89782A - Solberg

®DREDGE & FILL
r GENERAL PERMIT
New ❑Modification ❑Complete Reissue ❑Partial Reissue
N° 89782 1`
®B C D
Previous permit
Date previous p,enrVt issued
As authorized by the Stem 1o1f North CaVORM Orparlarmt of ErMronmemd Quality and the Coastal Resources, Commission le an area of WN*onmwvW mroam Pursuant to:
I SA NCAC t 1 IY' (j OG Q-Rules attached. ® General Perrtrit Rolm available a the fogo.1link. m W ..�
Applicant Name
Na. • s w �• • 1♦ I l*.IA
Authorized Agent
Pro)*" Location (County). UOt1.u)ohc-cam
street Address/Stam Rood #(s)
SubdMslon_. l A 0 9,=4.. k 11 ►�1an 1Ta,..
city der�+nr� ZIP a-793z
Affected CW ®EW ® PTA Es ®PTS Ad). Wtr. Body A- I ar � (r�_s-i7l.ja ((ru�"un )
AEC(s): �OEA �IHA �uW �SPIMA �pWS Cbsmt Ma).Wtr.Bod/_ At1'�.f &,(e. I
ORW: YesAS) P� ye
Type of Project/ Activity X h6-CLjj PIG'
Shoreline Length a� (Scale: l"-W
Access .,•_r—t--r-
Length "• I L. ��i I t r l i t_' _.r
Pler (dock) length
Fixed Platform(s) Floating Platform(s) i ...�`j . ��T—_y'_'i—.,'__`
Fingerpier(s)
Total Platform area
Ikhea Rlpraplength_
Avg distance offshore
Breakwater/sill
Max distance/ length
Basin, channel
Cubic yards
^
Boat rzmp
,
Boathouse/ BoadtR
r---r-
Beach Bulldozing
Other
r
i I
SAV observed:
Yes 13
Moratorium: 00
yes no ---t—
Site Photos:
Attached:
no
Riparian Waiver
W (3l...!_._�
A building permk/toning Permit may he required
Permit Conditions
I
TARJPAM/NEUSEMUFFER (Urcie one)
See tote on back regarding River Basin rvlm
See additional notes/canditions on back
I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PRoIECr AND REVIEWED COMPLIANCE STATEMENT (Please initial)
Issuing Date

aC^"ur ®CAMA ® DREDGE & FILL N9 89782 f 0— (25 B C D
GENERAL PERMIT Previous permit
a 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 114, j IyG ❑ Rules attached. X General Permit Rules available at the following link: v^vmdea nc aov/CAMArules
Applicant Name tir
301 loerq Authorized Agent/rarr
Address KCV ( Q Lnct C%. Project Location (County): t✓� �L'Jlx h
T' L�
City State_ "'6 zip ZS 107Street Address/State Road/Lot
Phone#(410) 109' C 2- Mnger\bktru Dr,
Email 61!- !YA1 IO ecq 7 iP—!� mcgLtl r i'oyh Subdivision e [ r 1kk )oPrn� .� Li Plc A !,t,-An
City C�en+6y) ^� 7'i2
ZIP 29
Affected ❑ CW K EW ® PTA © ES ® PTS Adj. Wtr. Body ( �W1 ar � Wl,tn�—_`J an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body `5Q �-l'j
ORW: yes/0 PNA: yes/0
Type of Project/ Activity —IN�'FI
I
ry 0 r
Shoreline Length
[
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
r
Total Platform area
Groin length/q
ulkhea Riprap length
Avg distance offshore A .
Breakwater/Sill
Max distance/ length
Basin, channel �.
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
a
V,
1'1\ eh f A 12�1
SAV observed: yes ,,ffiinn \
Moratorium: �yes
Site Photos: f- no J
Riparian Waiver Attached: s 3 //��11-- /� 11
A building permit/zoning permit may be required by: &Y b WCL4 CO Lilt, hr
Permit Conditions
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
ep r
W /
V
J
�'l
(Scale:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature *'Pleas read compliance statement on back of permit" Signat re
�X'g00 W ►z537 �/z�iZ� !0(/Zaizs
Application Feels) Check q/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAM A PERMIT APPLICA110N
Name of Property owner Requesting Penn it: L.Vr"mailing Address: (AIA Ku Ltaf Gf-
I^l ke.'"o pA D 2t0"15
Phone Number: 410 507-1922
Email Address:
I certify that I have authorized
--7 Agent f Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: q S of -7 ;4- kieJq
WA91 V0ulic4)ead
at my property located at 125 5�,rNbkAiq flr Edeeftm NL Z�t932
in C.i'IOt.Jo,4) County.
l 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
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
ton SOIEsig iMay 13,?02310.a3 F I) I t
Signature
Lori Solberg
Print or Type Name C
Title
TUN 1 9 ',IWO
May 11, 2023
/ / Date ®C '-'
This certification is valid through / /

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be _completed by owner or their agent)
Name of Property Owner: L.0 ✓( 5016"
Address of Property: 12:& 5Mbocc, A^ EagAifln Ix.. 21q-3
Mailing Address of Owner: (f113 !! t4e- uzkf- L — E-1J:f; g MD 21075-4P 11a3
G�
Owner's email:lori'90lAep f foai)• Owner's Phone#: _
c rr%
Agent's Name:', µi Ittl aft / As� Agent Phone
Agent's Email: CYPdASiOld CDf)Y-CLCi?f`✓- Q gimall
ADJACENT RIPARIAN PROPERTY OWNER'S (
(Bottom portion to be completed by the Adjacen
1 hereby certify that I own property adjacent to the above referenced pr(
permit has described to me, as shown on the attached drawing, the
description or drawing with dimensions must be provided with this le
I DO NOT have objections to this proposal. I DO h
ff you have objections to what is being proposed, you must r
Management (DCM) in writing within 10 days of receipt of this n
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909.
contacted at [phone]. No response is considered the Barn
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ram
groin must be set back a minimum distance of 15' from my area of dl
(this does not apply to bulkheads or dprap revetments). (If you wish I
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Rtpai
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: QsVik.4 4 l-a(. ;P- ke/+
Mailing Address of ARPO: 121 deAbi2C4 14-4& SaeJnk1 �L Z-ZC152-91no
ARPO's email:
Date:
ARPO's Phone#:
THH� P€€a
wiz �v��o
-aa
❑❑❑ ❑ ❑❑
� o
� � v
ame�ii''m
,n inEB° a
YCo_
°KQV VVV_E1
rn
u) � ru
m m r
N Z ru
h ,A
Ln
ca ru
ca 0
—= o o ED
co
�
O
LO Z r�-
_ 0 -0
ru
ru
`waiver is valid for up tq oo eyep1fy9m1 FP01s Signature'
'" Revised July 2021
J U N 1 9 NZ3
a
c
E
0

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:_ /1 Vlwiiii7
Address of Property:
Mailing Address of Ownei
Owner's email: na%k Owner's Phone#:
co m
Agent Phone#: 2&2' 32F5 SV00
Agent's Name:
.1' i • e. ' z u' . • .�l��f•Tai
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Ownerl
1 hereby certify that I own prop" 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.
X— I DO NOT have objections to this proposal. I DO have objections to this proposal.
H you have objections to what /s 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 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 riprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
100 wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner -
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)/+
r
Signature of Adjacent Riparian Property Owner: "IzAl . /i 4;/ �&j
Typed/Printed name of ARPO: &-,yM 't- -kxes0. 5mAt,(5
Mailing Address of ARPO: 1164% v — r d-- w ry
A\
a`ir� 1.Cc
ARPO's email: A tPy 1j(?t iYRwu -` ARPO's Phoned:`
r
Date:.! b 2 _Ziwaiver is valid for up to one year from ARPO's Signature"
Revised July 2021
J U N 1 9 2923
NERWO

77, e 2�
i +fi(r ij.8 y 'yY �V1
,y, �i.y'� � , i "1,rX� � /fir yi•
J 1%.
i
r
� 4
s
N•
itl
11
t�