89278A - Holland, William and Joanne

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aatl„ O t �� la C D " AMA ❑DREDGE &FILL 1 H�2%H �
ENERAL PERMIT Previouspermit- —
® Date previous permit Issued ----
New ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized by the1State of Nor[h Carolina, Department of Environmental Quality and the Coastal Resources Connnission in an area of environmental concern pursuant to:
15A NCAC +l %�-% --� ❑ Rules attached. O'-8eneral Permit Rules available at the following Ilnk: www.dee.ncyo K.AMlaul
ApplicantName t�J)I�)4tr1-��t' clo4n rs'- j4ntl Authorized Agent__�-
Address :La/017- i�s5T��/ �S+i y Project Location (County):
Cily A<. ri Lo State VT ZIP -.f- 1 St to Address/State Road/Lot#(s) 41'7 od /t O�ucf
Phone #(p_6c(1)3ao ^I�2S to I 1 ./ltnb.n. /•1�,/ Sye /-Z-10 1
Email 1.J7 l l) Y1 O oc/s a ry uT/^ G.i /r l'.a�+ Subdivision _ '•••
City dctyc-Jlk . ZIP_ 2J79'7.b
Affected ❑CW tJ46W- APTA
AEC(s): ❑IDEA ❑IHA ❑UW
ORIN: yel PNA: yeAiLN
❑ES ❑PTS
❑SPIMA ❑PINS
Adj. Wtr. Body—pd.ns
Closest Mal Wtr.Body 106-in
17es .Sa ra r`L—Vunk)
/T Lo .yes.
Type of Project/ Activity
7
n_S_Tr
lam.cs!s— N >< r
/P) •e f" o
IL) 4 P / c�.•�—.�a Spa,./
AC' Q, V-a \
c LZ6- w onl A 3'
-J SKLr��t,(Scale: 41J)
Shoreline Length f 7r
e4 nn e-4-1 ..� {-o (o raC. Ce
�a,ll•Cs..a o-� 5i-rpJ
an �s y�. y /as.sd
'
1 ✓
Access Length / 3 w 4
IJ ` r/}v
Pier (dock) length y^ zC 40
Fixed Platform(,) 1"0
4y�q
IV I
14
floating Plallormis)
Finger pler(s)
Total Platform area ca _
Groin length/N
Bulkhead/Riprap length -'
Avg distance
)C
I /Aj(S
offshore
Breakwater/Sill _
0
sS / C- t_.S J
Max distance/ length
Basin, channel
Cubic yards —
--
Boat tamp — .// w•
Boathouse/BoalliN Vi
Beach BUlWoziOR — {/ I ,� ` �'✓ 'vim ' ��
Other -4, `V �V Ca L .�.1
(i Xla U,IKNn1 - <__Pc
�— %i art ze
wvl/C�+aa
$AV observed: yes n (4' I '_-a�
Moratorium: n/a yYes no-[v t .�� f o'tio"'�lI �QrF • fT,c
Site Photos: �._l moo• I 4n�Way>
Riparian Waiver Attached: no eL H �-L vt N D 1- ;y,pt l ! t-
A building permit/zoning permit maybe required by:_ O. ra- Cola Y
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/cond,fons on back
I AM AWARE OF STATUTES CRC RULES ANDCONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) I,
or
Signature s 'Please read climpliance statement on back of permits*
O b jj
Application fee(s) Check B/Money Order
Permit COfficer's PRINTED Name
Si re
y
Issuing Date Expiradon Date

❑DREDGE & FILL
NY 89278
GENERAL PERMIT Previous permit
Date previous permit issued
4Plew ❑Modification ❑ Complete Reissue ❑ Partial Reissue
OB C D
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 / L�"tgI 9�J -�- ElRulesattached. �eneral Permit Rules available at the following link: wwwdeo nc gov/CAMAr les
Applicant Name W I f CL 3 O 'n r% I-�-p 1 jgna
�1 11 �� 1� Authorized ,agent
Address / t/S�� i�e ST�c .5'l r 90.r�
e/ Project Location (County):
City p�v,��rl Co State ZIP .L 3 V7 1 Street Address/State Road/Lot #is) y'7a��
Phone#(°�I).10e ^IL2S(o 9e�(1 n5�n, ;J., S2 /ZJp
Email L4 i )1 ate., ; n lif $ u�/r�G-i /r �nT>•"�/ Subdivision —'II
V City /7v-i�"TTti. ZIP LTJ?'Z.a
Affected MCW ej-EW— PTA ❑ ES ❑ PTS Adj. Wtr. Body pQ rya
Z__. S" 4 f / k)
AEC(s): ❑ OEA ❑ INA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body r/V a-m ,S �'b L5D `-s r✓
ORW: yesAO PNA: yes I
Type of Project/ Activity ty >L
z -c Go r e. 1 e V ta.lre.A,
baV�SwA73r17 1 (Scale d_`U)
Shoreline Length fi 7 r �_»A —4-1
Access Length 19 r4 �� A U T
Pier (dock) length K'
Fixed Platform(s) /D
Floating Platform(s)
Finger pier(s) ^ Q/psJ�TLJ�'
Total Platform area / (D o 1
Groin length/q —
Bulkhead/ Riprap length
Avg distance offshore '" X / C'�-(S ( /AJ G
Breakwater/Sill — O // S/ d--Ls
Max distance/ length T - �-^--
Basin, channel ^
Cubic yards
Boat ramp
Boathouse/ Boatlift _ _ T _ Vi
Beach Bulldozing
Other — .-a✓ -{/ l V aV M -1i A.� �(� `�
iz'gIk-,cgy I
SAV observed: yes lryt Ak
dI ¢-(2 ✓��¢i p. I
Moratorium: n/a es no 1 � sP aJ�ftA'-`�'Iq"a1
Site Photos: o �qtWw(KWo.y
Riparian Waiver Attached: no ®1- � LLn'} Al JD 5-FapS / L-
A building permit/zoning permit maybe required by: '0O-f Q Cola uD
Permit Conditions _ ❑ TAR/PAM/NELISE/BLIFFER (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)
7' Vo /f.t
Agent or Applicant PRINTED Name Perm! CO.f�fi�cer's PRINTED Name
Signature
perm back
on menSigre : *
Signature **Please read compliance statement bk of it"* Sig re
I��b shy &'Zf/2N Z�y/ems
Application Feels) Check It/Money Order Issuing Date Expiration Date

�° °"'" ❑ CAMA ❑DREDGE & FILL IVY 891/8 A B C D
3 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: f
I SA NCAC C ! i I ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc goy/CAMArules
Applicant Name
Address
i
City Ij' . - State ZIP
Phone # ftli)
Email L,J'. I
Authorized Agent
Project Location (County): _!A, ,'
Street Address/State Road/Lot#(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body /�<.. r .-i '(nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/1`19 .� PNA: yes/no-'
i
Type of Project/Activity_ I r. t' = -
- > 5 �b r ? r ; `(Scale: rl "/
j
Inn
Groin length/#-...........�■�■■EAvg
distance offshore-
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A building permit/zoning permit may be required by: I
Permit Conditions
❑ TARJPAM/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)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit**
f
Application Feels) Check q/Money order
Signature
i
Issuing Date Expiration Date

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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: V02 Wi s' f air �F,
Owner's email: fOwner'sPhone#: R00 3ULr-56�i'oZ
Agent's Name: Mel t✓ ° 0-B gent 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
4� Y5:k 5',Pock 1v 12 r Ib' fi4t46,
l • I DO NOT have objections to this proposal. I DO have objections to this proposal.
if 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 [phone]. No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION (Choose only one)
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 AdjaceaMiparian Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: KALn tL4(44Z
Typed/Printed name of ARPO: 901,61Ia 6
', -41 dti*,J e?yy��
Mailing Address of A/RPO: 36)LOyAl /W m ALZ Lk hn,,,it VA. ?-,9
ARPO's 44 m ARPO's Phone#:
�— 75''7-, l5`Newe
Date: _ 5 f L' 2 G1 2 Yl *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022

N.C. DIVISION OF COASTAL MANAGEMENT
RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
;(Top portion to be completed by owner or their agent)
Name of Property 0jvnor: W 01 i d 1y, NW1,4/,1/)
Address ofPraperty:+ q?040 j064''l /iQ/)(IJION /t.k QV1tfr1,✓ A!C
Mailing Address of ,Q{Iwner. _a tina2 PiirlA f� �
Owner's email: W'IrIAM YNPUtI10`e' NA%/hl�wnePhone#: 80If 00 1 p�/ r;
Agent's Name: _�� i V ! Agent Phone#:
Agent's Email: MizL COVE r4B4 Q 1,1017 1 GO/rt
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adtgcent Property Owner)
SS lvlt Si I 1 yryK d' p /,A /6A W/ vx Id 9��ph4wlJ
I hereby certify that I o�n prop�lt� adjacdnt tb the Ati6fb7o(erencedlprapefty The Ind(vldual applym'g�br this
permit has described to me, as shown on the attached drawing, the development they are proposing, A
description or drawinP with dimensions must be Provided with this letter.
�L' DO NOT have objections to this proposal. I DO have objections to this proposal.
n you nova ygacuons ro wnar is Doing proposnn, you must notify the NC, Division of Coastal
Management (DCMI In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. GrfNln 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 (Choose only one)
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum diatanos of 16 from my area of d " non Oates unless waived by me
(this does not apply to bulkheads or riprao revetmenis). (If yo tow ' the setback, you mus sl n
the appropriate blank below.)
I DO wish to walve s me/all of the 15' setback
Signs ore of A of Riparian Property Owner
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjaeorit Riparian Property Owner:
Typed/Printed name of ARPO::j�L
Mailing Address of PO: _ 1 0 6,
ARPO's email: hLmLteCV4,e'r1 c-e'ARPO's PhonsS:
Date: Z "wralver Is valid for up to one year from ARPO's Signature"
Revised August 2022

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