89251A - Heiser, William and Kimberly

�yxNCAMA ® DREDGE & FILL P �9s8�92151 O B C D
GENERAL PERMIT Date previous permit issued
New ❑Modification ❑Complete Reissue ❑Partial Reissue
As a,xhorized by theStateof North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NcAC � i H t- 1�100 d i M n Rules atterfied. ®Genrnl Permit Rulessaavailable at the Waning link: d n r:,WC/A�MA ules
Appleom Name.Jjl�_f-a(h it Xrran V1Ut 46 ref--. Authodzed ent 1Z t igei,
--T-- � —LDS 1�
Ada �j v@n4@ ProjectLocation(Comy):_ C%t�w�����r,,t,��
city �o I %rock state N Y 7JP I I�� I Street AddreWState Road/Lot if(sT) �_ aL_L,5_ z s� Z(n
ph,((oN) 7bti`IYz7 _L7 Nixon'1 Reoch kkf,
Finaa bu Zzard zl�/Z @ _ {_moi.l ,Carr, suhdneion N� xnn•3
city._. Sden4o— ZIP 1743Z
Affected EJ CW ® EW 'rpTA ® ES ®OTS Adi. W1.. Body A r be,.de
AEC(s): ❑ OEA IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal- We, Body a�''r�_rrncl f 1e- *uCltAwd
ORW: yes/0 PNA: yes to
Type of Proijec�t/__Activity ► n&A7d tl
chim6nf Q n s.s 56r7t
((o S 61 2 4_
rAifr W>'
Shoreline Length i— 163
Access length
Pier (dock) length
Rxed Platforms) '.2.OFx �t '-�
RWM�y
Is
Floating Platform(s) � r"�'`,-'-�_ _ _
Finger pler(s)
2
Total Platform area ta'
i
Groin length/0 r• ' I7% �� I� __
ulkhea Ripraplength
Avg distance offshore .2 r r-.I •TI
BreaksvaterJSill
Max distance/length
Basin, channel
Cubicyards�-
Boat ramp t
t
Boathouse cat
Beach Bulldozing
Other—
SAv observed: yes - -` . _.
Moratorium: n/a yes no _____--- ,_�JPhotos: yes ip-- -'--
Riparian Waiver Attached: ® no
A building permit/toning permit may be required by: I1 n1. ranA CAA AY
Permit Conditions _
I AM AWARE
J.R. at/Itilf:1
Agent or Appli nt PRINTED Name `/
Signature •'P read compliance statement on back of permit**
Application Fee(s) Check a/Money Order
vvyh it lnStall (Scale: I`z �• )
a ibrxIV bo�4 N-F
1 i II��))I
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i 7,
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TAWFAMMEUSE/RUFFER (circle ore)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial) " hhr
Permit
Signature r'
t °i29/tv 3✓t /zs _
Issuing Date Expiration Date

Marne of Prooertv Owner Reauestina Permit:
130
Phone Number: (031- 16(9 - 14Qq
Email Address: ail a?14Q 'L� i�dm a . cam
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: :5 SO' I�lalU(aua�T o'�(►co 1
() NIA d 0"4- 11a' 1 P c0 11 'fim"I "'fiVk. A d h"Vfnn
at my property located at
in Chw&jLal County,
I furthermore certify that I am authorized to grant, and do in fact grant permission to
DAdsion 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 Imormedon:
Signature
' Print or Type Norma
Tlt/e
—� Date
Iris ceTiifrcaxR.)n is va4d 6TruugiT j 2.,-2_i_

DIVISION OF COASTALMANAGEMENT
(Top portion to be completed by owner or their agent)
HsseeFRroperty Owner,
�,
Willing Address of Ownef-
�.
s w,
,`enft Name7
ADJACENT RIPARIAN PROMTY OWNERS CERTIFICATION
lElottone nortlao to be corrtnleted by tha Adlaeent Prarly Owmrl
I hereby certify that I own property adjacent to the above refterenced property. The individual applying forthis
perlmi has described to me, as shown on the attached drawing, the development they are proposing.
I DO NOT have objections to this proposal. I DO have objections to
-1,111 / nA- I f, 7�_l /� I ._ _ J Inn I n L.A... I
ffyou have ob/earons to whht Is being, pmpoadd, you must norwy me R.G, n
►neat (DC� In trdr►fing vral22t►n 90 of re Ipfi oybhhBs conwPondenceshoutdirs
tho2t►d
m~ to 401 S. ®rffTln St., Sge. Soo, Saaihe&b cgy, pic, 27,9Q0. Dogg ropes can also be
G=ftdy�.�I�Vb M '�Iofy(2622) 2p" 001, No 61,epailso €o Gonafgdred frfra o G no oblaetfon N you have been
°�Q(611I®f!fiall.
WAIVER SPEC a tOM
I undansfand that any proposed pler, dock, mooring pilings, boat tamp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of IV from my area of riparian access unless waived by are
(this does not apply to bulkheads or riprop ravatmards). (if you wish to waive the setback, you MillLgo
Me appropriate blank below.)
100 wish to waive somelall of"the 1 V setback � 9�
do not wish to waive ilia 1 a' astbeek requirement (Initlal the blank) i3 MC
J�-Sllinature ofAdjacent Riparlan Property Owner t � r 7
TypediPdf tad name of ARP®;
Mailing Address of
ARPO°semail:'rrcQ ARP&O phen€; o o?5a- 5Rq - R+V
"a4raWF is valla Goe up �o one year from ARMS Signature
R9v1a8d Atdy2021

DIVISION OF COASTALMANAGEMENT
.A
H
(Top portion to be completed by oW= or their agent)
ciProperty Owner
Address of Property:
Mailing Address of Owner
Owner's email: LUuzZ4r
Age Name:
Emalk �r�
d alQ (B id. Com Owner's Phoned: (n,31- °7 (Ao - ) Ll'Qi
Phoned: o?5Q- J Ia- `-74y
1 hefty certify that I own property adjacart to the above referenced property.The Individual applying forthls
PWM has described to me, as shown on the attached drawing, the development they are proposing. A
_ ��,,1-1 DO NOT have
CI✓Cwi
aenaganrent (DOAQ In wlfgng within 10 days of maslpt of this natice. Dorreapandence should he
sided to 4013. ArnAn St, &D. 200, Ellubefln city, bile, 27000. Doll? ospr�ss tdvas ease also bo
ax*c tat (25V 2U4909. No sdsponse /s considered thasame as no 0(aetlon Myon have been
nos■dbycermedmam
WAIM SE"ON
I understand that any proposed pier, dock, mooring plflngs, boat ramp, breakwater, boathouse, Hitor
groin must be set back a minimum distance of IF from my area of riparian ace unless wahrod by me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you gUNU B
the appropriate blank below.)
100 wish to waive some/all ofthe 15'setback
`v S�ne0r. offidg'asdpip�lPmov0WW
I do not wish to waive the 151 i othac°r requirement pnitial the blank)
*Gwalure of Adjacent Riparian Property Owner. 22W ZL
Typeffrlrrted name of ARK), m 1/l O;. iY
Mailing Addrarn of Al P@g I I I N u,(� �arnrd, Rd �bo rrJtvh l�C CT P3Q
AW's small: ARP610 Phone#:
Daft -wa- of Is valid 4'rar up so tang year m ARPO'e bignatuW
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