-+ �wtl avic 1
Address of Property:
Mailing Address of Owne
Owner's emailQ& o 4) Artnlai I-Com Owner's Phone#: Z(ooJRl — D fselA
Agent's Name: f,3.eu 6, Agent Phone#: ZS—,� —20"7 —(oar.
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
de crl lion 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.
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 [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 somelall of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (tngial the blank)
Signature of Adjacent Riparian Property
TypediPrinted name of ARPO:
Mailing Address of ARPO: �,�2
ARPO's email: V�1G)R.�'i'S5$@-� ARPO's Phone#: "'tS—t 2-'�6 7 --5�5 3
Date: J— '1-3 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

}
14r":N