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Home My WebLink About87274A - Schaffner, Paula and Scull, Samueld=CAMA (.DREDGE & FILL INENERAL PERMIT DAlew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue No 87274 Previous permit Date previous permit issued C C D As authorized by th��,,,$$$tojjje of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC/ �/ t7 C ❑ Rules attached. V(Gineral Permit Rules available at the fo�ing link; www.den.nacovJCAMArules Applicant Name 1'0.2ti10. rm a J .f CK // Authorized Agent C Ay i ^^a n ia1 Y,�' L� �]' /).S/ Address 51 -- L/2. Project Location (County): _ a (-:z-- (/ City �sq r0- state _lOA ZIP /2 ORI Street Address/State Road/Lot#s Is /Q Phone # /6 ) 9- 9 ^ S 2_f( O I 1 7 O D �% Q- A? D r-1 ✓ Q Email :4 elul, *tS Q c a m cas -E 4s.4-_ Subdivision P o ri- /4 V z. 't city J4 VC, pt zip V77/S' Affected ❑CW 6w— a+qm Pis- HPTs Adj. Wtr, Body 0 Mn d.. (na an/unk) AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Mal. Wtr. Body ipQ Vn Ol ORW:yes/O PNA: yesi, �O Access Length Pier (dock) length Fixed Platform(s) ` Floating Platform(s) Finger pier(s) ` Total Platform area in ngth Bulkhea iprap le stance offshore 3, kw a 5111T Max di:an e/length Basin, c annel Cubic yards Boat ramp ` Boathouse/Boatlih Beach Bulldozing Other N c2S J SAV observed: yes no Moratorium: n/a yes o Site Photos: ye no Riparian Waiver Attached: es A building permit/zoning permit may be required by: Permit Conditions �K. SY�.f 6K, B�htC.v`1Pt r-K I QL" I R (� N4 i' 1e'4S4-- ❑ 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 PRINTED Name ) Signat re'•Ple sereadcompliance statement on back of permit•• -I—z7o o / off, Appfication Feels) Check R/Money Order Name Slams/ A q Al2Y Issuing Date Expiration Date ijtG AMA DREDGE & FILL N9 87274 CB C ENER Z PERMIT Previous permit Date previous permit issued w ❑Modification ❑Complete Reissue ❑Partial Reissue As authorized by tasepf North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: !P//�j�� / O o 1 I SA NCAC , ❑ Rules attached. VS.General Permit Rulesavailable at the fo�wwing link: &Q.nagov/CAMArules Applicant Name th-VI10. 5 h *-TF SL('' J w 111V.a.,1 Jtyl Jj Authorized Agent C n ✓ ) -1--rt e.,� -w 'C20'Is, Address Z SS2 ✓e.. (r'ab Project Location (County): ,-, (-37 - City 5 flf�- State Pro q ZIP // ag/ Street Address/State Road/Lot#(s S R [/ /Z-Z-(?f J Phone #1 /a) 2,1.��9-S 2-S,e /OD%Z /Q¢.�Z Or'1 ✓2 / Email 7/ O C Sx J S2 C.J Yf1 C.4,S T. 4 tl_ Subdivision )0 o r'F' �' V C. /t city 14 ✓Dn zip 2'79/S Affected ❑cW 971N— ®fiA FpPfr ®PTS Adj. Wtr. Body /'G./x f)co SJ Ckn cL (nf athnan/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body �GM �)CJ Se, ll '-'l ORW: yes/0 PNA: yes ED Type of Project/ Activity —Qe_ jelo-C c 4- Shoreline Length Access Length _ Pier (dock)lengtt Fixed Platform(s) e t s a o,c , 6 o CvziS (Scale: Apt-< ) s tibra Floating Platforms) Finger pier(s) r Total Platform area ' G h/Jf ' Bulkhea iprapap length vg istance offshore 1• Sx /length dis7.n ;Ba n,ceI Cubicyards -• Boat ramp — Boathouse/ Boatlift Beach Bulldozing Other SAVobserved: yes no Moratorium: n/a yes no Mo Site Photos: ye no Riparian Waiver Attached: yes A building permit/zoning permit may be required by:�� Permit Conditions I'> eat Tt ROKA /a 0 13 E �EOEtk€D C. N-4. ❑ 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) Oc�' Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Si gnature **Please read compliance statement on back of permit** Si ur!! aI +-14 L> o / ate,, AI A� 6 Y Application Fee(s) Check tt/Money Order Issuing Date Expiration Date A"'c""r° ❑CAMA ❑ DREDGE & FILL No 87274 A B C C GENERAL PERMIT Previous permit Date previous permit issued New ❑ Modification []Complete Reissue ❑ Partial Reissue As authorized by the State of North Carolina, Department of Environmental Qualityand the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC ❑ Rules attached. ,General Permit Rules available at the following link: www.deo.nagov/CAMAruI s Applicant Name _ Address City Phone # ( ) Email State Authorized Agent : Project Location (County): Street Address/State Road/Lot #(s) Subdivision _ City /I Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body OWN: yes/no PNA: yes/no .. � Type of Project/ Activity (Scale: V,/ , ) Access Length ■ ■■ ■ ■■ ■■.■■ ■■■■■■ ■ •NOW Pier (dock) length 0 OMNFixed Platform(s) :.�..::�::::.....:mill: Floating Platform(s) �Sol E:.■■. ®. ll,■�■■■ ■■■■: ■■ A®■ N . All R5■® ■i■■■ 5 _ 0 Now So■�N■:■■ No ■..■■ 02 Ila S : ::::: E :■.0 1119 . ■0 ■:::■ A building permit/zoning permit may be required by: ❑ 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 Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** Signature Application Fee(s) Check p/Money Order Issuing Date Expiration Date AUMORIZATION TO ACT AS RLPRESENTAVIVE FORM Plopelly legal Description: DFEDBOOK:2178 PAGE NO: 883 PIN NO.: 053908993752 PROPER1 Y SJ REETADRESS; 40072 Reef _Drive _Aven, NC 27915 Please Print: Pr6penv Owner: Samuel Scull Proper) Owner: —Paula Shaffiner The undersign ed property owners of the above noted Property, so hereby authorize Doug Qwraran an __ tic Cavirotiment4iConsultatits.I.I.0 to; (Contractor/Agent) (Name ol'consulting firm) I, Act on try behalf and take all actions necessary for the processing, issuance and acceptance ot'permits andlor certifications and any all standard and special conditions attached. 2. Enter the property to obtain site information including inspections with regulatory agencies (Dare County. North Carolina Department of Frivitoramental duality, U.S. Army Craps of 1 ngincers, etc.) for the pLlrl)Oqe of'obtaining permits indoor certifications. Property Owners Address (if different than property above): _2�17Vassqr_1ve, Swarthmore,P.A 19081 Property Owners telephone Number: 610-299-5288 Wo hereby certify that the above info natation submitted in this application is, true and accurate to the best of our knowledge. Author2,,d Sgriature and MI, ut end "fine it, Date: Date: j Y rim f . � n I iYt a C7 ff•lr � 3 a „ 9 ji;,. �� tlh� dfid� I' +ice ,. -?♦ �Ta 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: Address of Property: Samual Scull & Paula Shaffner 40072 Reef Road. Avon. NC 27915 Mailing Address of owner: 227 Vasser Ave, Swarthmore, PA 19081 Owner's email: TPCUTS@comcast.net Owner's Phone#: 610-299-5288 Agent's Name: Doug Dorman Agent Phone#: 252-599-2603 Agent's Email: dougdaec@gmail.com 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 (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 Signature of Adjacent Riparian Property Owner SHa I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: �o A Typed/Printed name of ARPO: Michael & Cynthia Abadle Mailing Address of ARPO: 1166 Mahogany Lane W, Crownsville, MD 21032 ARPO's email: michael.abadie@verizon.net ARPO's Phone#: 301-875-3155 Date: 04/08/24 *waiver Is valid for up to one year from ARPO's Signature* Revised August 2022 ■ 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 mallplece, 1. Aftlole AddfOSSBd to: MiC/fE� Nc%Sv.� IIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIII 9590 9402 7882 2234 2059 95 7022 3330 0001 7653 4262 PS Form 3811, July 2020 PSN 7530-02-000.9053 L � Agent X Addressee B. Received by ( 'rited As a C. Date of Delivery �� () /�,H- K- 2 N D, Is deliveryaddress differemfrom Il m 17 ❑ Yes If YES, enter delivery address below: ❑ No 3. Servloe Type ❑ Priority Mall Express® ❑ Adult Signature ❑ Registered Ma"I- Adult Signature Restricted Delivery D Replstered Mail Restricted Mad Mall® ❑ Certified Mall Restricted Delivery Delivery ❑ Signature ConfienallonaO ❑ Collecl on Delivery ❑ Signature Confirmation ❑ Collect on Delivery Restroted Delivery Restricted Delivery ta.v U.S. POstal Service'4 ,n CERTIFIED MAILO RECEIPT LXI nj Domestic mail Only m Ln Cr yy vulw i RE 43 777' _u Oodwad all $4.40 0449 r- , 08 19 Pottnark Here poatage 10,68 m m s $8,73 03/20/2024 ru ru sen r I n v,," 1, r E Ln 41-3 .n 0449 15 F� C3 Postmark M Hera E3 krapaarznenPrw ate_ M m PWAP $0.68 rn rn WT �--dF� 03/20/202; ru s ni C3 4 er Carver, Yvonne From: Carver, Yvonne Sent: Friday, May 3, 2024 4:33 PM To: Doug Dorman Subject: Shaffner/Scull GP Attachments: SHAFFNER-SCULL GP87274 RECEIPT-05032024162606.pdf Afternoon Doug, A copy of general permit (GP) 87274 for Shaffner & Scull's bulkhead project in Avon is attached foryour review. The pdf attachment also contains a copy of your receipt for the permit fees. To validate this permit, please address the following: 1. print and sign the permit on the bottom left-hand corner below your printed name, 2. initial where indicated on the bottom right of the permit, and 3. scan and send a signed copy of the GP back to me. If you have any questions regarding this correspondence, please don't hesitate to contact me. Thanks, and have a great weekend! (91 cVZVW ~ Yvonne B. Carver Environmental Specialist II Division of Coastal Management NC Department of Environmental Quality 252-621-6453 401 S. Griffin St., Suite 300 Elizabeth City, NC 27909 1