89881A - Walker

�LOW" A.-❑CAMA ❑ DREDGE & FILL
Nv 89881 A B C D
a Previous permit
3 GENERAL 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 0 Rules attached. �General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
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Applicant Name
Address J' !`- t4'S r➢ r' f�:: ! i Y r j/ F>
City i'_ vrc l c.(-;'_state Pw C'"„ ZIP /
Phone #(JECI) `S-..T _`s' 'tt`y-"-
0
Email I V 1 ` cU
Authorized Agent 6� C {> • 1i- y I If ' i G
Project Location (County): i ' f J
Street Address/State Road/Lot #(s) i .4 'i f 1
Subdivision k4 ) I- ,-_ Ar J I A f G ,
City . CI Y` Y 1 f J �.:: ZIP 2! 1) !-'y
Affected ❑ cW [ EW P PTA ❑ES ❑ PTS Adj. Wtr. Body C - •1� K i . l .'�nafJman/unk)
AEC(s): ❑ IDEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body i ' '' k
ORW: yes/no.. PNA: yes(ho_.>
Type of Project/Activity {'"1\; E uc'"� bi t�l-C>t IL W ic'.- f'?teL i,CJf ED
��n1u_'i�r:.ra'., .�1. ;;+ r�'� a��r (u f rc^ Y>�>(e.'lr (scale:i-�c%)
>norenne yen ui I
Access Length
c
Lv�
C
01I
TF,_
Pier (dock) length in ); A �?
C
/
Fixed Platform(s) ((3 ' k Its
—
4'
I
j
` �
�1
i �i
k
1(j
L
�(
'�
_
—
_
�
Floating Platform(s)
�
_
_
-
Finger pier(s)
�VC
it `
__
1»
_.
_
•
_.
_
___
�.—
-
_
_
T
j..._
Total Platform area '� Z. i✓'�' {" L`
Groin length/Ji},(
1
(.�„
~
--
Bulkhead/ Riprap length
Avg distance offshore
---
1
--
i^
€'
JI
L
h
Breakwater/Sill
Max distance/ length„
!
_
Basin, channel -4
,
1
Cubic yards
Boat ramp
t-'
Boathouse/ ft--
Bulldozingzing
Beach Bulldozing
Other A
---
-
I
—
-
-•i
SAV observed: yes ;not
Moratorium: n/a yes no �ei'-
i
�F
I
{
z
Wit'
?
_�
!.
Site Photos: Yes no
{
Riparian Waiver Attached: yes no
A huildine permit/zoning hermit may be required
by:
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Permit Conditions
" i�rmm,N.v.Qovrrcn tu, irc plc/
❑ 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 q/Money Order Issuing Date Expiration Date

•
p1IktS For
iAi%Ars Fjo<rL,.Fi
6X40 PIER
OCT 0 6 2023
DCM-EC,
4X16 LOWER
PLATFORM

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
RE 'NE -L.
Name of Property Owner
Mailing Address:
Phone Number:
Email Address:
Requesting Permit:
QNN W (a� OCT 0 6 2023
� u E �-
(:-4t a k rw G t:�. Nc '2?'1 'e'- 9
�-7^51 � 27 Glg "I
1 certify that I have authorized h1DgryL r l A t f) 6 t�; r
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining al
necessary for the following proposed development: h
at my property located at � /`I.A{ !z, P R
'
in 6--4 m2'z ` f t-t-c.-kCounty.
I -
CAMA permits
t 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:
i r &dat
Signature
Print or Type Name
Title
Date
This certification is valid through l t

N.C. OF COASTAL MANAGEENT J�ECEIV
ISION
ADJACENT RIPARIANVPROPERTY OWNER NOTIFICATION/WAIVER FOR ` 9
G�,R_� iFIEd A"AIL RETURN RC�iPT REQUE3TF� or HAND dELIVERY
n r T 0 6 2023
(Top portion to be completed by owner or their agent) /�� ty AA [[���
Name of Property Owner:VUre
_ a WP6, Dt.,✓—EC
Address of Property: Lj +Ait1 M�U ly jQ.T t�t?/7 l 7'r /G Iz 2 79 Z q
Mailing Address of owner: r r
Owner's email:
Agent's Name: k & i , t T f
Agent's Email r4 N1 td6 &
f t r ,
Phone#: --)5—
Agent Phone#:,_ 957-
RIPARIAN PROPERTY OWNER'S CERTIFICATION
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
de cri lion ar d in wl h dean isQns must he arovi&0 v{i(h tfij§ 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 notli the N.C. Dtvlslon of Coiataf
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Orlfffn St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at (2S2) 264-3901, No response is considered the same as no objection it 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 cyst sign
the appropriate blank below.)'
I DO wish to waive some/ail of the 15' setback !
.OR -
Signature of ceVarianroperty Owner
I do not wish to waive the IS setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of
Mailing Address of ARPO:
ARPO's email:
G e5
B�r%1 CGS
G K. 0r
zy
ARPO's Phone#: -75 7' 1-1
Date: -4
" 13 , *waiver is valid for up to one year from ARPO's Signature`
Revised July 2021

rC. DIVISION OF COASTAL
ENT
AOJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVEiR FORM
f ERTIFIEp MAIL RETURN RECEIPT REQUESTEQ or HAND DFFRT
OCT 0 6 208
(Top portion to be completed by owner or their agent)
Nam.. of Property Owner: -_ b t/
NIs WR t<6fZ
Address Of Property: L X5 vV 11M/w�j )Q ilrwc le-
-
Mailing Address of Owner:
Owner's email _ u? F ? d v, ! 4• r"0( nar's Phone#: $ — 05 L)
Agent's Name: �� i r +' T ?
-._�(.a�.__. _ Agent Phone#:
Agent's Email: rL Idcl o
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
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, g
-� I DO NOT have objections to this proposal. 100 have objections to this proposal.
If you bays ob/ectfons to w8et )s being proposed, you must notfPy t e Dfvfst'on of Coastal
Alarnagement (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
monied to 401 S. Griffin St Ste, 300, Elizabeth City, NC, 27909, DCM representatives can also be
contacted at (252) 264.390f. 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
groan 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 dprap revetments). (it you wish to waive the setback, you must slap
the appropriate blank betowJ
I DO wish to waive some/all of the 15' setb
nlure&Jacef Riparian P Ownef __ _
-OR-
1 do not wish to waive the 15", setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARRO:
Mailing Address of ARPO: _ I I.
ARPO's small:ARPO'sPhone#: ��' 110 q
Date: —W a-�.._ , `waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

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