The URL can be used to link to this page

Home My WebLink About87287A - Peedin, Janet❑CAMA ✓ DREDGE & FILL N9 87287 A B C D Previous permit 61 3 3 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 _' t l 1 (; L ❑ Rules attached. 0 General Permit Rules available at the following link: www.deq.nc goy/CAMArules Applicant Name 3 11 11 6 .4 -1 41- Address r� r I4sj•+a;+.- li r 1 v P City - i State i-A C ZIP z ''7 ) -/ /-/ / _ Phone # O => - 9 1 99 Email s l+ Affected ❑CW EW ❑v PTA RES PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no : PNA: yek/no) Type of Project/ Activity Authorized Agent 1" Vl k.(%e... ,1 ;k1 i ivt �x=:�'- y Project Location (County): t - •� v- Street Address/State Road/Lot #(s) C)_ IV, Subdivision City ZIP Adj. Wtr. Body inn k 1 v e < (ri�tnan/unk) � I Closest Maj. Wtr. Body (),s 1J14:, l- (Scale: I"..4 b, ) c � 99'�9�E9� �99 -` ....9 Floating Platform(s) �� ■ i��■ I ■9�■■� �9A■ 1�9Y��r ■ Finger pier(s) 9■99 Total Platform area- Groin length/# Breakwater/Sill Max distance/,length -2-1 Beach Bulldozing Other ■ iM9 ■■9■■�■■�I��■■■■9■■ ONE ■#�■■MONO■ �9 99■9m999�■ 9 9 Nor IMM ■■■99, ■■� . '�999 C..0..... ®99999®991 ■9■ 9..99 . Ll�1A�■■■� NrI� �i�.9999 ..�N: MO, .0 SAV observed: yes O�Do n/a Site Photos: Riparian Waiver Attached: e .9.n Nl9M ..Moratorium: 99C.�I99 9�■9�C9s N19�1■■■ _ I�.■■■.� 19 ■9 999. A building permit/zoning permit may be required by: c alai A Erin C: e . ,�A ( ❑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) AgentorApplicant PRINTED Permit Officer's PRINTED Name -Please read compliance statement on back of permit" Signature Application Feels) Check #/Money Order Issuing Date `T Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: cJCtl!e e- - , yj aLn ✓ Mailing Address: Phone Number: Email Address: I certify that I have authorized ' "4444 13t'(kh c s tra,sf� eL'i Agent] Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: :;�4aa Y-I c aSc.i.no.�� J ' at my property located at —l(e-6k&i ^U'0 sti`lok in r _County. I furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: ! j Signature 4 -._ ml+ PeAll Print or Type Name t1 Prnr>ectu bwne � ' Tide Y I) j a1 1 AOR Date This certification is valid through N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: � i4 A-e Address of Property: m, nier� Ck• 0h1l0k �1C. ito �%� Mailing Address of Owner: W o A.)-0,58 l� �i, ICk VIC, 01--1 la Owner's emaill�;t"# 1 6 SSr1C A Jf rA wner's4Yn Phone#: -75 7� % 73 —�A Agent's Name: l�..A, [fjLkeqAS Agent Phone#: Z$?r 207-"2Co 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 3I 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 /a Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) - ��D. Signature of Adjacent Riparian Property Owner: A Typed/Printed name of ARPO: 5+Q V C'nh V. 2)1`G+-�(^L w- )( Mailing Address of ARP O: (� )"/ Oey 'hO I U � j_Sh; /ok Nk, 10? y �y X ARPO'semail: _S61,tZpMa11•C01AARPO'sPhone#: 2,5� 15 Jr )625 Date: ) j I N l Z 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 CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: c,,; A e i Y C Lei.✓1 Address of Property: ill, Aitm � CA. 6kdok I1G 9771%, Mailing Address of Owner: Rt e " �J c �- ( it Ick KC, x-i97 to Owner's emaik-Ta"Mm K 6'el;lssnC uptQ�IOv�ine s Phone#: 2 '7d -77,3 �-91 qM Agent's Name: 13aoc� 1-&1Li1e4AS Agent Phone#: Zi'7r 2D?�forjZ(o 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 drawing with dimensions must be provided with this letter. NN& 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 1 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 ,%� la Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) %. Signature of Adjacent Riparian Property Owner: i y (l(lHf/.. / � Typed/Printed name of ARPO: GDDI TO G y A 1/1�1P Mailing Address ofARPO: -ya t7�OI`rQl� /NG/uyl �y �D &kff)fIr l wv't620I ARPO's email: 72oc 4c m4fF10 ARPO's Phone#: Date: r 3 'waiver is valid for up to one year from ARPO's Signature' Revised July 2021 \ l ■ 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 maiiplece, or on the front if space permits. n �n �ficidla Md-Wi+ ,yo f3)�.d��• McTMunry �• �ac� �Inron �V 2�Zo ❑Adult Signature ❑ Adult Signature Restricted Delivery uDeliveryecna . ❑Registered Mail Restricted IIiIIIIIIIiIIIIIIIIIIIIIIIIIIIIIIIIIiIIIIIIIII 9590940269301104115708 gtL 6 Can ItsMeil Restricted Delivery Delivery ❑ Signature COMrmationT'" ❑Signature Confirmation ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Restricted Delivery 2. Article Number (transfer from service label) ❑ Insured Mall 7020 2450 0002 3104 1795' ail Reaticted Delivery Domestic Return Receipt PS Form 3811, July 2020 PSN 7530-02-000-9053 ■ 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 maiipiece, or on the front if space permits. - SIIt\o1� Yiej-7`� II I Iillll Iill III I IIII III I I III II I I I IIIII it ll III 9590 9402 6930 1104 1156 92 2. Arti( . PS Form 00 1 1. duly ��r-� ems,• ,-� -- --- A. Signature /% n j 13 `, — - c. Date of B. Received by (Printed Nam ^ � D. Is delivery address from Item 1? ` ❑ Ye If YES, enter delivery address ess below: V"' 3. SeNice Type CIPdadty Mall Express® ❑ Regg9istred Mail" ❑ Adult Signature ❑ Adult Signature Restricted Delivery l7 Fla tared Mail Restricted q(Cediiled Mall® ❑ Certified Mall Restricted Delivery DelNry ❑Signature CanMnaWn' El Signature Cunfinnetlon ❑ Collect on Delivery aeetrictetl Delivery Restricted Delivery Return Receipt f )9 h GO P)o of X? IR ice.,.. _ m AV]