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Home My WebLink About89781A - RountreeW "AMA ❑DREDGE & FILL s GENERAL PERMIT NF 89781 �L ® 8 C Previous permit Date previous pernvt issued New ❑Modification ❑ Complete Reissue ❑ Partial Reissue As authonzed by" State of N.onh Carolms, Department of Enylronmental Quality and the Coastal Resources CommLssion in an area of emnronmemamuan l concern put to: I sA NCAC % H ' I F00 ❑ Pubs attached. IN General Pernvt Poiles asailabb a the fdkwdng Ink many q or, v[CAPVvules AppBcwt Name - a ti y� � Authorized Agent t) K Addressers 154b N. clk=41 ware. � Pro(actIocadon(C«mty):— Qty 't�lK ate zip a3 3%, Street�Atddrass/State fbad/t.ot phone M l .� .) � -&U — 014 I,7 12 Scskr,c Entail ea..,..,.r..., <�Ia ..� City criag^TDr'- _ `_ ZIP A-- f / J.L. Affected ❑ M KW [gPTA ❑ ES ❑ PTs Ad). Wv. Body A i UGT�++�� --IC--. -- `Scy d 49mantunk) AEC(s): ❑OEA ❑IRA ❑UW ❑SPIMA ❑PWS Closaat Ma). Wm Body ACDeT� Sot ORIN: yes R8 PNA: yes/ o) Type of Project/ Activity ICr. ails , it Shoreline length Tl- 101 Access length Pier (dock) length r K Fined Platform(s)_--2�O_f X Floating Platforms) Finger pler(s) Tx x l ,S r 3' x2t, _ Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill " Maadistance/length ` Cubic yards Boat ramp Beach Bulldozing Other SAV observed: yes 48 Moratorium: yes no I"^ Site Photos: (a no - -(- RiparianWaiverAttached: yes 0 A building permit/zoning permit maybe required Permit Conditions r x-7Lt f"It' 51aE (Scaler r i i-I 1 , N; i � I I i - i I M TANVAM/NEUSE/BUFFER, (circle one) See note on back reprding River Basin rules See additional notes/conditions on back I AM AWARE OF STATILUS. CRC RULES AND CONDMONS THAT Apply TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT (Please Initial) — .,Ir Agem or Signature"PI read compliance statement on hack of permiN" Signature _itRob, ` 1 ON. Lo!T9/zJ Application Feels) Check #/Money Order Issuing Date Eaplration Date NCAMA ❑ DREDGE & FILL N° 89781 •Q� ® B C D GENERAL PERMIT NXINew Previous permit �r11 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: 11 I SA NCAC �`CI� ❑ Rules attached. ® General Permit Rules available at the following link: www.deq n1cgov/CAMAirules /11 `j`4 Applicant Name IZc>k. lils0.wdl 6 Authorized Agent SJ F. V't 1�r��jlQq�� e%r y, Z J- r n Id a `-Arnu Address 1t�`l(� _i1 N. C I ey�yYp -� Y y*- 124 -r City sV-'m lk State o2 34 3 < Project Location (County): VI�()y L. CLn _ � ZIP Street�Addrress/State Road/Lot lot '� Z. Phone#(`M) LS(o 0'17 a#(s) G112- SGtkL'A 3i Clby- Email Subdivision km•Q City 17-0(e. 6;. ZIP 2 193Z Affected ❑ CW ® EW ®'PTA ❑ ES ❑ PTS CC Adj. Wtr. Body A 1 befloL. JO o1/ fman/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body 14 t bef'i,a (e -%L.C,.d ORW: yes4 PNA: yes/co)^ Type of Project/ Activity ` wkYuc f S 'c % �1 t r- 1a/ (3 x / b I r L.L1 " tC r M ' 151 -AL41 baa'thasc' x151 o2r ' crJ 31 Kn2Ci1 1r OPCr (scale)' 30!) ?t Shoreline Length Access Length Pier (dock) length i.tf X-7(e 1 ;L�1 �`•( 5�1� 1 Y b /�� +�� A.� r V Fixed Platform(s) pC px 1(� "qx ,,.2 ry � > ^ O ]tom l! (� r — Floating Platform(s) Finger pier(sZy rt "�F;.,3� ? N A�D Total Platform area a �t Groin length/# ... ��siL�'i' r Bulkhead/Riprap length e^ �( 10�j. Avg distance offshore Breakwater/Sill Max distance/length Basin, channel Cubic yards Boat ramp H�e/Boatlift1 X-7 C Beach Bulldozing j Other JI /n SAV observed: yes 00Cke'fp 271 rat�r� R. 1 ��• Moratorium: yes no Site Photos: es no Riparian Waiver Attached: yes Q A building permit/zoning permit may be required by: CL'X ra-y Permit Conditions 111 TAWPAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT (Please Initial) Agent or Applicant PRINTED Name v Permit Offic 's INTED Name z l/�,yh `�/1✓•yl� Signature **Please read compliance statement on back of permit** Signature pit tdi Roo, 1 LSN. r /tI o (2q /z S Application Fee(s) Check #/Money Order Issuing Date Expiration Date ❑CAMA ❑ DREDGE & FILL NU 89781 A, B C D GENERAL PERMIT Previous 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.deq.nc.gov/CAMArules Applicant Name _ Address City Phone # ( ) State Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City I P Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑IDEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity Shoreline Lenath (Scale:: ) Access Length Pier(dock)length > _ _.-i I s �- -- Fixed Platform(s) 1 I I , J --- �- �- Floating Platform(s) .�. r- �` i _ j .-. 1- — '- I - ---;-- -1- F_ Y Finger pier(s) Totl Platform Groan length/ryarea }.�� Bulkhead/ Ri ra length Avg distance offshore --- Breakwater/Sill" Max distance/ length' asn,channel Cubic s ar Boat ram P Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no Moratorium: n/a yes no Site Photos: yes. no Riparian Waiver Attached: yes no ------ .tir I _ 1 - -- _. --i— { -I- T - - - ,r - , r �^ _.. ..._., Tv__(- _.,. -•. _ ._, ._ _...v __, L_ _« - t- _ l __ .. _. .i.._ __�: ,... .._ i_. I i . 4" 0-i, !_ _ .._ r— `- 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 PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Agent or Applicant PRINTED Name Signature **Please read compliance statement on back Application Fee(s) Permit Officer's PRINTED Name tit** Signature I Z Y. Check k/Money Order Issuing Date Expiration Date I �N • WPM to act on my behalf, for the purpose of applying for and obtaining all CAMA permits .• r in /% (.• 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 an the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Signature Chad Rountree Print or Type Name Owner rft 6/3/�3 I Date This certification is valid through I 1 RECE E J U N 19 2023 DCM-EC 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 Property Owner. C11AA Pj0"I1" Address of Property:QA0ll'lZ►2 W. 50ur45V10rt.Dr,( Ve- e-J4AJonn� PC `21'1932 Mailing Address of Owner: 1 43 Chan,. iSYOUG 1�Dad tV i ^7i.1 t e I kl Uri- 2343'L Owner's email: Owner's Phone#: Agent's Name: J9 Wh9aa/aggAWf. Agent Phone#: 2S2-3Y2.-4-rW Agent's Emali: oaGQ/i 5)dt cox�u oiy�� i c p/11 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that I own property adjacentto 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 drawinn with dimensions must be grovided with this letter. = I DO NOT have objections to this proposal. I DO have objections to this proposal. It 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 ff you have been notified by Certifted Mail. WAIVER SECTION I understand that any proposed pler, 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 dprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback Signature of Adjacent Riparian Property Owner -OR- liij I do notwish to waive the 15'setback requirement (Initial the blank) SMC g: Signature of Adjacent Riparian Property Ownet'ar"" ` "'"r "dra Lr4 NiU bvc a� vo" r m Typed/Printed name ofARPOAXO—o V' Rill Dtyele"eant 67y'Oyp LA, Mailing Address of ARPO: 1101 W, Sounder, Vit iyt Eat✓ ivy, \)C_ 2.'Iq'f�Z-89?z ARPO's email: ARPO's Phone#: Date: •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 NOTIFICATIONNVAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner. Chad, lQiourtiytc Address of Property: 12101.1212 Vj. Sourd E oIeA- W N 21C? 32 Mailing Address of Owner: 15521� %he✓r,. (Tray. iZd N r Sugol1L VA 2-:94 2- Owners email: Owner's Phone#: Agent's Name: JQ M_ ;1\5�/ (>ag6,0 10 Agent Ph N' Corrh'act9,r5 " Agent's Email: aeavi-3ld6 coy,$-o, t6Ys q i ra w j 1 � ADJACENT RIPARIAN PROPERTY OWNER' (Bottom portion to be cornpleted by the Adia e N io 1 hereby certify that I own property adjacent to the above referenced d permit has described to me, as shown on the attached drawing, tfi description or drawing with dimensions must be provided with this b I DO NOT have objections to this proposal. 100 o 0 N you have objections to what is being proposed, you must, ' Management (DCM) in writing within 10 days of receipt of this I mailed to 401 S. Gruen St., Ste. 300, Elizabeth Clty, NC, 27909' contacted at (252) 264-3901. No response is considered the so noti0ed by Certified Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ra groin must be set back a minimum distance of 15' from my area of (this does not apply to bulkheads or riprap revetments). Of you wish] the appropriate blank below.) I DO wish to waive some/all of the 15' setback o 0 3 Signature of Adjacent Ripat -OR- %. I do notwish to waive the 15'setback requirement (initial the blank)', S. a Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: EMi k `} A14A CoclIC-} Mailing Address of ARPO: FO &-)c 112Jj -t3'7 Jones CreV--. C VaeNs C7A ��i -1 12tp ARPO's email: Date: ARPO's Phone#: "waiver is valid fonup 4a gna,ye rzfr'gm PO's Signature' 1 Revised July 2021 JUN 1 9 7.0B DCM -EC a UP x K �s N a l0 ud r � / ��\��/ L CL cn 0 C/) :7 0 (D