89716A - Donald

*[�New
[$CAMA ❑ DREDGE & FILL N9 89716 �B C D
Previous permit
GENERAL PERMIT Date previous permit issued
❑ 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:
15A NCAC q q � \�Jf ❑ Rules attached. 4 General Permit Rules available at the following link: wwwdeq nc gov/CAMArules
Applicant Name '�Te-qf'-N c SArxt bonalj
Address l 61 H er 6o i r V t Lw O f vt
City State NL zip oi--I'g49
Phone # (2--1) 14 ^ C09Qa,
Authorized Agent Z) ' R g. e 1 kK.. J S
Project Location (County): r 4L
Street Address/State Road/Lot #(s) I ri Fees r b o V r V, tw a r.
Lo} W
Email S+e.Vencl alc$8 @� et'A, Subdivision .ol,na-Vo� IiOfbour
City�vsrx ZIP agJ-IS
Affected ❑ CW NEW PTA ES ® PTS Adj. Wtr. Body A)154 vv�/ IL So.. .. a na an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr, Body A 16-Lme r I t So J n c+
ORW: yes6) PNA: yes
Type of Project/Activity Rtb�.IA Ptee wrlry,,,r, US�nu
a x ♦44:.," o,I<.� ` 2c A-tc K Nr tiln.y X 8' Ola'i ar.-, locwi-tc( Ic,'clwcrc) eA- 6.,jeAc4Scale: N.'r S)
Shoreline Length Ha•
(2a;:;1ength ± 4' X6`
dDdock)length is
ixe P a orm Z13 Y s O
Floating Plafform(s)
Finger pier(s)
TotalTotal Pl�atfnr.�area
Groin length/M
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
F y 0�x+t1•��y
Rv 4tw r. E— 2
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✓� � Mwt_
SAV observed: yes
Moratorium: c:5ZP yes no
Site Photos: 455P
Riparian Waiver Attached: yes o
A building permit/zoning permit may be required by: On re Co., nJ,1
Permit Conditions
IAM
PROJECT AND
Permit
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
read compliance statement on back of
laoo.tvo traaa lvt laDa> al�fJ&oa4
Application Feels) Check R/Money Order Issuing Date/JExpiration Date

❑CAMA ❑ DREDGE & FILL N9 89716 A B C D
Previous p
a GENERAL PERMIT Date pre io slpermitissued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
I
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:
15A NCAC }.t tt) C)(-) ❑ Rules attached. M General Permit Rules available at the following link: www.den.nc.gov/CAMArules
Applicant Name f U t r. °' ,1 ra I (.gyp 1 <
Address I 11 0A o,10 e U
City C'.. I,, , 1,1 State N i_ ZIP
l
Phone #(JILA) IVRot C7<)Y, d.
Email S{-eyy.' (i.t)-, Ai C,s­
Authorized Agent I' , 1 l(. tie d ;
Project Location (County): r C
Street Address/State Road/Lot #(s) CJ (6 � I i r.1 y b u J ( V , t.,,a
City
} c1 t-1 Y
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body r % l..0 :,-- - `.» ., .TnaHman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes6.% PNA: yes/no
Type of Project/ Activity
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(Scale:
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Total Platforrn.area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Max distance/ lengt
Basin, channel
Cubic yards
Boat ramp.:
Boathouse/ oatlift.R
Beach t::.:.
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SAV observed: yes no
Moratorium: e' n/a yes no
Site Photos: yes no
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A building permit/zoning permit may be required
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
Signature **Please read compliance statement on back of permit'" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date

Do ftn En*" ID: D05815B835104587.8F2F-FE27FD8E188D
Norm of Property Owner Regrteatkty Pam* oana kcl
Ma" Addrsss 19OZ "O.CCbM%x "-A'QLW Or
Phorte Number: `.� 16q OgBa
Bnaii Address: SAtg n(lomld 8iPgpeki I tom
i oemry that i have Whodzed w X%KV£ aA S
Awraldi racwr
to as on my behalf, for the purpose of apptyft for and obtedning aY C.AMA permits
necessay for ate Mawaft p *Owd datrelopr gft \NaIYK Wgt1�
PlOAJ;orrn, Rkb xuicd boaeciwal<
at my property Wowed at 1q DA 4o tW-,C \JK" Or-
in 0 ours, Ow".
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Ptoperty Vw11Gi w.a
�f� Data.
SOMA"
Steven Donald
P7fnt or rwo Abms
TOM
9/YZ2023 1
Of
Thla Certtfk OWn Is VaWd ftou h �J_ __I

Anderson
1905 Harbourview
Re -build Dock with new
decking using existing
Pilings in same footprint
Steve Donald
rbou
1903 Harbourview
i Colington NC
I �
N
Mahone
1901 Harbourview

N.C. DIVISION OF COASTA4 MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNEF4 NOTIFICATIONIWANER FORM
P.POTIFICr1 &&All . =cl lekl �r-w.--.__-__
(Top portion to be completed by owner or their agent)
Name a Property owner: S�-v�..n ot�o„lc) _
Address of Property: 19 UAff vl 0 r Kp4 Nt 2-7qq 1
Mailing Address of Owner: —
Cc,
Owners email: IkUendWOW 7N► Owner'sIER'S
e*
Agent's Namej& d�idnQ1. t , CoMt Phone#. �a Gj l % LA
Agent's Email: \ W�S4eri,lAd �ygLp n ti.;;am,
ADJACENT RIPARIAN PROPERTY CERTIFICATION
I hereby certify that 1 own gropes 11ga0ent to the above n
permit has described to me, as shown on the attached
00 NOT have objections to this proposal.
A/aniywnertt (DCM) In wrftitg wfti in 10 days of
M~ to 401 & GFM74 St, Sea. 3W, ®Izabatlt I
carrtsctad of (21R4 264.4901. No response is can
noNAad by Ci rOW Usti.
petty. The individual applying for this
development they are proposing. A
0(tibia notiea. Correspondence should be
27909. DW represevnWns con also be
the same as no abjection N you havla boor
WAIVER SECTION (2bm so only oijo)
i unde slarM that arry proposed per, do*, moorMg pilings, ramp, breakwater, boathouse, ilk or
groin must be set back a rninkinum distance of 1S from my 4 rea of riparian socess unless waived by me
(Ws does net aodv to bulkheads or rloreo revefrrlstttsl. (it V 3u wish to wave the setback. you must Won
the appropriate blank below.)
I DO wish to waive somefall of the 15' setback
Dic
i 4 AW
I DO NOT wish to waive the 15' setback requirement (initial blank)
ftnab" of Adjaaant RiparUn PropeAy
TypedlPr4tled name of ARP":
ARPO's «mall: kl`Y)D 1bYIWA Vail - ARPO's
Dab: A j293' z3 6wwar Is valid for up to
jease
F;1 I O*..►-�
�(-, iq qq
Leo-sto-l�s S
year from ARPO s S'grtature•
Revised August' 2022

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. SVt-�J-P'.A''\ nCCyJL1d
Address of Property: 1%1� \,(1'-W l71(
Mailing Address of Owner:
Owner's email: y'Cm ` &)rX&I Owner's Phone#; a54 yi�q Cglr].
Agent'sName�x{CYtCl1 AgentPhoneif:c*Aa�aCJ7%J
Agent's EmaiL� WQS�4y'�tttr�3�r'i G�i G}yv�n. t Ca:.�vi
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be Corn leted by the Adlaeent Prooertv r>rvnar)
1 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 drawino with dimensions must be Provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
Or you nave objectfons 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. Gin St., Ste. 300, Elizabeth City, NC, 27908. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection ff you have been
notified by Certined Mail
WAIVER SECTION (Choeso only one)
1 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 t0 bulkheads or dprao revetments). (if you wish to waive the setback, you must Sian
the appropriate blank below.)
) DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
100 NOT wish to waive the 15' setback requirement (initial the blank) C/•F—
Mailing Address of ARPO: I10S 6itJa4, 1-oY Li-LL l-Iumn,el;,1v, 1i A to>r
j%ca. dv pias Gccncasi. pat
ARPO's @mail: lc , 5L E d - t,( m4 ARPW9 Phone#: h-) . c -oi ou
Date: f DJ4 J 33 'waiver Is valid for up to one year from ARPO's Slgnature'
"II Gu-4-
-QX t O Revised August 2022

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