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Home My WebLink About87088A - Brumfield, Alexander&❑CAMA ❑ DREDGE & FILL N9 87088 A B C D a GENERAL PERMIT Previous permit 3 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 ❑ Rules attached. M General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Address City Phone # ( ) ZIP Authorized ,agent 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): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity 0"t-I (Scale: P'V ( aN■■G■141W ■■■■■■�11■■■■■■ ■ ■■rfrl■�■■MMMMI MI MIQI■■■� N■11L ■■i1■��0� Groin length/# Bulkhead/ RIprap length Avg distance offshore distance/ length 7_0 Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift, Beach Bulldozing Other ■ ■■ ■■ �iN ■E M� r■■■■�i■ii■ii 0 0■i �■� II■■■�■Max HE MMMMMMMMMMIM HIM ■ ■■■■■■■■■■■■ �. C �■■■ la C..■.. MIN ■ SAV observed: yes no n/a no Site Photos: yes Waiver Attached: Ves • tLMM .i®. a�■■■■JIMIN■■■ ■Moratorium: ■■p.0 ■■■■■■■■i■■■■■..a H ■■ii® Al■■■ ■■■■■■ ■■■ ■Rivarian N■■■■�■s■■■■ ■■ ■■III A building permit/zoning permit may be required by: bore Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back / 11 I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Pleaselnitial) Agent or Applicant PRINTED Name Signature -*Please read compliance statement on back of permit" Permit Officer's PRINTED Name Signature Application Fee(s) Check #/Money Order Issuing Date lral tiona Date- AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: All-c X /�N tea R 13a,AAin �7-1aLZ Mailing Address: Phone Number: Email Address: I certify that I have authorized 112.t4a 114(19 bulz V:j�+N i72. V,TL- Q121t.1lr~ Z ' �,aZ, 7b A { a Jp r" l3, r� e�'l f,� i <>1 ` U rPT � o, lent / Contractor 7r to act on my behalf, for the purpose of applying for and obtaining all CAMA permits Linecessary for the following proposed development: at my property located at 1-21 U } + ,13D UC4 01 C-u1 in `UAfL(-:- County. I 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. Pro erty Owner Information: Signature Print or Type Name �W�{r Title i Date This certification is valid through ! l 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 J by owner or their agent) Name of Property Owner: At z x,w Di f2 /jt<l/()'pi 6 Address of Property: j 14- 1419) gotrtt. O jC M) 4t 2�7gYe Mailing Address of Owner: C.aM Owner's email: I t3 A Owner's Phone#: Agent's Name:1t�f3 Ivyr %a t ou-& rr - Agent Phone#: Agent's Email: 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 description or drawing with dimensions must be provided with this letter. !�C-WI DO NOT have objections to this proposal. I DO have objections to this proposal. it 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.) 100 wish to waive some/all of the 15' setba -OR- Signature of Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: ll J �v n rr Typed/Printed name of ARPO:�orKdj , vV e` a �'0t^ Mailing Address of ARPO: ARPO's email: ARPO's Phone#: Date: (?' — 7-1- �'J *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 N\ m Yahoo Mail - Waiver for 1216 Harbour View httl)s:i/mail.vahoo,comrd/folders:] rinessages'346769 wx� Y. k N,C. DIV15ION OF COASTAL MANAGEMENT AOJACIEW RIPARIAN PROPERTY OWNER NOTWICAT1OWWAWER FORM C`ER1 FIE M 1'y_ _1ifely_r EiF'T-.l tk, Yi FS? tYr,f_%r'tN ..�.1Vt RY (Top porboo to be ComP;otttG by avml r or ihe9 4c ent) M 'rq ... `ess fi' :;sf"a�Y'_p jl±'`t.T .'* { A;emfth "et,. - S ?s% ,Vml;4 Eq at,Sri iJCs y';,,<_Csv'� ANACE{TT RIPARIAN PROPERTY OWNERS CERTIMATION IRRMI, eli2f' So 9is{Wirt th Adlticent Pfasaflv f 1 atA {ri,. eL. rvniya aso.v,r{ircxr-#yud}settuto-6�eariui9 «farVrtcc4 WnPe;Sy Ttre x!d+rda�s�,igy'�mgt`atS�='. - ptxt^A t 2i9S ddpC�krod ?0 cno a45 x�t0xfri 4n;7 C maChw dray: r;q, :he deraterrnera 1hay ah, 6 om", W �'! Yrttgg, Nrth g LTF� htu f 4v,:aaJ vrtr . c t! pvU hirv8 et ac5eA to ~ h JWkV proposed you must notify At,C. At24490ment (MM to OPt6V W"SI 10 days of mceJpt of MIT notice. Cote&9f ondlt toe shoots be: madled to 401 S, 0641A 44, Stk, AV, EYzsbath Chy, MCA 2790, Dcm cartetzg It* GOnC,vfQd at (SE* 204-301_Narnsjum" I. wnsrrkimu the same as ne D*ttfom ff)ou have baott- nOrm o'bykerW'w tw! WAIVER SECTION ' Iv,dk6r ,j s_t. ry N.rWf ,c I V+a d11 t,,IG flze`gS UD 3t ru:nfr, tV 5,A1 t Ya nb90v1:..r.' 11, gtpn rrns(00 ab3}e;F a L-six +,:a ssa.anc&W Sfo"-.r{ii A. u^aesa xgvad by mot: toes dax£no6 airs;*�trA�, ,.a . er.,;r _'rac'^t.dt fI#yaa wsstx to ;vane t-n setrac«. prnem se t�n�., .. the APLipFrr;.�1eT, tP+F.«,`?.ke :. 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