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Home My WebLink About89806A - Cohen, Alex#E]New ❑'CAMA ❑'DREDGE &FILL N9 89886 A B C D GENERAL PERMIT Previous permit Date previous permit issued ❑ 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 ° ❑ Rules attached. 0 General Permit Rules available at the following link: wwwdeo nc gov/CAMArules Applicant Name - ,c \ £3' Y)-.,¢ Address C "t v, } e. A st N_ t) City State ZIP Phone # (_) Email Affected ❑CW ❑EW ❑✓ PTA ®ES ❑PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no PNA: yes/rio7 Authorized Agent /_. - L,; r Project Location (County): _ f rT 0%f ( ei- Y\. Street Address/State Road/Lot#(s) i. ?i < rs vri i I�=:a A,V n I r Subdivision City C='n_ to. _.j r,. ,,.,,, 1 • ;S ; V 1-\ ZIP Adj. Wtr. Body Pa `>q v o—A .? ,. L 4 <:;Y' (Q t[man/unk) Closest Maj. Wtr. Body Type of Project/ Activity (Scale:j't� 401 Shoreline Length ■■ s ■ ■ ■■ ■■.� ■■■ ■ .m■.. ■ .mmm ■■ ■ - ® on MEN mlllmm�m � ��1 Il.q■■.mmlmmm �. ��I�I�.mmmm ■� .� .m Total Platform area ■ ■i ■■ ■Ati�X�t'.�1�Y_.Si�l7L�1lL■■►■■�■■� !■ Groin length/# ■■■ �msrmam�mm4mM ■■Boat Bulkhead/ Riprap length Avg distance offshore ramp Other.ow Bea.� mm� � m.ml.■p■....m� ....■�■Moratorium: ■iii� SAV observed: yes n/a yes no Site Photos: yes no Riparian Waiver Attached, yes no .mmm■■■.m■mmlmm A building permit/zoning permit may be required by: C ra m lf° , Permit Conditions ❑TAR/PAM/NEUSE/BUFFER(circle one) C Tcc ft t (`f L., v yj r v t aP T i k!. -A ❑ 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)" i 1 f t'C.(lc: i Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature *Please read compliance statement on backof permit** Signature G 'i L 115 Application Fee(s) Check N/Money Order Issuing Date Expiration Date NameafPrapatyroa�nerl�agar�Parmit ��x rah P� Ca,-,l a4Qon h C - �'? D Ad*09rw /7 lW ►cm*tv*,- reaalhor�ad �— Gl.� nL� n C_ _ an"IC, a� 1oa�.t�►m�i6el�a1�%�epapoesafap�plyigiaranda6iainigaft�lNApemi� oeuasser!►iorAto�owi�9P�P dejdoPMWA* lb CanS�� Sa( Ile; kc�MT Q4/4 �t�,►r�sac_l �1 ca,�/Io•, -— a � � 2 1 fad omm ceW& iha t 1 am aa6,oriasal io palt and do lb fad grant pena%Ton ID Dh*fmafC*=WlmGR �)- t 1 r 1 aa. N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER N0TIFICATI0N)WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner. Alex eah en Address of Property: old C�trtC(e.� i9 vC 3 �• IOr l h a ri C, ';L l Mailing Address of Owner 5 4 M e Owners email: i2 1 A Owner's Phone#: 5 a % a a SDd'� Agent's Name_":14/" i' all't a AgenttPhone#: -)S a Agent's Email: 8&1-1, e- e�2- 171D-1h'l0,1 CG A-i, ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that I own property adjacentto 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. 1 DO have objections to this proposal. if you have objections to what is being proposed, you must notify the X-C. Division of Coastaf Management (DC49 in wrhf rg within 10 days of receipt of this notice Correspondence should be mailed to 409 S. Griffin St, Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3909 No response is considered the same as no objection if you have been notified by Certified Malt V`VAIVER 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). (Ifyouu wish to waive the setback, you must sign the appropriate blank below_) I DO wish to waive sometall of the 16 setbac 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 Typed/Printed name of ARPO: Mailing Address of ARPO: j Z 2 r DOE^- Ave ARPO'semail: ARPO'sPhone#: 717 f?3 /vas Date: E'c%y *waiver is valid for up to one year from ARPO's Signature= Revised Juiv 2021 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. Ale x Cohen Address of Property: l of rl oc1 ^1 t., n C Mailing Address of Owner: Owner's email: nld Owners Phone#: d3' 7 o1a 50ere Agent's Name: L4V6 //+ Agent Phone#: 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 adjacentto 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 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. Grffilln St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 2643901. 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.) ..... �. DO wish to waive some/all of the 15' setback. - Signature ofAdjac nt Rt'pmlaaProperty Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name ofARPO: _�Jq'- .f"lI Y - L- VL i Mailing Address of ARPO: �- C� (�`�l rev AV � f} 1'0 II � ARPO's email: ` A14 r' l ,� • 6V t�ARPO's Phone#:: 5 Z � Date: ) L 1 I' 'waiver is valid for up to one year from ARPO's Signature Revised July 2021 Its �� 1 O1 J J 1 (ACOQ , ya: \�• ` �'