89828A - Walsh

IXICAMA [d DREDGE & FILL N9 89828 (5 e C C
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GENERAL PERMIT �pprreAcwpperniftlsswc!
MNew 11Modiflcation ❑Complete Reissue ❑Partial Reissue
As auUmrmed by due state, of North Carolina• Department of Emlronmental Quality and the Coastal Resources Canvnt ssa+ In an raa of mkorcnand concem pa VM; to:
I SA NCAC ' J I C.____ __ ❑ 11U. attached. [M G.,d Pbnnk Ride rfAade at the Fo W" Frde wwwdsiy- gvACNlbuks
Applicant Name,
Address
Cley }
Wrone Email � Ak y
r i
N jW Location
Sweet Ad&rwlS
smMsion
City
Artectod ❑CW KM MM Efs d, Ad]. Wir. Body �Ll. f`U1
AEC(s): ❑OEA ❑IIIA ❑t1W []SPINA ❑Fm OwastmalwarBad; W
ORW:yes)w Phik yesA
Type of Project/Activity 1ts•Vc11 140/ OP tie,.,a b1IkheaJ 21 ntti4 jtrom exish
IScale:l�'a� T
ShoreWe Length
Access length
Pier (dock) length-
:—
Feed Platlorm(s)
Floating Platforms)
C�
finger pltvfs)4- .I. t ..Y'
Total Platform area — �.. �!�L i ., + j_ slo _;. + � t'_._ -.--
sT
Bulkhea AiPnP—+ _+.-'+."t✓r�._:_r a. _ +�JF.r '^ "�=�} ;./
Avg distance offshore zF
Breakwater/SW `
Max distance/ length eZ t?—
Basm,channel
Cublcyards
'
Boat ramp
i 1
Boathouse/ Boaditt
+
Beall, BWldoabg
Other
i
SAvobsemd:_ yes {
//`��i
Moratorium'. ly1J yes !re,
site Photos: no -
Riparian WabAmached: (&
er no
A bulldirng wimh/ronig permit may be requited trA.�.11si531
, ,
1 �
t
+ + I 4
A--- �6tAh',1! ❑ TAWMKNEUWWFFER(ch<4one)
❑ See note on back regarding RNer Basin rules
--- ❑ See additional notes/condltlom an back
PRINIE D Name
I./
5ignatur "Please read tx,mpllarR<statement on back of permit'' Signature "
54�
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12 630 Qtz4'23 140/2�1
Appficanccm Fe,efal Check ll/Money Order ImigData Expiration Data

l'Few
AMA ® DREDGE& FILL
ENERAL PERMIT ❑ Modification ❑ Complete Reissue [-]Partial Reissue
N° 89828 (5 B C D
Previous permit
Date previous permit issued
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:
F I SA NCAC 4 ° I I OZ) ❑ Rules attached. ® General Permit Rules available at the following link: www.deg.nc.gov/CAMArules
Applicant Name � ktrq V�-4AxA x 1
Authorized Agent L.J't
Address '_yy�_K r� r
Project Location (County):
City C@sji'� 1 t n ?12dow State U� ZIP I l S54
Street Address/State Road/
Phone#(�J�rtp) 3(3„lt).23
Email T P Yh� 5 ( 9 Q 0.0� COM
'tR�
2"2,4 Cnun�L-
�
Subdivision t.
City F gQ/L
Affected ❑ CW ® EW ® PTA © ES © PTS Adj. Wtr. Body Lcli-r- Ik,,MM�• (nat f�ti51unk)
AEC(s): ❑OEA ❑IHA ❑uW ❑SPIMA ❑PWS Closest Maj. Wtr. Body AL'WfI`at-4 suli
ORW: yes PNA: yes/ ro
Type of Project/ Activity
(Sca
r
Shoreline Length � I�
Access Length �� ry INI%opn�gr( �a
Pier (dock) length
Fixed Platformisl
Floating Plafform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhea Riprap length j CIO
Avg distance offshore .� f
Breakwater/Sill
I
Max distance/length .2
Basin, channel
Cubic yards
Boat ramp '—
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes (5
Moratorium: IQ yes no
Site Photos: no
Riparian Waiver Attached: a no
r
A building permit/zoning permit maybe required by: 1\0UJo'y\ o, r% i
Permit
THIS PROJECT
Agent or Applicant PRINTED Name Permit O(fi�grj PRINTED Name
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature --Please read compliance statement on back of permit" Signature "
'$ [ X • Cs� I Z ro3cj 4/zo/23 (/) olgN
Application Feels) Check #/Money Order Issuing Date Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit C O-01A
Mailing Address �rJ r AQ I X
Il55ti-
Phone Number. (51(<n) 313-40)3 (51(o) 41g-O$18
Email Address: Tire rpOrfl519 !20 Com
1 certify that I have authorized t � M; I Ia0 16CPO Lik (t Ydi'QChgk
Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
tUxr-ne'ce�sssar for the following proposed development: 140 LF d V1/n"t
U r tY Q
at my properly located at
;n (J)OW W) County.
f furthermore certify that l 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:
Signature
George Walsh
Print or Type Name
Owner
Title
08/1/202�
Date
This certification is valid through ! l
RECEIVED
SEP 0 6 2023
®CM--t:-,.0

N.C. DISION OF COASTAL
ENT
ADJACENT RIPARIAN PROP PROPERTY OWNER OTIFICAITION/WAIVER FORM RE.0 I V E D
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:
1155
owner's email: - erOOM519 6)aol. Coro Owner's Phone#: (5 103►3- 40a3
Agent's Name: J- R N; Carkadl),W AgentPhone#: a5Q_ 3ta— r'%`_7L4
Agent's Email: QQ:Q" C0)0Tc�fQUWQaTY4 COh�
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
SEP 13 2023
DCM-EC
I herebycertify that I own property adjacentto the above referenced property. The individual applying forthis
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 [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.)
I DO wish to waive some/all of the 15' setback
Signature f Adjacent Rip an Pfborty Owner
-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: WLAi n m 4 G a i re^ Phi I I i o s
Mailing Address of ARPO:
ARPO's email: U, . Id b: (I ° 'rvidi'
s Phone#
NC
")c� a-�:3l-5 )-a
Date: q— 10-J3 *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 Owne
Owner's email: r2r1k)frl51gQQo1. Corn Owner's Phone#: [phone]
Agent's Name: .3-9AlhQ4n/0-ognAllD7tiTlpG 2r Agent Phone#: 0Q-41'-1i-f
Agent's Email: cyan St 6 l CO&Qdw;I Q@ CXYfI0J com ' E.,
AUG 3 0 2023
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
O
I hereby certify that I own property adjacent to the above referenced property. The individual app'Iyinfo"rthP
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.
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
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.) I _
I DO wish to waive some/all of the 15'
of Adjacent Riparian Property Owner
I M0
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: y0_ /�
Typed/Printed name of ARPO: l_ tee - ��1 "_Sharion 00u�u -
Mailing Address ofARPO: a3Q r�r,riJrLA I -Dr. &&d0h�KC
oQ-q�
ARPO's email:l—-�=A! 2 no, , Com ARPO's Phone#: a�J� 67-3 '0� I
Date:nR; 1: ,-aC2a3 'waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

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RECEIVED
SEP 0 6 2023
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