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Home My WebLink About89051A - MOD- Smith, Daniel and Bobbie❑CAMA ❑ DREDGE & FILL N9 89051 A B C D PreviGENERAL PERMIT Date us revio it Date previous permit issued New Modification [:]Complete Reissue ❑ Partial Reissue As authorized by the State North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dea.nc.gov/CAMArules Applicant Name City Phone # Email State Affected ❑CW ❑EW AEC(s): ❑OEA ❑IHA ZIP PTA ❑ ES ❑ PTS ❑uW ❑SPIMA ❑PWs ORW: yes/no PNA: yes/no Type of Project/ Activity C [hnreline l enoth Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) _ Subdivision City Adj. Wtr. Body (nat/man/unk) Closest Maj. Wtr. Body (Scale: Access Length Pier (dock length IJ " rt xeT�Platf Lo i( -1 FloatingPlatform(s)- I n -_ Finger pler(s) AAA to, Y1Lqf -4- .,i% Total Platform area -"--A 0C I - - Groin length/77 ! _ tvu!•1/ p(-Nst r- - Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill- Maxdlstance/length Basin, channel —� -- !-- j +tl -- Cubic yards r - - -� - - Boat ramp -v. L ❑ It"! _ _ Boathouse/ Boatlift � . Beach Bulldozing T_ ) i 1 I Other T- I "j_ _— SAV observed: yes no Mo: yes no atoriumn/a Si erPhotos: yes no I i Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions ❑ TARJPAM/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 Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compljance,statement on back of permit* I Application Fee(s) Check k/Money Order Signature Issuing Date Expiration Date 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: DAM 6_L_ S M I LO Address of Property: b u(H LJ (11 TF! f/11 (,Q-am))i 14 (- R,f (-C RDt 1V, C 11,744 Mailing Address of Owner: Owner's email: d t'rn r th ,2$S 16 un_n4,Owner's Phone#: -1 �—Z 1,(2 Agent's Name: Agent's Email: Agent Phone#: RECEIVED ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION MAY 0 9 2024 (Bottom portion to be completed by the Adiacent Property Owner) ((a _ I hereby certify that 1 own property adjacent to the above referenced property. The individual applyinJJQP— 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 (DC" 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 (252) 264.3901, No response Is considered the some 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 riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) /,, n I DO wish to waive some/all of the 15' setback V6 v ignature of Adjacent Rlparian 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://-- I0Nda I [ �(, cuu-fiQ O I 1 Mailing Address of ARPO: L� 4t/N r " (), n �� /V �� ARPO's email; M N/C/�L 1yrl+7o0, � ARPO's Phone#: I�SZ S9n1 �3SS Date: � 8�,�- _"waiver is valid for up to one year from ARPO's Signature" Revised August 2022 N.C. DIVISION OF COASTAL MANAGEMENT ,N ,,,E. I ��f " ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY MAY 9 9 HA (Top portion to be completed by owner or their agent) Name of Property Owner: Q r Y.. to rJ M if(-4 Address of Property: A WHf-rg14AT r n10Al.l_ �219SL Mailing Address of Owner: Owner's email: d6m r `ri.2.V fs 6)✓ &,a _ Owner's Phone#:4— I ZpM 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 forthis 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 notify the N.C. Dtvision 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 (252) 264-3901, 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 riorap 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 -OR- I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Typed/Printed name of ARPO: U ^k % VU- 76 t:k� V"%-F-+ N v 4 1 Mailing Address ofARPO: (A-,�eo Whfe & 4�01 i�[`KA C�D(�a ARPO's email: bQr, p 1,.1pplI RPo'1� s Phone#:5 Z 7 Ct Date: E • !T• ?A L!. --waiver is valid for up to one year from ARPO's Signature" V.4. Revised August 2022 6 " RECEIVED MAY 0 9 2024 'I -EC J o JOLK(4(;4L) � a� ! i C 2p 146Q, 662p /,J. C. �l c q cl 7(�'-/-AU-7 6g k(o (�C7,4tq� 0 3� /�/ Ao6by Q(-rr(--, j ' P� - kA IITTTT' r �J 1 •'-. ,•t •'`- � • • � { '+• - Tom. 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: o A N j r (^ r "1 M l I /—i Address of Property: ,3 /E%K ( E! 4d j R t) t J ,2 Er -lit n r A��-7 `61 �Z Mailing Address of Owner: Owner's email d,<Matfaa. Owner's Phone#: �i 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. v .. I-DONOT 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.G. urorswn or uuabLai 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 (252) 264-3901. No response is considered the same as no objection if you have been noted 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 riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) p_ a I DO wish to waive some/all of the 15' setback 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: )Y Vn y) Mailing Address of ARPO: ((2 �> tJ ARPO's email: 6(�l i . k� (,Cl jYor(6 ARPO's Phone#: Date: ' ` *waiver is valid for up to one yearfrom ARPO's Signature* Revised August 2022