87140A - Devito, Edward and Carol

CdicoulAm CAMA V� DREDGE & FILL W 87140 cA) B C oIN V
El GENERAL PERMIT Previous permit
Dale 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
100
❑ Rules attached
� General Permit Rules available at the following link: www.de .nc. ov/CAMArules
ApplicantName rA,r.r�k
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Authorized Agent t fiJt ist d-,a
Address I0q
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Project Location (County): 0,,re-
City Qi 1
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State
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ZIP (bhX }-}
Street Address/State Road/Lot #(s) SdU 4c, e lxv �! V &, (] f
Phone # (.
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Email Vibe
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Subdivision t AltC ffic Pc•/ham/
City 0, zip aIq 4R
Affected
❑CW
�EW
PTA
ES PTS
Adj. Wtr. Body l'Gnt1 (nat�unk)
AEC(s):
❑OEA
❑IHA
NUW
nSPIMA FPWS
Closest Mal. Wtr. Body Al6C mo/It Sr,,vJ
ORW: yes/no PNA: yes/no
Type of Project/Activity L S1 f l' otS I 1 RytKl .:`1 T
S l- w }•t 1 .�- c
tK by tl
(Scale: u .T, S )
Shoreline Length el S
_
Access Length
Pier (dock)length
Fixed Platforms) U ✓xrs `
w
�1
Ex fl u, kits) .�
Floating Platform(s) •-L t e r•AJ
Finger piers) Ai tha r.
Total Platform area I I( 1(I
111 I l .w
Groin length/9 E> Fto•.}"y p4hSvr,n
(HGIk>e / Rlprap length ±c1 S t _ _
_ _ _ px
•Avg distance offshore dt
��
Q tcw�
Breakwater/5111 � `
-
•-Max distance/length exit �� I '�•,;:
J.�
Basin, channel
Cubic yards
P
Boat ramp 1�
Boathouse/ Boatlift tvQ L
h PL
Beach Bulldozing
Other
SAV observed: yes no
Moratorium:) yes no
Site Photos: (.
Riparian Waiver Attached: es �.tno•�
A building permit/toning permit may be required by: �k f-L L u..,.,, l.(
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
See note on back regarding River Basin rules
❑ 5ee additional notes/conditions on back
JAM AWARE OF ST TUTES CR R S AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)IN
rf
fl�c,((JI
vAgent or Applicant PRINTED Name / Permit OOfffrer+sPRINTEU3i
Signature "Please readcompliance statement on back of permit" Signal rem
44ec, .c0 ao(ez, I �3 0 �doJ
5 �d rl�ava�l
Application Feels) Check Money Order Issuing Date
Expiration Date

DREDGE & FILL N° 87140 CID C D
Previous permit
i :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 -�'A • � k oo ❑ Rules attached. K General Permit Rules available at the following link: wwwdeq nc gov/CAMArules
Applicant Name F_A _,r ict Authorized Agent j)Q r �+J(Kht4CS
Address locl &'C'yC( Rr lc Qaaj Project Location (County): pore.
City Q+( Q State cr ZIP (6c-'-Z Street Address/State Road/Lot#(s) 5a0 14-lebo�f U.Cw pr.
Phone # ( " ) :no. - 04. 01 L. r It at0
Email E Deu i-O_y_(a Puvv+t_c+st Vt<r Subdivision Nl,^U4u 14/bo/
City o-1%na I[;�//�� ZIP ;k 4R
Affected ❑CW EW PTA ES PTS Adj. Wtr. Body l:G/ya( (nat�unk)
AEC(s): ❑OEA ❑IHA PTA
NSPIMA �PWS Closest Maj. Wtr. Body A►6o/IC nhw AJ
ORW: yes/no PNA: yes/no
Type of Project/Activity CJnS}r t tAS' r( Q�,14._ i Rytely h l S�_y wultr „ cx
ga\Y 1 �cl (Scale: J✓.T S,)
Shoreline Length S�
Access Length
.1
Pier (dock) length'�-
Fixed Platform(s)},1 CU tom,
I` f
Et Qea:f lrs► „ice
Floating Platform(s) '� p X A s+Ad nlr,}}ar/r
Finger pier(s) %N #4+u r•, I+� g.t+ktkccS
✓ P�`
Total Platform area ('( )L( ►(f (l ( 1
Groin length/N
Riprap length ±q S+ •1/ _ _— _ _ _ _ _ _ _ t�/ ~ �+`
* Avg distance offshore
777
e Uw1�
Breakwater/Sill
a Max distance/ length
Basin, channel
Cubic yards A `V(t/
Boat ramp 1' ` {_ 1
Boathouse/Boatlift NQL mP(�
Beach Bulldozing
Other
SAV observed: yes (..
Moratorium: a yes no
Site Photos: Yno
Riparian Waiver Attached: es V0_, \_
A building permit/zoning permit may be required by: •lLf L Co�� �-y
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AWARE OF STATUTES. CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit
Signature -*Please read compliance statement on back of permit"
A 4nc) . oo do (Z�
Application Fee(s) Check Money Order
1 13 o �aoa+j Si(d 9laoay
Issuing Date Expiration Date

s"'co "' ❑CAMA [I DREDGE & FILL N9 87140 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 ❑ Rules attached. IP-J General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent I. 1_, I Y.J I ,,
Address r. ! S<.. Project Location (County):
City State ZIP Street Address/State Road/Lot#(s)
Phone # O ' °I 1. ;,
Email Subdivision
City ZIP u
Affected ❑ CW ❑ EW ❑ PTA � ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW SPIMA ❑ PWS Closest Mat. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:>.
Access Length
—
_
—�
Pier (dock) lengthT
_
___
_
�_
✓
Fixed Platform(s) i
Floating Platform(s)
I
I
Finger pier(s)
kR.�.�
_�
_
_
—
_1—.__
—_
Total Platform area
Groin length/N
{
All
Bulkhead Riprap length
Avg distance offshore
C
Breakwater/Sill
Max distance/len h
gt
i
_.,_....
Basin, channel
Cubic yards
Boat ramp
I
Boathouse/Boatlift
n
Beach Bulldozing
Other-
_
SAV observed: yes n0
Moratorium: n/a yes no
Site Photos: yes no
--
—
-
—
-
RiDarian Waiver Attached: yes no
A building permit/zoning permit may be required by: V C 0
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. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit*• Signature
4l+ I , au(a
Application Fee(s) Checl�,g/Money Order Issuing Date Expiration Date

DoNSign EnvOopo ID: 76DBD2F%M3417A,A24C-F18DE47AFF1D
"a^m a PrOPOdY ONM Requesting Per,jt Edw04(l I eW+O
fdaWNAddress: 109 Bgg s— t''srooY� IRd
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Rwft Nurr6ff: 2 ,185 . GLI-6Q
EmaH Address: E dC'yi oTk&- CWACa* rle.+-
i tnat t have aual«izea �-l3 By.��w.�S —
to as on my WWI for the Purpose of ep*N for and oblaining a6 CAW permits
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Property owner InForrredorc
Sl�arue
Edward Devito
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Page 1 of 1

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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be Completed by owner or their agent)
Name of Property Owner: F6kAMd
Address of Property: 510
Mailing Address of Owner: j)q �%e cwe-r B' ook 9A VZO (A LT 8
Owner's email: i1' -0 (-t-\tC(rA-&fyVwner's Phone#:
Agent's Name:-&O)C�Qo n t�� Agent Phone#: -I52 r122 r r7q y
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
description or drawing with dimensions, must be provided with this letter.
�yNo"1 LIL1 AA 1 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 [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION (Choose only one)
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 some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (Initial the blank) tyz-
Signature of Adjacent Riparian Property Owner:
TypediPrinted name of ARPO: 'Zt-`i Mht� 1Hl9RA--
Mailing Address of ARPO: r O
ss6 �tl Dui
ARPO'aa atl:72'•kmAic..t 9S0YOLOR ARPO'sPhone#:
Cc>++,
Date: 2 •waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

(fit CO.NI -,�x� or ew�c� 1 YOU.v C'e5(>i�nS�
N.G. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPTIPT REQUE= TED or HAND DELIVERY
(Top portion to be completed by Owner or their agent)
Name of Property Owner: Edward D2'v +o
Address of Property: 52.0 Qjx-
Mailing AddressofOwner: tad %r 8r00k9A R{cl9t,Id C{?-7
Owner's email: c OL\ v aa`cCMCearc"wner's Phone#: 2
Agent's Name:�Wow�t1+(m n�it�� � AgentPhone#:1G'L r12Z r,0g2q
Agent's Email �11 jQS� PX t t fedYv1a + 1 • rovNl
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certifythat 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
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 [phone]. No response is considered the same as no objection N you have been
notified by Certified Mail,
WAIVER SECTION (Choose ontq gne}
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 p0 wish to waive some/all of the 15' setback
-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
TypedlPrinted name of ARPO: ri u_ (rJ1
Mailing Address of ARPO:JZe 4/r° ~ On ag411{
ARPO's email: p% ��A'TtnB 0u
RPO's Phone#: Z ' 9c y 1 1 �
Date: z� l— 2 2 `2"walvar Is valid for up to one year from ARPO's Signature`
Revised August 2022

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