9084A - Tinkham, Steve

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AMA ❑DREDGE & FILL N9 89084<0 B C D
ENERAL PERMIT Previous permit
Date previous permit issued
ew ❑Modification []Complete Reissue -]Partial Reissue
As authorized by the State'o/f North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 7� 12oa ❑ Rules attached. W General Permit Rules available at the following link: www.deq nc gov/CAMArules
Applicant Name J Gy G �I I r Authorized Agent
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Address 7"'1 0 �"VN(�/ Project Location (County): r-4 cA .Y-Yf Q kA
City Cy -Pe State RC ZIP —Z7 C%.3S Street Address/State Road/Lot #(s)
Phone # (71e0�) 4135 '� � (0 0 � 1"1 WZO10 1 '
Email Sf.V'e., Cox, cc, /h Subdivision 1�— f'n.ran -c Co IOV\L/
City 11 zlvl
Affected ❑CW SEW ®PTA ❑ES ❑PTS Adj. Wtr. Body1�/�/r /�wxp�� //man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body 4(6t!Mlal% SLA'
ORW: yes/119 PNA: yes/6
Type of Project/ Activity C
n(G t'F-AfVln � g
Shoreline Length 'TI,
Access Length
Pier (dock) length 2—
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area Z56-jC'4
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp "—
Boathouse/ Boatlift
Beach Bulldozing '^
Other
\L%
r kPS
ct \e
SAV observed: �y yes
Moratorium: Su{B yes no
Site Photos: 8 no
Riparian Waiver Attached: ye no
A building permit/zoning permit may be required by: i re (A. f YIgQ'/)S' COLnn- L
Permit Conditions
APPLY TO THIS
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
swot, .a (ogoI
Application Feels) Check #/Money Order
Permit Cffter'SfPRINTED Name
X 16f „Lt,
(scale: )'`:3o' )
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Cy
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❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signatu e �
7/1t)p q
Issuing Date
Expiration Date

NCAMA ❑ DREDGE & FILL N9 89084 A B C D
a 4 GENERAL PERMIT 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: wvm.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
State
Affected ❑ CW ❑ EW
❑ PTA
AEC(s): ❑ OEA ❑ IHA
❑ U W
ORW: yes/no ' PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
t--�-
I
Fixed Platform(s)
Floating Platform(s)
Finger pler(s)
Total Platform area
Groin length/#
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
Moratorium: In/a yes no - Site Photos. yes no --
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
ZIP
❑ ES ❑ PTs
❑SPIMA ❑PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot
jI.
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scale:
❑ 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
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit*•
i
Application Feels) Check A/Money Order
Signature
Issuing Date
Expiration Date

N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
r
Name of Property Owner: S �C h K GGkt tM
Address of Property:
Mailing Address ofOwner
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Owner's email:
Agent's Name: LuZIA2 /YL'J'e-;nC.
Agent's Email:
FFA
Owner's Phone#:
Agent Phone#: asa �3/-� 3 ' I
'Irtir@� bf/)'7uV MAY 14 2024
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION1 Fm'
(Bottom portion to be completed by the Adjacent Property Owner) 5
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
K `(' [ 1" I DO NOT have objections to this proposal. 1 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
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.) A _
100 wish to waive somelall of the 15' setba
Signature of Adjacent Riparian Property Ow er
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Prop Ow
Typed/Printed name ofARPO:: / et/9 f{/ �/��u�- IH�,A/� �) C
Mailing Address of ARPO: O 3 TU ��e 77�h ra e �tL�Q l�° S-Cjr UC �1 %a 47
ARPO's email: a /n d r ��! i S XD ARPO's Phone#:
Date: 1 - D *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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RECEIVED
MAY 9 4 2924
DCM- C

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: _:>7eue-
Address of Property:
27l
Mailing Address of Owner: Zl I W d-4 -5tro%l . / IG7 t-60d), /r y
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Owner's email: /Nk1wq �Q j���( jyy( Owner's Phone#:
Agent's Name: Layd, /r /F Ic'44y.r�tC_- Agent Phone#:as�
Agent's Email:
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 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
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' setbackJA)gtj., m VE D
Signatu f jacent Rrparian ro y Owner
_OR_ MAY i y 2024
I do not wish to waive the 15' setback requirement (initial the blank) It _
y{g /y
Signature of Adjacent Riparian Property Owner: V 1
Typed/Printed name ofARPO: We -I WAT— �,S
Mailing Address ofARPO: in w e t"1pPj
II VCt}'160
ARPO'sa nail: 1 V 1 LV r ARPO's Phone#:
j
Date: `i *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021

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RECEI F--
MAY 14 2024
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