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Home My WebLink About89133A - Gregory. Michael and Lynn❑DREDGE & FILL N9 89133 A B C D Previous permit A t. 3 GENERAL PERMIT Date preio spermitissued [] 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.deo.nc.gov/CAMArules Applicant Name Address City Phone # ( State ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot#(s) Subdivision City (' i f ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body rdyc,1 .:, (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Win Body h<- •, ORW: yes/no PNA: yes/,nia Type of Project/ Activity 100 ,J- 14,.- i r o d _ i t. .l^ , ,. < , I ai v / t l 01 r i . , ei , k' r,o e r � 1 V ; ",< (Scale: N,T. S. ) Access Length- Pier (dock)length Fixed Platforms f1 c.T. �_ _ _ L_ I_ .f L' A � I Floating Platform(s)� Finger pier(s) 7 { !. Total Platform area Groin length/11 Bulkhead/ Ri ra length Riprap 6 I t� h < Lo . Avg distance offshore Breakwater/Sill Max distance/ length —` 4 �1 Y. t al T Basin, channel Cubic yards Boat ramp,10 Boathouse/ BoatliftBeach Bulldozing Other Y i" - 134 , u'f� _ r I I 1 I ` Ll 1 `� __.L i J SAV observed: yes no Moratorium: n/a yes no 1 r I I Site Photos. yes no, - Rip ,ion Waivar Attarhrd vac no _ 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. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature *'Please read compliance statement on back of permit" Application Feels) Check k/Money Order Signature Issuing Date Expiration Date RECEN ED AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION f U L V 2 2024 Name of Property Owner Requesting Permit: L c k ,A � (j A N ,� C_-, _RWI-EC Mailing Address: �U) � cnna d a ,./ Lie- o o j L'_ Phone Number: Email Address: c.e . �ref)orW l Do `,� �, CC)M 0 I certify that I have authorized L a\,/ o4 a j mop M@ E ZitL Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: U U / �. v14 at my property located at i Cn ^ d,,e,,) A v o NC in r o , /,d-2..i County. I furthermore certify that / 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: Signature 1� Print or T e Na` e Title Date This certification is valid through 10 _L, RECOV D N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONtWAIVER FORM JUL 2 N24 CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by ownerortheir agent) DCM-EC Name of Property Owner: Address of Property: C Mailing Address of Owner: coM n Owner's email: la-,,NJCg U f r s^) vnner's Phone#: d S a a i ��Qs 3 Agent's Name: IptAAo., Y•�AP:/%L� �✓C— Agent Phone#: ��a��"�(� -I 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 description or drawing with dimensions must be provided with this letter. VI/ 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 (252) 264-3901. 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' setback C Signature of Adjacent Riparian Prope wner -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: t� Mailing Address of ARPO: I (6 A& Yl�� ARPO's email: P'i1)h, C�(Ylal Wyk ARPO's Phone#: Date: I _ f�2 °waiver is valid for up to one year from ARPO's Signature �� Revised July 2021 1i RF""DIVED J U L U 2 2024 DCM-EC Iq c T \5� S I � v m RECENEE N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be compleett d by owner or their agent) Name of Property Owner: Address of Property: c-A- .e JUL L Y 2024 ®CK/i-EC Mailing Address of Owner. Owner's email: /� Nce 'hn( ,� � �r-Owner's Phone#: /,,'� Agent's Name: 6(�C21 Y ICXS M J l t- Agent Phone#: ♦! &yt 3 Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom aortion to be comaleted by 4he Adjacent Prorty 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. 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 malled 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 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' setback r1 F' �L ��-rr\ Signature orAdjacent Riparian Property Owner -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: 'FAt, C — Mailing Address of ARPO: jI1 R7 \ O E �K �V(' �� ry �r�n �1 C Z i mot ' ARPO's email: e- r-.QyJ ar�Cc? ARPO's Phone#: Date: S i a0a t_2waiverlls valid for up to one year from ARPO's Signature* Revised July 2021 RECEIVu \ �\ �_ � JUL D 2 ni%r \ z f , cr) Qj 'yam' i t. y � s r ,�