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Home My WebLink About87153A - Yancey, William"`°""' dCAM{8 ❑ ®KEDGE & FILL GENERAL PERMIT dNew ❑Modification []Complete Reissue []Partial Reissue No 87 S 3 Previous permit Date previous permit issued CA B C D °V 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 __ 0V1(4. IZ.00 Rules attached. dGeoeral Permit Rules available at the following link: w.vwdeq.nc.gov/CAMArules Applicant Name(AI i (� \ o.Wc51 ; QN GP, _ Authorized Agent a G ei Address ` Yf1J5�e5 d Project Location (County): 3inY r City �.IC�,Mn r�h.R StateyA ZIP Street Apdress/State Road/Lot 124bcY Phone At tea) ry9b- 19ST(_ ___--.---- Email Subdivision __ __._ City Du(:k, zip I.19j9 Affected ❑CW MEW O PTA [�fE5 11?fPTs Adj. Wtr. Body rr l+VfA-1 C,nuKd &1nJunk) AEC(s): 1-1OEA EJIHA F]UW E]SPIMA E]PWS Closest Mal. Wtr, Body CVrrITUa1G SntatftA oRW: yes, PNA: yes Type ofProject/ Activity Vemrntle •vi L eko Ill 6�rm J�p COS �YUCJi GtZ I adr Fa L r r '1 2✓+ >< 20 ii .a �I ,r 18 i 1 hp e.'I' 11 I'•{'s 'L r•�y �i (�,A (scale: t'ts 5o ) Shoreline Length Zdga Access Length 1� Pier (dock) length 4' Y. LnA' Fixed Platformis) Rh' U 1O Floating Platform(s) Finger pler(s) Total Platform area 40n Groin length/N Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin. channel Cubic yards Boat ramp Boathouse BaatliR 2 12z s Y I:i Beach Bulldozing__ Other L pi116±1�63 Gkr+ S' rur,'ures paovogEm %0' ZO' s<Q4kT(-oRM Cp"it.op45E.a pier A PlaifUvm 1$IuIZ, a. t aoaYt,lr-ms cam) e d ekv 1-V 5 Yyz,5t svik odict Su tkl.cds.d e MOVIOCA �# bava,A oheA 4 VAv vr.5 CL) SAV observed: es no Moratorium: n a yes no e e Site Photos: Cjes no Riparian Waiver Attached: no " A building permit/zoning permit may be required by: Tnt.1 Yt p� a CAC„ Permit Conditions L _ if CAF]1_ e�I i,e.- Signature "Please read compliancestatement on back of permit• 4 a00 . o o Application Feels) Check g/Money order 5pe� twwlvtsd) I TAR/PAM/NEUSE/BUFFER(circle one) See note on back regarding River Basin rules See additional notes/conditions on back CD REVIEWED COMPLIANCE STATEMENT. (Please Initial) Ma,41e M1 aI Permit Officer's PRI TED Name Signature Issuing Date Expiration Date Jr4"°r" LJCAMA ❑ DREDGE & FILL N9 871,53 Q B C D GENERAL PERMIT Previous permit Date previous permit issued dNew ❑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 0-04 • U 0 0 ❑ Rules attached. dGeneai Permit Rules available at the following link: wwwdeq nc.fov/CAMArules Applicant Name IA) r (_ 1 t �,NA`` f 21n Gf--L4 Address 2 �2� u GQyLT i�J5 �d0.d t` City $!.1G0%.MA c, ct State. V A ZIP 2.a2 2A Phone#() 3917- i9(o Finail Affected ❑cW MAN RJPTA s fES [�fPTS AEC(s): ❑BEA ❑IRA ❑OW ❑SPIMA ❑PWS ORW: yes no PNA: yese) Type of Project/ Activity t Shoreline Length 2,5toa Access Length 1" Pier (dock) length GIX lnba Fixed Plallormis) 1.6' 4 ZO � Floating Platformis) Finger piers) Total Platform area 4 0n , Groln length/N Bulkhead/ Riprap length Avg distance offshore _ Breakwater/Sill, Max distance/ length_ Basin, channel Cubic yards Boat ramp_ Boathouse BoatliR 12a s Y_ t:i Beach Bulldozing Other 2. n� tUai'E'1 N. �. Authorized Agent 9 E. 0/ V- I -A ,, Project Location (County): Street Ajidress/Stale Road/Lot Pis) 'n UAL n02X _ Subdivision - City V1) zIP_2't949 Adj. Win Body Cg jr-ri4u6!L SGnUv CA aV anAmk) Closest Mal. Wtr. Body C.UVfri}U4-- SOUTA� 6x s% S+rtl ct.0 rc s PROV00EP 20' �W zu a f 1.AT CbB.M F .`61*160 PIISVL pi CC q PiatfDVIrA PQ.OP05BD 1a1kI31 • # I 40ATI-W-175 L2) ' SAV observed: (es?no Moratorium: n a yes no Site Photos: c2p no Riparian Waiver Attached: no A building permit/zoning permit maybe required by Permit Conditions * pIrA Tell Ii he,5 f AM AWARE OF STATUTES, CRC RULES AND CONDITIONS TI Ag or Applicant TED Name Signature "Please read compliance4aternent on back of pe Aao0.0! o r 1 13 1. a_( It, Qll��d Application Feels) WecK a/Money Order Issuing Date 6 all t-I' S 6yai< $vIONertd (Scale: t' Is 5c twalvad) ya� 1 :60mrDLWaA;"�- 4 st lkl.ca.d t�o�_ MOVOSILD PIVOTf1F1C DAv ITS C-0 ❑ TARJPAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back )MPLIANCE STATEMENT. (Please Initial) ,41, . sAl TED Name. Expiration Datc AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requeestin/g� Permit 'I% n 02�. Meiling Address: oCt1151��- h�,\ Phone Number: �A-`i _ ? go - Email Address: I certify that I have authorized WQF, m Y—kn- Agent i contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ' i1C 1 f ;C I If at my property located at �+I t I( 11 nn A in eDF_County. 1 furthermore certify that 1 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. Property Owner Information'. T Signatur A, "A - Print or Type Wame nw u Me fbIGRlZ Date This certification is valid through Revised Mar. 2016 ;� Ti e 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. VA'1IVIQLM L. 1 Address of Property: 13M DAL V K� " I 1 CAL- NIC C 1rl "09 Mailing Address of Owner: '1 ^` ` ' f n `'�t 15 1 C� KA f kMao Cyyl -V Owners email: Owners Phone#: 4 3q- Agent's Name: >\i MCl t flf Agent Phone#alaaLDD� " � Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent 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 escri Gon or dra i ppwith dimen ' ns st be Drovided with this letter. I :z b;r J �l �011 to I DO NOT nave objections to this proposal. rm I DO hatve'obJectin slro this proposal. houSe- 2jcv D) S If you have objections to what Is being proposed, you must notffjr the N.C. Division of Coastal Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be L` C f.t� 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 ff you have been notified by Certified Mail. WAIVER SECTION (Choose only an I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lit, 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 riorao revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) 100 wish to waive some/all of the 15' setback Sfgnatur A nt Rioarla# Prop wner -OR- I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: i/d. ��%�fl x� • r. �/i. J�/ _4116 Typed/Printed name of ARPO: Usabb I it �rn /vn cn S� ht ��LL '/ Mailing Address of ARPO: fn m 1nVa i�3d-d_ I ARPO'semail: ( 4gb g,,qklLrn ,1,.ig� ARPO'sPhone#: g y"30)'ay4.,), Date: l ��I d d d.3 *waiver is valid for up to one year from ARPO's Signature' Revised August 2022 M N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER 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: Mailing Address of Owns 'R3aal Owners email: v Owner's Phone#: L1311 `` 5+ - IQg 4 qc Agents Name: N L 1'r16i1'�I�n-e— Agent Phone#: a 5-J -,9Co 1— 31D bpp ;1, Agents ADJACENT RIPARIAN PROPERTY O NEWS -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 dray n w dimensions, s mutsstt beprovidedfor e . 2 �C = KI DO MOT have objections to this proposal. ttb 1 100 have objections two this proposal •"'"�. lr you nave oplecrions to wnar is using proposed, you musr nomy me iv.c. urvision or coastat Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S.iGrffSn 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 (Choose only on 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 riorap 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) �J Signature of Adjacent Riparian Property Owner: TypedlPrinted name of ARPO: J el'�F 16 0iu Mailing Address of ARPO: f ,�v 05S14 97 702 70 ARPO'semail: D ARPO'sPhone#- Z74 V'72 %2i 3 Date: one year from ARPO's Signature` -� A.U:vu22i� PBX �? G�Iq-it C'rr� Revised August 2022 ./ 3 a 1 coolb �agg��S��a€g�9 if Kayo°tea A n4.a At Q! raj 9 Y 1 �99i; iplAAEppBe��®@pF4 I a 1 sx a REMMBIMAnON PLAT WULUK a YANCW & CAROLYN n, Remxei xrxaxmirwnwcl ax - B°0M PC-1 Pn 3w (A) INN avpt�Ryarama �� x..cw.µxe rwrmalm i.n�u.wT`r.`m mm y DOJO