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Home My WebLink About89230A - McAnelly, Parrish and Chantel#P/New ❑CAMA ElDREDGE & FILL N9 89230 A B CD Previous permit GENERAL 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: I SA NCAC - ❑ Rules attached. ❑/ General Permit Rules available at the following link: www.deo.nc.gov/CAMArules Applicant Name _ Address City Phone # ( ) Email State ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) r City S h I -) 79 /z Ad Bo �� ` 1 % C/ !i Cif I( �� i na man/unk Affected ❑ CW ❑ EW PTA � ES ❑, PTS I� Wtr. Body � ) AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity h -- Pi,l 0 %_Pic„;sI,,-,�,, (Scale: ,v t_i ) MEEE■ SOME SEEN ��C�■..� alall .■E..SEMI 0 ill Beach Bulldozing ■ SMNMEWIi�I �EMME■■H■OE��ii rS�lfEi'i®mom ®�S■SM.,�I13�R1iy■M. �iEMEE�MMM��■ ■WE on MEMOMMI MEN MESSES Other MEMMEM SAV observed: yes no Moratorium: yes no Site Photos: yes no YiDaria 1 'A I mom MESON A building permit/zoning permit may be required by: Permit Conditions I-, J r C O ❑ 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) `I Agent or Applicant PRINTED Name - Permit Officer's PRINTED Name Signature -'Please read compliance statement on back of permit" Signature Application Feels) Check N/Money Order Issuing Date Expiration Date m RECEI\./P! AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Req Mailing Address: Phone Number: Email Address: I certify that I have authorized to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: k 163/f� fZ" 0. a at my property located at //O in 0-GMC%r1 County. D2 AUG 0 6 2024 I furthermore certify that I am authorized to grant, and do in fact grant ermission to Division of Coastal Management staff, the Local Permit Officer and theira, ents to enter on the aforementioned lands in connection with evaluating information r lated to this permit application. Property Ow er Information: Print or Type _ C3 tine Title Date This certification is valid through /(� l l I a Y q RECEIVE® N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER 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. Owners email: Agent's Name: �NP(,§4 ��f '� L Agent's Email: Owners Phone#: 9M -c3 t `) IJ c JV�� 0 Agent Phone#4s,)-.�` ^ox-:? e- AUG 0 6 M74 DCM-EC �oq 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 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 notifred 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 someiall of the 15' setback f Signature of Adjacent Riparian Property Owner 99Ta 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: ARPO's email- Date: ARPO's Phone#: 'waiver is valid for up to one year from ARPO's Signature Revised July 2021 REC;F-1rrF--r1 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM AUG 0 6 2024 CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) DCM-[—(,,, Name of Property Owner: M _lk C �� e 4� i _ LI Ld 4 Address of Property: ' Q& �hI I TWO i \�2 'ER-tI �)S— 2` L Mailing Address of Owner. SCI 1T-� Owner's email: b+f rtcttmr-1-43 L4r�q er's Phone#: `76'(ac,-I-{a.-k Li Agent's Name: (A&te[#A PAC4P11 A A T4C- Agent Phone# 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 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. 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 matted 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 r, 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: Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: Date: *waiver Is valid for up to one year from ARPO's Signature* Revised July 2021 a �h P