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Home My WebLink About87180A - Lane, Kimberly❑CAMA ❑DREDGE & FILL No 87180 A B C D Previous permit 3 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 c -I I.A. 11❑ Rules attached. General Permit Rules available at the following link: wwwc1eq.nc.gov/CAMArules Applicant Name o i , , Address j J) Q. 'aI 1e , _. ,(,t C!+ CityE�E��r. State 1,' ZIP_„t 'J ��'T��:::T Phone # (5t4) 15j e (9 ) C-, •7 Email Project Location (County): Street Address/State Road/Lot #(s) Subdivision 1, 1 1 k :Zi V. C' r City M ZIP ;ems' z Ad Wtr. Body t ,i * ( r �1. a --{ {� _ na m2A/unk Affected ❑CW �EW �P7A ❑�ES ✓ PTS 1� Y 1�"° �, "' "> - ( �_, ) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ti� o f �'� + 3 r ORW: yes/6 PNA: yes/& Type of Project/ Activity I �Zi f � L� ,,, ( i� 6 c (Scale:) " =20 ) Shoreline Length Access Length Pier (dock) lengthIf Fixed Platform(s) —__.. i --i_-- —r—�_.— _ ' --,'( i- "( .. r � L^, •- Floating Platform(s) Finger pier(s) �,. -.._ _--r I _. — i - .__ r — Total Platform area Groin length/N Bulkhead/iprap length 't r, ' Avg distance offshore Breakwater/Sill Max distance[.length. 2_ ' -- ---�— -li— > > --- — J- — _ — - ------1-- — --- — — - Basin, channel Cubic Boat yards ramp Boathouse/ Boatlift Beach Bulldozing' Other _'__ 1:t — - - --- — - - SAV observed: yes Moratorium: ,n/a yes no Site Photos: "" yes no RiparianWaiverAttached: 'ves no ., T — I 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) Y Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature -'Please read compliance statement on back of permit" Signature Expv"atidn Application Feels) Check JJ/Money Order Issuing Date - Date F�;" C IVED DIVISION OF COASTAL MANAGEMENT rt814W4 owner of the property located at: /Y\ I S.I P PertY / (pro }(.1 � �� (prcp�t -'aaarus�CIL do hereby authorize acrng as agent' to act as my agent for the purpose of ob =n` =Daded 'Cc=,.al -Area Management Act and/or Dredge and Fill Act permits, that may be n =_^posed development at the above - indicated property, which entails: (describe proposed development ;or which permits are being This agency authorization is limited to the specific activities described above, and will expire on: (date on which agency authorization expires) /,-,) l6� (dare) (rtle, if officer of core. owner or trustee for property) 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) FIVED Name of Property Owner: R m be'i� � 4L i EB 1 4 2024 Address of Property: l M �j� 1 1J'�y j� I —I/� �j l,jl Mailing Address of Owner: 'I1 Oq Ko � t"`o'WK I vEI� I96 Owner's email1-,1i ft %2vu fClnn,A OVO��er's Phone#: 5�(�-5a / -1o707 Agent's Name: R'rr_14_ AW-69n &O wt. Agent Phone#: 2133 D 3 b� 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. '241 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 some/all of the 15' setback VIA Signature of Adjacent Riparian Property Owner -O R- I do not wish to waive the 15' setback requirement (initial the blank) T) le V Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: t q 2`s l- -V7-0S-T 15irL Mailing Address ofARPO: C)C- AJL �ft -7p' ARPO's email: L e �o s te,nQ ARPO's Phone#: 743-7 37(- 00I6 Date: 2.-2-20-2-0t *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 EC RECEIVED t8 1 4 202 N.C. DIVISION OF COASTALMANAGEMENT DJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM _.. ___ ,,=n,..uonin nPI (VERY 3)Civt_EV (Top portion , to' be Completed by owner or their agent) Name c ope ty Owner .L11(YY�I .— ' 'I -r Address cf Property: Mailing Address of Owner. �! Cwrar's ema:;: ( imr ,�IfQnn•J ` j s ?hone# 0 %1o�/ Agent's Name: K i Coy __tt�J,1SCi3%_�+r Agent Phone#. Agents Emai ADJACENT RIPARIAN PROPE?T' OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner; 1 hereby certify that 1 own property adjacent to the abcve referenced property. The individual applying for this pe.*r 'aas described ie me.. as shover, on the at'ached drawin:g.:7e development they are proposing. A descr oticn or drawing with dimensions. must be prowdec wit~. I s !eite, J i DO NOT 'nave objections to this proposal 1 DO have objections to this proposal. !f you have objectroposedyo ions fo what is being p, u must notify the N.C. Division of Coastal Management rDCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, ABC, 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. WANER c_r 'ON 1 understand that any proposed pier, dock. m a.mp,, breakwater. boathouse, lift. or gro^ cust'ce set back a minimum e c c` paean access unless waived by g !ibis Ices ❑ct apply to bulkheads c"'� z� e•� - - ,: sn ,o waive the setback. you mu54 sign the appropriate blank below I DO wish to waive somelall of the 15' setback , ; r/cam.;.-'oaran Property owner -OR- I do not wish to waive the 15: setback 'equ!re^. e . __ a1 fne b',ank ✓� S,gna`._.-e of Adjacent Riparar Property Owner -Z T 1' 11 Typed/Printed name of ARPO: ✓ \.I 0 SZ Ill I" a, ck Nc a�rysg Mailing Address of ARPO: ✓ �� I 1�, � 5� � !` ARPO's am(!1:tush,dwtta,tti W 'ARPO's Phone*,yDate: ✓a waiver is valid Ycr up to one yearfrom ARPO's Signature* Revised May 2021 ®..-ClIr RECEIVED FEB 14 2024 oCM-EC �5 rlx,-