89086A - Stallings, William

DREDGE & FILL • Gti 13 •
GENERAL PERMIT Previous penytit
y'
As arthorized by the State of North Carolina, Department: of Quality, and the coastal Besources Commission, in of environmental coricem pu�t im
Applicant Nave iA} t It2 jpN CL '1kntLpj4j Authorized Agent
ress Add3`I 1 �i �i t♦ j �,2 E�s1-` qq .__Proiect Location (ter)=l +,� •p .-_T
cry �♦.ttPV\ state _jy�C. ZIP-_a_-Y Jr#3 street Address✓State tioad/l«#(s} l44
Piwne#(} 53i-2'70i t --
q��d] _2 [1_._ A- r s Lclne l n.
Emil•\1! W4__ ,.,_@c v, subdivision Pere, sk-.wts
City _E ectirmA
A}f[tted DM ,EEW _ ©nA MES ®PTS Atli. War." a0tA—tA R.LY'eY4 maNwJc)
AEC(.): ,.❑OM uIRA UW L7SPIMA ❑PLNS gosesc Mai. Wic: Body R`/�herKar� OfAiV�
ORW: yes/11 E1 PNA: ye.%/Ie ..
Type of elect'/ Activity
Shmeline.Length '!•
Access Length „___ '~
Pier (dock) length
Pored Plablorm(s)
Finger piers)
Total Platform area
R
ul ftipmptength
Avg distance offshore
BreakmaterJSiil �`
Max distance/ length at
U
Basin, channel
Cuhicyards_
Boat ramp "—'01
Boathouse/ Boadi(t___'_..._._
Beach Bulidodng
;.: ,. ...
Other
•.i C- _ ._
.-.-�..
SAV observed: ,�'�•
yes
aoO�p�
Moratorium: dja.,,
ves
no
Site Photos:
Riparian Waiver Attadted:
yes
Y- °\L"♦ - -
A building permit/aming permit may be required by: � EtU W Av. Cq,I
MEW
of
41V.
TARIPAM+NFUSEBUFFER (circle one)
See note at back regarding River Basin rules
See addibatal notes1wridltmir s an bad
(Please.lnitial)JCS
Permit Officer's PJBNT) D Name
Signature"Please read cornpliante staternento, Permit"
4 U" !#U57
Application Feats) Check H/Money order
signature
q
Issuing Date Expiration Date

�CAMA N DREDGE & FILL
GENERAL PERMIT
®New []Modification []Complete Reissue ❑ Partial Reissue
NQ 89086 @ 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:
I SA NCAC 7 H � 1100 ❑ Rules attached. FXGeneral Permit Rules available at the following link: www.deq nc.eov/CAMArules
Applicant N�aam-et p X I �n YYS (2_r� �1C111-( ny�J Authorized Agent 1
Address q J' 1 t 1 N C 1 6 2— C— ST J p Project Location (County): a6LA 0.h
City Fi )v��dffP Vi State �C- zip Street Address/State Road/Lot #(s) W 43
Phone#�,(yn+ii..) S�1- 2/'�7at .211 kwee-ts Edge L-n.
Email VT2111�LA>l: e-C(A ecick Subdivision _'Fe y SLh ril-t
City EdeA+t)r% zip 2793,Z.
Affected ❑ CW NEW © PTA Q ES ® PTS Adj. Wtr. Body C'k0 WCLe\ River ( man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body At6Cr"I—t9_ &Mbd
ORW: yes/(.) PNA: yes/Oo
Type of Project/ Activity � r`a'tztll ayyPsJ 1 f ����t VXX _Wool a o(A hwm eXfS
14
(Scale:' 3� )
Shoreline Length /- 12a
Access Length
Pier (dock) lengthVc
Fixed Platform(s) _ ,L Uu—E
Floating Platform(s)
( ��y
Finger piers)
Total Platform area
Gr ngth/#
ulkhea Rip length 2 6
Avg distance offshore
Breakwater/Sill ` )
Max distance/ length J
Basin, channel Z �Q
Culticyards•� w
Boat ramp
�•
Boathouse/ eoatlift
Beach Bulldozing
Other
SAV observed: /-'� yes
Moratorium: rt{a.J ygs no �'&R
& � Site Photos: }
Riparian Waiver Attached: yes (D
A building permit/zoning permit may be required by: c f ow cw\ CIZL'K h
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ 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.
LL (Please Initial)
Agent or Applicant PRINTED Name Permit O er's P INT D Name
;
Signature **Please read compliance statement on back of permit** Signature
�d z, oU I I Des % 7/2/2!( 11 / 2/,Z5/
Application Feels) Check #/Money Order Issuing Date Expiration Date

tA000Ur'V OCAMA ❑ DREDGE & FILL N© 89086 (A, B C D
3 GENERAL PERMIT D teprevious permit issued
i 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dea.nc eov/CAMArules
Applicant Name i
' Authorized Agent
Address ! I
I
Project Location (County):
City
State
ZIP Street Address/State Road/Lot#(s)
Phone # O
Email -
•-
Subdivision
City ZIP
Affected ❑ CW
❑ EW ❑ PTA
❑ ES ❑ PTS Adj. Wtr. Body (najVman/unk)
AEC(s): ❑ OEA
❑ IHA ❑ UW
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/rfo ;
PNA: yes/no;
Type of Project/ Activity +
Shoreline Length
_
..,..
i
--
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
_
_
Finger pier(s)
_F
I
i
Total Platform area
Groin length/M
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no k
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by:
Permit Conditions _
Q k V
❑ TAfVPAM/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 PROTECT 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 #/MoneyOrder 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:
Address of Property: V e(' S Ed
a e l Yl
Mailing Address of Owner: '-Z %/ 9 IV C fQ Q— Z-16Y 11196 n Al C 2 91/3
Owner's email: 'n qS +> Q<E . . edlu Owner's Phone#: ;,C -5k- 1.3 j -,-
Agent's Name: fV/A Agent Phone#: /V%Il
Agent's Email: N�
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
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 noury the N.U. urorsron or coasrar
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 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 Property Owner: �ylSY1 d da
TvnedlPrinted name of ARPO: .�DW,1 IS. Y�11'vlah
Mailing Address of ARPO: 41111 V �y 4� h i r 14c46?SVJ., t
L )�• Net
ARPO's email: iXYY,�vr ao,kO('t+JN`)U'�ARPO's Phone#:
Date: 4P1 ZI 12-E!2*-( *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

WWI
3
01

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:
Address of Property: .211 9 i vets L�/1)
Mailing Address of Owner: 371`l /VC /Di2 Zo5T 4t/Gen N C 2 BTI 3
Owner's email:,!'4alfihe/SW�ii9cy.Cc/r.Owner's Phone#:;2 --3I-A70/
Agent's Name:
Agent's Email: /v/14
Agent Phone#: NZA
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.
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
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 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 Property Owner:'v I
Typed/Printed name of ARPO: M(<,be t, 6 1 fi%nrn�
Mailing Address of ARPO: JDQ Rp�w Vo
,O „DL�eu�rL ARPO's email: ML�nm�L� ARPO's Phone#: �T�I ?7la
<)S35
Date: i2 4q4ux*waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

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