89025A - Browning, Randall

d10A1r" ❑CAMA ❑ DREDGE &FILL NU 89025 A i B C D
GPrevious permit
GENERAL PERMIT
Date previous permit issued
flew [K]Modification ❑ Complete Reissue ❑ Partial Reissue Modified 5/10/2024 9X.Mre4a
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:
I SA NCAC (T• 114' 0 L> ❑Rules attached. `❑' General Permit Rules available at the following link:www.dea.nc,gov/CAMArules
Applicant Name j�n in c kr'i II C) C(,)[.f V11�1In
Address 1OO ) CKIQ, � ,. Ir-,
City Y!,'A±4 HiL.,'A= State t-..(C ZIP
Phone#��i1,) J n(,- c�L-•'%< ,
Authorized Agent 14 /
Project Location (County): 1 i, f ,
Street Address/State Road/Lot #(s) I ' r1 1,1 < 1
Email - (r ,�1 t v ')'�)T•J (.. ,<-,i �- tri
� � � � 1:-
Subdivision
City i': 13hi it l� {;
Affected ❑cw HEW QPTA
❑ES
❑PTS
11ZIP
Adj. Win Body i j, I (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW
❑SPIMA
❑PWS
Closest Mal.Wtr.Body !�.1 r�t)C'�c �J(,i!:„l
ORW; yek/no> PNAi yes/no
elevator
Type of Projettif Activity I h - , 4 , r i (
T-'
9X.M (Scale: I". ',3v )
Shoreline Length,
Access Length _
Pier (dock) length
Fixed Platform(s),
Floating
Finger pier(s)
t
Total Platform area _
Groin length/N _
Bulkhead/ Riprap lent
Avg distance offshore
Breakwater/Sill _
Max distance/ length
Basin, channel
Cubic yards
Boat ramp 8' max 12' o.c.
Boathousg/ 6atll � .
Beach Bulldoiliig' iX.erne
Other
SAV observed; yes l
Moratorium:. yes no
Site Photos: es no '
Riparian Waiver Attached: no
A building permit/toning permit may be required by:
J
i122'
Canal
Width
ELEVATOR
28'
i
I jI
i
❑ TARMAM/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
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit' Signature
Application Feels) Check H/Money Order Issuing Date Expiration Date
Modified 5110/24 91(.�'71Piakru

❑CAMA ❑ DREDGE & FILL
GENERAL PERMIT
[—]New ❑Modification ❑Complete Reissue ❑Partial Reissue
N© 89025
Previous permit
Date previous permit issued
B C D
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:
I SA NCAC / ) i ! ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deo.naeov/CAMArules
Applicant Nameth i zn O
Address I[-)�i ) C. Y"G � � � f'<l A�
city SG.';"-� 4 f)— LL°i= state k1k E_. ZIP
Phone# !6-) 2 ��, C,.- CJ u:: 'aft
Email r (`)V a r on V I^ linviak VA
Authorized Agent 4, /c..
Project Location (County): 3`2(: rr°
Street Address/State Road/Lot #(s) I /,
Subdivision �'"t «. ('1( t v`. '!) I lv t�
City ('C-1 3") ZIP -1
Affected ❑ CW ❑ EW PTA ❑ ES ❑ PTS Adj. Wtr. Body _q a (nat/man/unk)
AEC(s): ❑ IDEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body Jai IA t
ORW: yesk/nd) PNA: yes/no
1 ff tt�''
Type of Project/ Activity t i i t f' 'S 6 r, "_ � I + L"
(Scale: i : )
Shoreline Length
Access Length j I
Pier i
Fixed Platform
dock)len
Floating Platform(s)
Finger pier(s)
Total Platform area 1 - -XI I ��II
�Grolnlength/R
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
r-m--
-.._.-.---
_-
Basin, channel
Cubic yards T
Boat ramp
J
Boathouse/ eoatlift`1\X 17?,
_.
I j
r- -
r
Beach Bulldozing
C11-
Other
I
I ef-
SAV observed: Yes no _i,�- i �A -Y\ 'r `-I Is i ( �
Moratorium: n/a yes no
Site Photos: yes no "-
Riparian Waiver Attached: yes no _.. .1, IM !_. _ . -. _-.) _.._..
A building permit/zoning permit may be required by: Ti ci.t`r`^ !l,.a rn i.+
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
�., .�., ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
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"*
Application Feels) Check q/Money Order
Signature
Issuing Date
Expiration Date

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:
Address of Property:
Mailing Address of Owner: / (flc)
5vyxc=_,N � ecwv
Owner's email (yn(III G.22L;,1 Owner's Phone#: � 6�5 (r; % 61561
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacent 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.
it you nave oolectrons to wnat rS,peing 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
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 slan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback \ ` rJ"- � }
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 Owner:
Typed/Printed name of ARPO: G
Mailing Address of ARPO:
ARPO's email: dc'aCc j �3 P.C, kRPO s Phone#: i-,57!
Date: is valid for up to one year from ARPO's Signature*
Revised July 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.
Address of Property:
Mailing Address of Owner: I r k� ' 1 ti E' F't<
Owner's email: Owner's Phone#:._�,
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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.
If you have objections to whilt 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
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.)
y /
I DO wish to waive some/all of the 15' setback ['I
Sig"nature 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: I AJ 11"4..- 112 f"wL- /
Typed/Printed name of ARPO: ��!ler, ,� f 1 LLrv�>]7 w 1. d•-
rf�
Mailing Address of ARPO: �6 l d I ! (A%�+ns Pe;.,* Y�
91 Hawk%-'C `�71 V'
ARPO's email: LD01,-abt4Jkbcmrs0Ck.:/1erA AARPO's Phone#: ouii�• ��v�� �la l
Date: /q, l 0- 1 d 9-`f *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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