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Home My WebLink About89156A - Wilson, Gerald'o��{WASI4( ❑CAMA ❑ DREDGE & FILL N9 89156 A� B C D Previous permit GENERAL PERMIT 3 Date previous permit issued k❑ 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 Authorized Agent ' Address Project Location (County): City State - ZIP Street Address/State Road/Lot #(s) Phone # ( ) Email Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat%manfunk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: ) ch—li— I cn n.6 Access Length _ Pier (dock) Fixed Platform(s)length M ■ ■ ®■� ' ■■■■ �■ Floating Platform(s) INMEM IN ME MI WE III Total Platform area 1111 Groin length/# ■ M■■■■MMMM■MM■O■ Bulkhead/ Riprap length M.■�:�.��.��qq�j�j......INIM ■■ ■ ■ ■�■■■■■� 'IN= 1®�■...�:�:�:.�..�0■MCSOME 1011rom i{�Il ON 0 ME ONE son ME.■■ I� ■E:M ■■M■MMM■■h ■M■rrM�llMMEMOME■■■ MEN ■■■■ MEN M M 11001a No ■ ■■MM rtA :■■■I.■.■■■■■■■■■■■®■ ■■ ME MOMMUM, M■MM ■■■■MEMOS ■■■■■■■ is ■ MMMMt ■ OEM M■■■■M■ OM■M A building permit/zoning permit may be required by: 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. Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature *'Please read compliance statement on back of permit' Signature i (Please Initial) Application Fee(s) Check N/Money Order Issuing Date Expiration Date RECEIVED AUG 0 1 2024 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY DCM-EC (Top portion to be completed by owner or their agent) Name of Property Owner) G5 L n.A1A �A1� � 50n L� Address of Property' ET=a.� (,ahem, PrSa�ti' baiuCAt�mrigg21g NA1,444inr) Mailing Address of Owner: ��C L� �: t• E Remo kw UesA=L V A aZ3Xa Owner's email:-St,J'�)601& C17i(_ F 1 Owner's Phone#: -1�]`S1 'I ., Agent's Name: Agent Phone#: —� Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent 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 drawring, withdimensions. must be provided wi h thisletter i DO NOT have objections to this proposal. I DO have objections to this proposal. it you nave oplecuons to wear is using proposes, you musr noury me n.o. vivision or �oasral 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 (252) 264-3901. No response is considered the same as no objection if you have been noted 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 riprep revetments). (if you wish to waive th setback you must sign the appropriate blank below.) I DO wish to waive somelail of the 15' setback signat6re 6f Adjayktparfifn Property O e -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: MailingAddresSSs'�ofARPO: 1U`t,J LkMVRICo Nck- ARPO's email RA0kike,-rm Sialrz , rtlm ARPO's Phone#: Date: `waiver is valid for up to one year from ARPO's Signature 19-q Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT `-` l V E D ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM CERTIFIED MAIL ' RETURN RECEIPT REQUESTED or HAND DELIVERY AUG 0 1 2024 (Top portion to be completed by owner or their agent) Name of Property Owner: st RA � n h r } 0CM EC Address of Property: Lr,4 �L-aq 2,S Gt,-,kefo,u Uf ,ne alb. PfA13 1t51`3 Mailing Address of Owner: Li � Ae Herzo k) P"iJ VA owner's email: �(� 3 � tt X , 141 Owner's Phone#: 7�7- 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 I DO NOT have objections to this proposal. I DO have objections to this proposal. it 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 (252) 264-3901. No response is considered the same as no objection ff you have been notified by Certffied 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' setback Signature of Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial jhe blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: S 1 eprm Q CA 211 )q-T lch tx C�yz IC . (D ARPO's email:- r/ bI0IM jo'� � 04� " 1� / (ci� �/ �,1 L �i0 ARPO's Phone#: 9 7 � Ci � ��.lb� Date:-4'waiver is valid for up to one year from ARPO's Signature• Revised July 2021 m `v v y N �O AIP Tb \\t 0\ 1 I N \ I IA t� r 9+. XISYtc; U 9Z.Z.xII , ,,,q ISZ.11" Q d.-' L5 HE JvB N� 3 I 11 I 14 .l5 0 aU r f - RECEIVED AUG 0 1 2024 DCM-EC ) ] . G \ \ \ \ ) ) 2 « \ (,o \ \ &'D \ \\ ,A\2 2 § LA)\ } ) \ \ § ) E N\ 0 ( 7 ) \ \ % [ � � \ 7 ! � ! \ co } § } ( ) « §■ \ );p !§ | `k } � E ! , .0 ! §® « \« .0 !i e ;| ) ! �; � G) 0 m r+ RA 1 4 . t,