89028A - Sundstrom, John

(CA;
❑DREDGE & FILL N9 89028 A B C D
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 Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC O 1 H . ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq nc gov/CAMArules
Applicant Name
), A�
Authorized Agent
1, FS i- A
Address I
, n4..1.I - k')c o. c h E A
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Project Location (County): ".
1
t J r r 14 J C C;
City
State h_k e',
ZIP � -) ':i 1 !
Street Address/State Road/Lot #(s)
1 '.< 4
Phone#(: )
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IN ko2,\ L. ue1:
Email }
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Subdivision O i / c' h ;
"I::j e ^ e-i r �
City V ZIP L_...
Affected ❑ CW
❑ EW ❑'PTA
❑ ES ❑ PTS
Adi. Wtr. Body A I b
c n, I r,1j_•� (nadman/unk)
AEC s : OEA
DIHA ❑UW
❑SPIMA ❑PWS
Closest Maj. Wtr. Body At L-lr
-:Jn LL �
ORW: yes(rib)
PNA: yeyfSd ,
Type of Project/Activity 44f, n </de. •=•v I a-,1 I t�
�} Scale t is
Shoreline Length Z. UD
Access Length
Pier (dock) length
Fixed Platform(s) V C I(
Floating Platform(s)
Finger pier(s)_
Total Platform area Oe t '
Groin length/# f
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: t yes no
Moratorium: (Ali) yes no
Site Photos: ('yes no
Riparian Waiver Attached: r�< no `
A building permit/zoning permit may be required by: �' i r r Y L .t I , C !C ' e-., x. I � {
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
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 Fee(s) Check #/Money Order
Signature
Issuing Date
Expiration Date

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: John and Cheryl Sundstrom
Mailing Address:
Phone Number:
Email Address:
129 Owens Beach Rd Ext
Harbinger, NC 27941
757-510-8451
jes27941 @yahoo.com
I certify that I have authorized Emanuelson and Dad
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: new a' wide x 27' long pier with 10'x16' platform
on end
at my property located at 129 Owens Beach Rd Ext, Harbinger
in Currituck County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
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.
Property Owner Information:
�oxuspn`re en
� Suw�tsfro�
�T
Signature
John Sundstrom
Print or Type Name
Title
1/31/2124
Date
This certification is valid through I I

N.C, DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
RECEIPT
T FI D A!L_RflN
(Top portion to be completed by owner or their agent)
Name of property Owner: John and Cheryl Sundatrom
...
` Address of Property 129 Owens Beach Rd Ext, Harbinger NC 2794� 1_
Meiling Address of Owner: 129 Owens Beach Rd Ext, Haµ! rbinger NC 27941 ._.W.. - '..
;n 757-510 8451
wrl t4 email: We 7pai�yon«,,au,i Owner's Phone#' .�_
w nt'sNam8: Emanuelson and Dad Agent Phone# [phone]
ent's Email ernanuelson67050outlook.com
DJACENT RIP4 0R4Pt l Q1 Nl !S' T� ?IC�ATit>N
tom pg ion to Abe agmoleted'tiv It
Atliaasr+S PrtJnelcN Otanerl
�'_'--
�.._,--. hann fnr th
are
eotions to thie proposal: i DO have o�j�brra'
D4 3901 No response is constdered the some as no obfealon it Yon
WAIVER SECTION
proposed pier, dock, mooring pilings, boat ramp, breakwa#er, boa{ktaU46
k a minimum distance of 15' from my area of riparian access unloss Wait
r bulkheads or riprap revetments). (if you Wish to waive the setback, you
balow)
lmelall of the 15' setback h

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Jeffrey Newbern M1 T4N off9eandreea 03/08/2024
PO Box 332 I3 seat
fro�S
Powells Point, NC 27966 Je-ffre e�b�o
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R^ ........................................
DearJeffrey, ..
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■
We have been contracted by John and Cheryl Sundstrom to do the following work at 129 Owens Beach
Rd Ext, Harbinger:
1. Demo existing pier
2. Construct 5' wide x 27' long pier with 10'x16' platform on end
As the adjacent riparian property owner, I am required to notify you of the project in order to give you the
opportunity to comment. Please review the attached sketch for additional information.
We ask that you sign the attached Waiver Form and return it to us as soon as you can. You may scan
and email, fax or simply mail. If you have any questions, please do not hesitate to contact us. Should you
have any objections to the proposed work, you may contact a NC Division of Coastal Management
representative at 252-264-3901, or in writing to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909.
We thank you for your cooperation in this matter.
Sincerely,
Lorelei Barrett
Emanuelson & Dad
ema nue Ison6705Pouttook.com
www.emanuelsondad.com

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