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Home My WebLink About89254A - Sanford, William and Nora,04 0`e"h.' AMA ❑ DREDGE & FILL N 89254 A B C D GENERAL PERMIT Previous 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: 15A NCAC - ❑ Rules attached. /❑ General Permit Rules available at the following link: www.deq nc gov/CAMArules Applicant Name _ Address City Phone # ( ) Email State ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ om ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wen Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: ) ■ ... ■ ■■. �. IINE■�n�..■■ ,EEEE . Finger pier(s) M M Total Platform area .�:�#lL.®■■C.C:C...EC: .■. ME E MEN Q� CAI N■■®�.■�. NINE ■ ■.■.■. !■■■■.■..■ ■■■.■.■ _■■■■ ME ON I■■■■■■q■■■■■■■■ No ■'■o'■'E■'■■■■E■�■■ M ■■ ■■u ■■■ I� EEEEIMMEE:IN ■■ SEE ■■MEN ■■I■i MOM i■M■■�■■■■ ■N■■■■■■ ■ ■■■■■ ■■ ■MOM ■ ■ ■■ ■■■■■■�■p SEEMS �■■ ■■81■1 m■ A building permit/zoning permit may be required by: L 1 1 11" 01 (� Permit Conditions I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PRI Agent or Applicant PRINTED Name Signature *'Please read compliance statement on back of permit Officer's PRINTED Name Signature ❑ TAR/PAM/NEUSE/BUFFER(circleone) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Application Feels) Check#/Money Order Issuing Date Expiration Date RECEIVED AUG 2 0 2024 AGEN'r AUTHORIZATION FOR CAMA PERMIT APPLICATION DCM-EC Name of Property Owner Requesting Permit: Mailing Address: \�� vJv��ti�zS CeQ2Tt2�toru��IyL 3`11t f Phone Number:y3 - —y Email Address:j1�SS I certify that 1 have authorized l r/lQ%LCc_ Agent Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 4 t k S• 4/ iJlAi, �t'l%�- �r R A�� 'Gxs't � n1d �� nett. �aoafls-Ff I a`>c te` at my property located at � k,-� o `�` a -A 1y $2 S C a-32-T NC_5-ca Q=o 21a � I-i L_ inkrwo\MRNNS County. 1 furthermore certify that I 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 U3kL-L'kp.m S� Nr'orzn Print or Type Name Title -7 / 7 12 Date RECEIVED AUs 2 0 2024 N.C. DMSION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM DCM-EC 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: \C 6 Mailing Address of Owner. O S t AyS p c- Owners email., Owner's Phone#: 76S `c _ 6 L Agent's Name: 1406(n 122'Irl n 8/ Tnc. Agent Phone#: 2S) --331- 1e313 Agent's Email: <1 ;I ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owners 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 DO NOT have objections to this proposal. 1 DO have objections to this proposal. If you have objections to what is being proposes, you must nor" the rv.c. urwsron or r oasra. Management (DCA4) 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 ff 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 16 from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments). If you wish to wive the setback, you must scan the appropriate blank below.) I DO wish to waive somelall of the 15' set -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: TypedlPrinted name of ARPO: /f , C rl(,u of NI. HP-1,W Kf Mailing Address of ARPO: S i 11'x 0i t7i r t 7 ARPO's email. dtCt, ffgNh ,�5ti�¢.iI ',ARPO's Phone*- Date: ' ;� J '-Rvaiver Is valid for up to one year from ARPO's Signature* Revised July 2021 RECEIVES 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: li \ t W N-A\ P�. S 1� a cz)I `r 1�')Z-,b, p+, AUG 2 0 2024 DCM-EC Address of Property: \�-16 Mailing Address of Owner: 5�$ ^�: = = -a= �2M - +� d' ; = --r `� o5l;- J.Y'-6U 6 Owner'semail:-9SSIFf��PSC OwnwersPhone#: Agent's Name: Icy4 oel Mal -Ile, ri ,c Agent Phone#: :�.5.) —,731 - 6313 Agent's Email: In e_ 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 DO NOT have objections to this proposal. I DO have objections to this proposal. it you nave 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) 254-3901. 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.) 100 wish to waive some/all of the 15' se c cE� -OR- Signature ofAd cent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Ka Mailing It - Mailing Address of ARPO: 15,g ac ARPO'se ail: ��um�t�f�0\Li1J \ARRPPOt'sPhone#: 2�2-I"4"�`"C"'Q 70 Date: , �� Q-q 'waiver is valid for up to one year from ARPO's Signature* Revised July 2021 v i� Vol 0 i 90V �y -14 \�\ C�l u d c Q N � ' • ��Y I `i II�11 r t 'w ! i, r J 11 *�t fit, � 1,+ ,•�, �Iy i y's'{,Y�i � � � --.. � v W �IP �.' f ,d `,'¢ ` e— 1 9 e4 a �. (f. �> P i� S• 1'.' n .�� ,fir � t � �• to.+ +�� vf. t� .3 �` # �'� �A�� C' 3 � \ r 1 ` �� • Kati a8 i !S'RL, Ssy yj,�p. M ZI 110 01, sT,�1 f '�Ky ..li __ 4f1 •�'� # 1 t • Y ! 1 \ 4.: _rZ 4-J LU <