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Home My WebLink About87291A - Maxwell, Owen and JoanUCAMA ❑ DREDGE & FILL N9 87291 A B C D GPrevious permit GENERAL PERMIT Date previous permit issued Q 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: 15A NCAC 1 i I ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMAmIes Applicant Name {, ta..f it Address ' City Phone # Email State Affected ❑CW ❑EW AEC(s): ❑ OEA ❑ IHA ❑ PTA ❑ ES Si OPTS ❑UW ❑SPIMA ❑PWS ORW: yes/no PNA: yes/no Type of Project/ Activity f.......1:.... I.._...k 'I 1 \ t Authorized Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Adj. W[r. Body 1 i w,- f 4�w 4 (nat/man/unk) Closest Maj. Wtr. Body [Scale: v t;-,_ ) . _ Length■n■■�■■■ (dock) length %■ Fixed Platform(s) '�� ■ y ■■■■■■■■ ■ ■ 1 i NFIEIIMMMNMIEIPier A11 ■ ■■■■■■■■ O.C. Jill Floating Platform(s) Finger pier(s) NEW Total Platform areaa■■■ .■.■■■.■..■■0 _��1III®1® . .. ■ . ■■■ INS No NNNE HOME Ing M ■■■� i1i..■..0 NE No ,MMI . l ■ �1� �_ CSC I 0� n L '� ".�"".IrGr�■r�.■■E .�■■. �. �■■■ n■■ ■ Em.e�■■■■■■■■i■■■m■ Moratorium: n/a Photos:SAV observed: T...... Site , H:R� 1.....®..■..■ A building permit/zoning permit may be required by: (T.. 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 THATAPPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Agent or Applicant PRINTED Name Permit Officer's PRINTED Name . Signature**Please read compliance statement on back of permit** Signature ' Application Feels) C'�A`gl p�g":j.+ftV Chetk N/Money Order Issuing Dale (q Sidb1A +J M83a86A) 0 $}a19JA —> qgi �AIA� Wi V Expiration D AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: ebu".J 4":S ✓ /'/ Mailing Address: Z 6 a.'dYY L ^'Ve J rdvJly'l.� AlZi zZ?-5Z Phone Number: Z S,Z-- 933 - 5 h Email Address: 0 Wr ✓Fj) (&2 ✓!h fv ✓MgP, JC , loM I certify that I have authorized • I )u �%Nd �r ✓Gov 5 ✓c f iL✓ L 1Z Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: /3✓1%-ketidj&r-e102/acv-AV,1 at my property located at 26kj OvNiviee-o"I'L(e in (b,owa, / County. 1 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: Signature D�►r� M, l✓��,x�rc�1 I Print or Type Name —� Title l 10 t� Date This certification is valid through A 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: ,/- ty d'JQaJ �avwt L Address of Property: �()r� LJV^/�+°P J l/7 dP f, tiP✓j rrn� n%C Z� f �� Mailing Address of Owner: ZZQy ✓iv ✓. 41e , Z % j 3L Owner's email: OWrd6Q94,,,)V✓,A r v,,.lvw Owner's Phone#: ZJZ -S-Y7j Agent's Name: LA/dAL5( ✓chi✓r)ib✓ Agent Phone#: 2�1 / ^��y7 Agent's Email 1 'll�i d o Bret L.�L1 [ fi r/—e-om 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 forthis 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. _-X— I DO NOT have objections to this proposal. I DO have objections to this proposal. It you have objections to what is being proposed, you must notify the NX. orv,sron or coastar 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' setbba��, [ 4r =ttl Sig✓nnaa(tu�re, of Adjacent Riparian Property Owner -O R- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner Typed/Printed name of ARP��O11x. : &r;+—Q VQ h Fi pf� Mailing Address ofARPO: D� /JUYltlet? Or. ICclEnfo nn, ARPO's�yemail: (riifl/rAIi"T rG{�CAARPO'sPhone#: a63- %33- SIL� Date: J 1� 14 *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 L 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: t aew d/�Jog-J �/n�Wrwe L Address of Property: Z0y lV4*0 J01 eo Fd*l �V, C Z-77Q Mailing Address of Owner: 78Y ✓t', }'o�M✓iv.✓. Age. Z 7F32 Owner's email: OWed�Ped.J/H}n✓rr,me, a* Owner's Phone#: 2SZ-3.U"CU Agent's Name: i ./t e' J5�9JrJib✓ Agent Phone#: ZSZ 33/y-SQY% Agent's Email: �wiy vu Syi�st.r�tic (5)9M•.l.co64 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. 1 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 wai the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback Sig ature 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: Typed/Printed name of ARPO: `is 0 )1.J ( Q-:r� LA ) i Mailing Address of ARPO: Z,0& y ,iJAc 1 �/t V f 1 ..J a cOO Z,�/ 93 2-- ARPO's em it )� kw 6 1 yr Pr I' OARPO's Phone#: Date: IO Z-¢ *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 Il "7 '1 1-'1 =l it :l �l..1.- 7T�7`._l T_ �1,� �, ��'��.e,i►� �!-`...t3"� v