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Home My WebLink About89183A - Williams, Pamela (Reissue)"N❑CAMA ❑ DREDGE & FILL N9 89183 Al'; B C D 3° GENERAL PERMIT Previous permit I ` 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 ri -1 f') . 1 ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc goy/CAMAnI Applicant Name Pa 1' c 1 r: II ik 11 t t a s•n Address=' - City State t-1 C: ZIP Phone # ( ) <::Ln 2_ 4, Authorized Agent ZAPI r- t i I ` V w1 ci' Project Location (County): 1 r IA k I r- Street Address/State Road/Lot#(s) Email e•;e'r�?4f(> `=h%n) <i w, a.t ( [ Qvri _ Subdivision 1AJr� i rwi a-,Aa,,A C.. _ J City C_a.lcz V, .1 zip Affected ❑ CW R EW PTA Q ES ❑'P/TS 1 Adj. Wtr. Body ra" a.l +cp .V O aJ ei �1i �"' i 1=z� (naV__ unk) AEC(s): ❑IDEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body CL.Vt-IA UCj-- `7 Cit,L. L�. [� ORIN: yekrno) PNA: yes/no Type of Project/ Activity :I ■ ■: ME:M1 Y■ �m�m■■ :mom:::: :"::::::M::m:::::MINE Finger pier s s@ Nm■■■ �. ME :EN Avg distance offshore 'Boathouse/:.: ' Other .� .. m MIUMM:::.■�:.:::m IN fall ::oni:Breakwater/Sill aIm11E��® 1 : � ■ ■■ 0 ■ SAV observed: yes no yes no Site Photos: yes no Riparian Waiver Attached: yes no INUME ME MEMEMEME MENE, ...m ®...m.......��.C.. A building permit/zoning permit may be required by: Permit Conditions ❑ TARIPAM/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 1 Permit Officer's PRINTED Name Signature '*Please read compliance statement on back of permit" Signature Application Feels) Eeckq/Nloney Order Issuing Date Expiration D to AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Cj�GiE/l/ U/i1 ! Q40l,j 61aa-ar01 Mailing Address. 91gSE t7/'f Or, we At Z723 i Phone Number: -757• (p20 - 2q:� Email Address: / V fnt� f 0✓ l 2 6� 5 O Mai com I certify that 1 have authorized Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all rCAMA permits necessary for the following proposed development:2OT IGlAego� at my property locatedITT at ��2 f " �7' t° . (/ ,' e in Oef r'rt �&6jCounty. I furthermore certify that I 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. Property Owner information: ;'1 `/ }j Signature Q�21a.Y)u�h.ti?,1tia1.yN5 Gvaw��v� Print or Type Name UtAVIUL Title i Date This certification is valid through M.C. OPMON OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOT(FICATIONWAMER FORM 9ERTIFtED MAIL • PTjjN R ag2j gQUgSTEj2.g(_UWQDELIVERY (fop portion to be completed by owner or ttteV agent) Name of Property Owner: Address of PropaV Mailing Address of Ownei Owner's email: Agent's Name: Agent's Ema6: _ Phones: (�r7 // PI-V ' U<-Y✓ Agent phone* . ,ff -- 0727 - .. ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION Bottom ooNM to be eamoleted by Yha AdtagentPr000dy Owner) I hereby certify that I own propettyadjacenttotheabove r permit has described to me, as shown on the attachad have'obterdions to this proposal. Afanagement (OCeAV in wrhfng within 49 of andled to 401 S. Crritttn S't, Ste. MD, & fza contaaiedat (252) 26449ft No response Gotffied by Cerditd Mail. The Individual applying for this )pment they are proposing. A. 100 have objections to this proposal. Of this GOODS. Cormspondenoe should be 27909. DCA reprusentatives can also he the some as no obfeadon If you have been WAIVER SECTION (Choose eniv ores! t underetand.that any proposed pier, dock, mooring plings, boat ramp, breakwater, boathouse, lift, or groln must be set back a minimum d'kstance of 16 from my ere& of riparian access unless waived by me (p ji s does not aooly ko hulkhSads or doreo rev&bnents). (if you wish to waive the setback., you must slap the appropriate blank below.) _ 100 wish to waive sumetail of the t6' setback Signature of Adjacent Mips rfen Property Owner --- -OR- �/r I DO NOT wish to waive the 16' Setback requirement pnMal the blank) • t. C_ - Al% - Signature of Adjacent Riperfan Properly Owner: t om. ,% _ C" TypsdtPrintae name of ARPO: M` r iM CLA ' �' k1t`�o w() I Nailing Address of ARM 1 L( `z _. U ) A1�''i �.Sl.pwah• �\ tl kl. '6. kw an, ARPO's email: cr, 5Q"V AP ott4, ARPO's Phom;j-.-7si•(o�o-Ori lZ Oats: L.. J _a V •waiver Is valid for up to one year Rom ARPO's SignaWW Revised Au9uyt2O22 E.C. OrMION OF COASTAL MANAGEMENT �O fACENT RIPARIAN PROPERTY OWNER NOTIFICATIowiliAMR FORM CERTIFIED PML, RETURN RECEIPT RF — QSIESTED or ItaND DELIt�ERY (TOP Portion to be comp/Meted by owner or their agent) Name of Property Owner _Aalnetcf AaaraeaOtProperty / ,7— tr�?cts� /7,/� �'f/ t t a mgAN6Y ddressofovmer. f/Z 9s/ " %it : . EZMZM�Mr y� r IUI C - - - '.gams Name: — //1.1r/ D1 �1 rgtM Agent Phonw- Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (sauam oar8on to be c Ial ftij v a AdiaganB Pro ar Owmar) - - I hereby csritfy that i Own Property adjacentto the above referenced property The individual applying for this permit has described to me, as shown on the attachsd drawing, the development they are proposing. A. d por drawin wl dimensions must be is letter. !.FDO NOT have objections to Kris proposal. _ I DO have objections to this, proposal, +management (Dw in writing within 10 days of roeefpt of this nallce.�Correspondence should be mailed to 40, S. Gliflfn St, Sta. 300, Efieebeth City. NO, 27a0g. DC6f repreaentetives can also he contacted at (252) 264.30pf. No response Is considered the some as no obfectlon if you have been notlfled by certuW Mali, WAIVER SECTION {Choose only anal I understandthat any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin mpst be set back a minimum distance of 15' from my area of dpadan access unless waived by me (this does not aooN tO bulkheads or dorec revabrlentst. (if you wish to waive the setback, you must soe l the appropriate blank below.) I DO wish to waive sometall of the IV setback Signatuture of Adjacent Rtparlan Property Owner -opt 100 NOT wish to waive the 15' setback requirement (initial the blank) . `* Signature of Adjacent Riparian Property Owner: TypedlPrinted name of ARPO: - t &// /i ;�,�i'� Nal6ng Address of ARPO: o ,Q—O ARPO's email: /4 90It /. `YIG.t'e �O's Phoneti: t51— TOZ. -177V Date: O LPL--WaNar is valid for up to one year from ARPo's Signature• Revised August 2022 -/LAMA / ='REDQE & FILL 10 GENERAL PERMIT i ?�f<., 77974 G B C D Previous permit # __,_ ;i�iNew _ 7:Modiflcation Complete Reissue '_Partial Reissue Date previous permit issued 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 Applicant Name Aicy, zQ 'r_Mnr.-...��' �,7,'lI r'an$_. " `_. lesxuched. ProjectLocation: County „OCACk CQ4,'{' _ Addre is 6J6.. )one gte•' Street Address/ Sure Road/ Lot #(s) i l a- I1% /4;Y City./`4a61k- SmwUf( ZIP,Pt S_j�_ A•rey_.4,C>t_._�3'��.___. Phone#(}$})_33Q�/d)3 E-Mail Subdivision L3—(AI...'j'....3..ifr•.d,..._____ _ Authorized Agent (//:r.. $n 4(.-..._ _.. _ _. City /7n7-f�.V _ ZIPS?h39... Affected Cw EW 4TA '/ES PTS Phone # (. ) River Basin 1-1(04m+ -. AEC.OEA :-'UBA N/A ()4HHF IN Adj. Wtr. Bodyj h- - t iv _ C`.+dy 53a (nat / rt /unkn) ORW yes t no PNA yes N.% Closest Mal, Wtr Body,.'Jcc h- Sa,,-A. Type of Projecti Activity Pler(dock) lengh Food Pia lorm(s) Floating PAu kimi(s) Frtger pier(.) Gran lengah number Bulkhea Rlprap length. la;i R avgdistance oasiwre ar f� ma. distance otAnore .1� ..yy( Saco channel _ a C i pt Bwtramp.. .8 Innith uml Boaditt _ Swh Bulldotln,,_ Oder .... AL.iM/iZecl S�alhl.ecca r Shcrekm Length _. t.laa _. SAV: not siini yea mmitonum: °a re Plwtos: i.Y f^nnoe] VECP, OPC� Waiver Auached: yes V /� ,... A (wilding permit may be required try; c' t lot' Ck' Co" °%✓ (Now Local Planning Jurisdiction) Notes/ Special Condidons •,.�'+f arm._.. sr ectil ._. ._.. _.. Agent Ppplkant Pnnted N s. SigSSg urempl2nnton backofpermi[s'^.. Aycct0o Isja�_ Application Fee(s) Deck# R.Y rp.a 4c A (Scale: IV—( S ) See note on back regarding River Basin rules. Pemia Otacer's Printed Signature a-4--9-t Issuing Date Expiration Date m N