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89116A - McCullom, Ryan
❑CAMA ❑ DREDGE & FILL 3 GENERAL PERMIT ❑New ❑Modification ❑ Complete Reissue [_]Partial Reissue N989116 A B C D Previous permit Date previous permit issued 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 `� (l 1 S S'' � ` .f i-S t � ' ❑ Rules attached. Fj General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name o h-- Address 1 City IVU/ Jl U <L iC. State N_, (... ZIP 2 "1 `i ds' Phone # (1 fi') 2, EmailV f (-�I. yr CL ++(Cn n•>ts',`_ Authorized Agent i Project Location (County): i, C r t .( +) C. Street Address/State Road/Lot#(s) Y`i '>t..,'s. 1 Subdivision cfl t` r:: QJ A ('?: ,rk. C ( t City (-r' e= t O I � «_ ZIP Affected ❑CW ❑EW ❑PTA ©ES ❑v 'pTS Adj. Wtr. Body C'e, Id 4' I:'->n T_(nagf1fa`�unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ $PIMA ❑ PWS Closest Mal. Wtr. Body ORW: yes/no PNA: yes/no t Type of Project/ Activity ;+ C - vv (Scale:C---- 20 ) Shoreline Length Access Length _ Pier (dock) lengtl Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area Groin length/# BulkheadfiRiprap length Avg distance offshore Breakwater/Sill Max distance/ -length' Basin, Cubic Boat r Boath Beach Other SAV observed: yes no Moratorium: n/a yes no Site Photos: .yes no 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) A Agent or Applicant PRINTED Name A. . Permit Officers PRINTED Name Signature *'Please read compliance statement on back of permit" Application Fee(s) Check #/Money Order Signature Issuing Date Expiration Date °DJACENT N,C. DIVISION OF COASTAL MANAGEMENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM iAND_C1U VEHY ('Fop tuition to br) cornplctted by ownor or thnlr agout) Narne Of Prupeity Owner: Ryan Mcenljont Address of property,- 516 swan Ind Cortina; NG �79I7 Mailing Address or lywner. _13 3 Arnblatt fin, htlaock NC 279Gt3 Owner's en�ait;(� antrttGullom �� tx7all,cati (7witar's phone# 75 -636 6048 Agent's NametN/A Agent Phone#: � �liA__._ Agrai3Ps id1A !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 d §gjption or drawl wi h dimensions. rust be p Ided with this letter, I DO NOT have objections to this proposal. I DO have objections to this proposal _, ,__ ..._ ._..., .. _ ..,.........,...,, .., ,..,ass, 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 of onel I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be back a minimum distance of 15' from my area of riparian access unless waived by me th s does nut aoDPy to bulkheads or reap revetments . (If you wish to waive the setback, you mint sign the appropriate blank below.) 100 wish to waive sornolail of the 1 5'setback _ Signature of Adjacent R1.parian property owner ^ -OR- i I DO NOT wish to waive the 15'setback requirement tinitial the blank { Signature of Ad}aCBnt RIp41Tl�rl PtsspBtjy C#Wlte r Typedtprin o Warne of Mailing Address of Al ARPO's email: Oate'Jni 14- 2t i d p TRACKING ID 776435916871 4, }* i MOYOCK, NC US Label Created 5/17/24 12:38 PM HERTFORD, NC 5/17/24 5:23 PM SAINT PAUL, MN 5/20/24 4:36 AM OUT FOR DELIVERY SAINT PAUL, MN 5/20/24 7:02 AM DELIVERED Inver Grove Heights, MN US Delivered 5/20/24 at 1 1:52 AM J z-( 5 wv i+ � 4 1)1.uv e 1)a.1%w, 1iI DELIVERED 5/20/24 at 1152 AM A g ? ,7 taw�c, Signed for by: Signature not required DELIVERY STATUS Delivered Z 0� Z. y YYW22 KO 60Y UWF voice 6�a rc o wzz N JUa m€Q a p a CO mWn aS Uln�8J9N'oQ€ m JJQLL MZ,Z, 2 ilimo$uWiaaWZ 00-^ "w0orca EmUWmFwLL� H OyFina or�0 8.OW 8wa¢¢ U wmpwEFjwo NaQ bgmiom m 5azoWa0ii2 mi¢2z�iw<1J7aQa a- '1w JO�W Y ypj20F Ni/l�Um a'Zp U'ZOW T nmp INI KOFK Z233NNmJ ZZWZ °m6W0' W9F80o w m O X X n � Z F K k v P VpI VI mmm �y �� �m • 00Y 1� Mn�n m„ P O O P In N Z 4 Na Nhh Y hN m a a N m cwv cw>cw> O mp�U % M � Z a a ICJ ow O I1�� o0 N O CI m NJ a Nli �y1 j[ U O�UV N J a -6 �-NM a'>UWC �O mwC y°jV N U OOO..V Wmm y01 a'o OZJ K�{QQ m Vj NC QOa'pp oOwmz ZQ ZO� W .090 w m nw O I K IVPwx U O aQ U Js Nw2 I' WxMU m VU p �W�a'QW 1J°W VZ UN2 .1 a' WF UFaV c ZZ ap g3 ��O�l oaw� �]-wi¢zaoz3cmiaa a apyont¢<g0rcu'1 n Jza�1mo N weV� aoN m¢03 O rc O N a -a O yw�yw�y8� a y NOKZmVa¢iOWmOOpOOWpQU kJQ O4OaOa OaO UQ98 BB ¢pw0 �"o0a z ¢ w 0�00 aF00 �rc�J>niw0o�w0z a�`org rc¢ mmrcm sorcrc WOE-UKaJaKaW i..a Oa gaga UJaa P 2 � W U' � Cl 1 � V N 11111111111111 O D1\O3 IIIIII�'�IIIIIIIIIIIII'I' • p.11�8/8/0 •� .n1 U.�-- nn.►n .its IIVA '►........ -- NO �.�► . um i►u ' : ��' ►I.J Iie�► - - - .Opeeee'O: %/►OCieq : : It►OI/Op1 naaL.�h - 0 m `l I \ \I \ y VLL ¢z N i I Zw N FJ x O bh w 1 5\ FFNq—i jpH • b a Ov / /DSI 1 s / p0' LCSLIn 1�i9 Oo d o--- O lO 145 NTLL MW� \ w � n Y� h � p3 b0'041 ' ` ^0'OSL MA4 .LS � OQ �nO�m¢mVl �F3 n1 K 6VI eaj�m FJo> OU� = aamoll ammw a�Q lO mU 113pz C �a�mZ �in ;m Qg5:z gam. 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