89106A - Vaughan, Barbara

DREDGE & FILL NI? 89106 0 e Cit��
GENERAL PERMIT Date Previouspermit
Date previous permit issued
New []Modification ❑Complete Reissue ❑ Partial Reissue
As authorized by the Stairs Department of North Carolina, Depament of Environmental Quality and the Coasai Resources Commission In an area of ernironmeriai concern pursuant
pursuant t
SA NCAC C7 - i A0 _ Rues atathed. ® General Permit Rules available at the follaMng I,* �y,^ft dggy+5gavlCAMArulg
Applicant Name
City
Phone * () X++ I(p
EmailI ra
Affected []fW
AEC(s): O OEA
ORW:v SIA
MEW DqPTA
❑II4A FJuW
PNA: yesk o1
Type of Project/ Activity
nu
INUEEKY50
REMOVE=
Authorized Agent_UTn
Project Loc; (County):
Street Addross/Saa jcad/Lot IF(s)
City
Adj. Wtr. Body __-
Closest Maj. Win gutty
Shoreline length A—
Access Length
Pier (dock) length--
YJ
Find Piadorm(s)
Floating Platform($) -^ �� _._,.:. ♦.. _..
i
Finger pier(s) ^ '
Total Platform area
Crain length/tl
uikhea Morals leMih,J�,Q!
Avg distance offshore
Breakwater/5111 ^� ---• - i - - (/j
Max diance/length .` (sj/
Basin, channel _ V\ U
k �J
Cubic yards tg r
goat ramp Y�
Boathouse/Boatlift ^
Beach Bulldozing
Other
t'
SAV observed. � yesjo y�
-- .
Moratorium: ` a yes no
Site Photos: no
Ritarlan Waiver Attached:
A building permtt/zoning permit may be required by.
Permit Conditions
Agent Ilnnl PRINTED
CSigrw m "Please read mmisliantiFstatement on back of permit•'
-agpo l Q0_
Application Feels) Check tljMonny Order
Permit
Name
(Scale: 1r='4d )
�a
.a
�'V
TARIPAWNEUSE/BLIFFER (circle one)
See note on back regarding River Resin rules
See additional notes/conditions on back
(Please Initial)
7/--q jay (t /9/gy_
Istuing Date Ghphadon one

o+�Our"&KCAMA N DREDGE & FILL
All GENERAL PERMIT
N9 89106 013 C D
Previous permit
Date previous permit issued
� © 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:
y
15A NCAC � - I100 ❑ Rules attached. ® General Permit Rules available at the following link: www.deo.nc goy/CAMAmIes
Applicant Name _
Address 12q
City (Ao�1'TTSrOState N.0 ZIP a794'T
Phone#(XS.L) "Ll1I ,1b- 102J
" Email —rA6l VCL" n lit clrnct\I, Coon
Authorized
Project Location (County):
City
Affected ❑ CW EW © PTA ❑ ES ® PTS Adj. Wtr. Body TI20 9 Ii—m �..r IL- t n�a 'man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body 16twarle Soy4,, w
ORW: yes/6 PNA: yes< '
Type of Project/ Activity .5}tt�� ail O A Q�W 1rx. lei
(Scale:
Shoreline Length — �f trt 5_ f s
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/# '—
ulkhea / Riprap length 0 4 I
Avg distance offshore
Breakwater/Sill
Max distance/length r
Basin, channel Cubic yards `
Boat ramp
Boathouse/ Boatlift ^
Beach Bulldozing
Other
'� I
ttW
Y�
_r
SAV observed: � yes ai o' I ��
Moratorium: (D yes no �.
Site Photos: ela no
Riparian Waiver Attached: e' IT)
A building permit/zoning permit may be required by: �A t ry CO Lk 10A
Permit Conditions
Agent or Applicant PRINTED Name
Permit Ofter'WRINTED Name
7
9
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Signature **Please read compliance statement on back of permit" Signature
Jgtool ono I��j)h '7/9/a'/ (I/9n
Application Feels) Check tt/Money Order Issuing Date Expiration Date

-
Acopy "�❑CAMA ❑N° 89106 DREDGE &FILL CA a C A
a GPrevious permit
GENERAL PERMIT
Date previous permit issued
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. ❑ General Permit Rules available at the following link: www.deq.nc goy/CAMArules
Applicant Name
Authorized Agent
Address
Project Location (County):
City State
ZIP
Street Address/State Road/Lot#(s)
Phone # I—)
Email
%'i
Subdivision
City ZIP
Affected ❑ CW 0 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/no
Type of Project/ Activity
(Scale: )
e
ou,n mmc �m,fi,,
r
_
••__
r
Access Length
'
.t
Pier (dock) lengthZT-
4
Fixed Platform(s)
I_
Floating Platform(s)
-
I
-
_
-
Finger pier(s)
g P
r
I--
—I---
I
—{
�—.._`i._
Total Platform area
_I,
Groin len h/q
Bulkhead/ Riprap length
Avg distance offshore
7
Breakwater/Sill
Max distance/length
Basin, channel
Cubic
'
--
_
Y^;
--�
-,.
•�
-
-L
i
yards
—
L
Boat ramp
$
I
Boathouse/ Boatlift
Beach Bulldozing
Other
I g
n5
-T
-
-
!��-
-
—?-
-T
SAV observed: yes no
j��
+-
~--
•,
Moratorium: n/a yes no
-P
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by: f
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 #/Money Order Issuing Date Expiration Date

Name of Property Owner Requesting Permit: 6 o r o 'an
Ma&Q Address:
t,�l +-Fa1d N C a79 �W-
��_ 3oa i �I b3•`1tlS•(�81
Phone Number:
Email Address: Pb�
i certffy that i have authorized• OA n �� n;'1 �" `Qr
Agent / Gontrador
to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits
necessary for the following proposed development:
L9
at my property located at
in P. ounty.
1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
pmperty Owner Infomtatlon:
77fle
— to
i
Tnis cartiirc ution is validthrvugh __J t
RECE.IV E"!
JUN 17 2024
DCM-E(,

a aCOASTAL
e•ee e.
al
i � 1r:• : i\ i J ► e ii �' a:\s � �� i
(Top portion to be Completed by owwetr or ftlr si;SM)
1l1rMProp" Owner
Address of Prowt r:
Nleibtp Address of Owner
ovm*ft email; m Owners Phonic 95a - 49('0 - 8oai
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Moltom portion to be completed by the Adluem Pronsrtv Qwna»
I be" cw try that i own property adjacernto the above referenced proPerty.The Individual applyttp 1t rM
Penal has described to me, as shown on the attached drawing, the development they are ptoPotlnp- A
* x I DO NOT have objections to this propossi. 100 have Db* tt w m this Pt p
a• you nrn oDj#wone eo wnet is puny prwum
16rtayament (DCAO in wrfdny wtthln 10 days of
uosyad to 401 S. GrOn St., Ste. 300, ElInbeth I
caadcsed et (282) 2814e01. No riaponas b eon
PMW by CerVW AWL
li . lLi • .
of this notice. Corraepondenee should be
27e0e. DCM raprswits tw an also be
the swis a no 044COW r you he" baen
I understand that arty proposed pier, dock, mooring pilings, boat ramp, b rashveler, boathouse, St, or
groin must be set back a minimum distance of 15' from my am of riparian access unless waived by me
tie appropriate not
tapply
t j ds or riprep revetments). (If you wish to wai�� ve the sedK you Q
�- lbQ(
1 DO wish to wahe somalall of the te' astbedt ��e .� ` L
RECEIVED
�F �OR-
I do not wish to waive the IV sefbeck replis rent OrtMai the blank) J U N 1 7 2024
Roonduro orrAdisoent Riparian Property Owner.
1 l/ r
AF&Ws small:
t ' / r,
Redsetd July 2M

N.C. DIVISION OF COASTAL. MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL � D or HAND DELIVERY
(Top portion to be completed by owrw or their agent)
Noe of Property Owner
Address of Property:
Mallirp Address of Owner. &
Owwssmall:4gr�jimua�or(% .CQmowneesPhon* a5a- 4a(a-3oa)/70�-410sNi"?]
AgextsName:41Q.(Y1�tA /ODtpnp�dl Mr ►�NAperdPhon* a�-4-7
AQwft Email: QC44n�a,� CIIt�r4C�19 �% AtTrl d.Q Cam
o
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
tl¢ttem portion to be comps by the Adlacent Proverb oymon
I herabY cWIfy that I own property adiacentto the above referenced property. The individual applyingfordlb
Permit has described to me, as shown on the attached drawing, the developmern they are ptopoehg. r!
btt or drBvMp with dimensions must be DMAded WM this letter.
_ 1 DO NOT have obl@ctlons to this proposal. I DO have objections to this proposal.
111' you haw objections to whet to being propo+ad, You must nN.C. Nls-W d
1Rria"maM (DChQ In wAdng within 10 days of mcslpt of this node#. Correspondence should be
mailed to 401 S. Orinin St., Ste. 300, Elizabeth City, NC, 27209. DCM repmenteWw can abo be
teoataded at [phone], No risporo# It considsnd the same as no objection i you haw been
watered by Cwgftd MW4
WAIVER SECTION
I understand that any proposed pler, dock, mooring pilings, boat ramp, breekweter, boathouse, RR, or
groin must be set back a minimum distance of 15' from my area of riparian access unless w$W by me
(this does not appty to bulkheads or dprop rovetmenta), (If you wish to wet" the setback, you 011la:MM
the appropriate blank below.) (�
I DO wish to waive somotail of the IS' setback , `E C E Ii
V E-'
-OR- � r Mr1 * oWW 1 U N 1 7 2024
1 do not wish to wales the 15' sef * requi (In I the blank)
8igruturo of Adjacent Riparian Properly Owner.
e _ACM- r..:
Typo*Prlrrbd nam of ARPO: Phi d dj)am - blob n
MaNing Address of ARPO: cN Pigs h : 4 L- d "& NC - (k µ —1
ARPO'ssmall: �¢m vHai/ARPO'sPhoneM; 5.2
DEW 5 �� �*W&NW M Valid for up to one year from ARPO's atynaturw
Revised J* 2W21

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