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Home My WebLink About87110A - White, Todd and Josephine#❑New ❑CAMA ❑ DREDGE & FILL NU 87110 A B C D Previous permit GENERAL PERMIT Date previous permit issued [:]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: wwwc1eq.ncgov/CAMArules Applicant Name - Address City Phone # ( ) Email State ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑ CW ❑ EW ❑ PTA 0 ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPINA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no; PNA: yes/ho, Type of Project/ Activity (Scale: ) Chnrnlinn i nnvth - Access Length Pier dock length _ ski -- 1 sf i - -- Fixed Platforms --- - Floating Platform(s) _L r__..i. piers) --Finger w Total Platform area - Groin length/q I Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill- Max distance/ length _}_ - j Basin, channel Cubic yards Boat ramp -_ N _T, —1 _ T_ _ Boathouse/Boatlift Bulldozing Beach Other SAV observed: yes no -- 4- — Moratorium: b/a yes no — Site Photos: eyes no Riparian Waiver Attached: yes no -!., , , , „ , - . _ _ _ .� A building permit/zoning permit may be required ❑ TAWPAM/NEUSE/BUFFER (circle one) 1-1 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 �l .� ki. - -- Signature **Please read coinpliance statement on back of permit** Application Fee(s) Check p/Money Order Permit Officer's PRINTED Name Signature Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 1-1 Tar - Pamlico River Basin Buffer Rules ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) http://Portal.ncdenr.org/web/cm/dcm-home Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover and Pender Counties) Revised 6/01/2021 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: J Mailing Address of Owner: S #Vm el { t Owner's email: 7Q Owner's Phone#: a�'.,�� + 6., i � L` Agent's Name: ]CrLrl(f?r'1 (VUA`'r'Nf �11C- Agent Phone#: Ds.) ` t &3 13 Agent's Email: T�i t f" �° �L_G`J- Ir% c4eyNG' _ I ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom�ortion to 6e completed by the Adjacent Property Owner) I hereby certifythat I own property adjacent to the above referenced property. The individual applying for this oermit has described to me, as shown on the attached drawing, the development they are proposing. A r` 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 norury me n.". u,vs'v , v, vva..a. Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be In 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 1 understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16 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.) I DO wish to waive some/all of the 15' setback / /(`�� / ` EI t/ E® Signature ofAdjacent Ripa an Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) DEC 0 7 2023 Signature of Adjacent Riparian Property Owner: DCM-EC', name of ARPO: a i(�(� & CA U LJ e �f Mailing Address of ARPO: 10 0 o �i ake ``'`a'r-A 1 l 1 bo`^ ARPO's email: M I kQ L'M Na ARPO's Phone#: Date: II I74 Za Z "waiver is valid for up to one year from ARPO's Signature' Revised July 2021 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: P x �sS� It �! �i� C+ i'�r r) c19 Mailing Address of Owner: IF Owner's email: ILh4 Owner's Phone#: �'S Agent's Name: c eth t�C6'i1et ��- Agent Phone#: , rl l Agent's Email: 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 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 mailed 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 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 must sign the appropriate blank below.) I DO wish to waive somelall of the 15' setback -OR- C �J k... ! a/ Signature o djacent Riparian perty Owner RECEIVED C E i 0 I do not wish to waive the 15' setback requirement (initial the blank) DEC 0 7 2023 Signature of Adjacent Riparian Property Owner: n / DCM—EC Typed/Printed name ofARPO: ICGIAr��S 1` �/�o �[�r �r R,9dd �"( Mailing Address ofARPO: )2 7 6u`2 $ �d{P lam( 0V-Q ARPO'semail: 'tallfltiLouse04 A PO'sPhone#: 2522029153 Date:._ % / / 2 . ;3 `waiver is valid for up to one year from ARPO's Signature" Revised July 2021 a re i� C N Z r P r. i RS i -oa VA S %i s%, x 4c� ce RECEIVED t0- J} DEC 0 7 2023 ? ocm-EG �d M. f 0 )� � 1-7 ^s- 6- 0 F, WX rA s M-A 0 0 N /T Ht I)•; V1 U