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Home My WebLink About89351A - Moaveni, Zari1A1 GENERAL PERMIT COW"rxr�❑CAMA El DREDGE & FILL N9 89351 A B C D a�V r�Previous permit NA 1 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 I'-t. CI R •Jt ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dec.naeov/CAMArules Applicant Name - Authorized Agent ---'— -- Address Project Location (County): City State ZIP Street Address/State Road/Lot#(s) Phone # (_) - Email Subdivision City I ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (hat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: ' 1 ) ChnrAinn I anath Access Length Pier (dock) length I_l Fixed Platform(s) `\ .' sl—. Floating Platforms) Finger pier(s) Total Platform area Groin length/H _— Bulkhead/ Ripap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing. Other t r•'' '� -� ' • �. -- — — — SAV observed: yes no "!- Moratorium: n/a yes no - Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER (circle one) ElSee 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 PROJECF 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 Fee(s) Check #/Money Order Signature Issuing Date Expiration Date 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) ,I Name of Property Owner: rain;,-�, F,.,��r,a�i Nr�,a� LS! t � �"\ oQ112 v. ; REC Address of Property: j I `)cam C,-. - Sx, L rat' M 0 e 2024 Mailing Address of Owner: e22= ,__ .._ _ ,, l.+5P�F i''� -Zac-r�` da@ oi.-S&'L -MZr3 LJiCIVI—. -.( Owner's email: _i. gala ,c". 4Owner's Phone#: mesa �a r Agent's Name: ire. <S 0yu Agent 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 forthis permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawing, with dimensions, must be provided with this letter. Y I DO NOT have objections to this proposal. I DO have objections to this proposal. If you have 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) 264-3901. 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.) I DO wish to waive some/all of the 15' setback Signature of Adjacent Riparian Property Owner lm I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Patricia Newman ARPO's email: Tcunami4nnwman(ti)0ma 1 mm ARPO's Phone#: (44.';) A65-ngg5 Date: 11 /or/p4 'waiver is valid for up to one year from ARPO's Signature* Revised July 2021 REC[-jv N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REOUESTED or HAND DELIVERY NOV 0 6 2024 (Top portion to be completed by owner or their agent) Name of Property Owner. Zn"1 M Oay!-v�, lj M — 4- Address of Property: Com )2 TX&ra,%+ fCerTTi1� Mailing Address of Owner P 'S A HE Z4.r -Z0xr0. Y0. .((in, t`lCZ— Sgi— ►Z 133 Owner's email: Owner's Phone#: 7 '^'689,66M '1"Mtr'f 41l Agent's Name: '�Oa—�s19r°z--=:a Agent Phone#; 7"CO `ST5 Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom Portion to be completed by the Adjacent Property Ownerl 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 desk lion or drawina. with dimensions must be provided with this letter. X i DO NOT have objections to this proposal. _ I DO have objections to this proposal. n you new oo/ecnons to wrier is Deng proposed, you must noury me m.c. urwsion or 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) 264-3901. 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 nprap revetments). (If you wish to waive the setback. you must sign the appropriate blank below.) I DO wish to waive somelall of the 15' setback Signature of Adjacent Riparian Property Owner -OR. I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: t�A. i3b�k 12�j ��-f.r"46,4r N 2�4Vy ARPO'semail: 06h@ ARPO's Phone#: T59 (-39-0515" Date: 'waiver is valid for up to one year from ARPO's Signature' Revised July 2021 aC- RECEIVED NOV 0 6 2024 ®CM -EC 3r,A 0 • m r jJH O � Vim.• I _5 ALF JA h.� CD CD (n (D 0 :2. CL _0 0 r, CD Q CL