89813A - Stiefel

lo\tDAIT-41~[21 CAMA [9 DREDGE & FILL
l i GENERAL PERMIT
N9 89813 "A s
Previous permit ________ _._.._
Date previous permit issued ---~~-
~ New D Modification D Complete Reissue D 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 , I I D Rules attached . ~ General Permit Rules availab le at the following link: www.deg .nq:ov/CAMArules
Authorized Agent ----+''----r-----1..-l---l:-,.!!...!..~>...!'.....L!:_!..-L..--1..~<::~---
Project Location (County): __ .........,_..,,.__,c...:......-'------------
Street Address/State Road/Lot #(s) -=--=--=----'-~...L--=-c...L-=--'--=-.i.=---'--
~ .......... --.--,..---~~.......____.,_~------+--'-........,~~~~~~_,_~C~r. W\ Subd ivision _ __;_--=--.:.L....!'--''----'-"
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A::...,._:,C.;,.r...._r-+-p -',-..-'-"--1 .z..1....._ .... t"~. ________ _
Affected D CW
AEC(s): □ OEA
ORW : yes f6§.,)
[B EW
D1HA
h I h I ,._ -I S ore ine Lengt __ ..__~!2.='''-'-, __ _
Access Length ____ ...,,,_ __ _
Pier (dock) length ___ .,..._ __ _
Fixed Platform(s) ----+----
Floating Platform(s) ______ _
Finger pier(s) --------,---
Total Platform area ______ _
Groin length/# _______ _
Avg distance offshore _____ _
Breakwater/Sill ____ -'-.----
Max distance/ length---"----
Basin, channe l ------+---1
Cubic yards ______ _,_ __
Boat ramp ______ __,__ __ _
Boathouse/ Boatlift ___ ,_/ __ _
Beach Bulldozing ___ .,,./ ___ _
Other ______ .... \ ___ _
SAV observed: yes 6)
Moratorium: n/a yes no
Site Photos: Gs no
Riparian Waiver Attached : yes (li_o
□PTA
Duw
PD 'f
[3'ES
□sPIMA
D~rs
0Pws
City _....:....:.>...:...;.4--''4--_ _:__:,__.L:_..,_._J........!"'-----
(Scale: 1 ::31 )
A building permit/zoning permit may be required by: --~=,.-....,~·-c.~_~C~o=' ~u~n~-+---'---'1-1 ________ _ □ TAR/PAM/NEUSE/BUFFER (circle one) ..,,
Perm it Condition s _____________________________ _
D See note on back regarding River Basin rules
D 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 Initia l) _______ _
Agent or Applicant PRINTED Name
Signature **Please read compliance statement o n back of permit **
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Permit ~RINTED Nam ~
'/J -. / /"'\+
Check #/Money Order
Signature } 1
:, I 2.0~ -;i.,
Is sui ng Date 1 Expiration Date
DOCUSign En~ 10: 620186ES-3091 ◄718-9EEB-EDFC20C3A919
AQENJ AUJHABDD9H fOR C6N6 PERMIT APPUC6J10N
Name-of Property Owner Requesting Permit: L, ('(iQ S½e,.Pe. \
Mailing Address: ~ke,c 1i\:r 41-{)IG.~ l-£\20
Phone Number : 7_~..::il.....;__.i,·~~=·~..w._:A:......4.l.lll\Q'----------
Email Addr.s : L,~~~-~sodiOO .CQQC\
tQNtify that I have authorized O¼ ~~~s
AtJ1Kt I Oorhclor
to.-:t on my behalf, for the purpose of applying for and obtaining all -CAMA permits
necessary for the tolowing1>f'OP()98d development \ 001 ~ O,.l.\\(.~
County.
I furthermote Ollltly that I am authQttzeQ IO r,ant, and do in f.:t gnn permission to
DMslon d OD aflla Malltlg8tn8nf' 8'8ff, the Local Permit Ot'lloer and their age,JCs to enter
on the BlonlmenlJoned lands In cor-dieetlon ·wflh evaluaifng information mlaled ao this
pennitapplcation.
Property Owner lnformaUOH!
~~"" C!r __,..,,.
Linda Stiefel
Print or Tp Nan»
.,,,.
Thia certlflcatton is valid tM)uQh __J_ ___ , __ _
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL · RETURN RECEIPT REQUESTED or HANO DELIVERY
(Top portion to be completed by owner or their agent) •,
Name of Property owner: L~ g. ~-re\
Address of Property: 4Ql.l<p ~)( ed... Mo.4:i-05 Qo,·A.\-
MallingAddressotOwne~:Ofte-OO~ ~~ '::i~ C>,~-\:2.ro ~
I , _ -1.f:\ \ · -£' .\ lld1'i4f) . , t>-n <olVl -, o ,-:,
Owner'semai~~S~ -""-i--Owner's Phone#: •~ o~'d, ~C\L\ \p
Agent 's Name~"'/~Q-{\ Ni~'' Agent Phone#7 0'4 u ,eo 8lo\ol
Agent's Email : Of P-Of>eLf&@ 'i}~\ •UyVl
ADJACENT ftlPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to bt comptpd by tbt Adlfc•nt Proptf'ty Qwntr)
I hereby certify that I own property adjacent to the above referenced property . The individual applying for th is
permit has described to me. as shown on the attached drawing, the development they are proposing . ~
description or drawjng. with dtmen&ions. must be proylded with this letter.
tf'jr 5 I 00 NOT have objections to this proposal. __ I 00 have objections to this proposa l.
If you haw objections to what I$ being proposed, you must notify the N.C. Division of Coastal
Management (DCII) in writing within 10 days of r,ecelpt .ofthls notice. Correspondence should be
malled to 401 s. Griffin St, Ste. 300, Ellnbeth Ctty, NC, 2'1909. DCM representatives can a/so be
contacted at (252) ZU.3901. No response Is considered the same as no objection If you have been
notified by Celtlfied Mail. .
WAIVER SECTION
I understand that any proposed pier, dock , moor.mg plllngs, 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 Hie setback , you must slap
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signatuf8 of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) C;v ~
-•ofAdjacentRlpar"n P""""1YOwnor. ~ ~ /
Typed/Printed name of ARPoC fW") s.\-oii')e r SM::i ill
Malling Address of ARPO: L\ OL\ I Cx ~ ti< i< d
ARPO'semall : --ARPO'sPhone#:?5d-'d3d-8qL\lP
Date:/· \ ~-'13 •waiver 11 v1lld for up to one year from ARPO's Signature•
Revised July 2021
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOnRCATJONrWAIVER FORM
CERDBEQ MAIL · REJURN RECEIPT REOUESTEP oe HAND DELM;BY
(Top portion to be completad by owner or their agent)
Namec:IPrac>eltY Owner ; b, cda S-Bett-1
MdWafProperty: L\O~ CX-ee.t i~ ~.\1\1\S '\-0)~
MallngMnsso10ww:®o~$h: ~'l o,mso 'oac.h
Ownenr.emat.L.rd<@~-~J,,,.. ~~1 'p'-l'l }ql.\~
AQenrsName~M Mi:uW.\\ AoefllPhonel: '~ ~(pJ • l,.<lu,,\~ "; '7»q,14
AQett• Email: ~@~ \. Coco
MMCat ftlPMWI PllOltllffY CMlm CllfflPICA'nON
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1,--,caur,aalm111propet1y.,.._.1Dt.abcive ... lClldproper\'. n.lrwMdUlll~torltlls
pmnlt ,_ ~ N me,• shown on._-~-~.,._ de\<elr.pmr,nt they.., p,,apollng . ~ E.,_,..._._ .. ~.., ... -;,,..+.a.1=;""---.. --~·""--..... -
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CD I 01 rt,:tpaJJJIN'-f. #o,.., C:._,Jsconaldalm ........ •IN> ~ffaft .you .... been
nollllM byQdlled ....
WAMlll HCTIDM
l undlil*1dM~papoeed-.doc:k.moorlngpllngl.llcltfW111,a.• •.bOlllolM.111,or
s,ainnwtbeeetllacltamlnlmuffl ..... d15'·flOfflm, .. o1.,. ... un111aWIMd-me
(lhlldoelnotapplrtobulllbNdaorr1pflipnMICmenll). (ffyauwflhto.._ .. ....._ you..,...,,,
th6 .lppfOpdia bllnk bllow.)
I 00 wlllh lo wahe llClfflWII dthe 15' Mlbaok
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