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87189A - Junker, Kirk
�`"" CAMA F13 DREDGE & FILL NO 87189 O g e 0 PreviGENERAL PERMIT Datepreviouus permit _ I�I'1�Y1 Date previous permit issued �----��y --- ICGENERAL �Modi(icatiou ( ]Complete Reissue (_]Partial Reissue Ac atAte, smd try the State apt )N�wIh C.AroLno, LLnl+a iownt of FnVironmerital Quehly and the Co u of Resources Commisson in an area of environmental concern pursuant W I SA NICAC,„,.�.,, . LLtt,„£]->>--L..°t. %,.�..�{.�_ .. _ ._ _... r..,..� Rules ntlachet6 I Genorel Permit Roles available acthe foibv+ing GnIc wvwdeo ncgpy_ICAMA,u4es .APpRcxn[li'arr� yr1#f t•. },f�.:(-' Authorized Agent... Project Lamnon(Countr):_l.� 4adn t-7,_}.,.T."n,„l.__ gate __.. ..._. ..v._._..___., zip So -a. t Addro^s(slSdte {toadJLot #(a),v___.___ ea 6tg .Cte?r` Rol. enray S„halAu,. __ __�...�.._....� w.A,-,,Wd j...1CVV qq W U( nES �PTS Adl Wu Body— AECas2 .�0•€A �IHA �UW [:JSPIMA E]PWS Closest Maj. W, Body_ H�VC£l'ltzr-ti2 �XSXSt :...,®, C3hYM.sre<�yr PNA yesjuo Type oflarojeetjActivity t s {2'v1-5 �aaa1 1,±r ®_ (Scale: N Tra ) a_ a A.. sv tervzth _ la, $iK wee. ng r�t _r r p _ 33i's'.iaadj Riprp tenth _'• __,__� fL \ _�. ' #,rs d;stance ofsho'e f2a'twa:erjSil� :. i — Y _ x'. _r_-'r_ "* .__•- .`-_ _.... r _ # : fhudsiaxe/1enfth_" ,_ . .__ u i _.. ..._ �..." � �twry $raonal, t t . Fic,at ramp i t eRt iKe fi''___ r -�xh?✓aHdozing '.` _i`__"'� r n_ i -f ` - � ; ' r _„ ..�, _.... 1 SAY ab'xsrcd Wal ••TvSgroiotfllfn[ Yes n0 E"'-.6 It A u Midirtan Waiver Attache@: yes noMM A Ixelding peirnitJzenng permit may be required by: %bld...aOUn_ L�:ary � TARIPAMINEUSEIBUFFER (circio one) See note on back regarding Rtwr flash rules See additional no4esjcand parts con bock I ARE OF STATU_.T.rE-S�. CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJ£CTAND R£AEWED COMPLIANCE STATEMENT. (pteaselIn0al)_t' ... N rtf'R'NT£DNam Permit is M PRINTED Nae 'lure a ea read compliance ement ors bark of pcimrt" S%nature s,.; : Application Feels) Check#(MoneYOrde, t nmgDate Zxtsraoten TYate ,.. [NCAMA ❑ DREDGE & FILL GENERAL PERMIT ® New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue NO 87189 Q B C D Previous permit Date previous permit issued As authorized by theStateof North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: �-p I SA NCAC 1 , ( °too ❑ Rules attached. 14K General Permit Rules available at the following link: yyy .deo.nc gov/CAMArules Applicant Name K t r h. ,-,rn Y-e.r Address lT6CaL clrt .e� t�Gl City Frl-efykoil State INC zip 2-19 -kL Phone # (1103) 5oS — 2o41 Email K% r k'ati+. YlJ+r"I ah Authorized Agent /� Project Location (County): Cko w0.vS Street Address/State Road/Lot #(s) 3 a1 '�bc,4t4 1-6 cAc C -eA Qol, Subdivision �1 City zip Affected ❑ CW ® EW N PTA ❑ ES ❑ PTS Adj. Wtr. Body 0-h0k,J I :%ye.r 'man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body _ A ORW: yes t& PNA: yes/re) Type of Project/Activity YtSic,A 12' y 13r boaF ji4t (Scale: NTS ) Shoreline Length Access Length Pier (dock) length —' (J 2;}`/� C•'D, n'SW' r� Fixed Platform(s)_ QpJ(� ��'(Y�4 • Floating Platform(s) Finger pler(s) , Total Platform area _ Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse oatli )Zr k 16, Beach Bulldozing Other /V kv Z q SAV observed: yes Moratorium: �yegs no Site Photos: V noT Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Ckewa[^ 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) C .4k'c Ci I o t,,AreR Agent or Applicant PRINTED Name Permit Offi7cq s PRINTED Name � Signature "Please read compliance statement on back of permit" Signature/)v ,/ I,'vl� fz�n✓,/f� 144bo. Cau 2 41 /zy (149 /ay Application Feels) Check #/Money Order Issuing Date Expiration Date o��cour4&❑CAMA ❑ DREDGE & FILL N9 87189 c,A) B C D Previous permit ; GENERAL PERMIT Date previous permit issued ©New ❑Modification ❑Complete Reissue ❑Partial Reissue 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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.cIeq.nc.soy/CAMAruIes Applicant Name - Authorized Agent - Address Project Location (County): (r City State ZIP Street Address/State Road/Lot #(e) Phone#O i ;.p,. 1 ii Ci Email Subdivision. City I'" ..' ZIP - Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (..4'. .. (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: N (` ) Access Length {r3r — Pier (dock) length �1 i. i� Fixed Platforms) r _ Floating Platforms) I_ _ _ I _y.,_ Finger pier(s) Total Platform area Groin length/!i fl - Bulkhead/Riprap length - —' -- ----.--- Avg distance offshore- Breakwater/Sill I i - Max distance/ length Basin, channel i -- —J i i � I Cubic yards Boat ramp I Boathouse/iBoatlift Beach Bulldozing Other— i SAV observed: yes no C Moratorium: n/a yes no Site Photos: yes no — Jl Riparian Waiver Attached: yes no 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 Feels) Check q/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: 1 k2l / / Address of Property: -32 Ile, ,G Zi eyt /Ir/ 14clhir%G' , Mailing Address of Owner: Owner's email: 1r,4ludker %1 ,0- aste'i% cr, + Owner's Phone#: 7G3, 6%h 2 /JY / � Agent's Name: rc , / y Agent Phone#: 9. 6 Ad 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 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 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 sion the appropriate blank below.) I DO wish to waive some/all of the 15' setback Signature of Adjacent Riparian Prol5ertyOwner -OR- I do not wish to waive the 15' setback requirement (initiiaall the blank) —� Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: 4,1�rjl 11 / 115 r �1 Mailing Address of ARPO: /Yze,f , ARPO'semail: /rr/lv <rrivl ARPO's Phone#:i3 �h�337G'E5 / Date: ) / y;,- Y *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM tsfmf�II1-1LL) fi9ftEta;RL 7N„REGL`IPT Rh UESTED or NAND DELIVERY (Tap portion to bo Completed by owner or their agent) lye tiliowoff'tY7$'rrt}°Oeai r titlif$t'.T+4rf f'f U(4`.t tyC--�_-..........1fJJLG ir'.--1'.-�=*. ti� . Y'_.r P.L �LJ`y.. .� 5�i ,rU Ad(ci-. ; of oiioer S!�'.'`,R.... ....�.. .. _,. .i.Owner Pone:?, =o n-_j ? r Z<'%/ -_yt Au-oat, N cote' Agent Phona# .-_. l 01 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION C" 1' ^" J �f {BnttotnA)ociion to be oomrafetcd hYtldc� Ari'acerit Proporty owner} I heirelly cerfify that I own property adjacent to the above refcrcincod limnerty: The individual applying forlhcs jre;aatit has duscnbed tonne, as shown on the attached {drawing, the development they are proposing, A descr fatinrj, or cirativin th tin7enstans must he nr v ded with INS "I,cttor 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 Managementl(DCM) in writing within 10 days of receipt of this notice. Correspondence should be madded to 403 S. "Griffin SC, Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. No response is considered the some as no objection if yes have been notified by Certified A9ail, WAIVER SECTION (Choosy offal r_one) I understand that any proposed pier, dock, mooring plintf ,, boat ramp breakwater, boathouse, lift, or groin roust be set bark a nummm distance of 15' tronr coy area of nparian access unless waived by me (this does not.,iipi,,Lto bu(kt�e rtl>Or"rayrap reyetrnents}: (if yo€, wish to wawa the setback, you olust sffiLl tha appropriale blank below)--Docusigned by I DO wIish to waive someiall of the 15' setback Si LotwfteJAw oot(. tiyiparian Property 0kr 'oar �I DO NOT wish to waive the 15' stttback requirement (initial the blank) 1, iA a' Signature of Adjacent Riparian Property Owner; �� vo y p N 3 Y (7 um T N P N U U �uZ o u��a c � � noa Y p W 3ry ro O O Mom I A do, �f ��� b ��J �(y ��}� ��� .;� !} i �. fiT �')'� '�" " _ `.�� • i ;,. 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