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HomeMy WebLinkAbout93070C - Bluewater Cove HOA 0("51k LJCAMA DREDGE & FILL NPrevioo us 93070permit � Q�1�A B OD s� i� t GENERAL PERMIT 1Date previous permit issued O fe 17 t I2�j I I New n Modification n Complete Reissue El 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: ISA NCAC L 13-+-‘k on ' 0 t J L 1•2 Ere n Rules attached. U General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name c3 k/ICl/.)t7t Ai- C QV e u O-A Authorized Agent ,-- Address 'i -1- W\(;)t� N e (T)Y\V I—tf-- Project Location(County): (j MA-Cr-GA- City >U v tv 5000K. State (X C ZIP 1858 Lj Street Address/State Road/Lot#(s) 90,),\E- Phone #(2 1 Q) (- �U - Lig'� Email /-iit I Q S j.11(e,V ( ye't'3T]v1 . & -`- Subdivision e,'tit tt tinA-et,- C 0 -e City ."1(k y•SkOytin ZIP Zl'i 789 Affected n CW f1 EW IL,.PTA DES n PTS Adj.Wtr.Body W H t-.e ©c,t k. V\1 VP r n( man/unk) AEC(s): n OEA n IHA n UW n SPIMA n PINS Closest Maj.Wtr.Body ti h t Ire Ca k Q'1 V Pam(/ �/ ORW:yes/no PNA:yes/n) 3-0 Type of Project/Activity 1)Y-0,en5.et( Lit `p t,l l k I d b vi t k,hP n cr _I I G�'1 cl r k v c o cl ce VY i ,'+, 3 () V; vync) (Scale: ) Shoreline Length ( ( I 1 Access Length / — rt r 1 Pier(dock)length -1 j I Fixed Platform(s) } r t i Floating Platform(s) �- ; I } Finger pier(s) 1 „ ' 3 Th1 C a ciw� to ' . Total Platform area i Groin length/# / i ^ - ' Bulkhead/t�prap length � ; a , ; �— r t �(l � \ �� �" i Avg distance offshore / 'DOS --i4- '--r- Breakwater/Sill / 1 d '- Max distance/length ? Basin,channel " Cubic yards I Boat ramp 1 q tt 9 Boathouse/Boatlift I � • 1 ( I � i � f Beach Bulldozing i ._ 3 { _. ..- Other 1- SAV observed: yes no _ , _ _.-. Moratorium: n/a yes ,) . 3 I Site Photos: yes �T16, -.a.... f.-_ 1. j Riparian Waiver Attached: yes no , _ 1 1 1 ' A building permit/zoning permit may be required by: n Permit Conditions TAR/PAM/NEUSE/BUFFER(circle one) nSee 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 A pljEant PRINTED Name Permi 1OOfficers PRINTED Name / - Signature**Please read compliance statement on back of permit** Signature�s AALoO I` lication Fee(s) Check#/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889 252-808-2808/1-888-4RCOAST Fax: 252-247-3330 252-946-6481 (Serves: Carteret, Craven—south of the Neuse River,Onslow Fax: 252-948-0478 Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S. Griffin St. Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 (Serves: Bertie,Camden, Chowan, Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 e°`C0"""` I ICAMA DREDGE & FILL No 93070 ABCD 3° J t GENERAL PERMIT Previous permit . Date previous permit issued New Modification I I 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 5A NCAC ( i H•L(C C n Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules Applicant Name ! . ,c L•I'i"kA f'Y C 1 J f F"\L%1 k Authorized Agent Address '1`1'f v,,\1 \ \ `C r( `'' r-.% l Project Location(County): `'w k.Y`f City .'"v'5b0'C" State N\C ZIP - ' i Street Address/State Road/Lot#(s) Phone#( 'J'') C4 - `1 -11'1 Email .,i 1%l.0 1/ EIC ','' ',"'' TI',1 .\\C_-4 Subdivision c A_C y- f ..1 t City - ' , ZIP 2-C.>T >Li Affected CW n EW n PTA n ES ❑PTS Adj.Wtr.Body I h'11 k C- L�v(` ti'" i(nat/man/unk) AEC(s): n OEA n IHA ❑UW n SPIMA ❑PWS Closest Maj.Wtr.Body .\-1 h, C(.I k V t V e V ORW:yes/no PNA:yes/no • • Type of Project/Activity v �)CSel-( L -in, ko k I l k«d iAl l i le n C1r , C. C 1r'e on r.0 y11 rn-EI (Scale: ) Shoreline Length I t ( t Access Length '" • Pier(dock)length I ' 1 Fixed Platform(s) ; I 1 i i Floating Platform(s) • Finger pier(s) (1 Total Platform area I , Groin length/# i f_i /� • Bulkhead/Riprap length .• tit.1 EA•� __..__, __..___ ....._......_. .. 4 �...1_ 1 e._ Gi 5. .._L._. ......L� Avg distance offshore *0 if L eclp Breakwater/Sill �- ( {{ Max distance/length r — Basin,channel j Cubic yards — .. ._I .. C�r I_t_ r . _ Boat ramp '? i 1. Boathouse/Boatlift e..----' , Beach Bulldozing .- Other 1 1 1 i . • j SAV observed: yes no 1 T `- Moratorium: n/a yes no I 1 ' SitePhotos: yes no — _ _._.__... . __._.._.. . __._._t _..____ _ _ ._.�_..__ ____—..__.�._.__ _ . ..._.._____.. _,_. _._ Riparian Waiver Attached: yes no - , A building permit/zoning permit may be required by: Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one) nSee note on back regarding River Basin rules nSee 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 Na e Signature**Please read compliance statement on back of permit** Signature Application Fee(s) Check#/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889 252-808-2808/1-888-4RCOAST Fax: 252-247-3330 252-946-6481 (Serves:Carteret,Craven—south of the Neuse River, Onslow Fax: 252-948-0478 Counties) (Serves: Beaufort,Craven—north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Elizabeth City District Wilmington District 401 S. Griffin St.Ste. 300 127 Cardinal Drive Ext.Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax:910-395-3964 (Serves: Bertie, Camden, Chowan,Currituck, Dare,Gates, Hertford, (Serves: Brunswick, New Hanover and Pender Counties) Pasquotank and Perquimans Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 46,°``,,"• LAMA I I DREDGE h� FILL O �I _ 8992 A B COD � � '� GENERAL PERMIT Previous permit ' Date previous permit issued —....---• KNew Modification I I Complete Reissue U Partial Reissue As authorized by the Stateof North Carolina,Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC 09-1 1. 1100 ! off.2.000 I I Rules attached. x General Permit Rules available at the following link:www.dee.nc.gov/CAMArules Applicant Name_abiteuakir C NIe itO 1 Authorized Agent Address ,,`` Project Location(County): C Arei City_54ansiporr State NI ZIP 1.p 58y StreetAddress/StateRoad/Lot#(s) C' Phone#(2 ). 50-4 e'l q �� M E Email- 1re.SILL�+1'�1C P.Irstb'1.Ile - Subdivision ttMe 4OVc V Coq se City 1/A10W15b k ZIP ZBSSy Affected PTA +_ ' TL 0 ` �r;\Foy- cw gEVJ ES I I Prs Adj.Wtr.Body w�1 �r n /man/unk) AEC(s): OEA f IHA FUW IlSPIMA I IPWS QV'UA V--1F^t‘ter Maj.Wtr.Body �i k ORW:ye6 PNA:ye�}fi� Type of Project/Activity PVID ► 10v1 V..heA43 Yei, . doh, 3 SO) r i 19 r) Shoreline Length (,p Q (State:N 1 S) Access Length ,„...-"'" �� �,{ v, c.1 Lo�wv, Pier(dock)length �'�S �rap05 r� Fixed Platform(s) O` , ' r �f, y� Y Floating Platform(s) erg' '10.�n� Finger pier(s) ., 1 b ,j r ' Total Platform area / !��, o5ed 9 1-0 r Groin length / „' v�� �, e kkhe / ipra ength i Y 'Q1f'1�V``"" Avg distance offshore,,o''' Ba'Itr:korek p Breakwater/Sill �i ,Max distance/length Basin,channel Cubic yards ,.e LifPWr Boat ramp , Boathouse/Boatlift _,. Beach Bulldozing / yrOe W Other Ot 1 )51 dOC' re* r a SAV observed: yes Moratorium: n/a yes jul, Site Photos: - Riparian Waiver Attached: GIP no A building permit/zoning permit may be required by: CaY-�Xel} tAVItki Permit Conditions CD ll/HS PleAr N I C' 610tS "etc+ a ovitei awl n TAR/PAM/NEUSE/BUFFER(circle one) -6 kk 14 CVJ .4 M 'Iar►d d1isJvwbeince cal I be I im,rJ'ed +0 ri See note on back regarding River Basin rules 2.,0_ (andWa 0+ h kaultAea(d Iocoti-iah.C)eiveD sIDa1I p s r I I See additional notes/conditions on back sl —arl4p_ t1� � rit-c�l nix ( yC� a vzt ono Si r•e-nusui i.s`VloViitthini rie I'vertical. I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) v- Y / A. c/— Eq u z 2„1 Kara '{'h , age p t Pr pplican INTED Name Permit fficer's PRINTED Name iignaturef*Please read core lance statement on back of permit** Signature• 110(I)00 1005 I tQ/20/Z� to i22 /2,-;kp ication Fee(s) Check#/ oney Order Issuing Date Expiration Date w d . YY"' -. .. ,f ram- F: 8 ,}t my y1f 0u.. .t? :; Y1 - u i . .. a..,, :,•.. .n.^... -", 1 t i:4 - . . :iJ1. _ 1:' . ._'y- - 1 _ . ., ; . .7 . .. • _ .. .. .....- » .., _-. _. .•, f ..,.,....._Y�_..— rk .� .S " t y r ,j,, .mot ,r (i,'. • r' 4 ; 3 t r. R A'r. L. 1 1. .p" .}.A a, f.. :w1 .(.3 -•.'+�^L j .A r y - ...� r I ry ..}. r. ,i1' 1 '4• /yl .!? ti!^"a °4. ..i.rt.."t . �.>, - ,'.' "1 • a ! i .;!. ',.3.,•/ ! �.' •4-'.i�.? Ie. n .. l`R t 4�� ?'-Y' _.n'.•yl a�..,'o.+ 1 . `I' 15.4µ!:,��!9 ate' _ f Q��!.t ��!,,�v1��'C`. .; '!�} _1..Y y i�-1� [ ,,,� •_ � _r�9,. • - ti, .' r! ♦,r its( # J -.. ' .). kum.�a,r ; (')S,,i Ew(( t r1/y. . 1 r'tj4•A ,1... „4 - 4 ✓ f ' a ♦,..K 4°4 1 ., v. L'-d:•�''t t,^'e p`: _ Y dl .aF i;,. I a . 11 t p w:...'' a' ,`_!LDS.' . APP41CAr•1T: Bt,EwR?rR Co1iE NoA ;' • \ /Y7 Whir-E/IE,z(N�1v, `•.. -5 l A-nl S 30) 0 N,G ', I a .'F.f :4.. ww . T.�t' -t: �y 3f. --' NI _may v. �I' r _. k - - - .. , ./ DAL/ Vo&K. (4iDet_7I5) 5CA \Ai4 LL RLrv\OVI- 7' D,'510$ L 01- IL.:4.KInv&j ° INSTAL•i- AN LIo4...A c..1IV,Ni/L SOiST 5� trimDrti25 /�`L Y/�5r�lY�=tZS. 5�/iHILL l-o, Al rrp AT Tr-,E L- U5E E isTCI'1Cr- 1 1L1-Iw15 130,74.] f c-►2LM T 1 Or TMc- /1/L itV Girl47C-' 5 Jo%sr54Peewriv6- VVrrH A PP)zoi'tzl/i i PT L L►,`113&R Sc� gC 14 AI LC 4 L. VA TA 1 )N L r CN G 1-, • / \ l ,. .,., . . * .., .1---' I f • /,' 1\1\ f r \•r ___.. ‘'d '\, 0 I C)00) "at.( Q01 V • -----..____. --- ---,.."' --------,.....,......--------------....._ -,...,......:z.....„.... : .„--- II • l IN (-IL ,-. 1 V iv\ i I 1 '''' :‘..J 7/(2" , \ \\ N 44)910) OA '‘rt,,9 v-7,57N VI/SS fr 2-9 fvPOW i , I i'ti' i . / -ilidm vac li 1 1 1 , 5.3,L 0 IY.. Q — — -4- I\ \ • III ' i i -,,v1A ti9s (Il 1 4 1 ..., ,- ., ,-- -____. — 1 , ,..) :1::'..( 'v. 4 1:c/9 g° ' 4 • ., .. ..,_s. il,,,,N.r_ .... -,--------\ -- lc V-7-1 i ..A • X". lc '--'"--r. --, , z ) 141.. AJil 5 S ti4v.9 1Y m QW i 1 kl) 11 ' / / ,,, ./ ;r r' r EviiLast ESP 3.1 VIC. 5>'/EET'/9ILE (Technical SYNTHETIC PRODUCTS,LLC Data Sheet) 1 41\b, ii/C JO.25" T 20" — Strength Rating(M) Lbs-Ft/Ft 3,129 Modulus of Elasticity(E) psi 380,000 Allowable Shear M Lbs/Ft 2,536 Co-Extruded Yes Thickness(t) inches 0.25 Section Depth inches Section Modulus(Z) in3/ft 7 11.4 Section Width inches 20 Moment of Inertia(I) in°/ft 39.8 UV Stabilized Ultimate Tensile Stress Yes psi 6,300 Standard sheets/ 20& Creep Limited stress psi 4,000 Packaging bundle 10 .. A dis "fir' ; This Mississippi - lakefront homeowner " s opted for the y , EverLast 31 rrajj in our standard Lit.I 1 I 1 �\ I s .. .fir _ z. - clay color to protect f- '- .' it from this 7 i.IL 1." r brackish water. : ' - _ - 'CotrthaRI I1 V811 .- '. "v ----...„..., The values shown are nominal and may vary- The information found in this document is believed to be true and ': , i+ accurate. No warranties of any kind are made as to the suitability of ESP sheet piling for particular applications -.....__^ or results obtained therefrom. Consult with a professional engineer and/or contractor as to the suitability of this product for your particular application. 1000 Wyngate Parkway i Suite 100 I Woodstock, GA 30189 i Tel: (800)687-0036 i Fax:(800)687-0048 sales@everlastseawalls.com 1 www.everlastseawalls.com - , • '.T.'-' • 7" ' '-7 '•' ‘ ' \: 5't."`•,,5* t,i '41‘;'.4 '''el','4i.‘" k'."-,-.--' - ' ' ' r• ' tc.) : '. 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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: 90 r nA E A l \ Address of Property: I \ LO war werLA N E S J IDoro tJL Mailing Address of Owner: 9,t f-1 . ?at \ 8q,i C, I`c� C '`A-Lei5\t-) N c— 2--4"4.1 3- Owner's email: PZtMtY11'J'(t{24a�,(aivt Owner's Phone#: COQ— MCI— 4 SYS- Agent's Name: t`JA 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 indivi.ival applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. 8 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 400 Commerce Ave.,Morehead City,NC 28557.DCM representatives can also be amntacted at(252)515-5400.No response is considered the same as no objection if you have been notified by Certified Mall. 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 of Adjacent Riparian Property 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: {7 o v-t✓t A L(^ { Mailing Address of ARPO: 9 (-1 I Z- i}A -111 13 rC le RI`Cr6...t-1!A L 7W17 j ARPO's email: ciz r 9v�Pao'•4riyaRPO's Phone#: �i�/" 41�D -L4313 Date: to L a 3 "waiver is valid for up to one year from ARPO's Signature' Revised May 2021 • Fs'..'a l :AS 11.••� ..}v' /° .� JZ- �, r,d ➢, ��.:�kr r . a.. J a g 3 r Y G7 4 Lit '�< j.1e, �_"•. _ ,. '_ fir' . . e. ..,•.,..a..w�a-e E�r... � r�..a.._.aae•�.,r+r.,trs,�.�:'..cw�,w•s .. .Yw� e,� w / + �'t: • ..Sid, f ..�, � ., St ) -.. .. .i'.•.� Y� ..•1�� A ♦:a 'Y . ! 7 1'. r . �. ; 3 1 .. . !4 ti- /� ! � - ,,,... s i . yet,. e .41'4jTL .); ; .7' i . . > a {,i .i • v' • • 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: CQtr o\ 1. 5Cu14 .t- Y\l k 1\;ci IE. c3Cu. L I Address of Property: I I MYtkC. IAex0 n n G/Srian5 ba row NRG $5'8 44 Mailing Address of Owner:14 I, W hit l'42:CO La> c5wCLYti)DQrU/ N G a S$+ Owner's email:r>1u5 i s lad V ,3& Owner's Phone#:0 I p) 3 a 0 Q 2� 0 s3W1a►1. C.oyy, 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 individual applying for this 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. V 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 400 Commerce Ave.,Morehead City,NC 28557.DCM representatives can also be contacted at(252) 515-5400. 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 unles aived by me (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setbac , you ust si n the appropriate blank below.) I DO wish to waive some/all of the 15'set ack • -OR- 60 4- ki-7'4 c•(-)4 Signature of Adjacent Riparian Property Owner I do not wish to waive the 15'setback requirement(initial the blank) Signature of Adjacent Riparian Property Owner: rj a.e., , e�c. D j LA) Typed/Printed name of ARPO: C..rp1 \Ni 1liClrY, , ,J Mailing Address of ARPO: 11-f l \ - i;iP ro n LAne wCiyelS Al C aB ST9- �� �O 1�► ARPO's email: ty-A-1.5ir LOAq 53 ARPO's Phone#( ic)3 aO - 63(z. O v'c)G•,1!•C61n'1 Date: {44,11g4,i et-123 *waiver is valid for up to one year from ARPO's Signature* Revised May 2021 t ^f h`.}' i ;� • -•.e..w Ya. 7' ,. r k r • . t i • d`r , • v L n , k t3,: I\Ka vwision or coastal Management Cashier's Official Receipt 21517 A BCC.) Date: C.o / 22 20 23 Received From: Co\..t; ki OA t✓1 G $ ��., C� cSC, _ Permit No.: (1, 1� Z C 2 o(.'1 Q Check No.: Applicant's Name: 'S 0e"-VOCI Leo {? j�- �/ + County: (41 Project Address: ` 74 Lti tt At Re.I Q 1) Please retain receipt for your records as proof of payment for permit issued. Signature of Agent or Applicant: �� Date: Signature of Field Representative:x lr i Date: Co 'Z 2 /2 3 111 NC Division of Coastal Management 21652 Cashier's Official ReceiptABC D Date: e / 1 S 20 2 3 Received From: I3i ue vvC1.ft r Cove 1`101 $ LI 00 Permit No.: Check No.: 1 0 U L Applicant's Name: R1 11 P_ (Q V e 4 °1/�1 County: rcl Project Address: 1 t/�) V�1�i� ` t e YOY\ L i Please retain receipt for your records as proof of payment for permit issued. Signature of Agent or Applicant: Date: Signature of Field Representative: _'6`Lr--j'-g‘' t 'E—_ Date: V(, /1 S , .. tial-1,.'4i,-,rf: ; r.?/...;;;-:.) TO rtUfv.',1:1*.• .,,,KI i . . .; , N , _ . . t.' 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