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Home My WebLink About89841A - Currituck Crossing POA�AEOUr"' ❑LAMA El DREDGE & FILL N9 89841 n; B C D a I GENERAL PERMIT Previous 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: 15A NCAC ✓ ❑ Rules attached. E General Permit Rules available at the following link: w•wwdeq nc gov/CAMArules Applicant Name <:, 7 ,i J Ni Q h-'C) F'� Authorized Agent F'` -i"i@ "-+�&{- 18t� t t'i Address 1 J Project Location (County): City 11, State PJ :_ ZIP 5, ! {, Street Address/State Road/Lot #(s) l'f Phone # ( ) Email x(`✓, G. 01 a �1 . C ,A Subdivision City ZIP Affected ❑CW ❑EW ❑PTA ❑ESff PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: ) Shoreline Leneth 1 5 (7 Access Length- Pier (dock)length lJ - r - -j Fixed Platform(s) ' Floating Platform(s) - -...A e Finger pier(s) j ,+1 V r a i _ i- I g. 2 Total Platform area _ '_ _ Groin length/ttr .. Bulkhead/ Riprap length .. - � �- Tt.• - - _ L __ - _...... -. j.�i. Avg distance offshore i O Breakwater/Sill r �^ L it - r— — Max distance/ length ------ Basin, channel Cubic yards It -- - Boat ramp lBoathouse/ J( , Beach Bulldozing Other T_-_ I 9 SAV observed: yes no I Moratorium: n/a yes no ` Site Photos: yes no -I — - --I- - - -- - RiparianWaiverAttached: yes no'.. 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. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature**Please read compliance statement on back of permit** ✓ Signature 2-41 Application Feels) Check H/Money Order Issuing Date Expiration Date ✓✓✓✓ a M �o 17e owd .-�VwFwpd v , i lll M a Y ohl- J _ s 0 ��GU�7/►��l r ?` P'7 Oh/t A/ AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: _ l,Lurt t iUC% C—MSStn1 Poo Mailing Address: po 0 1 ` -1 Pt1A Ve W , 1\i C� Phone Number: Email Address: t'DM I certify that I have authorized `1 i 1 Ci�Ylll to, n4l-A — j Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at in C UtY t iA ek County. 15 � rircan C, I furthermore certify that I am authorized to grant, and do in fact grant permission to Pivision 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 �Pnnt or Type Name T' al_f t I Date This certification is valid through AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 0-"rrAuck C(bgS�y, PDA Mailing Address: Phone Number: Email Address: CucrihlCl1Cr05'�i�nAgpoo �c�Mcol. Com I certify that I have authorized LwA d ern /� a one , --T— nc, Agent t Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 150 r tVraR at my property located at a rl h il; oL fr., o L r C,ie in C u n=, h.,cK County. I furthermore certify that I 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: Signatur Print or Type Name Title Date This certification is valid through i I 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: iIlytt\1. Owner's email: f=1111,k rXiY-(�l OA@. Owners Phone#:1. _ Agent's Name: III f f,l0o i of n 1bi1 Agent's Email 114 . Yl4Ai 1 51 ET Agent Phone#: 'I loj3+]q 1Q 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. -'�"- 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 malted 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 only one) 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 -OR- I DO NOT wish to waive the 15' setback requirement (initial the blank) J Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ALLRPO: 7 �� ' 1 F � ry7 Gyi� 5r)ML115 C- 06-07 (' ARPO's email: P41 UB/1 P oC11 ,t'e61X -fid ARPO's Phone#: 0-�-10 Date: L I -waiver is valid for up to one year from ARPO's Signature* Revised August 2022 • complete Items 1— 2�� , ■ Print your name a} d address on the A. so that we can I'd the card to reverse • Attach this card to the back of the mailpiece, X or on the front Its permits. John 14, Fvrbe5 J, D. 5/a / Nor+h Jr-een �ii lie �K9ka r/ .l V itrr%Irz N C a75�b IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII oAAd�n 9590 94r 6930 1104 1154 70 ❑ Cedm 2. Article Num � Celli bar (trans/arlrom seMce lob" a cowls '021 a950 5 -- 0001 5503 I7 fMUr% I PS Form 3811, Jul 6082 ❑ toe s Y 2020 PSN 7630-02-000-0063 �'� PInt YO r items 1, p and 3, so that ur name and addr ■ Attach this card the ass t the reverse o the bac card to you. or on the iront if space k of the maflpfece, t• Article gddressad to:. Perm ice___ /7'1 ,5 °Mrs, CT p d071 v�� IIIIIII11111111111111IIIIIIIIIIIIIIIIIIIIIIIII 95g0 9402 6930 2. A ticle Number 1104 1154 25 7021 0950 (>mns7erfym yBMce% __❑001 5503 6 -- - __-, PS Form 3811, Ju1Y2020 Sp N 7530.02-Opp 9053 Agent Atltlressee Cpp ate of Delivery t Item 77� ❑ Yes elow: ❑ No Pdonty Mewl ex W Deilve Q Registered M9nrM ry O Registered Mall Reetrlcted Delivery ❑ very Signature ConamatltM Wed Deliv Signature n ConNmsel oOn aY Restricted Delivery Domestic Retumt, De � 1 `. tcA—, S• Recalvedb Agent iy9 � y NnfedNeme �Addrasaa / •'v. C. Date of Delivery D. if ES,deltVaddress tllNerent f r / 2 if YES, enter deliveh add rom item 77 ❑Y ress below: es ❑ No sstdcteCrNlivery �. p dHed Delivery e�p�steredalMailrnress® D,7va�MailResntated 19netere ('OntlrmailfMTM RaslHcted Delivery us, Rexfrlr;fed Coiry"atioo led DelNery Domestic Return Z '. 1. __ _ _ p `: