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Home My WebLink About89216A - McEntee, Howard and Mary#U]New ❑CAMA ❑ DREDGE& FILL N9 89216 A B C oGENERAL PERMIT Previous permit Date previous permit issued ❑ 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 City Phone # Email Affected ❑cW AEC(s): ❑OEA ORW: yes/no`. State ❑EW ❑PTA ❑IHA ❑UW PNA: yes/no.; Type of Project/ Activity _ «...vu.fe i e�Mti Project Location (County): - > . ZIP Street Address/State Road/Lot #(s) Subdivision City ZIP ❑ ES ❑ PTS Adj. Wtr. Body i '.(nat ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body i (Scale:` I) Access Length Pier (dock) length® Fixed Platformis) ■■ - ■ - ■ ■ M■■� ■■ ■■ ■■ C.- �■(C ■■■■ ■■■ N ■■II ■■� �■■■ ■ MIA Floating Platform(s) ■ ■ ■�■■ ICI:■■�■ ■ Finger pler(s) C ':' ■■�tI�:':: C .:�:M� I;: M NEE ME 11111 milCiB: �■® ■■�■■■iu�■ ■ ■■■■■ ■■■■■■ MINE gill ME NMI 0 �■'w■ ■ "_i iii ■r ■■■■ ■■ FS �lI ■■ A building permit/zoning permit may be required by: ❑ TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back IAMAWARE OFSTATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROTECT 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 Application Feels) Check M/Money Order Issuing Date Expiration Date NCDENR North Carolina Department of Environment and Natural Resources Division of Coastal Management Beverly Eaves Perdue, Governor y ames H. Gregson, Director Dee Freeman, Secretary AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS Date: Name of Property Owner Applying for Permit: Mailing address: I certify that I have authorized to act on my behalf, for the purpose of applying and obtaining all LAMA permits necessary for the proposed development of . at my property located at r This certification is valid through Property Owner's Signature Print or Type Name Telephone Number 1367 U.S.17 South, Elizabeth City, North Carolina 27909 Phone: 252-264.3901 1 FAX: 252-26Q7231 inter et: wm.nccoastalmanagement.net An Equal opportunity IAffurnalive Action Employer — 50% Recycled %M Post Consumer Paper (date). Vi9�Z3�r� 2) Iyr N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property: Mailing Address of Owner: Owner's email:)'i Azi e, C In trial Agent's Name: N I N- Agent's Email: Phone#: _(15 l) q7-7 - 35y a Agent Phone#: (V i p 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 description or drawing with dimensions must be provided with this letter. ►`ioI 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 'iulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive someiall of the 15' setback -OR- Signature of Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: t 16 C Q t t/.d I Typed/Printed name of ARPO: J-)a, 1 Q C, N odth et4L5�^ � 3456 Mailing Address ofARPO: /-r, U, ho)/ sl 16 de0--hard IV(Ca7Q�j// ARPO's email: ) d in. dalrl4* (vna-tthevv�kWP90 P `on # O rA 22, —3461 o +(o3 `C Date:- 6-23 —2aal4 *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 e on bad< N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: V .. 4 I_ `c\Y C L ' V Address of Property: 5- ' h ( � ' L , �Ih / Mailing Address of Owner: t(/� L I r ach i " ' ' II LL� II,, QQ r/� 3q5 Owner's email: _r bVVI e( M I I Ud (� I Own lr's Ph e#: �7 J�5y a Agent's Name: N I i; Agent Phone#: 114 Agent's Email: N I 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 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 Signature of Adjacent Riparian Property Owner MR 1 do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Typed/Printed name ofARPO: i1nO-VA6 D De FDCMt Mailing Address ofARPO: E)� 2.1,t`J.`C-U- J2 I�E2iFoFJ, Nc, Z�� ARPO's email: Cje j)CMI Jf1 � 7MCLi I.COARPO's Phone#: 7 �1 Date: (9 1 L5 2!)bQ *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 Can h 61 c,k IMT, ll� '11 1' 47 4 4 44 •�4 . y r I /< z L w _W w 0 a O 0� 0 o