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Home My WebLink About87054A - Riggso1+0cour4/ I'CAMA ❑ DREDGE & FILL GENERAL PERMIT New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue NQ 87054 A 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: I SA NCAC (� "J i--1 I ( ;` (::? ❑ Rules attached. ©General Permit Rules available at the following link: w ..deq.nc.gov/CAMArules Applicant Name "t , '- N c` t: •.:: Authorized Agent {,'� .... ITI'lo'k fn � ,6.i s •' C Address J�'( t., r_> -rf i`'; (rl 4't J) rY, r isY Project Location (County): (�_ f) Y V t +, ,) ) r� r - lv'_ City + 4 -. State If ZIP '2 _> �- tr �.. Street Address/State Road/Lot #(s) 1 `^, ( Phone #( A 7).., I L 1_-A Email Subdivision i''l)ra i "1 r' Y ` i 6r A6LA-al xxqq --::- City )'"l ; } .4 <'.: <.- ZIP Affected ❑CW DEW ❑PTA ❑W ES QPTS Adj. Wtr. Body i\lei 4i LGyr c-it si rrk tSul eu It an/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body C t.) V 1" 1 J C". ff :.'. r) J Lj lC ORW: yes/no PNA: yes/�to Type of Project/ Activity r` n 1 ry. c' ; I ; r, n 11 J E2 ft (Scale:r` j(j) Access Length .... length1� : � �■'iMEMoril ■■ ■■■:n.NNEMM Finger pler(s) Total Platform area ...■o� �.■ . ...... Boathouse/�:.. BeachOther _:....�■.. -� ® .:. ■■■■ ...::' . a■■■ ■■■:■■o ram■■. ■■nip■■•■■■.■■■ e: :■ ■■■EE 11011.iiiiii:: 1:::::: ::®::::: :: :::::::: ■■■ ■■■■.i:■■■■■■■■■■■■■■■■■■■ A building permit/zoning permit may be required by: 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. (Pleaselnitial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Application fee(s) Check fl/Money Order Signature Issuing Date Expiration Date DIVISION OF COASTAL MANAGEMENT do hereby authorize owner of the pro located at: (PTOIIe ; ate= £x cddress crn(i� N[- �21C15� : - _ �;; : acting as agent) to act as my agent for the purpose of obtaining miyneeded, C oas*.ai Area Management Act and/or Dredge and Fill Act permits, that may be new _o- e proposed development at the above - indicated property, which entails: (describe proposed development ror •,vai_Ih permits are being sought) This agency authorization is limited to the specific activities described above, and will expire on: A411+ (date on whic9 agency authorization expires) JAAAk_aLx_ t a - - (signature))Q Ve-tuact Y?>- (printed name of d1, t ) ao (titre) (title, if ofcer of corp. ovmer or trustee for property) 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 compieted by owner or their agent) Name of Property Owner: Address of Propertg tc✓�o 'r='-! "� / -, p Mailing Address of Owner: Owner's emaii: -^ Owner's Phor:e#: 1-7 57 - F-07 - a/ I Agent's Name:Ay-Iv 1�r' l—OJ��) Agent?�cne#:2-Z=� Agents Email: 9 F}w (' 17 5 2 `_ r - 795-5� 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 m permit has described to e: as shown on the attached drawing, the development they are proposing. A _ ---�� tie nrrnAriari 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.�. Vrvrarvr. Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to beth City, NC, 27909. contacted a� (252) 264' 3901. Nto espouse ives can also be s considered the same sn o objectiontif 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 or 15' from my area of riparian access unless waived by me (this does not apply to bulkheads cr 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 Typed/Printed name of A Mailing Address of ARPO: ARPO's Date: 0 &Lr ARPO's Phone#: K fY5 1 is valid for up to one year from ARPO's Signature` Revised May 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: f r^ �+ , CL J �s7- R-A Z 7y 5IF Address of Property: U Mailing Address of Owner's email: // 1�l/ Owner's Phone#: Agent's Name:-" r^ f— I Flk� S/jr1 \ db15 Agent Phone#: Z % - 3 3- i Q 2 Agent's Email: ��L Z52 `' liY1F}il ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that 1 own property adjacent to the above referenced property. The individual applying for this permit has described to me, as shown on theattacheddrawing, the development they are proposing. A ,.,,L1...1 ...1}h fhie GrfPr 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 (252) 264-3901. 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-) 100 wish to waive some/all of the 15' setback Signature of Adjacent Riparian Property Owner -O R- I do not wish to waive the 15' setback requirement (initial the blank)' �J Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARP`IO:kGEC. Mailing Address �o�f�ARRPO: 1 irX�iO,r��a�«�� ARPO's email:�L(ry��r� a^j�"�pPO s Phone#: 7 57- c� 7 Date: 2 *waiver is valid for up to one year from ARPO's Signature* Revised May 2021 O so co N O N O N N d E N O Z /4 �� / r` AR ,. / h I /�� Y f?:j Fk C�� ',zis r 6� �.? yn,V v y �f.