89265A - Bunch, Guy and Regina

EACAMA ❑DREDGE $t FILL Na 89265
A B C D
GENERAL PERMIT Previous permit
a 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:
15A NCAC ❑ Rules attached. � General Permit Rules available at the following link: y8yw.deq nc ov/CAMArules
Applicant Name (% `. ,• < `. Authorized Agent
Address Project Location (County): i)
City State ZIP +'I •S' Street Address/State Road/Lot#(s)
Phone # (_ )
Email Subdivision
City v - ZIP S !) % 5'
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑'PTS Adj. Wtr. Body ria man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
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MM
a:■IN
EM
ME
Floating Platform(s)
Finger pler(s)1�
Total Platform area
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Groin length/#
oil
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A building permit/zoning permit may be required by:
Permit Conditions
r` C C 1.J
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 RULESAND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.
(Please Initial)
Agent or Applicant PRINTED Name
Perm[it Officer's PRINTED Name
Signature -*Please read compliance statement on back of
permit••
Signature
01/17/Zi
401.00
C)I &_76
1/17/2S
Application Fee(s)
Check #/Money Order
Issuing Date
Expiration Date

nt u 15.6x15.6 With 16x16 Hip Roof RECEIVED
/ i ! AUG 2 9 2024
i
DCM EC
4.5x16 — !' 4.5x16
Lower Platform -- _ ___ lower Platform
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O
Gam,
Gy.lSet.i-c6t�•fs �\ (y�" �b�—,¢L�Sf-r�-..r��
5,6x�Pllings le up 40' with A LAI+ _kr)
cs� WA c-ltvS Y With 1114 Poly Rope Handrail
a �/G`31 UEj-LKtN 57S
r
5.6x210 Boardwalk
210�' t
_
Pool Deck
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RECEIVED
AUG 2 9 2024
-jukr
!R, FVF GROVE. A RECOM81WON
2' FINE GF�F OF WIS 1 2, PINE GR�E
JR and GUY D. BUNCH, JR. and
()U wife KOM U BUNCH

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P'tilNg S Pr 15.6x15.6 With 16x16 Hip Roof
Furua� uat I` G
4.5xl6 _. _ Ox10
Lower Platform Lower Platform
I
l 146'
I
I
210' ,
taxUbI_j
GAT W Fl(-Y-,
�\ 5.6x134 Pilings left up 40" with
With 11/4 Poly Rope Handrail
5.6x210 Boardwalk
Pool Deck

AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: GUI 4 Np eu `" h
Mailing Address:
Phone Number:
Email Address:
re c G o u
I certify that I have authorized �oRr rxt �f Agent i Convector
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 5 c' X 2 t0 i&> (A O AC IC
.5 ly t P1�2 IS `' is 1-2'c k Vj 10 ROOF I�H i T-
at my property located at 1 i I U w FIRS"T S`1 �tC� OCVIL 1IICcS
in lJA2C County.
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Divsion gents to enter
on rthe aforementioned ed landsn connection with evaluating iCoastal Management staff ' the Locl Permit officr and their
related to this
permit application.
properly owner Information:
SignStture Print or Type Name
(t w nt'r
Title
Date
This certification is valid through

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. (emu t I� N A h �' ✓t h
Address of Property: (H i `-I 4:, G2, T �t, 1< ��- De JIB- (a =`-S �- 27
Mailing Address of Owner:
Owners email: T>>i,J IDIC Owner's Phone#:
Agent's Name: i`o&(LT M i iJ (, c _ Agent Phone#: 2S Z
Agent's Email: %� _ .l • �i t�-,
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 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.
✓ 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 notity the N.C. Dlvlslon 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 [phone]. 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 sometall of the 15' setback �\
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
-k- Signature of Adjacent Riparian Property Owner: k^4= •- "
' 4
Y Typed/Printed name of ARPO: _v/D CC L''1"`I�G
f Mailing Address ofARPO: 10/O� ✓P�(.rNG- LA4'� !FrB.0 �A/,QA,Ay 22036
N
3� ARPO's emal 1: 20 CAP 10/ 1V It �• C0'ARPO's Phone#: 703" 9 Ss--7'7
X` Date: _'waiver is valid for up to one year from ARPO's Signature*
ii �� Revised July 2021

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:c-
Address of Property: 1'-t t 4 W F¢ '( < «- D ey i C,. N I L `5 2 _7
Mailing Address of Owner:
N
Owner's email: f`C y I,vw, W n,N161t Owner's Phone#:
Agent's Name: 1I OooL /LT M I Q is 11 t Agent Phone#: 2S Z
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 properly. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawino with dimensions must be Provided with this letter.
�DO NOT have objections to this proposal. _ I DO have objections to this proposal.
It you nave ociecuons to wna. ra ..ar„a r,..r. ww, x-- ­-_...-_., -
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
malted to 401 S. Griffin St., Ste, 300, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at [phone], No response Is considered the some as no objection if you have been
notified by Certified Mall,
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 elan
the appropriate blank below.) l�
I DO wish to waive some/all of the 15' setback �\Q
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (Initial the blank)
-k- Signature of Adjacent Riparian Property Owner
-¢ TypedlPrinted name of ARPO: el r Pt. 2j¢Y a oiZr
'f- Mailing Address of ARPO: C. XdH
$ARPO'semail: C)5 Gs H5(PA OL 462i*ARPO's Phone#: S40- T59-455
v Date: /i / / 2oa tr -waiver is valid for up to one year from ARPO's Signature'
Revised July 2021

1 b LI�'r
pluNyS for
1. Aid - LIF T
T
4.5x16 —
Lower Platform
Nxy7'_j
Gpt W R�-K,
146'
210'
15.6x15.6 With 16x16 Hip Roof
— 4.5x16
Lower Platform
5.6x134 Pilings left up 40" with
With 11/4 P01y Rope Handrail
5.6x210 Boardwalk
Pool Deck

F C 6 httpsy/mapsdam untym.gov/ain(o