89132A - Taylor, A.D. and Caryle

°�°"°"'°x,�❑CAMA ❑ DREDGE & FILL NU 89132 'A- sg C D
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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Ci. `j (. S�. t I •J I C. �� <� �.i i o r'
Address
City State
Phone # (_ )
Email
Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no 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/R
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
Authorized Agent I o l 1 : .
Project Location (County): C .
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtc 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 Initial)
Agent or Applicant PRINTED Name _ Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit" Signature
1,
Application Feels) Check N/Money Order Issuing Date Expiration Date

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RECEIVEtj
N.C. DIVISION OF COASTAL MANAGEMENT APR 19 2024
ACERTIIFIED IMAILW RETURN RECEIPT REQUESTEDAN PROPERTY OWNER AorIHA DADEEL DELIVERY nn nn
�CIVI�EC
(Top portion to be completed by owner or their agent)
Name of Property Owner.el
Address of Property:
Mailing Address of Owner. °y -y 6}
P wne Ors Phone& o 0 3� m e� e �O'�
Owners email: �� -2tXt
Agent's Name:
Agent's Email:
Agent Phone#: T.,� JJ1 > t
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
{Bottom portion to ba completed by the Adjacent Property Owner)
{hereby certify that 1 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
...,xc! hn nmvirled 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 noury um
if -.•.�.� - ---- -
f?tfanagement (0CM) in Whiting within 10 days of receipt of this notice• Coresenta Ives Gan also be
should be
contacted at ( 52) 5 d-391M. responiled to 401 S. GrUffn St, Ste. 300, se is considered the sameas no objectionifyou 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 ish to waive setback, of riparian access unless
walved you must by si en
(this does not apply to bulkheads orriprap revetments). ( yo
the appropriate blank below.)
I DO wish to waive some/all of the 15 setback��� l��y
Signature ofAdisVnt R(Pa nan PM8rtyf9wn0r
-OR-
I do not wish to waive the W setback requirement (initial the blank)
Signature of Adjacent Riparian
TypediPrinted name of ARPO:
Mailing Address of ARPO:
Date: a7 a� y -*waiver is valid for up to one year from ARPO's Signature"
Revised July 2021

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RECEIVED
N.C. DIVISION OF COASTAL MANAGEMENT 19 2024
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) DCM-EC
Name of Property Owner: r�� 'Ca,�(o r r ! A
Address of Property: I S l i'As+i�%Nle h b CU 1 ,@�&46 1. one a t O
Mailing Address of Owner: 54r" C.
Owners email: -11,4 Owner's Phone#. )Sol- o Ya)
Agent's Name: Piit_ ,-I&If
Agent's Email:
Agent Phone#: a S.1 --.331- 0313
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom aortion 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 drawino 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 ARG. tuwsion or caestar
Management (DCM) in writing within 90 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St, Ste. 300, Elizabeth City, NC, 27009. DCM representatives can also he
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 nprap revetments). (If you wish to waive the setback, you must stun
the appropriate blank below.)
I DO wish to waive somelall of the 16 setbac %���/
g ture of Adjacent Riparian Property Owner
-OR-
1 do not wish to waive the IV setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
TypedlPrinted name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
.*waiver is valid for up to one year from ARPO's SignatureTM
Revised Julv 2021

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