89855A - Morales

NLICAMA ❑ DREDGE & FILL
�� GENERAL PERMIT
N9 89855 A B C D
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:
I SA NCAC 07 % I -I I '�, 01 ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nagov/CAMArules
Applicant Name Iv 6 r •) t- %" • , "A r ,"; t + - 1`,
Address J_Q. i','; .5 44 ,ay_
City l: _>r,,,. r' t t State \IrA zip
Phone # (�;;j 41 C-3 �1 ('
Email fF1 Ca i'\+v✓t>>1 I+ia) r"T'!a i r' /=Cv'-�
Affected ❑ CW EW f❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/rib PNA: yqs no
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Type of Project/ Activity "c 11 if I � c bo
Authorized Agent
Project Location (County): (_ I r t't r tJ C L�._.
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Street Address/State Road/Lot #(s) ../!�`� i�l!• S
Subdivision f f r 'J!'. � e�•'' c ,' ('1
city r"r �z n 4 E zip
Adj. Weir. Body(".a r, 4A 't` k`v i s 1 'i 1 .,;5 I Tf (na(/fianyunk)
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Closest Maj. Wtr. Body (' + r i 1 0 :' I::: ::iC- f i r, - °
(Scale:)
Access Lengtht-
Pier(dock)length r
Fixed Platform(s) 8 I%
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Floating Platform(s)
Finger piers) I
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Total Platform area$
Groin length/tF--
Bulkhead/ Riprap lenV
Avg distance offshor
Breakwater/Sill
Max distance/ lengt-�U`
channelCubic yards
oathous oatlitt K 24-
BeachBulldozing�i�.5 X12•.$'
Other
SAV observed: yes
Moratorium: n/a yes no —{""'r
Photos: yes noRloarian Waiver Attached: vas .rAPfl{
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A building permit/zoning permit may be required by:
Permit Conditions
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❑ 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 Feels) Check N/Money Ord✓er Issuing Date Expiration Date

Bruce Exum Sr.
From:
RHONDA MORALES <[e-mail]>
Sent:
Tuesday, September 26, 2023 2:11 PM
To:
Bruce Exum Sr.
Subject:
Drawing
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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:tir��
Address of Property:
Mailing Address of Owner.
i- 0 • IJLy(
yy -)-L \)'I,
`
`, , 3y 5
Owner's email: t'y D;t t rn
311 z)"AiC'
•n
'Owner's Phone#:
3 f
Agent's Name:
Agent's Email:
Agent
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed blithe 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
I,Db NOT have objections to this proposal. I DO have objections to this proposal.
It you nave oofectrons 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) 2ti4.3901_ No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION (Choose 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.walved 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
I DO NOT wish to waive the 15' setback requirement (initial the blank) r✓ y/ !� .
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address ofARPO:
ARPO's email: ✓✓G�''33���L ��jj Gq�/i� G L' ARPO's honell:
Date: �7*1 aivC�r Is valid for up to one yearfrom ARPO's Signature*
ql.d-11,7-61,;�47 Revised august 2022
V�

N.C. DIVISION OF COASTAL MANAGEENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOWWAIVER FORM
�ERTIFI n "'qIL TURN REGEIP7 REQUEST D or HANq D IFI. VERY
(TOP portion to be completed by owner or their agent)
Name of Property Owner mht`(: 5
Addross of Property -I C) �1 _ 1 R _ Lr yam,
Mailing Address of Owner: y
YN
Owner's ernan: t' J
i v.r� � 1 t �.t:1A�. OWnor's PhonoM: "1 S 1 : ie� rJ . 3 � i
Agent's Name: Agent
Agnnl's Email;
�a>�r---rcRu�crsc-,w—rs�--'aaoi�r�a
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion o be coMoloted by the 64l eea nt Proeorty Owner)
I hereby certify that I own property adjacent to the above referenced property, "rho individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing, 0
dg$cdotion or drawing, with dimensions. Lnfist bo nroyJtQd th ttl �I gQ1.
I' DO NOT have objections to this proposal. ,_ _,.._ 100 have objections to this proposal,
n you nave oa/ecuons ro wnst is being proposed, you must noury trio rv.c. vivision or uoasrat
Management (DCM) in writing within 10 days of mcelpt of this nonce. Correspondence should be
mailed to 401 S. Griffin SC, Sta, 300, Elizabeth City, NC, 27909, DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection /f you have been
notified by Certified Mail.
WAIVER SECTION (Choose only one
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, cr
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 bulqp2ada oL r revotme is , (If you wish to waive the setback, you us si n
the appropriate blank below.)
' DO wish to waive samelall of the 15' setback
Signature of Adjacent Riparian Property Owner
Oa.
DO NOT wish tv waive the 15' setback requirement (initial the blank), 4�ti`
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
� A00
'walver Is valid for up to one year from ARPO's Signature'