89250A - Doherty, William & Sue

"�1CAMA ❑DREDGE & FILL N9 89250 B C p
GENERAL PERMIT Previous it
�j New ❑Modification El Complete Reissue [_]Partial Reissue
perrrft issued
As authorized by the State off North Caogrnm
, Deparurmt of Emlronmeal Quality and the Coastal Resources Commission in an areaof a ,A orenental conct rn
I SA PlG4C %/i (?1JG ❑ Rules attached. General Permit Rules Z ilable a the fink v�v vu9,6os'fCAMArula
Applicant Namn�e// Wl i1�1't 01r A rt sup �o�P C_' if.. Audwriaed Agent _fig Ion d t i
Add
rassss _. �_7� ['J 4 S i'� �1'. Project Location (County): P iJ
CityCk. Stain _JY_C_.__..._.._ZJP 279'ig Street AddressJ$tate RoadyLot scs) Y5�
Phcoee(251�y35-�4Sq ell peer br. --
Emall SS; �_ i �nt 6:sPx ._(� � ( f-t7w. subavlsbn .} 31g6d
cm ot-ot ,, ZP z79'N
Affected ❑cW ®EW PTA EllisEllis❑PtS AdI. Wm Body. Al1w0-10 /0 ^^P_. ®man unk)
AEC(a): ❑OEA 1HA ❑UW ❑SPIMA ❑pWS Closest Mal. Wtr. Body _&,Zir I2 �Ola n�'ay
ORW: yes, PNA: yes/ej
Type of Project/Activity C.01!1 )�'Cr- Ck zY'a,y—f OiCr L'31 /(11 xltor
ib ` �$f (acrer l�'pyyY, I (Scale: / 51r) (
Shomnne Length }J- 4 ( f
Access Length 1 j i f T I i
1 ;
Pier(dock) length II
rued Platform(s) (4,X f(a v. __i ` _�- i i - �--�_ -. _ _ ._r L_� f.
Floating Platform s —• V" -� ' `-�
I
L
I I
Total Platform area J _i_. ' + ' _',1,j
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill �— --r- (-
Max dlstance/ Iongth i
^ (
^ -L
Basin, channel Cubic yards—
_.., �� ..._, t I I
Boat ramp
eoathouse/Boathft
Beach Bulldozing
Other-
��
SAV observed: yes ��-,,
Moratorium:
Yes
Site Photos: /no t ;'-j 4 r '_-�. __ -117)
Riparian Waiver Attached: jj''����,_�_�._... ... nn
A building permit/ioning permh may be requlmd by: Jpp a z'Z n l.Lht�
Permit ❑ TAIt/PAFyNEUSF/BUFFER (drde
Conditions orx)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Agent
.orr�Applicant PRINTED Name,J
SlgnaturV-Pleaser d compliance pliant staternent on back of permtt"
$ qCbr q? 1302-
Application Fee(s) Check II/Money Order
(Please Initial)
Signature r r ---
to/sq/zy 3/f lz!r
Issuing Date Expiration Dale -_

Nam of Property Owner Requesting Permit:
i ' • • 1 &Y
• ••• 4 QC • •
•
Phone Number: 0)15a� im- • n
Emaill • • • :.a. • • •ilt•.•
001
• /A
•contractor
necessaryto act on my behalf, for the purpose of applying for and obtaining all CAMA permit$
• the following proposed development. • (lam __/
at my property located at
&W.I�r.,Wlt.
K)
! furthemtore certify that / 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:
Date J�
This curt rmation is valid through _ , iJ
RECEIVED
OCT t E 2024
hM OP[sn E `v

N.C. DIV181ON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER Noma= nr HANNDA
IVER FORM
(Top Portion to be =npleted by owner or their agent)
HM of property Owner
Address of Property:
KbMV Address of OWN
OWrWs0"ll: 5uliGA,
"'A)i1".Com owner's Phond �D�-
Phon0 2''a-31a-+'7+i'�
Apenti Ertla 'r u
ADJACENT RIPARIAN PROPERTY OWNER'8 CUMFICATION
I hereby certify that I own property adjecernto the above referenced ProP•rtY• The IrldtNduai apply Q forbids
perm has described to me, as shown on the attached drawing, Me dewbpmmR they are prcpo•l G. S
✓ 100 NOT have objections to
—� Sx Z4' IA1nt.ICU14m , ivy�
I DO have obslectlona to
r you have Wectlona Wo what Is b lhg prupceao, You MUST nvury UM �,•� ^ -
Mw=gemsnt (DC*V in wrtdng within 10 Wye of receipt of this notks. Comapond•nce should be
stied to 40f S. ©rtfin St, Ste. 300, Elizabeth City, NC, 27909, DCM represarutatrvaa an also be
ooaWcMd at (2a2) 2e hti0f. No rrlspafse ls corufdsred the sm►e sa no o dperton /you have bean
armed by CwMed AWL
WAVER aE=ON
I underiftid that any proposed pier, dock, moo!777!
eakwater, boattrouse. IM or
groln must be set back a minimum distance of 1an ac 0esa unleee wslved by raw
pis
does not date into k b� "08 Ot ►lPrap WAtah+e Me setba r
the
I DO wish to wW0 sorrn/ali Of tale IV setback
+ SlDtatr A*10W Ftope 0WW Rk:: �C
I do not WWh to wslva the 1d setback M09000 rant Qnitsl the ptinip CCi 1 5 202
�� - n
O 41Arm
-
• :lreliTnuL•tttlii WATvA#.W/I%,�4
a A.. •.. •�. .•i.r_ • .
•,.. r.gyv . •r • •u • •
Daly 'watvar M valid for up to one year froth ARPO•e 819fahrre•
RaWncf Jt/y8bT2f

N.C. DWISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIMCAT10NIWANER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or NAND OR NPRY
(Top Portion to be oomplated by owner or their •q•n()
_II r
I u. � i �• VI!1� • ♦
Ayanft Emall:
ADJACENT RIPARIAN PROPERTY OWNER'! CERMCATION
I hereCy certify ttwt I own property ad)ace0t to the &bow rerorenoad IroP•+ty The krtOrtOtul epRtftog lorltla
Pared has desatbad fro me, as sham m the stLdW drswkio, the deuebpno-t they am p'DDor'r4 e
I DO NOT hrw objacfJons to
I CO have obiaQktu to this
you nrve oo/ecrions(" wtw is twnD prop *4 You murr many vow mtc una+an m �
Aammawrnenr (OCAO fn wffiny wffhin f0 days of mcwlpf of this notice. Comapondwco ahoW d be
mm ftd to 40f J. Or1RM it, Sri. soo, Efrabom tarty, NC, nm DCAt rsprwrrtrtlw con Also be
aomamdmd st (2d2,t 2af-1a01. No nteportre fe conskaysd B1e soma r no s you Mrw ta•n
amid by c*0W Ata6.
WAVER $RCTt)d
I underatard that any proposed pNr, dock mooring pilings. boat ramp, brembratr. bosalowa. tat, cr
prnin rnW be set book a minimum distance of t tt' from my arse of riparian 40oar trUn w~ by m•
(this does not sppfy to bUdrhada dr rpnp WAbr W*). (N YOU WWh to wmtw OW satC•rk you MMILAM
the appruprhts bunk bekw.)
i D0 wish to wow" aomfai of uw IV aatback
S(pA ftm dfA*vWR jmW ACM& Oastar
-0R-
1 do not wish to thin tins 16 satbrk rsq%irement Or" the b1W0
T8brtsk�n ofAdjram Riparian F
TypadlPdrftd tries of ARPOt
M0tnp Addm" of ARPB: M
a 33�y-
ARPO's amal): C t) V ARPO'a Phornw:
Doric of I 10 -**Wr Is v dlld for uP to one year from ARPO s tlpnrturr
RavfardJ*20211
RECEIVED
OCT 1 6
f
,r c_EC

W oj� � Zia3dUA
171 CAnpA
I41
LpWer plat-ro,vn
1-cl, — )CP --;o-
pLM-oKm
RECEIVED
OCT 1 b 2%
DCM—EC

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ME
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