89964A - Odom

l'<JWAS~~ ' CAMA @ DREDGE & FILL
i } GENERAL PERMIT
N9 89964 '/ii. B c o
Previous permit ___________ _
Date previous permit issued ______ _
GJ 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 1 h ' ( D Rules attached. [] General Permit Rules available at the following link : www.deq.nc .gov/CAMArules
' ' I 1'12_(1 ZIP J
1
Address ___ ~----'-----~----~---1----
Phone# ( ~) ------'-----'-------Email __________________________ _
Affected D CW
AEC(s): □ OEA
ORW: yes/!}_0 ,
Dew □PTA
□1HA Ouw
PNA : yes/no
Des OPTS
□sPIMA 0Pws
Authorized Agent
Project Location (County): , .. (,
Street Address/State Road/Lot #(s) I , i:1
I r-I' 0 l<> I if
Subdivision
City ZIP
Adj . Wtr. Body '),;_
Closest Maj . Wtr. Body t"i 1 ij{ o , l""
, '
Type of Project/ Activity ____ r_,_l _l __ C,~r ! ______ ~_(' __ , ___ p~'-' ._1 _\(_v,_r~c~r_l ___ ,.,. ____ \ ___ ' ~~--
1-(Scale:
Shoreline Length I-J I I
1
Acce ss Length _________ ~:--+ -r
Pier (dock) length________ +
Fixed Platform(s) _______ _
Floating Platform(s) ______ _ t + -,....-.---.-i---+--1
Finger pier(s) _________ _ -t
Tota l Platform area _______ _
Groin length/# ________ _
Bulkh ead/ Riprap length ( 7 .... --~---
Avg distance offshore---~)~--
Brea kwater/Sill ________ _
Max distance/ length --~----
Bas in, channel ________ _
Cubic yards _________ _
Boat ramp _________ _
Boathouse/ Boatlift ______ _
Beach Bulldozing _______ _ ---·-
Othe r ___________ _ p
t ,
SAV observed: yes
Moratorium : n/a y~s
Site Photos : ye s
Riparian Waiver Attached: yes
no 4 ; 1~
¥ ~ I
no _
(c (\ A building permit/zon ing permit may be required by :-----------~-----'----'---
Permit Conditions ________________________________ _ □ TAR/PAM/NEUSE/BUFFER (circle one)
D See note on back regarding River Basin rules
D See additional note s/conditi ons on back
,..
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) ____ / ___ _
>" (l~ , -· k' , ~r
Agent or Applicant PRINTED Name -P-er_m_i_t_O_ffi-.c-e=r.,...,~-P-RI_N_T_E_D_N_a_m_e __ ~ ,-/ ,~-,~-~----------
(-' I "'-f..(_/J-
Signature **Pleas e read compliance statement on back of permit **
IJ
Application Fee(s) Check #/Money Order
Signature
Iss uin g Date
{/
I l /
Expiration Date
c.of'{
N.C. DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT}
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
Name of Adjacent Riparian Property Owner
s-2"2?,. (I A 12.. fl Tt7I< & f:/WY •
Address
<!LJt2(hTvvK, /IJC 27929
City, State Zip '
To Whom It May Concern:
l!f OiJvif
zl-•,l,,,('L Db, J O 13
Date
This correspondence is to notify you as a riparian property ;t El? Se (16 ,J +--£ G 7 '-11< tr/ --~--
/lG/-'&11<. 4ut..kl{CI//) t f/6-ll' µt{SttJtU Ft1£M &12..
on my property at~ "2::::-L<! utv OS I IJE D It. T t/ 6-
/1 0 v /2. /I.It;: I 6 t-f in 117 /2 wv 11z..u 4 MS County, which is adjace,..___
~-<,IL I// ll /V
drawing is attached/enclosed for your review.
If you have no objections to the prqposed activity, please m·
as possible. Ifno comments are received within 10 days oft
comments <?r objections regarding this project.
/ J ;?o;c'o-fO YtJr/12 [(IN /l&o vT rlflf
!1tfo , --
If you have objections or comments, please mark the approp•-------------------
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERl l'lNf-< o U
'
If you have any questions about the project, please do not hes J3 r L c.
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBE1-n----_:..:.-:...=--
I 12, Gt.LI u__u M~-2.~~u:..=L.!..1 ~v :..:...11 ~}1/--
11 Ir; I G N & ()._12=---,,-_____
Sincerely. -----
Property Owner's Name
------------
Address City
/ I have no objection to the project described in this correspondence.
___ I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature
T:-os'-m , Odom
Print or Type Name Telephone Number
Address City State
L.lp
Zip
RPvic::Prl 111/11 ?ffJ1
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL cc-r, tRI\I R~CEIPT REQUESTED or HAND DELIVERED
Name of Adjacent Riparian Property
'34, [cuJ{6 T AVG
Address
/JurLEll, Al 7 o 7 /.ft15
City, State Zip
To Whom It May Concern:
Ot1,c1~t.GS:
I ,le.if T (c/"vT 71-J 1S --ro
GI l. Ec:/41 ( U(. I t//4 /f./
rO.iA 7
/.lcr/1.. ,01-1 . 2 o I -r7
J 2.-8ac}2
Date
This co1Tespondence is to notify yo·
/<r;/?41/2. l!iuu< 1✓£'9
for a CAMA Minor permit to
on my property at lb 8 {o
in /J Fl<tfl V//<. "'1;;1 ;vJ' County, which is a0Jacenuu yu, .• 11 .. ~..,t-wo.,. __ ,py of the application and project
drawing is attached/enclosed for your review.
If you have no objections to
as possible. If no comments
comments or objections rega
low and return to me as soon
:onsidered that you have no
M _Q. {.,/_///)_ /1J
If you have objections or cot your correspondence to:
(LOCALPERMITOFFICEl ___ L✓t/fT V oK6. 7o Yvut2. _____ SCITY,STATE,ZIPCODE)
If you have any q~estions ab _ IVG-I (,III!, (Id. -(/ ~ ( (_-/ & CJ fl-I a-d.. r I J) ~ -~ss/number listed below. or
contact (LOCAL PERMIT ( . _ L).
Sincerely,
Property Owner's N
Address
e F :fp ':'.'. 12 /{o u S & _'!-_I /I G )I _W /J w _?'_
Yo l<cPA11J._r#1L-::/2. !3vLKIICr/JD /JS
__ We-L (._, _ M.f ~ osr;: oiZ_v,v/s_J o N __
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T" Eo_1:wA_/}.1L{_T -o --f:L &~~ t1f
___ Ihavenoc __ __l&&LC., __
___ I have objf
Adjacent Riparian s· C.1-1 ll_ll l Ei j Oi>v t-4 ----late
2. I 2 2-(! ;<} R t9 JO(< ti' _HYJ Y
Print or Type Name _(!LI/). _g I T '-{ !{:, K _ 1,/ C Z?~ 2.. j: ___ e Number
Address
Zip
Zip
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: }!, 0.5e, l'f}. !Yd.om
AddressofProperty: JhB J'tJ«AJJ.s;Jlt'> l)e. Ht.etlt2rJ. Nt..l'lt'l'I
Mail ing Address ofOwner :,l?,U tBBBfrJ/t,_ JJ. IY'f l.l.lR. e,j 'f'uek AJ~ J. 212 l
Owner's email : ol,md Dd", sh'f • t, ,e,d1414t Owner's Phone#: ________ _
LwJ:,uc..,.,.
Agent's Name : ___________ Agent Phone#: _________ _
Agent's Email: ___________________________ _
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 individua l applying for th is
permit has described to me , as shown on the attached drawing , the development they are proposing . 6
description or draw ing, 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 [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
gro in 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.)
I DO 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) ______ _
-Typed/Printed name of ARPO: --4,,,£~_!._.!......!.=.::=,._..=:::_--1,.,.L...l!U.c.!..(..:....:..V\_.:...._ _____ _
.c:::::_6\ ~L.,
Mailing Address of ARPO: _'--1''----""'----~------'G/:;;....__~_" __ ~-------
~JC, ·,Q¥3'-I
Revised July 2021
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8/14/2023, 10:42 :44 AM
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