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Home My WebLink About87219A - Baloch, MohommadCAMA DREDGE & FILL No 87219 A B C D a �`°"'� Previous permit GENERAL PERMIT Date previous permit issued UV rp 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 _ ] Il � ` o ❑ Rules attached. t4] General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name r)-� Address <t City State ZIP :x' to I I. Phone # ( ) Email Authorized Agent 1`4 r, i I Project Location (County): Street Address/State Road/Lot #(s) i Subdivision t' �� I • City 11 • .r � 1 ZIP Affected ❑ CW [7],EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body Pk 11-v, an/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body ORW: yesfn5 PNA: yes/no Type of Project/ Activity f''J Y _� ) >noreune Lengm ..- [Ir Access Length Pier (dock) length Aw 1 ya 1 1 Fixed Platforms T - FloatingPlatform(s) _._- F Finger pier(s),_{{I_- Total Platform area Groin length/q 1- Bulkhead/ Riprap length t1 Ui-t ' -`-'N Avgdistanceoffshore Breakwater/Sill Max distance/ length •?� J I Basin, channel I _ I � —' U { Lr,-. � ...• Ir _ -_ _ Cubic yards Boat ramp 1 Boathouse/BoatliR �, 2 1 -�` Beach Bulldozing--- r Other � T t, h 1- I SAV observed: yes no 4 J Moratorium: n/a yes no - Site Photos: yes no i I �t-- •ht I T- I— 4 L_, - - - - - Riparian Waiver Attached:: ves no - _-.- ---- - A building permit/zoning permit may be required by: Permit Conditions ❑ TAR/PAM/NEUSF/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** Signdture 13. 2 t f Application Feels) Check fl/Money Order Issuin�Date Expiration Date i�,e r N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date 0 3 1 1 %T LV, Name of Property Owner Applying for Permit: plliFMf1�4 D IiAAL12fii Mailing Address: lot DPiFrw 1701> JRg2A7 �- kfEQ`c RECEIVEL MAR 2 5 2024 I certify that I have authorized (agent) f a N �C act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) at (my property located at) This certification is valid thru (date) 03 171 t0 Zts I Property Owner Signature a3 /171 20Ly Date N.C. DIVISION OF COASTAL MANAGEMENT EC E NEI: ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FO CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY MAR 2 5 2024 (Top portion to be completed by owner or their agent) ,Vi itA /,A NI A,--) 14 r2- 4 �,O L 1 t Name of Property Owner: Address of Property: ►�?�Ftwo Mailing Address of Owner: SAMt: kti A36VJ5:- Owner's email: I \A 1.1 ).3A WC k i&9 1-1-1 MAC `Olwne s Phone#: y/N Si IO I.3 I Agent's Name: MAP'kOnN05cn (A VJC ,gent Phone#: (r to Agent's Email: DCM-FC, ) (2 a 7 q t-) LI ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify thatl own property adjacentto the above referenced property. The individual applying for this permit has deed to me, as shown on the attached drawing, the development they are proposing. A �....I �,......,,i 14.11 with this Ipttp r. I DO NOT have objections to this proposal. I DO have objections to this proposal. if you have objections to what is ng beiproposed, you must notify the rv.u. urvtsron U, a�.u• 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 (Choose only one) 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 t of Adjacerif Riparian Property Owner -OR- I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Mailing Addresss of.n —�j- -- 'J {� ARPO's email:( rU U✓tiol' `- �U)4• Nz-ARPO's Phone#:7� / tZ(2 a Date: > ` Z 1 - 2 V *waiver is valid for up to one year from ARPO's Signature* Revised August 2022 N.C. DIVISION OF COASTAL MANAGEMENT RECEIVED EC:� E Iq ED ADJACENT DRMARIARPROPERTY R RN RECEIPTNRE UER OESTED orOHANDADELR DELIVERY �+ V LJ CERTIFIE MAR 2 5 2024 portion to be completed by owner or their agent) (Top p l_ 0 C N ' E �i f'IDNffM nhD • Ff- g Name of Property Owner: �C� H f TF0 AJD I V. G� (b� R FTWooD N C. 171yci Address of Property: Q b^- p . Of R f. , h Ad I f—MOP D Mailing Address of Owner: r - 9iQ & Ind y 8 LOC Owner's Phone#: r Owner's email: Agent Phone#: Agent's Name: Agent's Email: Bottom ortion to be com Ieted b the Adjacent Pro a Owner) AD.IACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION adjacent to the above referenced property. The individual applying for this I hereby certify that I own property 1 the development they are proposing. A permit ha described to me, im shown on the attached drawing, descr f n or drawin with dimensions must be rovided with this letter objections to this proposal. I DO have I -DO NOT have objections to this proposal. ou must notify the N.C. Division of Coastal ro osed, y Correspondence should be If you have objections to what is being P S of receipt of this notice. m writing within 10 day NCI 27909. DCM representatives can also be Management (DCM) objection if you have been 252 264-3901. No response is considered the same as no obj mailed to 401 S. Griffin St., Ste. 300, Elizabeth city, contacted aCertifi d Mail. notified by WAIVER SECTION (hobreakwater, boathouse, lift, or I understand that any proposed pier, dock, mooring pilings, area of riparian access unless you s4 s by en to bulkheads or s rn revetments). (If you wish to waive the setback, Y s qn groin must be set back a minimum distance of 15' from my this does not a I the appropriate blank below.) Mr► _ P: I DO wish to waive somelall of the 15' setball Si , , ---cent -OR- I DO NOT wish to waive the 15, setback requirement (initial the blank) nature of Adjacent Riparian Property OW L hk Sig , :-A . `Yda /A TypedlPrinted name of ARPO: Mailing Address of ARPO: L } ra��ii vG ARPO's ernarl• a ear from ARPO's Signature" ar z -"y "' V? °waiver is valid for up to on y Date: %j � / 'Z� Revised August 2022 ��' cm^ i j A TI P �I 11 1 f yj tI 1Lr�' i,{�{ ry /`�.`t'16� t� �,N 4t � y Mh� { � 11 9T�r1 �� ? i4� 1,�, 1 •� ' V 11 "'ji �: ; �f� � � ,� �j� r ��, g .� � _ � .,. �; ,:�. <, ' s �. k ��t ,i,t4b :d� Iit t, iTor- I i