89038A - Cowell, Richard and Janet

DREDGE & FILL N9 89038 r A- ,B C D
GENERAL PERMIT Previous permit
Date previous permit issued TVVYJ
❑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:
15A NCAC ❑ Rules attached. `%j General Permit Rules available at the following link: www.deq.nc.goy/CAMAruIes
Applicant Name
Address
City
Phone # ( )
Email 1.0
State ZIP ;t ? `i c-1 t 1
Authorized
Project Location (County): I -<, <-.. ,
Street Address/State Road/Lot #(s) '�:, .J ., 0 � ., k P' !
Subdivision
City N e r t \.,_, ,A ZIP ..} °i tf o
Affected ❑ CW E] EW VJ PTA Ellis 'M PTS Adj. Wtr. Body ()L ✓ 9 u )k. / (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body (1e r.•.
ORW: yes/no,. PNA: yesZ
Type of Project/Activity_1";;,i I ii I 4
(Scale: )J,T, S, )
Chnreline I enath
Access Length
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Pier(dock)length
Fixed Platform(s)
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Floating Platforms)j
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Finger pier(s)
1
14
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Total Platform area
Groin length/tt
Bulkhead/Riprap length
Avg distance offshore
-
11k
y_(f-°,;_.,��
Breakwater/Silly-
`-
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1-
Max distance/ length
!� 14
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Basin, channel`-
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Cubic yards 1
Boat ramp.
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Boathouse/ Boatlift
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14'?-
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BeacBulldozing
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Other
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SAVobserved: yes no
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Moratorium: n/a yes no
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Site Photos: yes no
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Riparian Waiver Attached: yes 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)X
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit** Signature
Application Fee(s) Check Jr/Money Order Issuing Date Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT ( €v 3"y,
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FRl
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY MAY 2 2 20A
(Top portion to be completed by owner or their agent)
44 �a
Name of Property Owner. Rich Cowell
Address of Property: 588 Muddy Creek Road Hertford, NC
Mailing Address of Owner: 588 Muddy Creek Road Hertford NC
Owner's email: [e-mail] owner's Phone#: [phone]
Agent's Name: Margaux Kerr - NCCF Agent Phone#:[phone] ex 301
Agent's Email: [e-mail]
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 forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
�L 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 mu. urwseon or �ousmi
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 (Choose only one
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 alved by me
r+hi. rinoc not nnnly to hulkheads or rioraD revetmentsl611f you wii*h to waive tl}A setbacj/you must Sig
the appropriate blank
I DO wish to waive some/all of the 15' setback
-OR- I
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: h8 [ n!"IST(yt)ME Iyiarrinn .
Mailing Address ofARPO: 628 Muddy Creek Rd Hertford, NC 27944
ARPO's small: retrule .aol.Com ARPO's Phone#: [phone]
Date: 5120/24 *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

RECEIVED
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER 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:
Rich Cowell
588 Muddy Creek Road Hertford, NC
Mailing Address of Owner: 588 Muddy Creek Road Hertford NC
Owner's email: [e-mail] Owners Phone#: [phone]
Agent's Name: Margaux Kerr - NCCF Agent Phone#:[phone] ex 301
Agent's Email: [e-mail]
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
MAY 2 2 20n
DCM-EC
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 musr nonry me rv.i . urvIJmu v1 �oaaam
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 (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 skan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owne
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPrinted name of ARPO: Afire Redding v
Mailing Address ofARPO: Q14A RlyprGldp Ave Elizahpth City_ NC
ARPO's email: alreddingal(a�aol.Com ARPO's Phone#: [phone]
Date: 5/20/24 *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

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