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Home My WebLink About89658A - Dewald#E]New ❑CAMA ❑ DREDGE & FILL N 89658 A B C C GENERAL PERMIT Previous permit Date previous permit issued ❑ 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 I❑ Rules attached. ❑ General Permit Rules available at the following link: wtwvdeq.nc.gov/CAMArules Applicant Name Address City S State ZIP Phone#O fs. Email Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City_ Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body I ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale:1. ) fh-li-I -. h Access Length Pier (dock) length :;:MEMEMEN ;;: i 111,::no : ::{�Ii:::.' m;; :.. .:.. : i■■■ea:.. ■■:::■■:■ p::: : �:::p® ::::::::::::: 0 ME MM .N■■...■�I■G■■ i�li■■..■■ ■■ ■■ ■ .111 11 Ems i:::::::;: m MEN; :on IMMMI IN ■■■■I ■ ■■ ■UMMMMM ■ ■ ■■■■■■■■■■ ■:■.::.:::.:■■........ 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 PROJECr 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" Signature Application Feels) Check tt/Money Order Issuing Date Expiration Date RECEIVED N.C. DNISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTiFICATIONNYANER FORM APR 1 1 Z023 CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY {Top portion to be completed by owner or their agent) C w C Nerve of Property Owner Address of Property: Mailing Address of Owrw Owners anvil: c(AA0 Agents Name: � "rinet z, Agents Phone#. l / _ 3 Agent Phonelk aJr - 33 Y -011 * b&Ia./I-nel4� ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Baftm portion to be completed by the Adiarxnt Properly Owner) I hereby certiy 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 dimensionm must be provided with this letter. I DO NOT have o*c ions to Oft proposal 1 DO have M to this proposal. 9 you have objections to what is being proPosecL you must notify the N.G Division Of Coaster Management (DCAQ Era wriUmig withfu 10 days of receipt of t is rwtice. Correspondence should be mailed to 401 S. Graft St, Ste. 300, SWabeth City, NC, 27M DM naImesedalives can also be contacted at rAV 2044M. No respavhse is considered the same as no objection if you have been notified by Cedirred MaiL WWNER SECTION I understand that any proposed pier, dock, mooring pilings, twat ramp, breakwater, boathouse, lift, or groin must be set back a minunum distance of 16from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments)_ (f you wish to waive the setback, you must sign the appropriate blank below_) I DO wish to waive somelali of the 1S se4b4 dt L Signature ofAr0Cent Rom► Propehty Owner -OR- I do not wish to waive the 1S setback requirement (nnfial the blank) Signature of Adjacent Riparian Property Owner. TypedlPrinted name ofARPO: Mailing Address of ARPO: ARPO's email: LL- 'n q0 ? ARPO's Phons#: � '�5� 3 3. q-I + pate: (-'S-A 3 , 3 *waiver is vallid for up to one year from ARPO's Signatitre N.C. DIVISION OF COASTAL MANAGEMENT R E C Ei V L' ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY APR 1 1 623 (Top pgition to be completed by owner or their agent) m EC Name of Property Owner. Address of Property: Mailing f Owner's Agents Name: m e4A n e r )r, Agents Email- 144dlden Mcej-1e7 P- Agent Phone#: a5a-33 ► `U,-� If ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be comolefQd by the Adlecent Property Owner) I hereby certify that 1 own property adjacent to the above referenced property. The IntrNidual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A ff you have objedlons to what is being proposeA y*u must nomy me ft r- rnvsmrr or 16o rar MWwgemen t (OCAQ fn writing witidn lO days of f9c*t of g s notice. Correspondence should be mailed to 401 S. G►Vn St, Ste. 300, Elkwbeth City, NCs ZFM DCN repeserta6ires can afro be contactW at (252J 26"Mf. No response is considered the same as no objection ifyou u have been notified by Certified Ma1L WAVER 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 iS 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 I F setback S(gnahue ofXdjacent Riparian Property Owner -OR- I do not wish to waive the 1S setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner. TypedfPrinted name of ARPO: o! RA(1 '9 1AALIW %Z._ Mailing Address of ARPO: TO rj LA/V 6 --b e, 6— G AI C ARPO's email: f ddnda,f-Vx Q ARPO's Phonetk A 6d o ' y nss/n . `3 �7123 date: *waiver Is valid for up to one year from ARPO's Signature' uj iN_"AJ'11 r 6hm 6 Q III ----- - -I)-r r