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Home My WebLink About87143A - Turner, Forrest❑CAMA ElDREDGE & FILL N9 87143 A B C D Previous permit a € 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: I SA NCAC ❑ Rules attached. n General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Address _ City Phone # Email State 1 ZIP C- `i Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) } ;' 1 l 0 Subdivision City ZI Affected ❑ CW ❑ EW Q PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: N a ` ) Shoreline Length p ■ ■ C'�CCiCC.CCC��'C:C:..0 . �. ACIP.®�iii an .. Groin length/# Bulkhead/ Riprap length Avg distance offshore distance/ length Basin, ChRnnpl Cubic yards Boat ramp:. Boathouse/:.. Beach Bulldozing ■i - ' rr ■I N ■wn■'"ii ■Max ■ i ■ .... :: �: �■■■ ■ M■■�■■....: ,.. ■ �_:: .: I�:■�::��:CC ■■A■■■■■■■ ■■o■i ■■ ■■■ ■■■ME IFEME Ila 0 ME MEN ■.ME .■■.■�■..�■■ . :■■■■:iME � i '::MS A building permit/zoning permit maybe required by: 9p1-�., 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. Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature•*Please read compliance statement ,/backof permit-' Signature Application Feels) Check A/Money Order Issuing Date (Please Initial) Expiration Date 1 � __ - ___ �j J - _ _. __. �9�` �i �i P ��_- � �_s_ AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Name of Property Owner Applying for Permit: 1 o r r" s"r -c Mailing address: Telephone Number: S.2- 333-- 5 I certify that I have authorized LSlaytds Skid (,'aMpCil6T (agent/contractor), to act on my behalf, for the purpose of applying and obtaining all CAMA permits necessary for the proposed development of J- COVPr&d bb<bl' IkFt w ,-th at my property located at f 3i7 L, _i+ 1 c �Z d. r ��: _ F I; 7 �i b A � C; This certification is valid through (Property Owner Information) Signature Print or Type Name Title, co. owner or trustee for property 20l'I Date Telephone Number 7 Email Address RECEIVED FEB 2 1 20A DCM-EC (date). RECEIVED N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM FEB 2 1 2024 CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) DCM-EC K Name of Property Owner: �� t4'e `, - • L" t �(` Address of Property: 7 �) �� o ct� 7r C I;zrk,.�;+.( (dC Mailing Address of Owner: 1 �17 lJC J /,I(, Owner's email: "�E `� rr• e+`_ ( q, (" V A kcc 'Owner's Phone#: �) S 2- ._ 3 ; j - 5 `1 I v/ Agent's Name: klardS�lt� �Ann 11 LLC Agent's Email: 15(O.rt(�ASh,I d Co (� r] nA o_i (• G Agent Phone#: 7 5 7 - -Tb5 -4-65 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 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 ManagemAnt (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 15from 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 Signature of Adjacent Riparian Property Owner Iffla I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner:, ti T< TypedlPrinted name of ARPO: '!t Mailing Address of ARPO: ( ARPO's email: W1L67"-(e ARPO's Phone#: SCCn a J jd ^ Dater 6 *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT "CEI` ED ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FMW4� C V C CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY FED 2 1 2024 (Top portion to be completed by owner or their agent) Name of Property Owner: / ~c ri I --s I K>> V I c" ' 'r (( LaCM-EC Address of Property: 1317 L:Yl,t_ (\ide< �_��izgbbiIj Mailing Address of Owner: �✓c f` r 8i Owner's email: 'f' f`Ir,Ne,, I N--' A) L0 -C""Owner's Phone#: 2 51 -33 3--S-2I %-/ Agent's Name: ISM (1 Y\C1 (< J, (OM�AIky Agent Phone#: IS Agent's Email: Co M 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. 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 Signature of Adjacent Riparian Property Owner a I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name ofARPO: INA51YIi14 /-L .17-FVEK/3dN TR Mailing Address of ARPO: 1 3 /1' z t JTLe Piyf-A 0/1 L-oAl` un fit Tj PVC' -?io ARPO'semail: )>bars/g)(IE(,E✓Tc2Ytiiue,NerARPO'sPhone#: .1, -- 33I-526% Date: Z (J 2' f *waiver is valid for up to one year from ARPO's Signature* Revised July 2021