89954A - Hutchinson

�`aurk LICAMA l DREDGE & FILL NY 89954 (5"A-3 B
Previous permit
GENERAL. PERMIT Date previous permit issued_
LNew ❑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 or environmental concern pursuant to:
I SA NCAC it IUr,� -___— -- �_� Rules attached. General Permit Rules available at the following link: www.dN,n<,govjCA_mArules
Applicant Name 12.]6�rt 1l) 11Idi"a"'! Authorized Agent,_
Address —) aw} C'Apj —Ir Project Location (County): r I 4
City k.il (lKvi ({.III State- }_.1 __ZIP Street Address/State Road/Lot#(s} Ok^ C\,nanr 0,"":y
Phone # ( :jj...II�l 4 LD }' 10 6r.�_ jet. t S
Emailn"t�t�t ,}3,.h_tL7_yy Subdivision f`w_-r__..',
City..—t'w_w"1 zip �).--ct
Affected �CW EW PTA ES �PTS Adj. Wtr. Body Al}Jiro rIf S rl a han(unk)
AEC(s): ,,�r�,OEA L_ IHA , uw 11 SPIMA El PWs Closest Mal. Wtc Body A) psi rvr - r ld
ORW: yes/Q,q PNA: yestpo%
Type of Project/Activity f2glc,tc- T crt- 13 1Kh cf i o°�t43 t...r
0(!n ctc } `}o C.11 Irs" if`1ax lo' cs 1 fir, f3vtehs d� _
Shoreline Length
Across Length
Pier (dock) length Ixt y
Fixed Platform(s)
Floating
Finger pier(s)�'XrlSWI.I•.n-
(IV Y,:261 y1
Mr. y
Total Platform area
Groirf length/I A _,
ulkliea�ttiluratilengih � i bY3' � �-""" � t13'B ` -
Avgdistanceoffshore6,H'r)'1=1117' n
Breakwater/Sill �ae" �c' ��y�
Ma distance length. ,H,= 1 10 L ov c�
Basin, channel
Ty
Cubic yards i tL,.FJ 10
Boat ramp __...___ (j �.,, C. d' Aw l
Boathouse) eoatlift __
Beach Bulldozing
Other Amr{t¢e n �r
l
IV'
M
sc,ouc;oFes'�
I f4 {J,h
T...r R,JtY.I"rytirr}-
(-'
SAV observed: (- 7 � 'yes cnnUi�'ht��
Moratorium: ye no
Site Photos: e5.%.�n�ao^-
Riparian Waiver Attached: yeses,,/
A building perinit)zoning permit may be retluired by: Ie((--��
)C f t 0''-✓s A
Permit Conditions
A eg nt of Applicant PRINTED Name -g��T/fV,4�-
Signature ""'Please read compliance statement on back of permit"
'-fl t joo.00 w-2uot�
Application Feels) Check g/Money Order
t-laihov'kI
AP L
n TAR/PAMINEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
u See additional notes/conditions on back
(Please
ill �du a3 All AU
Issuing ate Expiration Date

�° °"r"CICAMA1 DREDGE & FILL N° 89954 eA> B C D
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 41+. 11c30 ❑ Rules attached. [X General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name 12o 6 yA 7.11 4if e-1, I ✓1 S v Authorized Agent 1) 3 � U wi. OI
Address ei, I Cl. p 2r e 0 „✓i Project Location (County): IJ O e L
City R-11 Q,-CUA 1i.1I i State N L ZIP _a -le, k r Street Address/State Road/Lot #(s) 1 A C 1, 2poi f `g ✓ ✓ t
Phone #(��-+Sn-(AV Li) it 10 onA lt,f 1•9
Email ffr) h., h.>^Subdivision 001, r1`�:Iz.,n 1i-0 rbov%
city 0A'1I 121- " ZIP 2,-+94$
Affected CW EW PTA ES � PTS Adj. Wtr. Body A I VCmcr It Su.. A a an/unk)
AEC(s): ❑ OEA IHA 6 uW N SPIMA ❑ PWS Closest Mal. Wtr. Body Ii• I IDa me. f 1 C `J.r•v n.J-
ORW: yes/® PNA: ye4p
Type of Project/Activity Rtp14LL t I S "\ 13J1kh.cc� Tu-O`�C�t.'3 wc.a-tlwod� ,;/�- QX1 QcSf��C
o•vn� e,ccl io ',ay,aR �PAD.A 10'0oi (-fm (Scale:P.T.S
Shoreline Length
Access Length
Pier (dock)length N y 1i-1�rv,611< S�✓^a � �-
Fixed Platforms)
Floating Platform(s)
Finger pier(s) i
Total Platform area
Groin length/M
ulkh i r ength 138�
Avg distance offshore ISAV? R22IQI
Breakwater/Sill O
Max distance/ length 8. ll,ma y IZ Q' 10
B h n
a
r� AA
A•rth,Pr;�1 rlZ.�pr�.p 'xnS1.11r.E..ti -' .�
Mc. F
h K
tilt —
�l
0^O P1 D D a0 0 D a-->.- a
o 'c�Ut' -! , v v Ot,,
asin, c an e
Cubic yards htcb R.cSti rn
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other Amrl, ain hr`
!•�
T fk L�j� f b C?
a s�.
a a cr)
Ps✓S wur212 f3 �,sL Mc2 o1,yr, pyn}'
SAV observed: yes <! 3> k 0 j l' ~ `�'s[
Moratorium: /a ye no
Site Photos: ei �no—'
Riparian Waiver Attached: yes v r�
A building permit/zoning permit may be required by: 1cJG ,r
Permit Conditions
API.
❑ 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) A
Agent or Applicant PRINTED Name Permit officer's PRINTED NiaAe i
Signature *"Please read compliance statement on back of permit" Sign re
1-�Ota.c�o uoK 4?/1 1 'No a3 II lfa5 I aoa3
Application Fee(s) Check #/Money Order - Issuing batel Expiration Date

❑CAMA ❑ DREDGE & FILL N9 89954 '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:
15A NCAC ❑ Rules attached. General Permit Rules available at the following link: www c1eq nc gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email I , % i � , I . i, c'r rtS C.
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑ IHA ❑ UW ❑SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/tto..! PNA: yes/no
Type of Project/ Activity
(Scale: . )
Shoreline Length
Access Length
Pier (dock) length
L.
Fixed Platform(s)
i
ti
I
Floating Platform(s)
Finger pler(s)
j
10
_
Air
TT
Total Platform area
j. _
_
(.._
7-
P
Groin length/# '
Bulkhead/ Riprap length I s8Avgdistance
Breakwater/Sill
Max distance offshore d R1�-)
/ length N
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift i
Beach Bulldozing
Other_-
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SAV observed yes no --_.
Moratorium: fi/a yes no ----
Site Photos: _. ' yes no
Riparian Waiver Attached: yes no __.i. .�_..
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A building permit/zoning permit may be required
Permit Conditions
❑ TAR/PAM/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
Signature '*Please read compliance statement on back of permit"
Application Feels) Check q/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date

DOCUSign E Mk" Ia. B180007M15DF4021-014F-FiE23MF9488
Named Property Owlter Requesting Permit P Cb"lk- itCffli rt5CV1
MQWQ Address: 121 C.ki pw C O-Ww -
wwA 1Nt 2rlgtA%
- -I(bq • lPgry
•
h- 1 1 1 • u,l � a
R
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in Coumy.
1 farther n" Ow* the i am atgotmd (D gram and do to fact grant penntsslon to
Dlla/slan of OaaslW Amager"staf Jbe LmW Pwn* Ofikw and dwk agents to onW
on the PfiD►wnwWomd kumb In oon mcftn **h t9k"it/g Tnfrr MWM milabd to mars
pefr►*app#cwom
Prop" Oom mmmum.
bt: t
CKdGt.Yf 1{uiLu-ius8ln,
Robert Hutchinson
PAW or 7);pa Name
TMO
Ds+e
This cartlfandonis va$dthrough 1. _ _ _!

■ Complete items 1, 2, ari�
■ Print your name and address on the reverse
_ so that we can retur"he card to you.
ar- ■ Attach this card to the back of the mailplece,
or on the front if space permits.
1: Article Addressed to:
n/
i
2.
C-(-
IgCJ2-t0
111111111 IN 111111111111111111 IN 11111111111
9590 9402 8100 2349 4446 30
95Bq_ Q710 5270
r
A. Si
r
X ❑ Agent _
Td'Radressee
�eceived by (Printed Name) C. Date of Delivery oml
0. 4Y �iAdto tJr C.
t 1 Zc23
D. Is delivery address different from ftem 1? 0 Yes
If YES, enter delivery address below: WNo
3. Service Type
17 Adult Signature
0 Adult Signature Restricted Dethwy
0 Cenmfied Mails
❑ Certified Mail Restricted Delivery
0 Collect on Delivery
11137 0 Coiled on Delivery Restricted De1Nery
417 7 $ ], ' testricted Delivery
0 Priority Mail EVresee
0 Registered MailTM :--:Zz
0 ReDelgistered Mail Restricted
0 Signature ConflnnatlonTM ' -W
❑ Signa um Continuation
Restricted DelNery t
PS Form 3811, July 2020 PSN 7530-02-000.9053
Domestic

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION)WAIVER FORM
CERTIFIED MAIL - RETURN REC,gIP-T REQUE61 D or MND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: 9,")Ir �- I 1 �WA (,,bOY)
Address or Property: 12 t C1iem cawr-i-__ Colin*n _
Mailing Address of Owner;
Owner's Phone#:7°J7' 15q 1paS�I
Agent's Name:&,& cocky. L I Agent Phone#:')5),- r) rya 51 i (4
Agent's Enron; V4Y M YN i%L43t`or !A"O" en
1 Cov
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(BO4 madlon to be completed jay tt AdImnit Pmosal 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 an the attached drawing, the development they are proposing. A
wl4j--,a I DO NOT have objectlons to this proposal. 10.0 have objections to this proposal.
If you nave 01111ecpons to what hs 60149 proposed, you finish nofNy brie N.C. AWslon of Cossrel
Ma"verttenf 0") In wrldng whhtn 10 days of raco/pt of this notice. Con esponderrce should be
malted to tot & G fihrM St, Ste, 300, Elksbeth City, NC, IYON. DCAf repressatadves can also be
contacted at (2M 26 -M01. No response is considered the same as no objewon N you have been
n)tA/ed byCertl/lsd N&1L
WAIVER SECTION
I understand that any proposed pler, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set bakac a minimum distance of IT from my area of riparian access unless walved by me
(this does not apply to bulkheads or riprap revetments). (If you wish to valve the setback, you Nttat Il ag
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
S/gneture or
-OR- d/acent Riparian Property wrier
I do not wish to wahro the 16 setback requirement (Initial the blank) ►v,.i • -i 0 t
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:._ . I I I L t:, p a p s i h A H NC
5� C�"
ARPO's emall:. _.:n(n 07�tt AAwitS N`ARPO'e
Date: �)' 11 - ol? "walver Is valid for up to One year*M ARPO's S10ttature•
Revised July 2021

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