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Home My WebLink About89718A - PolkDREDGE & FILL N9 89718 (�3) B C D Previous permit G E N E RAL 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 - ':il' IV. \ %CEO ❑ Rules attached. ® General Permit Rules available at the following link: wwwd nc eov/CAMArules Applicant Name 066 r 6 !G_j :To hr 1' J 1 V- Address 1-2JA 0.roGa�Dr. City e61.na'1•Jv\ State NC_ zip a'9g4g Phone#( O+) 33S-S"00( Authorized Agent h) 6 9,AY-I,tc cl S Project Location (County): ING rC Street Address/State Road/Lot#(s) Da4 13 retc. J bc.r 1�ir Email PoMlowQ_(it5w 3. yw Subdivision �olr �u.. lic,r6oJf �� Cityc,, j ,., zip a 9 4 g Affected ❑CW EW FV PTA ES PTS Adj. Wtr. Body Cc.w( 11 (nit/punk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA LPL ❑PWS Closest Maj. Wtr. Body A)ia.f.vr\urlG SpunC ORW: ye� PNA: yes Type of Project/Activity �P1�t< (3�\1�b�r.� �r wc.Lr ��2 v1 x,Stl.cg bL)114-1" (Scale: Shoreline Length 5-0, Access Length Pier (dock) length /^'^ `^ Fixed Plafform(s) ,r�. .i'� v- 4 rG 1 �` Floating Platform(s) .r Finger pier(s) Total Platform area Groin length/q OpfD Riprap length sr Avg distance offshore c� Breakwater/Sill Max distance/length ar Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other A'J tt�J Ins Y�1 fi�tlGlwa al,ynrr-r-r1 Ev L__t�._ Q Al" bQk. 5,0 L•m.ye J� drs�aro...a,.r SAV observed: yes — Moratorium: yes no Site Photos: �no ' h• Riparian Waiver Attache yes V A building permit/zoning permit may be required by: barL r Permit Conditions �L Pro fu.r�-y ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AJ1d.AWARE OF STATUTES, CRC RULP AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Permit 1g'na(ure"11ease read compliance statement on back of permit" SigitatuYlF I p oo -4 +tn.� ZW11 to/1>- fda:0--A glaoatl Application Feels) i,p p gq -41-} A Check #/Money Order Issuing Date Expiration Date �`°"'°❑CAMA ❑ DREDGE & FILL NU 89718 A B C D Previous permit G E N E RAL 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 � � \ t'-' CJ ❑ Rules attached. M General Permit Rules available at the following link: wwwdgq.nc.gov/CAMAmlw Applicant Name Address < ]0i•.., ( ,ik,1 1` City ; State �-k c.. ZIP Phone#( ) `a0U4, Email ;t.:wr+.� Authorized Agent (`.� V'l Project Location (County): L ,C,, c Street Address/State Road/Lot #(s) Di.) J I + r o o cI I, i7 r i Subdivision (1< City ( ZIP) Affected ❑ CW [21 E W U PTA W ES Q PTS Adj. Wtr. Body (c : � •> ( (nat/6GVunk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body M64 ri&(IC. ORW: yes/no PNA: yes/IS',o � Type of Project/ Activity l . f'In .. ! V L l . r.. ! r d e'I- P x, 5, i , h 1 le J.. r d / (Scale: N-t.�,. ) cM.nnnn lnnvl6 �'s fll Access Length Pier (dock) length Fixed Platform(s) I MEN ME MEN E E I IN Total Platform area Bulkhead/ Riprap length Avg distance offshore -. . - Other . MENNE ■ ■ SEEN ® ■■N ■ �■■E ■ .■B■■ SEES■■■ SEES■ �■ "�iir"ii �r"i�'ir�'i®Zi'r �■■■ '� SEES ■Z�■■ ��■■®!■ 0 SEEM NE ■■■■■H■■■■I■M!'�■■■�■■Iri■■■■ ■■ ■ ■■ ®ems ■■■ ii"EM iiiiEii n■■ ■ SAV observed: yes no....■..a�..■........C.....■... Moratorium: yes no Site Photos; yes no RiDarian Waiver Attached: ves no SEMENONO .�.::�� A building permit/zoning permit may be required by: L)CG J t i�o...•� �� Permit Conditions ❑ TAR/PAVI 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** Application Fee(s) Check #/Money Order Signature Issuing Date Expiration Date n�avo-ec+�-C"SWsunoe ooa � EMVW*M io: 2W i Nerve of RgWW Owner Requastl Q Permit �QXbOX 0. 1'+TK AAeNing Addreea: Colinalo� Nf. 2�_�-- Phate Number: EmH : '��rcbwo�g�i.c'"` f oertiy that have auMorbed CiZ Ru vtvu �•d —' Ap.ne r canuocw to as on my beW, fof I* PWPM of ePP'Y" fat and obW*9 as CA' AAA P MM neoassaryfor the Mow" pq)oseddeMOPnO"t •to..► 1['��1�W.a� s at rrN WAn" iooded tt.9644U, - In I ksgl -tore cw* that f am mo)orhod to gra% end do In /act WSW P m to n w&tn d c ossw Mer>a Wylow SON the LowPrarrrrk t7fNoertOto t►ds _ an the okwre WWW +bads in cc wwoon wo &Voh � aarmit app broom -- P,opertY owner rrfomrotfon: �Oeatly�G K �` barbev. Pdk Barbara Polk r .. _. ~or Typo North 7kk 9/2 /2023 om This MMCB*m Is vaNd ftwo - e e N Existing Dock N ^' And Boatlift a = N New Bulkhead +- 50' 2' in front of existing C- N ............. ............................. .......... - .......... ....-. New Finger pier �, Existing bulkhea co o : Polk 130 Broadway dr m` m Polk 204 Broadway dr Colington NC 27948 v co o Colington NC 27948 ; N m N N.C. DMSION OF COASTAL ADJACENT RIPARIAN PROPERTY OWNER FORM (Top portion to be Completed by owner or their agent) mum Of Prop" Owner %,t( MCL Pay, Add"ofPMpetty: 130 ay-OV, eOAka NL 2�u9 Mailing Address of Owner. ownefserna;I:�OKbwP@Arn 4 tarownersPhone: G 33� 50010 Agent s Name: CiXY it Illti ( Agem Plartata as 5`i-t N Agentt Emalf) \#Je— e ld 32q (� QY i C vYt ADJACENT RIPARIAN PROPERTY OWNER'S CERTI€ICAMON (Bonam p2rdon to be completer! by the Adiacem Progeny Ownerl I hereby cerdty that I own property adjacent to the above referenced property. The Individual applying for this permit has described to me, as shmvn on the attached drawing, the development they aft proposing, A descn hen or drawing, with dimensions, must be provided vAth this letter. DO NOT have objections to this proposal. 100 have objections to this proposal. lifanegemad (OW) in writing wMn 90 drys of receipt of this a(fte. Correspondence should he mailed to M S. GN& St, Ste. 3K Elisabeth City, NC, 2i'90a, WU can also he ConBaCted at (2M 2644W. No response is considered rya 5411119 as no objection M you have base notiRad by Ca►dlied Nail WAtt�R $ECTtON ttdeoeee oMv art 1 undwa rid that any propoNd Pia'. dock, WOO" Pftgk boat MM breakwater. boanouse, aft Of mutt ix set 0actc a Mnkraun dk�noe of 15' from my sea of rbpadan access unless waNed by Irle Mffi dwet not aooh/ta or eierao revehtleait). (if you wise to WGIVe the Setback, you MRS AND the appropriate bilk bNoroJ I DO wish to waive some/all of the 15' setback Signature of Adjacent Riparian Property Owner •OR- 1 1 DA NOT wish to waive the 15' setback requirement (initial the blank) `y Signature of Adjacent Riparian Typedwrinted name of ARP®: Mailing Address of ARPO: ARPO's email: Phone#: -AU ' 9walver Is valid for up to one year tram ARPO'a 3121011W pOI,iONe A..n. r' "" 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: Address of Property: Mailing Address of Owner: Owner's email:4� N-bW Ckt�tvlal t.u^imwner's Phone#: ,Gq • 31dj 5001,0 Agent's Name: �K gn i�vwmk 11 I Agent Phone#: -1 �� -S-1 "l Agent's Email:yAj4�4-cir.C,-c'O 32ci (c, !3"cam 1 Co✓v) ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom Rortion 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 DO NOT have objections to this proposal. I DO have objections to this proposal. It 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 if you have been notified by Certified Mail. WAIVER SECTION (Choose aniv onel 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.) 100 wish to waive sometall of the 15' setback -OR- Signature of Adjacent Rip ' operty Owner I DO NOT wish to waive the 15' setback requirement (initial the blank} Q 0--L Signature of Adjacent Riparian Typed/Printed name of ARPO: Mailing Address of ARPO: n ARPO's email: QtrtwnPa113Q Oci n _i n4K ARPO's Phone#: 57) cQ Date: *waiver is valid for up to one year from ARPO's Signature' F yV'0ti % C)"( k<-) r-eSoN-6e- Revised August 2022 -� -�,.:-, ��r , s . r � afit, r4 .y '! M1" � 1 l .��1 S'1j Ji � � 1 �i' %`��1 l tl (1^� 1 7f �I