89321A - Whitaker Jr., Robert

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CAMA ®.DREDGE & FILL N° 89312 B C D
Previous permit
.GENERAL 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:
I SA NCAC 114 - It ao ❑ Rules attached. [Z General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
ApplicantName Uoer4 L`- w"t O'�' e r 3Q Authorized Agent
Address 1 d 102 f)fO0.t( rin co '�r1 AVe Project Location (County): 0—kow0.IY1
CheSu fy, State VA ZIP 233,23 Street Address/State Road/Lot #(s) IVT #15 Fi,9 i(o
City mot, � c 7 n �
Phone#(�11 6-ti 'O r)'72 /S m X'.m S lstf�c0.'=h IW ` /
Email Subdivision N -4or's OCaCi, S,6d.
City F-deed-ut, C ZIP 2FN32-
Affected ❑ CW © EW ❑X PTA © ES Q PTS Adj. Win Body, A I be vct,, ie 17u Oman/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body I %2 ihltr (2 SoL,.,d
ORW: yes/(Q PNA: yes/re
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s) ^
Finger pier(s)
�v e$rs'�y`,
Total Platform area
Groin length/q�_
ulkhea Riprap length
Avg distance offshore e2
Breakwater/Sill
Max distance/length `J'
Basin, channel ^ by<`S}i
Cubic yards �IFh' ql�
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing _ I
Other
SAV observed: ^ yes G
Moratorium: (_nD yes no
Site Photos: (9 no
Riparian Waiver Attached: yes 42
gct�
�•� py`,
kC�ar „p
e
A building permit/zoning permit may be required by: C IUD W (Lh L.c"'
Permit Conditions
AND
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
`i 6 . `� Iq-moecyit_cs a 19-(-'
Application Feels) Check p/Money Order
0 REVIEWED COMPLIANCE
G
Permit Offi er' PRINT D Na
Signature
LL) 10/0 12y
Issuing Date
(scale) 1''=)
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Expiration Date

com?", HCAMA ❑.DREDGE & FILL No 89312 a B C D
Previous permit
&O2. GENERAL 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. 0 General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City
Phone # (�_)
Email
State ZIP
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORW: yes/do, PNA: yes/no
Type of Project/ Activity
1-1 ES ❑ PTS
❑SPIMA ❑PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scale: )
■
Access Length
Pier (dock) length■
■■
■■
:■
■
■
■■■
■�MM
■■■
I
::::::::::::
Fixed Platform(s)':���
INFloating
Finger pler(s)
mil
::::::::
Total Platform area■'l
■■■■■.■
..■■■■■■u■■:■■_■■�■MEN
Groin length/#
■■■
.�..■..�.
.....��
6'6■
Bulkhead/ Riprap length
6I
6E66:.E6:6:6
Avg distance offshore
Breakwater/Sill■
■■�
■N■■OEM
■■N■■■■■■■■■■■■
Max distance/ length
Basin, channel
Cubic yards
:
Boat ramp _■
..6�
..
■6.666
Boathouse/ Boatlift►■�i�
0
mom
■
..■:■..:■■.■■■
6.■'
NEI.6
■■..�
::�■■■■.6■
6
ON
Boom:■.■`1i�■I
.�.
■■
■WHOM■■■..�
■sN■
.::.a.:�
.:6:■■'.'■■■®■■■..I,
A building permit/zoning permit may be required
Permit Conditions
❑ 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)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature *"Please read compliance statement on back of permit"
Application Feels) Check
Signature
Order Issuing Date
Expiration Date

N.G. ENVISION OF COASTAL MANAGEMENT RECEIVED
AD,IACCNT RIPARIAN PROPERTY OWNER NOT114CAO NtWAiVER FORM
Ql`Rl.lf l(-.Q 1;fYRN -,il'l RJ;, ?tti:S,ll ra. JUL 0 8 2024
( Top portion to be Corraploted by owner or their ratgoot)
P
Name of 11 minorly OvinoG�C��E�
- T rws, r ak e � sf ¢
lie
Address of Property,
Moiling Address of Ownter.
Owners arnai)
Agent's Niarre: Aricni Phonnp:
Adent's Urnail ....:... ....._.. ... .._.. ...__.
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
tf�ptttatt? fife€ttoJl.Lo.1>o Ttt�p��rLhY th�,Adjacent Prnr�C? e }
I beroby cortify that i own prorwrty iadjarent to the above referenced property. The individual applying for th6s
permit has described to me, as shown on the attached drawing, the development they are proposing, t, _
100 NOT havta objections to this proposal. _.. 100 have objections to this poposal�
tf yrau Nava abjactioris to what li boi»{t proposed, yap must rtofify the N.C. nlvtsion of Coastal
Managerneat (QCM) to writing within 10 days of receipt of this notice. Correspondence should be
trailed to'401 S. Griffin St., Ste, 300, Efixabeth City, NC, 27909. r CM 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 onto are
L-OR-
nd that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
t be set back a nininnuin distance of 1 f from my area of riparian access unless waived by are
,notwpy(If youwi;;Ii ka waivrn time setb #ck, you must sy_rtnsriate blank below.)
to bvaiae c tncfa;It of the 15` 5eiback
Signaturo of Adjacent Ripariarn Property Owner
wish to waives the 15' solback requirement (initial the blank) _ ___ _ r
Bignatitra of l0.dj cent Riparian Prof> lht t7wnrlr.
T�rirrr"dritte d name of ARPO.
ARPO s efttaif' ARtrtPg phottetd
bate; .7" J * A *waiver is valid for up to one year from ARPO's Signature*

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