89046A - Sherrill, James and Shirley

(iCA; ❑DREDGE & FILL N9 89046 ; A) B C D
GENERAL PERMIT Previous permit
Date previous permit issued
2INew ❑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 I I❑ Rules attached. LJ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name JaVA e `O _: )lsl'AJ `7hC`[c x" 1 1
Address ROi ti el(C5 X51:L kck K-6,4..A
City mill t"r 1 i- State )1) '- ZIP 172 F
Phone # O1)
Email her '� 1I •�livr
Authorized Agent M Q I \ �IC W '- � 1< ( Mct VA
Project Location (County): C, LA t- t- I + I ) C- P',
Street Address/State Road/Lot #(s) �F 0 ( .E, E' ((5.
C«, CI{
Subdivision �'J['I 5 ul Slcr. 4t rL7
City CLCrt�1)rlc ZIP ;2-7=)2,`.i
Affected ❑ CW E EW `fPPTA ❑ ES ❑ PTS Adj. Wtr. Body C O i t) 1 C� V-, oL i ((nat[man/unWf"
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body (�.- LI. C P cU. ; r�
ORW: yeS/no i PNA: yes%no J ,
g_.,.
I
Type of Project/ Activity 1C.ovt =s ( t v . t ?; ,< h ;?_ � i�a.- Ir 'P 'c- (,:. I 12 :;, I
i
Shoreline Length Gi O J
11
(Scale:l"�Za )
Access Length r
Pier (dock)length
—
I
=-
h
�-
r
eta
.
_
Fixed Platform(s) I � i I
I
I
I
Floating Platform(s) E-- — _
--
_
-
I
Finger piers) 31 Y-7Z
it
Total Platform area
Groin length/JJO'(z1
1�_
q'2
Bulkhead/ Riprap length
--
Avg distance offshore
Breakwater/Sill
-
/
Max distance/length
1
l
� �..
Basin, � �- '
_
L_
�
channel 1')
UU
rJ('c
Cubic yards V
F
Boa[ ram
Boathouse/Boatlit`. t2.7 x, 17 S ^tS 1
Beach Bulldozing I
1
-
Other ic.' 'dcl �! _i- vh �•L 'P r�� �l •� 1-_
_i—
�r�
SAVobserved: yes �"% l Ski i
Moratorium: � n/a- yes no
'
�"
`+tl
fi
""a�
-
-
—�
Site Photos: , yes no 4 V
I �':^,1h
R
_
Riparian Waiver Attached: Yes ,rls a
A building permit/zoning permit may be required by: V A C-`:..LLS 4 11
r
Permit Conditions
❑ TARIPAM/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)i • !
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit" Signature
Application Feels) Check tt/Money Order Issuing Date
Expiration Date

Name of Property Owner Requesting Permit:
Mailing Address: C d P]ia
0
A
�5
Phone Number:
Email Address: V- tLrLLi —"r I '
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Tii�tlle''��
Date
This certification is valid through f
Revised Mar. 2016

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
GI RTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner F-
Address of Pmperty. T a
jL Q,, ^/, _
Mailing Address of Owner: _ o ,ilba J I �i � {A. f�—t.n tJ�.�1��^, � ne cam-`
Owner's email:, &, () her(- m Ojwner's Phoneff: :1 3
Agent's Name: _ IyiQ,-}� `j he ' (y�C�,r^-� Agent Phone#_,_5
Agent's Email: 2te(rt rb Yl — �rJi S tAn i�lOtl. C3�, �1
r�
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property OwneL}
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 ordrawim. with dimensions must be providedwith his letter.
100 NOT have objections to this proposal. I DO have objections to this proposal.
ff you have objections to what is being proposed, you must notify the N.G.: DWisfon of Coastal
Management (DC" in writing within 10 days of receipt of tills notice. Correspondence should be
mailed to 401 S. Griffin St., Ste, 300, Elizabeth City, NC, 27909. DCM representatives can also be
conlactedat [phone]. No response is considered the same as no objection Ityou 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 16 from my area of riparian access unless waived by me
(this does not apply to bulkheads or dprap revetments). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO vish to waive some/all of the 15 setba
Signature of Act adept Riparian roperiy Qwne•
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO:
Mailing Address of ARPO_
ARPO's email: _
II -7

DMSION OF COASTAL
PROPERTYADJACENT RIPARIAN OWNER
REQUESTgQ or HAND DgLI
(Top portion to be completed by owner or their agent)
Name of Property fawner.
Address of Property:
Mailing Address of fawner. C C) ! ( �J� (y
Owner's email:, ,r 40 1 bwne7 Phone# L t� 1, %� .1 `�
Agent's Name: _ �vY r t/I i±1 1 �tl Y Agent Phone* S�S_ 57 �°
Agent's Email: 5�1Cfrtort_ Cb�S+'� i�dld cam
ADJACENT RIPARIAN PROPERTY OWNERS CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owned
1 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
CJ. t I u/w! U1 WaW111 n1U1 UIIBUIMUn, HIUM Utz PIUVIUUU WI i i . OI.
f 100 NOT have objections to this proposal. I DO have objections to this proposal.
if you have objectirons to what is behrg pmpose4 You must notify the N-a Dhrision 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, NO, 27909. DCM representatives can also be
contacted at [phone]. No response is consid emd the same as no objection N you have been
notified by Certified plait
�Xso- ` WAIVER SECTION
I understand that any proposed pier, dock, mooring pUings, )coat ramp; breakwater, boathouse, lift or
groin must be set back a minimum distance of 1 S 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 slgn
the appropriate blank below.)
I DO wish to waive some/all of the 16 setback
Ww
Signature of Adjacent Mparlea Property Owner Y
-OR-
I do not wish to waive the 15` setback requirement (Initial the blank),
T sedlPrkrhed name of ARPO.
IJU
Mailing Address of ARPO:r, r' ;"
Date: f for up to f •O.

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