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DREDGE & FILL
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V�iCAMA ❑ DREDGE & FILL 1VY 6'VOIL ,J/, ff B C D
Iff GENERAL PERMIT Previous permit
Date previous permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by,tjhh S t of North Carolina, Department of Environmental Quality and the Coast I Resources Commission in an area of environmental concern pursuant to:
I SA IN C / / L `� �'
❑ Rules attached.
enera -Permit Rules available at the following link: www.decimc.gov/CAMArules
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Applicant Name' \ tI\I
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Authorized Agent 1Y tl
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Address Pi 3- (Ti
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Project Location (County): '- D
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City 114 State
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ZIP Z7y_'y
Street Address/State Road/Lot#(s)
Phone'#/(r +A
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Email d . sLo n t e .S
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Subdivision
City%!-( 6_rt+ .
zip Z77-5-Y
Affected ❑CW WEW
PTA
❑ES ❑PTS
Adj. Wtr. Body Q Q.A
C26-(
(nat/lra unk)
AEC(s): ❑ OEA ❑ IHA
❑ UW
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body 5 �Ir
b o ti o
ORW: yes no PNA: yes/ io
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Q ou.na mac. a, urt
type of Project/ Activity
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Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) =
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
i
Boat ramp
l
Beach
Other
r-
SAV observed: yes no Ry �`
Moratorium: n/a es no cV'(
Site Photos: yes no �J pL
Riparian Waiver Attached: no
A building permit/zoning permit a required b , L" a4_1 M 4_4
Permit Conditions
Agent or Applicant PRINTED Name
VL_
Signature **Please read compliance statement on back of permit" �-^
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Application Fee(s) Check tt/Money Order
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(Scale: )
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)K
Permit Officer's _PRINTED Name
Issuing a Expiration Date
Carver, Yvonne
From:
Carver, Yvonne
Sent:
Thursday, May 4, 2023 3:18 PM
To:
Julie Emory (ulie@nemarineconst.com)
Subject:
Daniels GP89672 & Receipt
Attachments:
DFOFDF76-32DD-4043-9269-1A9EA372C54D.jpeg; 003A8155-DE78-43D8-BFAF-
CF2C93F96924.jpeg
Good afternoon Julie,
Please refer to the attached for Kevin Daniels' permit authorizing the new, replacement boat lift. A copy of your receipt
is also attached.
To finalize the permitting process:
• print, review and sign the permit on bottom left
• initial on the bottom right
• scan and return a copy to me for our records.
Thank you,
Yvonne
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-264-3901, ext. 237
yvonne.carver@ncdenr.gov
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
DEQ is updating its email addresses to @deq.nc.gov in phases from May 1st to June 9th. Employee email addresses may
look different, but email performance will not be impacted.
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GENERAL PERMIT ff Previous permit
3 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: vvwwc1eq.nc.2ov/CAMArules
Applicant Name : - Authorized Agent
Address 1 Project Location (County):
City rl,t State ZIP Street Address/State Road/Lot #(s)
Phone # (ram-) IY
Email ft- ° v I .4 , 4 e ..
Affected ❑CW
AEC(s): ❑ OEA
ORW: yes/no
❑EW ❑PTA
❑IHA ❑UW
PNA: yes/no
Type of Project/ Activity
Subdivision
City
❑ ES ❑ PTS Adj. Wtr. Body
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body;
(Scale:; )
--
Access Length
Pier (dock) length
Fixed Platforms)
—:
�
I
—
V
Floating Platform(s)
J
,
Finger pier(s)
IT
—
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill -
Max distance/lengthtit
Basin, channel
Cubic yards_C
Boat ramp
Boathousg/ Boatliff
Beach Bulldozing"
Other
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SAV observed: yes noMoratorium: n/a yes noSite Pho[as: es no
Rioarian Waiver Attached: ves no
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Irr
A building permit/zoning permit may be required
Permit Conditions
A •Z 't...C. O
❑ 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),
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: t }�� �, i 1�i~
Mailing Address: �'
il'1nn IyC 95L.
Phone Number:
Email Address:l�'
I certify that I have authorized �-QEAgent Contractor
to act on my behalf, for the purpose of applying for and obtaining all
CAMA permits
necessary for the following proposed development:
n bc-')CA
at my property located at _L
in 1.)OQ County.
I 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:
,,� fCe-t/tsti bad
Signature
Kevin Daniels
Print or Type Name
—
Title
23
Date
This certification is valid through _ ! 1. --- _ . _._
Revised Mar. 2016
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:
Mailing Address of Owner:
l 4
Ncl 'Z) 7Ncc,
Owner's email: rn Owners Phone#: ' C '"14
Agent's Name: Agent Phone#: QjQ ' �)Lol - 3W Q
Agents
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
Ir
DO
to
roils 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 recelpt 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 (262) 264.3901. No response is considered the same as no objection If you have been
notified by Certified Mall.
WAIVER SECTION (Choose oniv one
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 riprao revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
1 DO wish to waive some/all of the 15' setback 4.40
Signature of Adjacent Riparian Pr party Owner
.OR.
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property I
Typed/Printed name of ARPO:
Mailing Address of ARPO: 7
ARPO 's email: �/� L� d A� ARPO's Phone#:
Date: 'waiver is v id for up to line year from ARPO's Signature*
Revised August 2022
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: ++, eA) � nJM ly
Address of Property:
�l�l. Tl_C� � 1 r ICiil
Mailing Address of Owner:
Owner's email
Agent's Name:
Agent's Email; ^( x it F. fY1Ct rl r
IN( 2-qciool
Owner's Phone#: �66 —,5 l�'t 5 I I1J
Agent Phone#: "]n',Q1,0 ) AS,0-�
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. PA
description or drawing, wit[Ldimensions..must be r id d with thi letter t, ���l;A: r
Pu nka,L �u�ts ��� an �nSFt��l1h 10 ao� I��
I DON have objections to this pr posal.' Wb I DO have objection thi 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 (Choose only one
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 sisin
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
S'i-gnatu Adjacen 1pananPropertyOwner
-0 R-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: / yle
TypediPrinted name of ARPO: Eedl /2 , g �f)[n % l� GJ2✓ J �//�
Mailing Address of ARPO: / 3 n� Y� �O�,2
ARPO'semail: 6tno8,� Q 11ofg!C04 , ARPO'sPhone#:.364h.—? -Y(o1h
Date: —'waiver is valid for up to one year from ARPO's Signature'
Revised August 2022
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