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Home My WebLink About89171A - Beck, Michael and Dilly°t°"°"` ❑CAMA ❑DREDGE & FILL N9 89171 A B C o ==GENERAL Previous permit 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. EJ General Permit Rules available at the following link: wwwdeq.ncgov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Roadj Phone#(_) _ City Affected ❑ CW n EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body _ (Pat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Mal. Wtr. Body - ORW: yes/no PNA: yes/no Type of Project/ Activity Shnreline I Pneth I(',.) L't �-Ii (Scale: N•N � ) Access Length Pier (dock) length Fixed Platform(s) : Floating Platform(s) ■ �i�!YSIf�__��■I 1 r■;;:o:::: 17Finger pler(s) ®.. Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift■■■■■A■ Beach Bulldozing■ Other L-4 ■ . .NS ■■1■0 Ffil :■..: 711 ■■■■■■..■■B1Fi41■�■■■■■■■ ■■ ■■■■ SEEN MEN �' �9I■■ ONE 61 No SAV observed: yes no i+ Cite Photos: yes no J— Waiver Attached: no i ::.�®{�■®■■ ■:1�:■�■::'NINERiparian A building permit/zoning permit may be required by: Permit Conditions ' Y ❑ 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) V '•'/+�•'�� Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** Application Feels) Check If/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION JUL taNJ ®MEC Name of Property Owner Requesting Permit: 4 (( e, I 3 eck Mailing Address: ((2 eAre � 4,&— eKWtSCA.) lkJ Phone Number: 110 3- Q L -- g K V Email Address: beGK,2614170_2VaiZv,y, Net I certify that I have authorized LGy d&j /pia--fA[E -t' j C_ Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary fbr the following proposed development: "S ';-11cf .�pQ /a rNC)GK . Te4 5kc P jq. Gl,vt S' X. 1 io" LSit� CG_C-Lo at my property legated at I I'( cef/wa e6n Atf, in Caw-�C�h County. I furthermd6, certify that 1 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: Si lure ft'�iC:e�ac I 8e,c.k Print or Type Name Title 6, I J-,?- /,9 Y Date L This certification is valid through Vj / P ( / RECEIVED N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM JUL 1 0 2024 CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed b/y� owner or their agent) DCM—EC Name of Property Owner: /tif 1 i (�Gte1 W'— Address of Property: 1/ 9 r /4yr, rL1,ndao n G ar? q a1 Mailing Address of Owner: Owner'semail: &Lkoolll Phone#: f a3 " ! qJ — ct rd�f Agent's Name: L A41le-7 dl,-tr"nL, 7;✓LL Agent Phone#: Agent's Email: OL rIA" lyl o r[UDh Ze%,J, Ce/&-L 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 drawing, with dimensions, must be provided 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 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 i :& VA Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: `u- Typed/Printed name of ARPO: Mailing Address ofARPO: I? 1 r?t_nnr6e_r--\ 1—&<, Couyyck,-) kic ARPO'semail414'4 .(V,"ARPO'sPhoneM-iS i 4-03 31; Date: C *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 f,. } i ® U t-� W W W -- � U U 1 RECEIVED N.C. DIVISION OF COASTAL MANAGEMENT JUL 10 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. _ 64A l ge- Address of Property: IN 64�je-A3 AL/e 64 ,t): k. ,2 Mailing Address of Owner. Owner's email: bOX-4,2C1E/ZCVet;Lou,&VJOwner'sPhone#: '70-31--9y59V88 Agent's Name: kl&n In/VV14C,T%lt_ Agent Phone#: aS� -`�✓�� ""'l Agent's Email: "y6fF_h l/Yleyi4 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Owner) 1 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. :95 1 DO NOT have objections to this proposal. I DO have objections to this proposal. If you have tions to what is being proposed, you must notify the N.C. Division of Coastal Managemen CM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to Grifftn 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 Gertilled 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 16 setback( 61, cc�J Signature of Adjacent Riparian Pro rty 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: Mailing Address of ARPO; / J '7 C ArnGf" f rJ A0 E / . ( i (� �/y ,t i ['aL ARPO's email: ARPO's Phone#; a Ya -1,3 C - // / r/ r Date: l - 13 - 0F 'waiver is valid for up to one year from ARPO's Signature* Revised July 2021 zs 0 W W ul m w T i