89007A - Metzger, Kevin and Suzanne

dcom)4, MCAMA �] DREDGE & FILL N0 89007 lvA7 B C D
Previous permit �-� -�11011 -�--
GENERAL PERMIT s Date previous permit issued �
M New ❑ Modification El Complete Reissue ❑ Partial Reissue ��ll////
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 ' U U ❑ Rules attached. General Permit Rules available at the following link: wwwdeq.nc goy/CAMArules
Applicant Name "u. P'\ r '
Address
City State ZIP
Phone#(_) ti_> a
Email
Authorized Agent 1e ,n 1 -1 `- :. I­,1._, I.•,... i_L(.
Project Location (County):{ -
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES 4 PTS Adj. Wtr. Body (nt/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body!1rr
ORW: yes/cfioi PNA: yes/no
Type of Project/ Activity
Shoreline Length $ l:�'`.
Access Length
Pier (dock) length T_
Fixed Platform(s) ,
4
Floating
Finger pier(s)
Total Platform area
Groin length/# %•
Bulkhead/ Riprap length j
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards 1
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
-
A building permit/zoning permit may be required
Permit Conditions
(Scale:.,,. )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
i
TAM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROTECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) -
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
�( is
Application Fee(s)
read compliance statement on back of permit*'
Check q/Money Order
Signature
Issuing Date
Expiration Date

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Enta91 Addross.
t c ertiiy that I laav:> auiltc�rizcid _Y?fYt;:7.1!.!�(5�._'�?irl� i_i.:
Agent t c6nirar.{c,s ' a :y a n
to art ora my bohalf, for this purpose of applying for nand obtaining all CA MA prarroA 3
f
no essay for the fallowing proposed development:
ai niy prcapeily located at 1L�"
County.
l furthermore certify that 1 am authorized to grant, and do in tact grant permiss r)tr fro,
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.
Prop rty+mvnerlsrformatior�;
g,9 ��.t:
APR t ti 2024
5i nattrra � 5
Print Of Type Nome
Tine
! This certification is vaiit�

RECEIVED
N.C. DIVISION OF COASTAL MANAGEMENT APR 1 t 2024
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) D I .M m EC
Name of Property Owner: Kevin and Su7snnp Mpt7ger
Address of Property: 161 Pelican Ct, Fdenton NO 2702
Mailing Address of Owner: 218 N State St Westerville OH 43081
Owner's email: keyin.metvgeragmatl.tom Owner's Phone#: [phone]
Agent's Name:
Agent's Email:
Agent Phone#:
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 noury me rv.L,, urnsron or wnsld,
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Grim St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION (Choose only onel
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
-0 R-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: II _ -,
Typed/Printed name ofARPO: )4(,,Li3/rI tNnnI-
Matting Address of ARPO: jla 0oitG(> �� eW ,-a) 2 VA 83G�y
ARPO's email: ha-4 S iU aJtot CJ»t ARPO's Phone#: O Y4447
Date: / i t Lc L `waiver is valid for up to one year from ARPO's Signature"
Revised August 2022

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) REC�:�r/ED
Name of Property Owner: Kevin_J�Metzger ands _Suzanne_I,._.Metzger-- APR j ) 2024
Address of Property: 163 Pelican Court Edenton NC 27932
UCAVI-EC
Mailing Address of Owner:
Owner's email:
Agent's Name:
Agent's Email:
Owner's Phone#:
Agent
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.
_ X 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 [phone]. 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 riprao revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO xnich to waive some/all of the 15' sethack
Signal ro 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: bU+%,V1 'A f U &(X�_/1LC v
Harvey A. Taylo , III )
Typed/Printed name of ARPO: _ nd um ag ;jai ler
Mailing Address of ARPO: _ 102 Bluff Terrace, Newport Nawc _ VA 21609
ARPO's email: [e-mail] ARPO's Phone#: [phone]
Date: January 5, 2024 *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

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