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Home My WebLink About87188A - Cyr, Bonnie❑DREDGE & FILL N9 87188 A B C D GENERAL PERMIT Previous permit a Date previous permit issued ❑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. '+t General Permit Rules available at the following link: www.deq nc gov/CAMArules Applicant Name .', i (' Authorized Agent l_ Address /�i'�•' `"-�' P1<' `1 L...II Project Location (County): City State zip I j.... ,' Street Address/State Road/Lot #(s) Phone # Email Subdivision City Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/nog Type of Project/ Activity Shoreline Length (Scab , ) Access Length ■ ■ Pier (dock) length Fixed Platform(s) NMI I Floating Platform(s) Total Platform area IN Groin length/# distance offshore ■ ■ '■■ ago '■Avg ��CC NMI MKI N OEM psi A building permit/zoning permit may be required by: iY' r o. �� i (.. c. �.� ' `/ ❑ TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions ❑ 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 Feels) Check k/Money Order Issuing Date Expiration Date iawrs!1t aiz rR9 f4a}ems# �..mw, RECEIVED (TWET f i?VQ Zvi# S Inv* 24oxmimd,d 'QM , 44,.'%a.� 1'o"s o ti a•L�#`j" iQ rah'Yiji M 1p!"000ve J.`=''+&. vyty a* _ ,,yy IeQn�$ix wrtf entt,+tkt .). RECEIVE[ N.C. DIVISION OF COASTAL MANAGEMENT FEB 1 5 202� ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAiVER FORM (Top portion to be completed by owner or their agent) DC IV ° Ec Name of Property Owner Address of Property: Mailing Address ofOwner.�('-)3 ioose Nes-i Larie. Hevf-&k Lt' 2-) L-jy Owners email:CU1Y 4I-1d9 a� -� i if C41y6wners Phone#:C�70 2`�Cy-51HY Agent's Name: �� Ukr)d NVOID0I fYj, Agent Phone#: )Li 2jU -; (O s Agent's Email: ---ae U-i,t . 1ACA 1t"C6 0(,t.-Jp{jp(..[ 6In 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 drawino 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 ba 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 r prap revetments). (If you wish to waive the setback, ou must sign the appropriate blank below.) A I D to waive some/all of the 15' setback on I do not wish to waive the 15' setback requirerileent (initial the blank) Signature of Adjacent Riparian Property Owne Typed/Printed name of ARPO: 0 _ o S e 0 h �) U o m o a t2 r. , Mailing Address ofARPO:)-/Qq 6on.scwes-r- �,o 1-Lrf�-('�s�:fYUCa279`%5V ARPO's email: ) 0— u Ma;</e/Qoa+lack �oARPO's Phone#: 6.31- l0 3 i y j/ y Date: 'waiver is valid for up to one year from ARPO's Signature* Revised July 2021 N.U. UIV►SIUN OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property: Mailing Address of Ownei Owner's email: wnm e., 0-14(S;a^ mr,� , t cerr Agent's Name: ZrL,t,n s CAI-" a-ye%1 Owner's Phone#: CEIVED FEB 15 2024 Agent Phone#: - y A (0' 3 6,, Agent's Email: QS'hg jh4 . b id rn�f nrf I !ao k Cvw 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. I 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. Divislon 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 (262) 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 sjan the appropriate blank below.) I DO 'ish to waive some/all of the 15' setback / -OR- �. Sign re of Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: 7-,e el . Typed/Printed name of ARPO: C/rJ Mailing Address ofARPO: 3 �'Z �dySE 69r1e- �� i`�csj�ia i4 rTi✓er70<g6) 7Z;.0V ,?"-L o ca.,, ARPO's email: ARPO's Phone#: -y - Z Data: 2 1 7 '2�'2 `�*waiver is valid for up to one year from ARPO's Signature* Revised July 2021 < Z r f ti 1 wfW • � .' 'gym r t {•� N ,cr i 4 z , � � • � � U Y ..p at \ }� • n �1 .1 r �.• �r W a N