89640A - Chase

❑DREDGE & FILL N° 89640 @ B C D
GENERAL Previous permit
PERMIT
¢ Date previous permit issued
New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of orth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAG � 41 / ZiJb ❑ Rules attached. u General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name .Tp /�a- ''�.B.Iit 0, C-- A 0- Authorized Agent — �\
Address -1-3 S IiI n W �� CJ R c,-8 Project Location (County):
City /-'n�'»tl, State N zip /c%'fKStreet Address/State Road/Lot#(s) %! Lm /S/
Phone#(5rS5)3E7— Gee 13
3 /8—�
4 .{� , base Lw�-�
Email i W 4'C s-A,-40 8 O,OL) �' fir'" Subdivision H'k
City _itVten zip
Affected ❑ CWN�JEW EPTA ❑ ES PTS Ad' Wtr. Body n / � (n�annk)
AEC(s): ❑ OEA ❑ IHA ❑,UW ❑ SPIMA ElPWS Closest Mal. Wtr. Body
ORW: yes PNA: yes/�L U
Type of Project/ Activity
iaf X/GY .
Shoreline Length f 5 O
Access Length
Pier (dock)length /Lo 'e- 1
Fixed Platform(s) /'L r -( /(
Floating Platform(s)
Finger pier(s)
a.' /G. <-,
s C/—
c-3
Total Platform area ( i �-
Groinlength/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards h�
Boat ramp
Boathouse/Boatlift _
Beach Bulldozing
Other A
SAV observed: yes
Moratorium: n/a yes no �GtJ •,
Site Photos: no L
Riparian Waiver Attached: yes o
A building permit/zoning permit may be required by: f;/ a (e- Low r`
�, W
Permit Conditions
real Kit a`l uit
y W
(Scale: /f'j--S)
`J
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please I
Agent * 4y ica PRIN'mel lvt Permit Officer's PRINTED Name
Signature **PI ase Wmplianc sj ement on back of permit** SiqhjAureJ-
Application Fee(s Check #/Money Order Issuing Date Expiration Date

E.CAMA ❑ DREDGE & FILL
GENERAL PERMIT
N9 89640 A B C D
Previous permit
Date previous permit issued
Q 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. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name I 14 h n
Authorized Agent
Address
c. � J
Project Location (County): J. G f
City
State '� \t
ZIP /�
�'�'
Street Address/State Road/Lot #(s)
Phone#O
Email i W 11,.1 s
.- t11 y ,�-. �.� �.
i
U_.�'—
�r
Subdivision J � �� /
-
City ZIP
Affected ❑ CW
❑ EW ❑ PTA
❑ ES
❑ pTS
Adj. Wtr. Body ' - a ^%` "-
(nat1r6j /)nk)
AEC(s): ❑ OEA
❑ IHA ❑ UW
❑ SPIMA
❑ PWS
Closest Mai. Wtr. Body
ORW: yes/no ;
PNA: yes/no
Type of Project/ Activity
/
(Scale: j
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
:
...■..
■
:■
■N
Finger pler(s)
:::::
N
�
,
al Platform ... f I.��_
.■
MESONBoat
ON
0
No
No
INS
SEEN
M
ONE
Basin, channel
Cubicyards
ramp
M
0
MEN
Boathouse/ Boatlift
MEN
M
MEN
HEM
Beach Bulldozing
Other u(
SAV observed: yes no 77
Moratorium: n/a no
ME
Ei,t3tillfiilMMSESM■S�■S:
■■M■■■■■�S■■■
yes
Site Photos: yes no
MEN
Riparian Waiver Attached: yes no
0
ONES
- —
A building permit/zoning permit may be required
Permit
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I
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 Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Fees) Check #/Money Order
Signature
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 Properly Owner: �Xqt�A-(4 ,, C Vim' {
Address of Properly:
-e— Aug AJ
Mailing Address of Owner: � � "1 � L W w oc) J
Ovmeis email: JW C V)61 SeC59ANvi.
(sC)virlor's Phone#= 56 'S—z-- �pvq
Agent's Name: Agent
.,cents Email
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom oortion jq jle eomoleted by the Maci
I hereby certify that I own properly 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
.i93Lilpt(on or dlawin9„witbyjjm$ lions mutt he provided with, this letter.
% I DO NOT have objections to this proposal. 100 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 rarnp, 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 vrish to waive sometall of the 1 setback / L
-OR-
Signature ofAdja enl Rip66an Properly Owner
I do not wish to waive the 1 ,' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypediPrinted name of ARPO:
Mailing Address of ARPO:
ARPO's
Tel y raVL
A uaA,,�
's Phone#:
Dal e'waiver is valid for up to one year from ARPO's Signature' L
Rovised July 2021 D

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONJWAIVER FORM
CERTIFIED MAI • HEDM REC EIPT REQUE9 D or HAND D I �
(Top portion to be o0 mpieted by owner or their agent)
Name of RaptAy owner: SOt A'Caz" C 6,S
Address of Property:
A/aZrng Ada r.:: of town«: ner��1 �lV w DO o* tii) jiJ `J
j /� i {
ow'sen%*kSwCha5e66600 a'1
�,
_r larePhondkJgs -32Z— „tf3q3
Agent's Name:
,Agent's Erna .
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTOWA71M
(Bettem eertlen ra 6a cemel�tl:ItY!hR.AdIA99m EMOBJU Umm)
ItwObycwttYNbatt owupropertyadjacanttothea mm referenced property. T1* Individual applying Wrttans
pKMA has deserted b M. as shown on the attached drawing. the devdopmera ihey are prcposirtq_ A
. A..mtl�dlz�. p[t�xizi�Sti�'ithtiak�..l�nttsz�
100 NOT here objections to bnia proposer 100 have actions to aws proposal -
Jr yarn nave objeerimna to what is Wng i OP"414 Iran most naf * the &Q Drvishm of Coast.
l ass }rrseart [DCNlJ 6n writbrng wiltbbt 20 d of recafpt of rhfs rtobtca Carrespandea" abould h'
msded to.f0! $ 64Wn St, Stet 300. fiWabarh 0146 NC 2TY0A DCPJ reprosenradves can also ;be
cmntacted at t25V 2"3901. No AdOmme Is conslderad the same as no obJecdae d you have been
oohirferrbyCorbWad No#
WAIVER SECTION
I undersiarxI that any pad pier. dock mm*U B tangs, boat MM, bresitwatw. boathouse. Cif), or
ywan neat be set beck a minimum d ohme of Ir from my area of riper an access unless waived by me
(this dose not apply to bulkheads or rtpmp revetments) (Kyou wish to wahre Una $attack you awl
tOw appropriate blank below.)
I DO Wm to Waive some/all of the Is sothack - -OR-
f V1—an
Sig w ra afA
to wsive the IF setback requirernent (IMIa! We
nmw of ARPo:
'wawsr Is vaild for up to arms
ti:w=

,-3(1-3/23
Poils..Iti_., oe Pik
i

Carver, Yvonne
From:
Carver, Yvonne
Sent:
Thursday, March 23, 2023 6:05 PM
To:
[e-mail]; luther hooper ([e-mail])
Subject:
GP89640, dock permit at 39189 S Albacore Lane, Avon
Attachments:
image.jpg
It was good to meet you both today for Chase's dock permit. A jpg copy is attached for your records
If you prefer to have a pdf copy, let me know and I can do a scan tomorrow.
Best regards,
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-264-3901, ext. 237
[e-mail]
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909