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Home My WebLink About89878A - Anderson°"°"r" ❑CAMA [IDREDGE & FILL 1 � GENERAL PERMIT New ❑ Modification [—]Complete Reissue ❑ Partial Reissue N9 898.78 Previous permit Date previous permit issued /cM3e1D 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 ' + r { % C !'-' ❑ Rules attached. ❑ General Permit Rules available at the following link: www.den.nc.gov/CAMArules Applicant Name X"yA<a Authorized Agent "t)C.<XI r °�r'✓+r't Address I ( i is "f i.f (�. <:'.� f t. Project Location (County): Cc) f f 1 ..1ii U (. k City G r C,txS(i 4-t � State ZIP '%-" i .) ' Street Address/State Road/Lot #(s) 11 i.J /+7 (C,t4 U r kt Phone # O S 9 1 Email be :r-� Ir 4 i:. u' O:vj Subdivision l.,.J.i n.l v)rJ City < J'r(f s, A -1 zip 9--, _93 9 Affected ❑ CW <+ EW 9 PTA 0ES ❑ PTS Adj. Wtr. Body : (11RG" �G 1.)UtJf] �-�( of P ) tJGC� na m unk AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body i i l T Y I L2 i (' ORW: yes/no;: PNA: yes(rio) Type of Project/ Activity (Scale:li1- 1c) cr....on..e i e.,, h -) Y --, ' _..... _... T - I Access Length — Pier(dock)length L j Fixed Platform(s) S' Y l f r. .r^ •M 71 ...+. Floating Platform(s) Finger piers) _ •— ? �- �— J JC.I 1�. -_ - - — 37YF.t Total Platform area Groin length/# Bulkhead/ Riprap length ` Avg distance offshore - r----- �- -J .50 — -- ---1 Breakwater/Sill 'i 1 L XG-L k 1, rI err a Max distance/ length i"- Basin, channel Cubic yards Boat ramp Boathouse/ BoatliB? I Beach Bulldozing Other�- ttA _ r SAV observed: yes no Moratorium: no n/a yes Site Photos: yes no Rioarian Waiver Attached: ves no LiLt, - -' - -- A building permit/zoning permit may be required by: '�' r f f 1 �' li r^ f�. �ht.1 r!T ❑ TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions "y [, 0114 126 -1 ❑ See note on back regarding River Basin rules ❑ See additional notes/wnditions 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 Feels) Check #/Money Order Signature Issuing Date Expiration Date " r TIPBSION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM i Date R PA � a0 a 3 Name of Property Otrner Apptyleg for Permit: S-1 eve AkderFot-, Malliag Address: - 116 Qre �onu i�t�u ni Erard I ,'-I,r a.h93y i certify that a have audmiaed (agent) a i m ✓All / /I to ad on my behaK for the p=Teso of applying far sad obablog all LAMA PermHsaeoessary to i at (my property located at) rou y _ Thtr oertUita tl m is valid dwo (daft) 3 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER 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. J )D « vegrn M- (I OQ r, rQ nrl k r 'I0. .2 r1% j Owner's email: . .. Owner's Phone*: Agent's Name/R/ r po / Agent Phone*: Agent's Email: FYaelro,4r�/NUl R1i/Gfl�/Lt2. co fit. 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 drewing, the development they are proposing. A NOT have objections to this proposal. _ I DO have objectors to this proposal. It you have objections to mar is Doing proposeu, you must nomy me rv.c. u,wsron or k.Pasrar 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, 2790, DCM rapresenfa is es can also be contacted at (252) 254-3001. No response Is considered the some as no objection If you have been notified by Certified Mall. WAIVER SECTION (Choose only onet I understand that any proposed pier, dock, mooring pliings, boat romp, breakwater, boathouse, IA or groin must be set back a minimum distance of 15'from my area of dpa an access unless waived by me (this does not apply to bulkheads or dpmo revehnantsl. you wish a waWe the setbeok, you musf Stan the appropriate blank below.) I DO wish to waive some/all of the 15' setback %� 5 !g t of A lacerrt Rlpe n Property Owrrer -OR- 1 DO NOT wish to waive the IF setback requirement (Initial the blank) Signature of Adjacent Riparian Property Owner: TypedlPrintedname ofARPIl��O: S17ft/.�O e /Nit/ �_ �'OrJYA Q_1NkI'rf Mailing Address of ARP*: 70� ?OCllz {M t I rf V & %3-W�l ARPO'semall: / r,1 P1Grt�W.yenzaJ NAI�PO'aPhone*: 757-53b-W` Date: g1161 Zd e,7 'waiver Is valid for up to one year from ARPO's Signature Revised August 2022 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN Rerh=lPT o9nU9 ffB W J vD DELIVERY (Top portion to be Completed by owner or their agent) Name of Property Owner Address of Property: Mailing Address of Owner ) )0 « ye. cn r l (t nu Owner's emall: o . u Owner's Phone#:.$2 7/ 3q� o cp p �s 74 Agents Name: l2 r lrt c Agent Phons#: !2 l ' 0C i Agent's Email: _ ttuct f o r' i ImO CD 114 - ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom nohl1on to be Comotasen ti sh.e Adjacent properly a nor) 12z.: e_�J 912 /a 3 1 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•DO NOT have objections to this proposal. I DO have objections to this proposal. d you have objections to what is being proposed, you must nodtSr the N.C. Division of Coastal Management (DCAt) In wrltng within 10 days of receipt of this notice. Correspondence should be malted to 401 S. GdMn St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted ai (252) 264-30111. No response is considered the same as no objection ff you have been nodfled by Cerdiled Mail. WAIVER SECTION (Choose oh one) I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse,111t, or groln must be set back a minimum distance of t5' from my area of riparian access unless waived by me (thle does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must aloe the appropriate blank below.) 100 wish to waive some/all of the IF setback Signature of Adjacent Riparian Property Owner -OR- 100 NOT wish to waive the IF setback requirement (initial the blank).....- . Signature of Adjacent Riparian Property Owner. Typed/Printed name of ARPO: V G K l 1 \IO mo. � I 6 b C t� Mailing Address of ARPO: l 0_' 2 0 W k � I0 US-e. 2C) 'YA-fie (d Ut'�_ a3y3o ARPO's small: V'ke , 01.'kr ha 6 ry.j L `A" 't s Phone#: `2 S 7 — 36 $ =0 2 Z of Dabe: ,/ "--Ivor is valid for up to one year from ARPO's Signature' Re vlsed Au ,of 2022 8 tPc ' ti hMM 1 A %, Ar F K Fs t g 4 s1 4 a b f� F 16�14. 1 iNF� 9 v wr it: -r4 r:Y r i n