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Home My WebLink About87077A - Eure, Michael#[7,lNew ❑CAMA [IDREDGE & FILL N987077 (A) B C D Previous permit GENERAL PERMIT 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: ISA NCAC ❑ Rules attached. M General Permit Rules available at the following link www.deq.nc.gov/CAMAmIes Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot#(s) Phone # ( ) Email Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ORW: yes/ -Op— PNA: yes/5a Type of Project/ Activity, (Scale: (V i:+ ) 0 No ■ .ME■■■ mm■■■■mm MEm:mm■■•m:■� ■ ®■■■:::: ■■■ ■■■ ■■ ■■■■■ :o:mm:■■�■■■■.mm 0 SOMEONE INa NEE C� ■. ■■■■ Breakwater/Sill i Max distance/ lengthMM►ON Basin, channel Cubic yards ■FO a :m 0 �:a MOSEMEli NJ ! a Imam a 101110 0 MEN 0 kill EMINIMS V�'!l91�OMpam M on am MEE 0 ■■■ :m■MJ ■m ME■�■■:F�.r�'i1�C�■1m ■E■ ■■■ ■■■■u ■■■■■■■■■■!3ME ML9 rla cif. ■■E ME ■MEMO ■ ■!II■■MEMM■M ME ■■ a■m■E ■Eo® :r g�tls9■■E■ EE M: E:mME■E■■::::■ Non ME ■�■■E■■ ■■DEEM ■■ ■�!■®■O .00M■M:■gM■■MO�EEM■E■�IOIIiSim inn O■ Ill■■ ■..:gym:::::■ •,■.. No A building permit/zoning permit may be required 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 Signature **Please read compliance statement on back of permit" Application Feels) Check q/Money Order Permit Officer's PRINTED Name Signature Issuing Date Expiration Date 1 Sa.&"comr,'&KCAMA ❑ DREDGE & FILL (4®) GENERAL PERMIT NI? 87077 O B C D Previous 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: I SA NCAC '71' ' 12(�o ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name 1 F itcfka e I4Fm k UU Ef t-rr-e- Authorized Agent Address iTO BeeCAL'X:nJ Sk r4ePs Or, Project Location (County):, Ci City I 1 1O de- State N c ZIP 27 9 5 b Streeet Address/State Road/Lot #(s) �I NJ *L LI " O ':)('R ' dOo l Phone # ( ) ILed Re,^ JCS Email subdivision Laity td ZIP 2.% 9 7y Affected ❑CW ®EW ®PTA ❑ES ❑PTS Adj. Wtr. Body L1ff JQ—iyer- man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body A I b'e ProLde '�)LA ra ORW: yes/no PNA: yes/no Type of Projedt/ Activity `Gr5 yu4 a fie, Fir -A 6' Die r- w ti $o'K(.r �`e_r IZ.`xre Shoreline Length Access Length Pier (dock) length GV 1 Klo r } Fixed Platform(s)kl(or�— Ifiyr X 10, Floating Platforms) Finger pier(s) ^ Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel 1 Cubic yards Boat ramp Boathouse/ il f (Zr 1 Beach Bulldozing Other 7 v sh)loi iPr SAV observed: yes (9 {� Moratorium: c s no '; L,Y i Site Photos: no a'.+� Riparian Waiver Attached: (a ul`i( ( A building permit/zoning permit maybe required by: AS �3c•4N'J`c; Permit Conditions PROJECT AND REVII T. Agent or Applicant PRINTED Name Permit Officer's PRINTED (Scale: NTS ) J\ N ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Signature -*Please read compliance statement on back of permit" Application Feels) 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. Address of Property: 1_1 Mailing Address of Owner. (s �✓dt%/Gi St tCy �� S �P// MVUrLt�G- h C' Owners email: /111,4 Owners Phone#: aSa,� S�a oav Agent's Name: Agent Phone#: Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I herebycertifythat 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 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. unnsion or uoasrar Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Gr ffin St, Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 26"01. No response is considered the same as no objection N 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 seta k, you must sign the appropriate blank below-) DO wish to waive somelali of the 15' setback - Signature of Adjacent Riparian Property wrier -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: y Typed/Printed name of ARPO: 1rl�YS�Cp�� 1�'V�1C��u`` �t Mailing Address of ARPO: � `, C1_f hlt 1C \ tC ARPO's email: Date: &U% ebt6.hrvrt ARPO's Phone#: 3 t 10 3 1 j o 'waiver is valid for up to one year from ARPO's Signature Layden Marine, Inc P.O. Box 1125 Elizabeth City Ne 27906 Revised July 2021 DP1IV ■ Complete items 1, 2, and 3 ■ Print your name and address on the reverse So that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: �Ar�w v F n •L. LL L 2o(loT Mbervlew Or k Lr�uS , rYt Get sun `I056 Il l IIII�I I'll I'll lllf I'Illfll III Ills Il III I I III 9590 9402 8085 2349 4992 43 7017 cE @h toV" 4ZZS 5822 PS Form A. Signs X ❑ Agent B. Received by (Printed Name Addre. C. Date of Deli �. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: 13 No II 3,. Service ❑ Adult Signature 0 Priority Mail Expresso ❑ Adult Signature Restricted DeliveryO ❑ Certified Mail® Registered Mail•fl Registered Mail Restricteo Delivery . ❑ Certified Mail Restricted Delive ❑ Collect on Delivery ry O Signature Confirmation*a 7 Collect on Delivery Restricted Delive 1 Mail ry O Signature Confirmation Restricted Delivery 1 Mail Restricted Delivery -. _500� ) - —�—�- Domestic Return Receipt i - M1 Sent To O SiieelenifApc-No:, o'i A6Hdxi✓o:-------.- crry, crate, fi6da................................:. 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