89122A - Braendle, Wayne and Mary

�
(9CAMA ElDREDGE & FILL
t'�T�? $9122 0 e
ermit
1 GENERAL PERMIT Previous ouspermitissued
New ❑Modifkation ❑Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina. DaPartttert of Emdf o rvental Quaflty and the Coastal Resources Commmt Commission hs an area of whdrereotd ca'scaxn Pursuant to
ISA NCAC ' r1 14` (°AMi El Ruts attached. ® General ParmR Rules avaRable at tits followig link
Appttwm Nara� r+�._._--:�—tits— �Y'tiQ Ifs Authorized Agent
AddressttI �rurypPI Location (County):
City _...... swa i� ZIP '1I StreetA.ddresaSteas Road I #(s) nR 4r
Prone # (77)y5t 2 S_ l
Erma^+Yt�@ntf l2 ��,ynn,i�. fqm Subdivision _
city. nr�L zw
Affected UM DEW Id OFS �pTS Adj. Wm Body—T['.d fjliL�j-. „'`"�^ rs iunk)
AI ❑ AI ❑RIA ❑uw �SPIMA El Furs cionest Mai. Wm C Body J'T�ej4Q„_ _
ORW: ye. rr } PlI yes,(Um ..
Type of Project/ Activity
(Scale: uTs p
Shoreline Length 't'h 3L4t ( _ _
Access Length 1- i._ .F.IC i r - i i ��7V
Fier (dock) IenBffi �. i r ._r'...
Fated Platfonn(s) 17 r K� r ' �i--Y-- r- i - i -.)- .��--,i �'r`uto r t
_.
Floating Plavonn(s)
Finger pier(s)
Total Platform amr" i t
t r i ii[
Grain length%g ^ I �.._ e
�` Tgtt r
Bulkhead/ RiRraplength.
Avg distance offshore
Max distance/ length
Basin, chaI
Cubic yards
Boat ramp
r- t
Beach BuikloZg
U
Other -) �
I �
5 1 1 Ytj r Y r
I r T r ijt y b,fr i t t
Yes
MnfatOtelri (y� �
n0
Site PFr4tOS: n0 F �yi7 {.-�. Y t 1 I 1 t 1 1 ( r^' •` r
Riparian Walver t r ,--i-,-,- Y _a._ r _ i r F i -•1- "i _.� r Y ..! ._
ACd{ngd: n0
{ .
1 I t f e
A building -------
Pettit �..... _.._i
PCondi y� mnrng PetmR may be required try: �„q C ,j_ j� .._ ""
- LJ TAfUPAM/NEUSEtBUFF" ands one)
f o See note On back regarding Rlver Basin s
0 See additional n0laVtondit1I on
I AM AWARE OF STalms RULFSAMDCpiXttfiOHSUTATApso yoTH15 M4DlECFAHB RENEYVEq
LV'T ,t ANCEsrATEMEW1 � (Pleaseinitfil)
Agent or Applicant D me Permit0 IYP�
PRI TE Name
s�RaWre"Must Rao compilince stawnent on tiack of permfN� + """""". qg�"cure � � �
too
APPFkatbn fees) Chat k ti1M
Dray Order {ssuing pate
"Pkatw" Date

ICAMA ❑ DREDGE & FILL N9 89122 CA) B c D
a Previous permit
.GENERAL PERMIT Date previous permit issued
t New []Modification El Complete Reissue ❑Partial Reissue
As authorized by the State
ff��of��North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
r-
15A NCAC 9 r I OCors ❑ Rules attached. ® General Permit Rules available at the following link: wwwdeq.nc.gov1CAMAruIes
Applicant Name Cam"' , I r_ kc)�Y-t-!V�% Y`00e r10 IF Authorized Agent
Address (I�f� �y�T1'� RSi'� �T'.t p Project Location (County):
City state C ZIP �7 1'y Street Address/State Road/Lot #t(—s)�
Phone # (�) 233 "c.r-Y.28- 116 soj,4k Ft
Email W6 WCl9- Ind to @ %matl um Subdivision
City
Affected ❑ CW ❑ EW R1 PTA ❑ ES ❑ PTS Adj. Wtr. Body xQ0 F, lriI (na an/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑SPIMA ❑ PAS Closest Maj. Wtr. Body W t'7@4n_a MIR ku4".01
ORW: ye no PNA: yesZ
Type of Project/ Activity
Shoreline Length /- -3 g
Access Length
r
Pier (dock) length 17
Fixed Platform(s) _(% r kin r
Floating Platform(s) =
Finger piers)
Total Platform area I42 Sc�'(^
Groin length/# ^
Bulkhead/ Riprap length r
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel ^
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
reoe;m C.*Y
Other v✓ t
SAV observed: r-\ yes
Moratorium: rho yes no Q
Site Photos: no t`fl
Riparian Waiver Attached: es no
A building permit/zoning permit may be required by: �e'C �N 0.NS CVC ngy
Permit
APPLY TO THIS
Agent or Applicant PRINTED Name
Permit Offiogr;5 PRINTED) Name
L�J
el,rKb J06
(Scale: N rs )
V Qa
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Signature **Please LCad compliance statement on back of permit**
bttioor (Y 9y5
Application Fee(s) Check #/Money Order
Sign
V? y ((�� 112y l fa
Issuing Date Expiration Date

yelVOU" ❑CAMA ❑ DREDGE & FILL N9 89122 A B C D
Previous permit
INGENERAL 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: www.dec) nc.gov/CAMArules
Applicant
Address _
City
Phone #
Email
Affected ❑CW
AEC(s): ❑ OEA
ORW: yes/no
State
❑EW ❑PTA
❑IHA ❑UW
PNA: yes/no':
Type of Project/ Activity
Shoreline Length.
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(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: n/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 #(s)
Subdivision r
City ZIP
Adj. Wtr. Body (nat/man/unk)
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 Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Feels) Check #/Money Order
Signature
Issuing Date
Expiration Date

N.C. DWISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER
k-Top potion to be completed by owner or their agent)
Name of Pmiy c;wnter:
14/4
YANG
/MANY
/. &2&tE
Address of Property:
x<6
L •rt ".ZWO
Mailing Address of Owner: S�>=
Owner'se:^.eil:m4;/(ft Owrier'sPh^^
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARAN PROPERTY OWNER" CER`TUICATION
(Bottom portion to be completed by the Adjacent Property Owner)
ECEIVED
JUN 2 1 2024
M-EC
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
I DO NOT have objections to this propufsA. i DO have ubjectioris to this proposal.
If you have objections to what is being proposed, you must nottty the N.C. umsron 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 (2521254-3901. No response is considered the same as no objecdon if you have been
no(ifled by Certified Mail.
WAIVER SECTION (Choose only one)
I understand that any proposed pier, dnr_.k, mooring oilinns, boat ramn breakwater, boathouse, lift, or
groin must be set back a minimum distance of 19 from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (tf you wish t vaaive t e setback, you must sign
the appropriate blank below.)
r"
I DO wish to waive some/all of the 15' setback
Signature y Adt4nFAiparian Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: LtC/J
TypedlPrinted name of ARPO:
Mailing Address ofARPO: lemez%%JpyK
at^ r'y/rid,t/ ARPO's Phone#: ) �570 77j
ARPO's email: '
Date: U *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

N.C. DIVISION OF COASTAL MANAGEMENT RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY J U N 2 ] 2024
(Top portion to be completed by owner or their agent) DCM-EC
Name of Property Owner: Wtl rNF,
Address of Property: //f, _ de,%il rwkk UffkT 11047)F4kP N` 2 i i Y/
Mailing Address of Owner: ,I RjI6' 1
Owner's email: lAlbraer)Wle 077,ngiIf 41), Owner's Phone#:
Agent's Name:
Agent's Email:
Agent Phone#:
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.
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.U. 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.) A --�
DO wish to waive some/all of the 15' setback k \ I %I —
�— $ignature of Adjacent Riparian Property Owner
-OR- G'
100 NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian
Typed/Printed name ofARPO:
Mailing Address of ARPO:
Owner:
S 1i /
-11(2vN Al)
ARPO's email: v i0r c> r'/7004 (? 9 wtp1 e,,,— ARPO's Phone#: &
Date: `waiver is valid for up to one year from ARPO's Signature'
Revised August 2022

8 x 17 Slip Kayak Dock Decked
8 x 17 Slip Kayak Dock with 3 x 12 Safe Launch
SHOWN W11HOPTIONAL ACCUDECKING
RECEIVED
8 X 16/17 KAYAK DOCK WITH SAFE LAUNCH
SIDE ASSIST BAR
30"x6
US
on
SICK
12.' SAff LAUNCH
30"_N6___�
2024
EC
htlps://www.kay-akcess.com/kayak-docks.htmi 418

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