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Home My WebLink About87273A - Gibson, Priscilladcry PCAMA DREDGE & FILL N9 87273 �A s C D '' Previous permit GENERAL PERMIT Date previous permit issued — f�LNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized b th State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC Ors/�/ ��J 07 2% ca O // ❑Rules attached. t p�Ggperal Permit Rules available at the Following link: ww.vdgq nc aov/CAMlvutes Applicant Name Yrl �i (16- SO..o S G" •vCo /I Authorized Agent c't� C- ✓) r"ta erI Address 2-. , kA- Protect location (County): ll a,('& City Fw-11 c us " State & ZIP Y y Street Address/State Road/Lot #(s) I g / V Z 7 s L-o Phone#(71 ,,) .5O/- o Zg2- ,3 ya rJ2 [J ., rpois e. PL Email 9. bJszn9 r//g9�ta ve.h+o. CA Ar Subdivision 1444-4-o rA-S C-^Lo� City ,4 V is A / ZIP 2 7- /-S Affected k.cW 1W fPTA K* PpTS Ad). Wtr. Body ,Qcs,. (na a /unk) AEC(s): ❑OEA ❑IHA UW ❑SPIMA ❑PINS Closest Mal. Win Body J O. n'L Iv <-o -So kiltsJF ORIN: yes/09 PNA: yes/ o of Project x /n G¢ Shoreline Length Access Length Pier (dock) length Fixed Platform(s)y sC ijv Floating Platform(s) ` Finger pler(s) Total Platform area 5(0 Z5 Culkh,.d th/gRipraplengthce offshore 1 Breakwater/Sill tis-r Max distance/ length 1 r Basin, channel Cubic yards '- Boat ramp Boathouse/ BoatliR Beach Bulldozing Other 1f t✓k w-, 44- If Vx /(� 4 J r'c i .-A-b J c 'T 0.rYl s`f �{-1r.n rcttKu SAV observed: yes no / Moratorium: n/a s no Site photos: no ptr�rx"C Riparian Waiver Attached: ye -IRIno A building permit/toning permi be required by: A Permit Conditions W �R tp-/ m y a I' / 0. ci /e C i cL-A- rt, t-lo, I I (Scale: N 1 s) 4' AA4J °3'V gv ❑ TAR/PAM/NEUSEIBUFFER (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) Agentor cant PRINTED Name tL _� Signature ••PI real compliance statement on back of permit'• Application Feels) Check Ji/Money Order k-r Permit Officer's PRINTED Name SI tur $ to 9 Ce / 2 Issuing Date Explration Date ae°t`0"'"`I�CAMA DREDGE & FILL 3 GENERAL PERMIT Nn 87273 B C D Previous permit Date previous permit issued New ❑Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by thhq State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC 7, (4 Zlc� ZIP-o D ❑Rules attached. Ge eral Permit Rules available at the following link: www.deg.nc.gov/CAMArules / Applicant Name n r I 3' r,�/G. S o e S C� � C o it Authorized Agent C_ 0 rb E✓I ry Address �J S �� m Project Location (County): U 0- r'q_ City F's.I I S C kuk=j State Ar ZIP % 2"� y Y Street Address/State Road/Lot #(s) .S Z Phone#(/_') o1- ,S O z$2i q 3 / Z' 72 p�c-sPoiS e, PL Email 9 Jon a r// F19� a v o..lL• o • Ca ir-v, Subdivision !f c'r e ^f r City z4y- I ZIP % % % /-S Affected RCW [Z'IW f 5�"A K[ES B2TS Adj. Wtr. Body /t 1— (na a /unk) AEC(s): ❑ OEA ❑ IHA W ❑ SPIMA ElPWS c Closest Maj. Wtr. Body /60, M. ORW: yes/�) PNA: yes/ o Type of Project/ Activity Shoreline Length / 1 Access Length Pier (dock) length Fixed Platform(s) y xC z Floating Platform(s) = Finger pier(s) Total Platform area (O Gr ngth/q Bulkhead Riprapap length is ance offshore .2 / Breakwater/Sill y ✓�' Max distance/ length 2 r Basin, channel Cubic yards ' Boat ramp Boathouse/ Boatlift — Beach Bulldozing ' Other e..� -t'D b K tS C. SAVMoratorium: observed: J yes no / Moratorium: n/a s no Site Photos: no Riparian Waiver Attached: y no �f''� A building permit/zoning perm, be required by: -� 0cs Permit I AND CONDITIONS THAT API Agent or Applicant PRINTED Name Signature -*Please read compliance statement on back of permit" Application Feels) Check M/Money Order �S \ 0A . \ P" ctk 4 (Scale: AI Ts ) ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back J (Please Initial) Y, Permit Officer's PRINTED Name otury Si_'S/ 0 I `L.N l 2 Issuing Date Expiration Date Arne"" ❑CAMA ❑ DREDGE & FILL N9 87273 n\ B C D ao & 1 Previous permit GENERAL PERMIT Date previous permit issued F-INew ❑ 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: y, I SA NCAC - ❑ Rules attached. ❑. General Permit Rules available at the following link: www.deo nc gov/CAMArules [ Applicant Name Y 1 / • • ) - I Authorized Agent Address Project Location (County): City " i) h State VIA ZIP Street Address/State Road/Lot #(s) Phone#(!4 ) O Z82— Email f �� %"% Ca.' `!-� j1' '+ • r ' r - Subdivision ' City ZIP Affected )❑CW ❑EW ❑PTA ❑ES ❑PTS Adj. Wtr. Body r'-' ;�[� (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body F ,•-• 'r'si ORW: yes/no �1 PNA: yes/no Type of Project/ Activity I{' (Scale: N khoreline Length SPINAccess ■ ■■' SEEM ■�■ Length mom MI M Fier (dock) length ■■■ ��■ ME Fixed Platform(s) Floating Platform(s) Finger pier(s) ■N■■H L�■■� N■I fil�aI■■■■■■ ■■■ ■C■ ■■ la ■ 1[ti '�■ ■■ 9Avg ME Bulkhead Riprap length disUmce offshore 9. mi 0 Max distance/ length ��.. •�.r .. �■ no a ■■■■■. Boatlift.Beach .a�.■�. .■ .■MM■■ ■■■■■■■ M M a loom M is MIMII Omni Bulldozing OtherBoathouse/ NEESE ME SAV observed: yes no :CM:::: Moratorium: n/a yes no Site Photos: yes no A building permit/zoning permit may be required by: Da 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) X Agent or Applicant PRINTED Name Permit Officer's PRINTED Name r Signature *'Please read compliance statement on back of permit" Signature / Application Feels) Check k/Money Order Issuing Date Expiration Date AUTHORIZATION TO ACT AS REPRESENTATIVE FORM Property Legal Description: DEED BOOK: 2063 PAGE NO: 86 PIN NO.: 064009159417 PROPERTY STREET ADRESS: 39072 Porpoise Lane, Avon, NC 27915 Please Print: Property Owner: Priscilla Jones Gibson Property Owner: The Gibson Living Trust, Trustees- Alan & Priscilla Gibson The undersigned property owners of the above noted property, so hereby authorize Doug Dorman of Atlantic Environmental Consultants, LLC to, (Contractor/Agent) (Name of consulting firm) 1. Act on my behalf and take all actions necessary for the processing, issuance and acceptance of permits and/or 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 Environmental Quality, U.S. Army Corps of Engineers, etc.) for the purpose of obtaining permits and/or certifications. Property Owners Address (if different than property above): 6152 Leesburg Pike Falls Church VA 22044 Property Owners Telephone Number: 703-501-0282 Email Address: gibsongirl1897(a yahoo coin We hereby certify that the above information submitted in this application is true and accurate to the best of our knowledge. Authorized Signature and Title Authorized Signature and Title Date: April 29th 2024 Date: April 29th, 2024 N/F HENRYROSE ONE, LLC LOT 87 1 EXISTING BRREAKWATER 1 IBS 'IBSON ♦♦ �� LOT 86 WETLANDS ♦♦ I EXISTING BULKHEAD PROPOSED BREAKWAT APPROXIMATELY 45 EXISTING DOCK 6'X10' PROPOSED BULKHEA APPROXIMATELY 95 PROPOSED DOCK 8'X16' PROPOSED KAYAK PLATFORM 4' LAUGHING GULL LANE N/F McMURRY LOT 85 v 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: Priscilla Gibson Address of Property: 39072 Porpoise Place Avon NC 27915 Mailing Address of Owner: 6152 Leesburg Pike, Great Falls, VA 22044 Owner's email: gibsongirll897@yahoo.com Owner's Phone* 703-501-0282 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 A�dlacent 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 I DO NOT have objections to this proposal. I DO have objections to this proposal. N you have objections to what Is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in wHting within 10 days of receipt o/ this notice. Correspondence should be mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NO, 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 Ceti led 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 scan the appropriate blank below.) / I DO wish to waive some/all of the 16 setb 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 Ow er Typed/Printed name of ARPO: Mark Buehn - Henryrose One, LLC Mailing Address of ARPO: 14526 Roddy Road, Thurmont, MD 21788 ARPO's email: mistermark@xecu.net ARPO's Phone#: 301-471-5983 Data: 04/2412024 'waiver Is valid for up to one year from ARPO's Signature* Revised May 2021 (PNG Image, 547 x 748 pixels) blob:null/541T14aa9-88e7-42dd-aed6-feda01832la7 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM CERTIFIED MAIL R TURRRR� N RFG IPT REQUESTED or F41ND DELIVERY_ (Top portion to be completed by owner or their agent) Nam of POP" Ownor. Pnsrraa Gibson Address of Property. M12 Pomise Place Avon NC27915 Meting Address or Owner 6152 Leesburg Pike, Great Falls, VA 22044 Owner's arnml. gibsorodiS07@yahoo.com Owner's Phone# 703501.0282 Agent's Nam OougDarman Aga,hpnomly 252.5DD,2603... AgeM's Snaildougd maA.com ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bobigro portion to be c,.riateeed by Or AdiggynLE1222U20120 I hereby cerWy that I own pmWay adjouratt o the ebovareferenoed property. The IndN4val applying forthis pem'A has descobad to me, as snows on the attached drawicq, the development they are prePos" A 4 notes of arM o Lh dim means t t��SIN�md wen (mill tearer �-�-'"vm 1 Do NOT have cbPecvons to thn proposal. — 100 have objecttaas to this proposal. N you have ablikepas to what is being proposed, you meal Mary rtre n,u'. smuron or 4wumr Mtnegemont (OOV) in wristag within 10 days of minifpt or this notil Correspondence should be mailed to 401 S, cdrRn St, Sts $K EOaabeth C1ty, NC, 27sos. OCM representatives can aka be contacted at (252) 2d"go1. No reaponae is consldued rho tame at no ob/ecson N you have soon notified by CarWted Mae. WAIVER SECTION I understood that any proposed pier, dock, mooring pilings, bost ramp, breakwater, boatboum, les, or gran must be set back a naolmem disfam-e of I V hen my area a1 riparian access unless waived by me (this doss out apply M bulkheads or melee revaMldmt{. (if you wish to "No the satbaok, you met skn the aeprWate blank below) I DO wish to waive Soma'all or the IN SOtrack SVasmm otAdjecenr Reisman Wapedy (Tumor -OR- I do nets Sh to waive the ib' setback radutement(ImtlN Signature of Adjacent Riparian Proeany TypedrPdnted name ofARPO: Ramia Moiling Addrtsa of ARPO: PO Box 14, Avon, NC 27915 ARPO'aemall: hlmdmurtyrOWcom ARPO's Phones: 610-3508844 M W2024 'waiver is valid far up to one year tram ARPO's Signature' Revised May 2021 1 of 1 4/29/2024, 9:29 AM Carver, Yvonne From: Sent: To: Subject: Attachments: Morning Doug, Carver, Yvonne Tuesday, May 7, 2024 9:32 AM Doug Dorman Gibson GP87273 GIBSON GP87273 RECEIPT.pdf A copy of general permit (GP) number 87273 authorizing Gibson's bulkhead/breakwater/dock project in Avon is attached for your review and signature. A copy of your receipt is included in the pdf. 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. Please contact me if you have any questions. Thank you. �Jvo-.1~ 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