The URL can be used to link to this page

Home My WebLink About87005A - Mills (Judith) & Peldunas(Martha)❑CAMA ❑ DREDGE & FILL NU 87005 A B C D at§A& GPrevious permit GENERAL PERMIT Date previous permit issued F71New ❑ 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 '' ❑ Rules attached. ❑ General Permit Rules available at the following link: www.den.nc.gov/CAMAmIes Applicant Name Authorized Agent City State i' ZIP Phone # (i`..) Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ IDEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no, Type of Project/ Activity (Scale:i ) so oil ::: ■;::::::::Elm ■■: :::III ..:■■■ MEN III �n■■■■1M1■..MN■■:■■::■:: OMEN so III III Total Platform area ■■:■■■MIN MEN on I■■■lilml■...:■:■:■ Bulkhead/ Riprap length IMINM1101 : 10,011, MEME ■■■■■■■■ ■■■■■■ ■■■■■■■■ I M. 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. Agent or Applicant PRINTED Name Permit Officer's PRINTED Name (Please Initial) Y.'.... i,Z Signature**Please read compliance statement on back of permit** Signature Application Feels) Check p/Money Order Issuing Date •Expiration Date .�'��.. RECEIVED NCENR North Carolina Department of Environment and Natural Resources N 0 V 0 6 2023 Division of Coastal Management Beverly Eaves Perdue, Governor dames H. Gregson, Director Dee Freeman, Secretary DCM-EC AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Date: -- jK'� --� Name of property Owner Appl Mailing address: I certify that I have authorized to act on my behalf, for the purpose of applying and ?ptaining all CAMA permits necessary for the proposed development of C/ at my property located at This certification is valid through 4 I�Yc (date). Property Owner`9 Signature Print or Type Nkme -— Ia Telephone Number 1367 U.S.17 South, Elizabeth City, Nora Phone: 252-264-3901 \FAX: 252-264-3723\Internet An Equal Opportunity \ Affirmative Action Employer- 50% Rec V) 5 k4 /W- 33 c�,-b9W) 9( RECEIVE' CERTIFIED MAIL • RETURN RECEIPT RE UESTED DIVISION OF COASTAL MANAGEMENT KIT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM N O V 0 6 2023 DCM-EC ADJACE ,JUDI�µ Meat 3 %�YCrENM" GOk lYS Name of Property owner: n ne Ll�?roRo . /ERRuiren,v S , o'l al � rTw Address of Property:/D (Lot or Street #, Street or Road, Ci y &County) Agent's Name #: N/A Mailing Address: — Agent's phone #: certify that own property adjacent to. the above referenced property. The individual I hereby I ing for this permit has described to me as shown on the attached drawind development appy proposing. A.descri tion or tirawin _with dimensions must be rovided:with<this letter. they are prop I have objections to this proposal. E1 have no objections to this proposalk. hat is being otifY the Division of al nt t �ll�lDyou CM) nvwrtingtw thin 10 days of receipt of this notice-n Contact information for tDCMa offices s ._ .,e.,r.,ammeblcmistaff•listin orbycalling l•888_4RCOAST i t WAIVER SECTION 1 u erstand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, unless waived by me. (If or lift must ;be set back a minimum distance of 15' from my area of riparian access I you wish to waive the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15- setback requirement. LIM I do not wish to waive the 15setback requirement. Information) Print or type rveme //O PjALd �� PDIA/fE Mailing Address 14VAfoa, ff�_ a}9yf City/Slate/Zip (s") 83a-/a5-s Telephone Numberl Email Address 010 Date (Riparian Property owner Information) Signatures_:. - -- �11'1A1,1 Print or Type Name Si IQ �w�� Lc\h�- LA, � ( lei\ Mailing Address MtytPord uftylStatelZip l�s�)2gs -1 �gS Telephone Numberl Email Address Dare UI1043 (Revised Aug. 2014) RECEIVED ■ Complete llama 1, 2; aid 3, p Agent ■ Print your name and thO c Cab on the reveres that W6 can retutn,tfte to you, R g-g calved by (Pdntetl Neme) [3 Addressee D D� et Delivery s0 ■ Attach this card to tint back of the mailplece, oron the front if space permits. 2 diflerent rom Hem l? fAnkle Addressed to: . D. Is delivery d dress dative address 0No below: No If YES, enter delvaddAe ,�x3 Gu9r,¢ Sc VIR611v)a 86+04, vn-a3154 3. Service Tjpe ❑ Man EaWess� III'IIIII IIII I'IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII DDAdult SO= Delivery pRaabpgrlry Mall Restricted 9590 9590 9402 7853 2234 5042 70 "'Mall®fl�Uetetl Orolw Mailliery ed Delivery Delivery D signature Dagnature time O Collect m Restricted Delivery Dn Resbkted DalWary 2. Article Number (rrensfei from seMte labep C l i Mal livery 7022 1670 0001 6087 2777 Ina u,�y Restricted DWNW Domestic Return Receipt -`I FS" orn 38TT, Jufy 202EY SN 7530-02-000-8053 is MMyour name ana Waimea on me reverse X ❑Addressee so that we can return the card to YOU. g, Recelvd by (Pooled Neme) C. Date of Delivery ■ Attach this card to the back of the mailplece, or on the front if space permits. �dellvMadd-w different from ftent t? 1. Ticle Addressed la: Is delivery address below: ❑ No D If YES, enter deliv ��Z�E �nlcr�RE�R � Susses TT� vE ��rNr+Ass�r N�1 11030 3 0 ReeegggiiIsssttte edIManEr.�„ess® IIIIIII�II'III'IIII IIIIII�II II II�III IIIIIII'II Adult Signatce ure AdultDelivery enHIed � SlDativery�gnature �Mn�etmn 9590 9402 7853 2234 5042 63 ❑ Mell®Reslrkted ❑ canines Mee Restricted Delivery D signature cormrmeuon ❑ collect m Delivery ❑ Collect on DelNery ResNoted Delivery Restricted Delivery 2. Anlcle Number pansfer from service lebeo p fired Mail 7022 3330 0001 1257 9913 cured Mail Restricted Delivery ZW- __., Domestic Return Receipt NOV 0 0 2023 DCM-EC 0 ,� _ Bac,,,�x a y (f NOV 0 6 2023 DCM-f:- c O (D