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Home My WebLink About87148A - 56127 Elizabeth Ave, LLC° °r �CAMA KEDGE & FILL N9 87148 A B C D GENER 4L PERMIT Previous permit (-P..�--- Date previous permit issued ❑New ❑Modification {Complete Reissue []Partial Reissue As audwizedbate of Nora Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC /i'r/ t ..aC O-b ❑ Rules attached. eral Permit Rules available at the follovAng link: vnLw�,mgod AMAreey Applicant Name _ Address ns � C� '� x 0. R. ,J a Lt. <._... Authorized Agent Project Location 0-i:- S t s k D (^, St -LE "ZiEnn 14�, (County):. City R sn-A� Phone #(�-,�-)3 ,1,``3�� SatedZIP ?2cf c�(u Sveet A)idress/State Road/I.ot #(s) _ S/"t /2-7-2- Email Ata-c- ryS,k' eO,yy A Subdivision City "I rG i zip Affected `fJ cw - (7 EW -_ xTZPFA 7❑` 4 ❑ FITS Adj. Ww.. Body f. I Z A 1 l w 'a vma nk) ❑OEA AEC(s):W: ❑El UW ❑SPIMA ❑PINS Closest Mal. Wtc Body ��t.tit f•C-'s y C uA C OR no PNA: yeslAoIMA / m __ type of Proj ct/ Activity ._ L Shoreline Length r Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) — Finger piers) ^ Total Platform area Groin lengt Bulkhe Ri r ` ngth '- Avg distance offshore to Breakwater/Sill x distan gth Basin, channel --• Cubicyards Boat ramp Boathouse/IINtliR Beach Bulldozing Other S'� `% 'de'Jl�Y � d•�^9: SAV observed: yes no e- TAU Moratorium: n/a yes no Site photos: no Riparian Wafter Attached: A building permit/toning perms may be required by: Permit Conditions �.. C tz 2 �> Wt r(Scale: Nr�j 4 � n JPri� f rL.( .ii"CC ( j"uL. ✓�� J� ti � k rEX ❑ TARIPAMINEUSEIBUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back IAMAWAREOFSTATUTES CRC RULES AND CONDITIONS TMAT APPLY TO THIS PROJECT ANDREVI ED COMPLIANCE STATEMENT, (Please Initial) ent iicant PRIyTfON arna. Permit Officer's PRINTED Name It-!Y( J LEA Signa'ytu/r �w •"Please r�mpllence statement on back of permit•• 51 re ApPltw/don Fec(s) � / �� Check g/Money Order Issuing Date Exoirauon omu �toury .AMAREDGE & FILL N9 87148 (::A)B C D Previous GENERAL Date previous l PERMIT Dpermitiss d s ZZ ❑New ❑Modification 0complete Reissue ❑ Partial Reissue As authorized by the�/{ato o North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC / gr --R- V'-3 76 ❑ Rules attached. (General Permit Rules available at the following link: www.deq.ncgov/CAMArules Applicant Name 7iD �oc ,7/ C7-,�q.b e_�H A0"-, CC - Authorized Agent Address n�slaI�t-�,+ S Z 5 r( , / 3 9 O �'-� cf..(�rQn,�A Project Location (County): T:) City (�ednrT c.( State VA- ZIP 7.2 C� O 6P Street Address/State Road/lot #(s) S� /� ��t2 7 2 Phone # (�) I _ [3 -r— /�- She Z.7 �' �t 20. �e.'Tw /✓2, Email �a`�ka C�A��f�l_I'/v'�l �C-1C +'t eo*'�- Subdivision City Affected CW O�Wi(_ PTA LjT� ❑ PTS Adj. Wtr. Body 4:2S14 0. P° ' l cS-1 1, nk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body Al cam .Setae Ci ORW: y no PNA: yes/fio C. 'ype of Pro, �ct/SActivity J 1 �--r��jQ- Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) — Finger piers) _ Total Platform area Groin lengthItt Bulkhe Ri r ngth ir_•' Avg distance offshore �O Breakwater/Sill _ axdistanc gth Basin, channel Cubic yards '- Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Q R" c1 'AL, —;—t o� INU, 1 - mil/ 0 1/ you SAV observed: yes no P` Moratorium: n/a yes no Site Photos: no Riparian Waiver Attached: /feV no A building permit/zoning permit -may be required by Permit Conditions I� �' (Scale: NTH) d A"/ten �J N U JAL _ v _ ❑ 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 PRINTED Name Signature**Please read compliance statement on back of permit** Sigdature o S/3 c5 // Application Feels) Check #/Money Order Issuing Date Date °�°"°"` ❑CAMA ❑DREDGE & FILL N9 87148 A/' B C D GENERAL PERMIT Previous permit Date previous permit issued ❑New ❑Modification QComplete 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. : ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name City State ZIP Phone # O Email Affected ❑ CW ❑ E W ❑ PTA ❑ ES, ❑ PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PAIS ORW: yes/no PNA: yes/no Type of Project/ Activity �Vc Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Adj. Wtr. Body Closest Mal. Wtr. Body AA (Scale: &,' -_5' ) Access Length —�1--�_ _I--- __I — _ _ _.—�-_bra /sa __..__�--__. Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) C.; t''s Total Platform area - Groin length/# �— — — — — —; L _ --- -- -- Bulkhead/ Riprap length Avg distance offshore — 1 Breakwater/Sill �_ - \ r— �. Max distance/length Basin, channel "` Cubic yards Boat ramp I _I _ - Boathouse/Boatlift� Beach Bulldozing - Other t } - _ fi SAV observed: yes no Moratorium: n/a yes 1-�— Site Photos: yes no - — —� Riparian Waiver Attached: yes no L_.J_ 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. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature -'Please read compliance statement on back of permit" Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date 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. M A R l(�/ 'i 6127 C-/,-r6eeh A e-ae Address of Property: 5L,/a'7 EUZ'4LAh IA-vf_ {�a eya�W- a1 f3 Mailing Address of Owner. ago \ l a yr c�,1, a r v 2cLr i cYS�r [� t 119 -; � -o Owners email: r»vIL P c�n�e rl i ne Agent's Name: A � %< Agent's Email: i UA1 are Phone#: Agent ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (bottom oortfon to be completed by the Adiacont Property Owned 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. I DO NOT have objections to this proposal. t DO have objections to this proposal. N you have obJaceons to what is being proposed, you must no* the N.C. Division of Coastal Management (I)CM) In writing within 10 days of receipt of this notice. Correspondence should be mailed to 943 Washington Square Mail, Washington, NC 27889. DCM representatim can also be contacted at (252) 9168481. No response /s considered the some as no objection If you have been noffed by Cardfled Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring piiings, 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 mug sign the appropriate blank below.) A 100 wish to waive somelall of the 15' setback l'-' //'Gl >` _ s_ 9— ��'� (gnat re of Ad' ce Riparian P Owner -OR- TJ211CY 1 I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: ?-/t AC `� A p A Vf n j�otT yo Zane Mailing Address of ARPO: r nA np �i 4 (�gr rn ARPO'semail:y__-dgjL*tiOCL)mr'a A,fARPO'sPhone* 717-Z(o9-0731(o Date: I j M / La L `{ 'waiver is valid for up to one year from ARPO's Signature` T'T Revised May 2021 &J PA 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: ai /q a K �s ! ,s k1r < (o / d7 s--_ ) r 13eih A L-n, &C Address of Property: 'S(e I a-7 L l r dx h Ave N dti era 1 K OL79 X Z Mailing Address of Owner: / '� 90 U-) a rr{nl�» kA Owner's email �vK�Centerline}v�Ck 2iner'rrt Owner's Phone#: _01i-r- Agent's Name: 0 0 Agent Phone# - Agents 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 descriotioll or drawing, with dimensions. must be provided with this 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 notify the N.C. Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be contacted at (252) 946-6481. No response is considered the same as no objection if you have been noticed by Certified Mail, WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or gran 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 W wish to waive some/all of the 15' seck �� r f//li [tc��n Signature of Adjacent Ripaddn Property Owner _OR_ `E \i�ta>d Na1(ertdsCateiES f�),4 I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner.t�- Typed/Printed name of ARPO: W00d Mailing Address of ARPO: �3jOS � rwtte{u..o�� SMa; ARPO's email: Date: c ARPO's Phone#: Qt 1 a'33va 'waiver is valid for up to one year from ARPO's Signature' �� Revised May 2021 'J(Ur4 CAA -DREDGE & FILL N° 86300 6A B C D fAffilGENERAL PERMIT Previous permitDate previous permit issued [V+New []Modification []Complete Reissue ❑ Partial Reissue As authorized by the Stajte of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC - I �1 / 2 CI `�' 6 ❑ Rules attached. Z-G--igial Permit Rules available at following link: wwwcIeq.nc.eov/CAMArules `/ Applicant �' 4 4an AAt Z1 L<" Authorized Agent Address MName f� � T S / 3 9 0 �q.f(-v n +4A R Q, �1 Project Location (County): ✓ d'�� City _` CCT�KS cAf' State V�' ZIP �Z ye Street Address/State Road/Lot#(a)_SA 1922.- Phone # 0 )3/'(- `f 3 k 51,ol �-1 IV: S4.� 4k Ave, Email M •►-Ck0 a wA+*-T-`, r j'Cr^4. c a M. Subdivis city Nt1"a(a 3 ZIP 3 Affected � CW S4W 62TA ® ES ❑ PTS Adi. Wtr. Body 4-0/1 w Oc a.,. na an�nk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Ma). Wtr. Body &en (b. JS1knCl ORW: ye na! PNA: ye no Type of Access Length Pler(dock) length M Fixed Platforms) .-. Nl/ 5/i'4,Vrs. P< ;a F• P�sau *1(1 1-f— Floating Platform(s) ^ Finger pler(s) _ Total Platform area .-- Groin length/g "- Bulkhead r p ngth 3 3 �-' •,__ _ Avg distance offshore Breakwater/SIII — Max dlstance/length iP Basin, channel Cubic Yards rC'irr-./•J Boat ramp .. : Boathouse/ Boatlift O 0 Beach Bulldozing Other. SAVMoratorium: observed yes no Moratorium: n/a yes Site Photos: esr i..a.len 111/alone ANanFal• 'an \L ti �0. v n ��• braark�.�L�L< I • • I,- 'a T' u a v- It, 1 •Sr p \e- at ry" •L `L'. � k •�r�1P Q `/ �v 1✓ v tea.. � \t.- t4 �gl(`\ l / � YICed� ,.� Je� x �1, VcUCrr� r C.o- f, 0- .� . •A - 3 �' J600a ❑ TAR/PAM/NEUSF/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AM AWARE OF STATUTES.CRC RULESAND CONDITIONS THAT APPLY TO THIS PROJECTAND REVIEWED COMPLIANCE STATEMENT. (Please lnitial)Y Sign re *'Please read compliance statement on back of perm) •• � Si Application Feels) Check R/Money Order .ten n-e- Permit Issuing Date Date �z CERTIFICATION OF EXEMPTION FROM REQUIRING A CAMA PERMIT as authorized by the State of North Carolina, Department of Environmental Qualityand the Coastal Resources Commission 'inan area of / environmental concern pursuant to 15 NCAC Subchapter 7K or NCGS 113A-103 (5) (b) AppficantName mc,� K 5i-s =55�01 i E/iZttidz R✓�44"honeNumber a0q-- IV-0Y3- Address 05 - k a0 x 6 r O t- 1 ts City Fr-__A�Cick5h� _State VA Zip2C P,ro'ectLocation Count State RoadMaterB d etc. �� Ze h`z A'✓e-, 1 _ Y, 4 Y, ) , ,o The proposeb projectto"15e located andconstructed as This certification of exemption fromrequiring a CAMA permit described above is hereby certified as exempt from the is valid for 120 days from the date of issuance. Following LAMA permit requirements. This exemption to CAMA expiration, a re-examination of the project and project site may permit, requirements does not alleviate the necessity of be necessary to continue this certification. your obtaining any other State, Federal, or Local authorization. AEC(S):W. �j SCALE: (V'T._S' lC I -_; ; __; _ { F� -.�j r--r r--r--r--r--r--t--r--r--r--7----r--r--7--r--1---r--r--r--t--r- --r-�Y- y i i I 1 1 I I I I 1 I 1 i 1 1 1 1 1 I i 1 I I I 1 i _ 1 i r--r r-r--r--r--r--r--r-- -r--r- 7—r--� -r--r--r----r--r--r--r -r--r- I Nr�'� 1 1 I r--r-r--r--r--r--r--r--r--r--r--r---r--r---r r--r--r--1---r--r--r--t'-r-- -- --r--r--i 1 I I i I I 1 I 1 I 1 1 I 1 I I i I 1 I i I I I t 1 1 I r--r-r--r--r--r--r-- -- 'T i I i I 1 I i 1 I J�1 r I�VI I I I L__IL 1 I I I I I 1 I 1 I I _1__L__L__L 2�1 __1-yyyL I 1 I 1F 11 I L_ L__L__1__L__ __1__L _1 _L____L_J___1__1__1__1__ t/ I 1 I i 1 i r 1 I I 1 1 I i I I I l 1 I IS n 1 1 1 1 1 I 1 1 1 1 i I i I 1 1 I I I 1 I I I 1��-+ J I 1 1 I i I IVVVVVVI I I I I I I i I�f/1 I 1 I 1 I i I I I 1 I I 1 I 1 ) I 1 1 I 1 1 I I I � i- i I I 1 I i *� I i 1 I I I 1 I i I I I 1 1 1 1 1 i I Any person who proceeds with a development without the con- sent of CAMA official under mistaken assumption that: the development is exempted, will be in violation of. the CAMA If there is a subsequent determination that a permit was required for the development. The applicant certifies by signing this exemption that the applicant will abide by the conditions of this exemption. Issuing date Expiration Date diumu, 0,CAMA ❑ DRED FILL aml GENERAL PMIT a 86562 evious permit Date previous permit issued �A)B C D [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 4 t 1D Rules attached. D Gen nl Permit Wes available at the following link: www djQncacWCAMlvules Applicant Name 3 t0/ � I A✓Ertt_u 4 t- C,Authorized Agent — Addresrs- .iis K, /'./3,L�0 /..)d..['rQrRa✓t r7e aty Project Location (County): V �Ma.r-'6G City tT �.rs ,S rate 1/N ZIP Street Address/Stite/Road/Lot #(s) Phone#( ) �' - S/nJ 27 Gh j %4J L. Email K cie-rt-oi subdivision� // City Ma"{"'f"e:Cw_S ZIP 2' ti3 Affected nCW MEW ®PTA r]ES ElPTS Adj.Wtr.Body Cr-k.AG-1 (nat Orik) AEC(s): DOEA DINA [jUW DSPIMA DPW5 Closest Mal. Wtr. Body Pa.MI's C-0 ORW: yes a�o PNA: yes/lp Activity Shoreline Length , 10 / i Access Length — Pier(dock)length Fixed Platforms) r l S T - ii77 Floating Platform(s) Finger pier(s) Total Platform area Groin length/g Bulkhead/ Riprap length , Avg distance offshore ` Breaksvater/SIII Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlih Beach Bulldozing Othor SAV observed: yes no Moratorium: n/a es no Site Photos: 5 no Riparian Waiver Attached: a no A building permit/zoning permit may be re Permit Conditions c. by: /X / (S �. A N e, L k;jQ�s -� G - �L r (Stale: AITS R+2 Fli 3 f/i/ln o �µ W /. i 2n 1'a./P Q. °suvz 8.Ji1LS�J c /4��/2 fb V O s/cSK/ 5(�/�L7 E'l4L4aA!5-17f 4VE, TAR/PAM/NEUSEIBUFFER (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 PROTECT AND REVIEWED COMPLIANCE STATEMENT, (Please Initial S K YvD rt .e t, 0. cyet— Agent A taut DRI Napte Permit O✓✓fHcer's PRINTED Name 'nature -Please read compliance statement on back of permit-- Sig �i/ure / / oa i /S/(v s`�/2 - '�AY/2'2— Application Feels) Check g/Money Order Issuing Date Expiralion Date r, - .,• TTIF1 ►M,11 1 Off'-° MPTIC�N FRO I R O-U!, ft�G;'A AMA: ERMIT e$ Bu"OZ,§A hYlhe Side ui North Catouo r RapadlR!egt'd[. (yv!ronrneyjtal.C�tie!!Ey 6i1 the 'Co"l, Rasa rces Cornroirsio0 i[1 n area of / envlionttlmntal pphcerii pursuant to lS Ni A SubiZapte :7K_ or NCGS.113A-163.(S) (b) (5Z_a✓. Appftarlt;Narne% y'c*'l�':} �D�,�'�`•��1 hon-N. 6Ynbel1r, Address' - 1 4 City: +:;�4�TCfC -iA'.r4 StateV/4 �p Q. R ',j LAe t[on"'(Cqurity';�,tateRoad'Ntater' y,etc.). �''! L� L�IF ��Fl.: ✓e and=byn, nsibns" :FrgjB ti., .. .. - Y Tf?e proppse?1 p6Ject to Ole and I pnstructed'as This cert(fkatbn of exemP.tlan ftoin,tlulii(ig'a,CAAAA permit f?es'ctibebapo've,is'here¢y.certified_asex ., ,tfromthe, Isvaiidfor Y2fi,ttayslrom "Qati4f1rt4uaticfl.F.oQ6wittg' §mp_ AMA' rttlli requiramei>ts, This'exeinption to LAMA expiratlon, a r9 e>Sa!olpat>ongi hopjralectagd piotel t i e may ....... parmit,rflgyireme) Its does not alleviate the necessity of . be necessary to continue this cert!ficat!gn; :Yo4tg.9 »ny othe State, .Fodpra!, or Local alS4FabriF9tfch'. ' SCALE: TS !'•�• T — T f T r T wT - 1 �• T I- Yw T T T^w•/ f• T Y' r —.- 1'',I .'�IFj . 1 1/ 11'1,1 11 1-X)1/XI 1 11 111"1 'I' 1 1 1 1"11`11 4 ii •'•'F yF +--t--+--i_-h- ;r�. fw-F...y---}--}-w+-..{-.wr--t--}:'-,. � .{ 1 ItJA,.d 1 tell �Irl nl ff' T W 'ZP . •. :.,,.. ,.,1" r.,'.'.•1.-- 1 )1 i i i 1 1. .. i I' I 1 1 i .. ��p _'. r-=r--r=-r--r--r--r--t--r--+--r--+r. --+--r--r'--r-r--r--r--+--+--r ter-' �'-r + .1 1 1 f l 1 1.' 1 .fw�.l.-.��.,,..•r--T--r�-r--r^_r_-..r�wT_-T^-f^-T^�P__T--1'_t--r_•,r--T••-T_-1--••7'!•: r `1 1 1 1 I 1 1 ' 1 it1 1 1 '1 rrk^r-Tr,��rT�.r,w_r.T�M1�-r--r__r_-r--t-_.'r_-r-_T--r-_T--f-•1_--T_-.r•--T- T_-r•�- '�,1 _ r--r--,r-1y 7w _ •. •--r--r-r-• r--r--r--r--a ' I'.1 1/ I...S .f 1 ..1: :. '. s, c. c.. ,,� •, , F--r--rr-rr--r-JE':-i�-- �` �� •- - ��..,_ _ ... _{--r--r--r--k--Ir--r--i (. - ww _ ,1 �w r ".; ., A M:�jjL �,. _� �� % .. wwj.w��-••�--7-•,-rw n�.w��--1 1__l:— (� -`'--1 --+- :I 'l• 1" = -��1 ..i..�`Jtj�/�,,'1';=�.;�-::� 'h , I 1 . , ., fL _ ' 1 �' 1 i 1 1 .11'.1' .r ' ,. l"V,'.'i`'. L:.. "•: {Q:I •1..: .:1" I 1 . 1 �1 I' 1 �1.: 1 1 '..' 1 1 i i `.., _ `• t' ;, - 1 .r T�.: 1 1 I 1 1 1J1 � � 1 Lw_Lr_L__L._:.--J "','1" ..•i �r'1• I 1 1 I i�,f�,1Y��4/ 1--}' 1 5.) _ 1 1 1 1 1 1 1 1 i-dL/ - -w--L-J--- 1-_1--1w_1w-I1�`W�{_'-1w-4_- �-- 1 1 1. f , ;1; •. ,, .1 -1 -- 1 1 ! 1 I 1 I 1 1 1 --1 1 _�{--.. �.. -4- i--4-_i w.{w_ ,.w�_-4w-a'--4'-•}--}_-+ -wi--~ 4'-^1---4---4---4 L � L L i Lw..i 4 i L iw i L 1 L i ,..• 1 1 1 1 1.. l- 1. a' Any p'eiMbo who proceeds with a development- without the con- 41,41,11� sent of,a CAMA official under mistaken assumption that'the pTI nt's signature development is exempted, will be in violation of the CAMA If there Is a sub'saquant determination that a permit was required for the develgpmetit. q MA friciaP signature ✓d^^'� Ca— ' The.applrcant certifies by signing this exemption that the 7h, 7 -L'S applicant wfli abide by the conditions of this exemption. Issuing date Expiration Date �`°N� CAMA ( 9REDGE &FILL NV 87149 /A� B C D P GENERAL PERMIT Previous permit Date previous permit issued V44ew ❑Modification ❑Complete Reissue ❑Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Co tal Resources Commission in m area of environmental concem pursuant to: I SA NCAC 7Ar // O j> "Y' / 2- s7 ❑ Rules attached. / eras Permit Rules available at the toll firk: tanyA n vov! eM owigg �3qS fix-' Applicant Name te f r t, A�-f q Address Gty N -16 d J Vf*41tate VA- zip 23 G t� ir Phone # (�?)S /-4 4S� Email M0._- 9 Eof R LL 3 Authorized Agent Project Location ( Subdivisioln""_ city Road/Lot #(s) Affected ❑CW ®HW J�bPTIL eEJ— CJ r" Adj. Win Body <` . 4 ^ 0 - 1 )� � I ( unk) AEC(.): ❑OEA �IMA �uw �SPIMA �PWS Closest Maj. Wtr. Body CQ M/l J /t ¢-. S.+•+r..ZL ORW: yes/�o PNA: Ves to Type of Project/ Activity ,.�.,__.I oIc, I Shoreline Length Access Length Pier (dock) length Fixed Platformis) Floating Platform(s) ram. Ghrif>; L �� AI, Finger pler(s) Total Platform area •sc7 = oiMeo�th/g Bulkhead Riprap lengtlengt ;_ v I� '- istanceoffshore 2 Braakwatgr,4Sill r Maxdis W/length Basin, channel r Cubic yards Boat ramp Boathouseouse/Boatlift - (� % Beach Bulldozing - --0 n Other 1 d SAV observed: yes no' J J I Li �• Moratorium: n/a yes 1 Site Photos: yes no Riparian Walvei,Aumhed: no rfr '(ItiQIJ WA Vt' A building permit/zoning permit may be required by: / r a ri Y' 0.') S ¢,<„ C9. Permit Conditions back Check Ii/Money Order Issuing w (Scale: 9M s SierS �l..taj Jec� ❑ TAR/PAWNEUSE/BUFFER (drck: one) See note on back regarding River Basin rules See additional notes/conditions on back DMPLIANCE STATEMENT. (Please ^ate c��s PRINTEDNamee S/ Expiration