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Home My WebLink About89695A - Yager0- us "rie XCAMA ❑ DREDGE & FILL NU 89695 IS) B C E tj 1, GENERAL PERMIT Previous permit Date previous permit issued )iNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized bbyythe e State off North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: !► 15A NCAC .Yf�{+ o ❑ Rules attached. � General Permit Rules available at the following link: wwvrdea nq, cv CAMt�niies Applicant Name ' "r '!` j_ Address 16 f ' yy �� • i-f_N Vy i Authorized Agent '� — Project _ yv City P(u'ytLu-' SState/� Nn : /�d �L p ZIP 21 42 i Location (County): _ C,.Q�di��s� Street Addrees/s�/S ite, Rora.,d!/Lott#(s) IC)L4 V�1 fe,-W-,V JCL_. Phone #(��u f), yt�y�S�aJ�0 Y1 _—.VtIKz U+ " J l�� Email _Jl. 0—_1f�� J (�(2IVVyLI; L, CO N/`. �,t Subdivision^ LQ t'taA _r Aqo^1n[ S 11 f City l LI.WkGI.G•t/t ----zip q + _ZIP 21 -F 2/ Affected ❑CW tZEW RPTA DES ❑PTS Adj. Win. Body ('A^k •f•[7 r.q)gA1 (na n�a'unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Mal. Wtc Body i �(j •VtJtc�- �y1,[L�' ORW: ye no PNA: ye no Type offiProjecctt/ Activity l�O'tnSp b'tA ik Q 12 1 X I V j2 gi:Li- L, h and NP i2igA y, J:.1 Gr a, b n b teezd liltQ� � �tl�{}ius (Scale: Wrdj• I 4- t Access Length Pier (dock) length Fixed Platform(s). Floating Total Platform area _ Groin length/p Bulkhead/ Riprap ten€ Avg distance offshore Max distance/ length _ Basin, channel sp Cubic yards Boat ramp Boathouse/ aat i 1111 "A�- ;Qo R1 ��D; �!> SAV observed: yes Moratorium: (50, yes no Site Photos: @e no Riparian Waiver Attached a no A building Permit/zoning permit may be required by: Permit Conditions Agent Q t s-` (nt tjC h actd p L CATJ /'1- _ - - — — _PL �LVG4 > ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules JUL_ _Ld e tip •Yty t ❑ See additional notes/conditions on back T APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) W _ Permit Officer's PRINTED Name _ ZoZ 3 i o l i �202 Feels) Check R/Money Order Issuing Date Expiratio Date ❑DREDGE & FILL NO 89695 B C D Previous permit GENERAL 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: I SA NCAC � "'® ❑ Rules attached. � General Permit Rules available at the following link: w den nc gov/CAMArules Applicant Naime_ 1 t— 114 Address 164 wl �_em jr& 1)(✓1 s � City t/A,bAALtAL State NO, ZIP 2a- q2 i Phone #(`vr) Uw5—w6ton Email Authorized Agent '— Project Location (County): C! Street Address/State Road/Lot #(s) IOL4 W i±t W v , a_ ant �5 Dr;In2 • i.G� Mtn 3�� Subdivision LAW�tr A `M_ City Ca.V^AX.eL zip 2-4 921 Affected ❑ cW tj�EW •PTA ❑ ES ❑ PTS Adj. Wtr. Body ( aAfk&& k 'N )NeA,/` /� (not tta unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body PaWA,& 1-t2f-1)V' �-►4tV - ORW: ye no PNA: ye no Typye. o/fjProject/ Activity CO'✓l��'Y ICA- CIL (Z=l t 1��6d'k �.t2F «d VYi2ailie b loJ51't_ pf- r%(6i nr bLLVCsiWdtd � dgj2Vtl�--:L- �IY'i'" (Scale:Wrzjj Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area Groin length/N Bulkhead/ Riprap length Avg distance offshore_ Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse oat i ReaelrBeXiaZug t.. Other * ( SAV observed: yes Moratorium: GD yes no Site Photos: no Riparian Waiver Attached: ye no � A building permit/zoning permit may be required by: Permit Conditions Agent dApplicant RINTED Name _ ` Sc h aad PL 4 A— Y Y I A- C 4-yy Permit PRINTED PL ltJ0.t ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Signature --Please read compliance statement on back of permit"" Signature r e� in ck�3210 (aIIIZ023 1olr1zo2� Application Feels) Check q/Money Order Issuing Date Expirati,�fe ❑DREDGE & FILL NU 89695 A B C D a GENERAL Previous permit PERMIT � 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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.Rov/CAMAruIes Applicant Name Address City nLLWtCt + State ZIP Phone#(2�`) Email l.t G~. -a te (o: r Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no PNA: yes/no Type of Project/ Activity v 4t (. Authorized Agent Project Location (County): 0 Ll ✓t-. G(.F-L\ Street Address/State Road/Lot #(s) ( i't4 Ire , ! ls' '+ r:-<. Subdivislon City zIP (;.•I Adj. Wtr. Body NL.4'\(!y7A 'f-L: P1y11 Y`4/Vt (natfmxil�unk) Closest Maj. Wtr. Body t' � `.7ijf4/. () I Cl.Y"i,•p'� .t y1..r�.(✓' 1 (7 Vl (Scale: NT�7 ) . ier (dock) length Fixed Platform(s) _ _ �.�.a�iiii�mii ■■■r.•ll�.l ■■■■�n■��■■■■■■ ■■ Floating Platform(s) Finger pler(s) Total Platform area Groin length/# Bulkhead/ Riprap length . ' :.. :.. old M I r�r� ■■■N i■■yyl. filmMr/F3■�■H�■fin IF q MErf.■.■■.■ -it .�� C:.. . . a n uuu u,g Pcn uywiiug Pa i Ilit udy Uc icyuncu Uy 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) Agent or Applicant PRINTED Name Signature '-Please read compliance statement on back of permit** Application Feels) Check #/Money Order Permit Officer's PRINTED Name A 1 Signature 1 r: / 1 l;tl� • ;r, Issuing Date Expiration Date RECEIVED N.C. DIVISION OF COASTAL MANAGEMENT MAY 0 5 2g23 ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY DCM—EC (Top portion tobecompleted by owner or their agent) 6V' C Name of Property Owner: US 1`y ✓\ 1,kc � Address of property: (0 wiSl.lr; , /0 r C� �d Mailing Address of Owner: S.. , Owner's email: mo o. t� I' 1 a [R g We,' I • r "bvmer's Phone#: 21' N 6 5 - 0 30 Agent's Name: �'�� ) n t-T t-'[_I e t- GI yV L -1 12 1,1 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 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 pr Management (DCM) in oposed, you must notify the N.C. Division of Coastal 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 nr riorao revetments). the approprte blank below.) (If you wish to waive the setback, you must sign ia I DO wish to waive some/all of the 15' setback -OR- Signature of Adjacent Riparian Property Owner I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Own TypedfPrinted name of ARPO:�(1 i,A-i Mailing Address of ARPO: ARPO's email: ARPO's Phone#: Date: .�"� -waiver is valid for up to one year from ARPO's Signature' Revised August 2022 RECEIVED N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM MAY 0 5 2023 CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be Completed by owner or their agent) DCM-EC Name of Property Owner: _3 �s t y ✓� �Ck� � r Address of Property: _ (o ( �n/I- {--rr, or Ch w1J ( -) / � Mailing Address of Owner: Sq Owner's email: • Cy lowner's Phone#: 2 67- 66 S - d 3 t ��{ r AWL Agent's Name:^ Agent Phone#: 2 n2 Agent's Email: $a r•-�",- !—�=�1� irQ v, , _R r ,n w �, .� ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom Portion to be completed by the Ad' acent Property Owner) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has r.escribed 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 (DCMJ 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 riorao revetments). (If you wish to waive the setback, you must sign the appropiiate 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 (initial the blank) — Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: 07 4111../,7 LS % Mailing Address ofARPO: .2Qo /iL',-i7e,i9 � ' /L'C 752/ ARPO'semail:t2'107e2rt,a;l'r ARPO'sPhone#:_,>z5„Z'.3.33'7y9c Date: pf_ c y -.2a 2 «waiver is valid for up to one year from ARPO's Signature* Revised August 2022 J� n� v rD �r a. LLJ > N N bM �q9 6� � 1 N x Lli ty is r � t Y I . M, r n; i A O a oo4�. 64l r W� r I