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Home My WebLink About89952A - Zappulacoin I Y 8R i�� C ? ��' �iGAMA ❑ EDGE & FILL _'tI 6? B C D V/ 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. � k4' % ` -Oo ❑ Rules attached. KI General Permit Rules available at the following link: wwwden nc eov/CAMArules Applicant Name v'%S I\&rs 7n,46ttl14 Authorized Agent u(fl Address 1C} $,! :Ynk^ b11kk a}, Project Location (County)! bP rt City cc Ly,��_ State fJ L ZIP 115 4S Street Address/State Road/Lot #(s) J,C_J $, t' Tj 1, i.,, }-t, [ (. Phone #OIKI-)) S-91-010-f Email Sko r, ?- fc1- (a(; hs, r,}��' ,�. } Subdivision r'n i, nr,..1,, lit, r 1. ' cry Zip rk'a- cl MK Affected ❑cW [XEW PTA ❑❑ Es PTs Adj. Wtr. Body VM4 \'}c r lc _ it nanfunk) AEC(s): ❑OEA ❑IHA �UW ❑SPIMA ❑PWS Closest Mal, Wo, Body Wgtn ,A( Sx'.1 nd ORW: yesL</ PNA: ye io j Type of Project/ Activity N Qsa , -+ Y. , S42, t r it 4 X 7 6 1211, F it„ r r'Y`+ I a X 1 b' 4 wh, c h i a e 10. r Shoreline Length tstJ' Access Length _ lie dock)length Fixed Platfo si IJ 'films ttPr ti., Floating Platform(s) Finger pier(s) Total Platform area Groin length/# ^_ Bulkhead/Riprap length. Avg distance offshore _ Breakwater/Sill Max distance/ length _! ✓. Basin, channel_,____,__ Cubic yards, Boat ram Boathouse/ oa ' Beach BuiWozing — Other (Scale: U T: S ) td' �� E1u.wIC CX .rs r 't }Lr 120 b 4x 3�ilLf-,r2 r SAVobserved: yes- wnt vtf Moratorium: aa! �y.^es no AO Site photos: C. vx> no Riparian Waiver Attached: <{) no A building permit/eoning permit may be required by: tg,c L f__n n ? Permit Conditions C aai,�,1 ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back ❑DREDGE & FILL N° 89952 6P 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 1 `a' '0 ❑ Rules attached. K General Permit Rules available at the following link: www.dea.nc eov/CAMArules Applicant Name I. Vx Nt1 rr S�Q fI�LA1}(�� Address e!ss 10} $s! Zesk^ Wi,.1c ei•. City Ca1r,nr.State NL zip a Q14� Phone # (1SJ•) 5S 1- 010 ? Email Clv.rkif." I Authorized Agent V IA Project Location (County): Z56 r e_ Street Address/State Road/Lot#(s) 10'} Sr!' SJ Len 1n. h. i-1 �f• Loh * )y-4 Subdivision (°12I1r4 is . 1�"V'.aa/ City of 4A Li Affected ❑cW EW PTA ❑ES ❑PTS Adj. Weir. Body k,1�Y (iowlt �a V a'�7ht ian/unk) AEC(s): ❑OEA MIHA nUW ❑SPIMA ❑PINS Closest Maj. Wtr. Body A rM rvs., r(t 5o✓nt] ORW: yes PNA: ye Type of Project/ Activity N es-J _ o, y, j r t r j 014 QIa��SlzM� &,fC G IJ, X Ia RtSair Oirir Shoreline Length Access Length / ie dock) length +2 �s Fixed Platfor s) Id % IlaI u 1( ptr '\^ 19 xIvj' 1-d Floating Platform(s) Finger Total Platform area I Z%4 W Groin length/H Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/Iength .A Basin, channel Cubic yards Boat ramp Boathouse/ oa ' 1d X I a•' Beach Bulldozing Other � Ibr �IA -91 SAV observed: yes (:9) 1..0^x Moratorium: yes no Cwo�f vtf� Site Photos: a no 'a (LQJ11 o' Riparian Waiver Attached: e5> no A building permit/zoning permit may be required by: OOf L Permit Conditions NOL va�q,f/ C W,AK f, (Scale: u.-T,S ) t N L1- 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 Permit s N Signature '-Please read compliance statement on back of permit** STTriaiure 11a,C)L).00 0aa(0U ---1-jaaJ-to ;L� 1�Idb�aoaZ Application Fee(s) Check q Money Order Issuing Date Expiration D ❑DREDGE & FILL NU 89952 ''a' B C D Previous permit GENERAL PERMIT Date previous permit issued J 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. \x General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Address (' City State ZIP _� �). ='t '-1 Y; Phone # (_ ) Email Affected ❑ CW ❑ EW r❑ PTA ❑ ES ❑ PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no PNA: yes/no ' Type of Project/ Activity V'.. fhn.dino I unoth Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision I City ZIP Adj. Wtr. Body (nat/nran/unk) Closest Maj. Wtr. Body (Scale:�.q.�, ) Access Length t�A L Pier (dock) length Fixed Platform(s) i I /1 I Floating Platform(s)_- I Finger pier(s)_ - Total Platform area 4 Groin length/q�—I— F Bulkhead/Riprap length— i Avg distance offshore--- Breakwater/Sill Max distance/ length — Basin, channel t 1 L Cubic yards Boat ramp .., Boathouse/,Boatlift It _a Jil IR_t. ") . . �.� ,��s _1_.® - Beach Bulldozing ' Other SAV observed: yes no--F•. Moratorium: n/a yes noSite Photos: yes no - - — T Riparian Waiver Attached: yes no 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 Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name !f Signature -'Please read compliance statement on back of permit" Application Feels) Check #/Money Order Signature Issuing Date Expiration Date 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. t , lkri5'� ev- ;}pp!SI-iYi Z VJ( 14(_ / Address of Property: /C3i�/1w Mailing Address of Owner: 54 n-e Owner's email: Shez6zt�lee' f}1F/ Owner's Phone#: 2_i2-5e4' -cYC)7 Agent's Name: Agent's Email: Agent Phone#: 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 proposed, you must notify the N.C. Division -of 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 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 15from 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 some/all of the 15' setback -OR- S' atbre of Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property TypediPrinted name of ARPO: Mailing Address of ARPO::JCC)t;- ARPO's email: yA A— •r- J 04Lsd 1 L4�LARPO's Phone#: . Date: % -22— *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 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 Address of Property: Mailing Address of Owner: Sa )✓r> L Owner's email: Sh(i6 2- �7C- CjwF (t"r ilef Owner's Phone#: Agent's Name: Agent's Email: Agent Phone#: 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 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 it you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boatho e,' lift, or groin must be set back a minimum distance of 15' from my ree�f riparian access unlQss wa' ed by me (this does not apply to bulkheads or riprap revetments). (If o� wish to waive the s�back u must sign the appropriate blank below.) �yrr �r I DO wish to waive somelall of the 15' setback Adjacent 110121 I do not wish to waive the 15' setback requirement (initial Signature of Adjacent Riparian Property Owner: ?qyK Typed/Printed name of ARPO: / W29W2 / 14&1 / .4111, //Q /Q Mailing Address of /ARPO: 1�! Tfay° &%GS ,� r4 pA�22yJ6; 1 Y fJ J0 7 ARPO'semail: a5L6y—aV �T`�-62,&6IJARPO'sPhone#: Za3 7�i'.7E�[�7 Date: a U Jam_*waiver ii�sTval�id for up to one year from ARPO's Signature* Revised July 2021 _. . . oil ;Fla. >: _ ?� .m /:\V <<« °\ \��t� \ �� z>