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Home My WebLink About92261A - Mehra, Kamal#F-]New ❑CAMA [IDREDGE & FILL N9 92261 A B C D C C Previous permitGENERAL 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. ❑-General Permit Rules available at the following link: wwwdeq nc gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street AddreWState Road/Lot #(s) Phone # Email Subdivision City ZIP i Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/nod Type of Project/ Activity (Scale: Access Length - Pier (dock)length Fixed Platform(s) _--- __ Floating Platform(s) Finger piers t - ' x Total Platform area _ w® Groinlength/k E i Bulkhead/ Riprap length Is ,l Avg distance offshore - Breakwater/Sill _ ?- - Max distance/ length Basin, channel - I I i Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing I- --- - -•'r— - -- f I _ Other SAV observed: yes no Moratorium: no n/a yes ' Site Photos: yes no 4 / - ( -i i Rioarian Waiver Attached: ves no A building permit/zoning permit may be required by: Permit Conditions ❑ TAR/PAM/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 compliance statement on back of permit" Signature Application Feels) Check M/Money Order 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 (Tap portion to be completed by owner or their agent) Name of Property Owner: �t'e:7_N.A..�_ N 1 "iD /YI Ekotj " Address of Property: AD 6 cat "AN �l?hIL Mailing Address of Owner. S Z 1 S K4 Av" L,��Scibr- IJ_`.i._._I.C��.3--- Owner's emaiC nl_ 1_ I J_ M,Ek}R,\B\II,-�h Owner's Phone#: \ Agent's Name: _ ut N AaRn h n ent Phonetl:__tlS3Agent's Email: _Jv_mr /-----_- 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 Wilds vermil has described to me, as shown on the attached drawing, the development. they are proposing. 6 descriolion or drawing with dimen_ioils, must be provided_wjth 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. Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be malted to 943 Washington Square Mall, Washington, NC 27889. DCM representatives can also be contacted at (252) 946-6481. No response is considered the same as no objection ff you have been notified by Certified Mail. WAIVER SECTION understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or iruin must be set back a minimum distance of 15' bom my area of riparian access unless waived by me this does not apply to bulkheads or rlprep mvelmenls). (If you wish to Naive the setback, you must sign pie appropriate blank below.) 100 wish to waive some/all of the 15' setback .�r/�/'L� ..(,tom'" Sign morfr/Adjucor' Ripanair Property -Owner -- OR - I do not wish to waive the 15' setback requirement (Initial the blank) O,irJnature of Adjacent Riparian Property Owner: _ TypediPrl nted name of ARPO: ea Cln.�i4i..C+v_v` l.'US• Mailing Address of ARPO: - kAda ARPO's small: r r Stir l,Qlyy0�n1RPO's Phone#: Date: Jk720-2wi _'waiver Is valid for up to one year from ARPO's Signature' Revised ,Clay 2021 0 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: _ K&r&a_6____1�15 Address of Property: Lto 6 (,d RN_f g1l tr_r ,_N� Mailing Address of Owner: AM_J_ERtC.y�p n1y,_HIS- +--- Owper'semaiC N_17b_QDmFH¢@__F(r1 Owner's Phone# _ _1.6-_587-3JS$ Agent's Name: Agent N /k...r Agent Phone&: aS- Agents Emad:_.'J-sn«)tsr 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. 100 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 943 Washington Square Mail, Washington, NC 27889. DCM representatives can also be contacted at (252) 946-6481. 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, heat 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 riprop revelments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive somefall of the 15' setback Signalu of Atflas an Propcenl Riprty Owner 'OR' I do not wish to waive the W setback requirement (initial the blankl _. ...... ___ Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: _:Vf__.(gu[ . ,S Mailing Address of ARPO: LIDk Cho iJov02TLil ( t%�10,i Nc 11UZ ARPO's email: )tfirc 7_4 Irc u st.rstaWO's Phoneq: -.,2S8— 301- Ioo�L Date: 11-� J - 07_ _._'waiver Is valid for up to one year from ARPO's Signature` Revised tiLrr 'u:I