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HomeMy WebLinkAbout38413D - Richardson -CAMA/ E DREDGE & FILL MINERAL PERMIT Previous permit# gNew ❑Modification ❑Complete Reissue ❑Partial Reissu Date previous permit issued >rized by the State of North Carolina,Department of Environment and Natural Resources Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC 7H, 17 l9U a ched. it Name AA)11) kit,*c//I SOh Project Location: County 761es i o' ��U 6 nGWI194'Dn f0✓Psf `, Street Address/State Road/Lot#(s) ��jj�� ;y it Y State VI ZIP 22030 40 f /De , ()o /745 f �"k4i A?n (703) 2 Z 2-17$SFax#( ) Subdivision / zed Agent 6ec.k y j,Ief City fo� m/lb�a# ZIP i ❑CW MEW [PTA ES ❑PTS Phone# ( ) River Basin ❑OEA ❑HHF ❑IH ❑UBA ❑N/A Adj.Wtr. Body Krj ih %G et!r t' at , ❑ PWS: ❑FC: yes / no PNA / no Crit.Hab. no Closest Maj.Wtr. Body A-.7 NW If Project/Activity Rail 03 oot ,,'r✓j Cot,r✓p41 TAoa ft 4;1 7 r,o,.)/ `I/06 I--e/ d' iiA f" , (Scale: i 1 A Eck)length 9µaX A 5 4st#h pier(s)ength ( I, _-I Jmber 1 ? 1 " i ad/Riprap length 0 ig distance offshore +" iax distance offshore ,lJ Lt' /'}�le�R --. :hannel , 1 l f } o ___ - �w i ! F. - -- ibic yards I ia Imp - J. . . ! - use oatli l3/ /3 I1 , Bulldozing C ' I �/yy { 2x ar__ __ _ /_ r ne Length 7 r ,,...---"^"r• not sure yes no ! ' ' , gs: not sure yes no d r 1 ' mum: n/a yes no Ir _' itill ' / , yes no : i 1 1 C-_i .Oa!Ja j ,' ' ....`.r t } 1 �C Attached: yes , ®�� ling permit may be required by: IPA le/ &, n See note on back regarding River Basin ) 1. r" NX 9� ; Q�4_ -i 6 . s_ X ti 3 CIx v' `rcx 4 0 30 4 6 H -* W c1� Lai 6i y GENERAL PERMIT COMPUTER FORM • SCANT N : tt4 tka.rtis el ADDiO'— NMS: ▪EC DEG: Dom\:,OP�ti i_ 0 U I+ PRO].DISC: tT - 2_• WORK: pp /00x • x (5� -rE x ]`f 1: DYE?: e) ) • W/ AC IO?,1 DALR.&TON : DRDGE€Pi 1-RIE-Q I ..D : . CAMA.M_-3OR DEvE REQLI , : DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONl'i'AIVER FORM Name of individual applying for permit: ,RIA gi Y1U.YQtS.Y'- 10C, i3d Piof �Oa f/o p 4 Address of property: 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 description or drawing, with dimensions, should be provided with this letter.) I have no objections to this proposal. If you have objections to what is being proposed, please write the Division of Coastal Management 127 Carclinal Drive Extension, Wilmington, North Carolina, 28405 or call (910) 395-3900 within 10 days of receipt of this notice. No o response is considered the same as no objection if you have been notifie. by Certified Mail. WAIVER SECTION (Does not apply to bulkheads or rip rap) I understand that a pier, dock, mooring pilings, breakwater, boat house, lift or sandbags must be set back a minimum distance of L5' from my area of riparian access unless waived by me. (If you wish to waive the setback,you must initial the appropriate blank below.) I do wish'o waive the 15' setback requirement Ni I do not wish to waive the 15' setback requirement. P . ocJoi2Q,P.,4 (),,Az Signature Date a I 3 1 Drv1SiON OF cQASTIL MANAGEMENT . Af F T RIPARIA'% PROPERTY OWN'ER NO CATl ?'4.14 ,, K FOR'.I �. ?. _ Name of individual applying for permit' � Address of property. (-6 d 10 _ t Zq rGGi v f--GGt4� i0� r��G7. I hereby certify that 1 own property adjacent to the above-referenced pi-writ::: . lac:•,raLa applying for this permit has described to me as shown oo tot attothed dia�4_ :;ve;opmen: they are proposing. (A description or drawing, with dimensions, shouic Jc �.>.n arils letter.) �.' have no objections to this proposal. i If you have obbeet:ohs to what is being proposed, please write the _ of Coasta: Mltlagement, 127 Cardinal Drive Extension, Wilmington, North Caro, :_ : (9:Gj 395.3900 within 10 days of receipt of this notice. No resnomne is consider t ..nt• same as no ebiection if von have ben notify by (ertifird Mail. WAIVER SECTION (Does oat apply to bulkheads or rip rap;; understand that a pie:, dock, mooring pilings, breakwater, boat house. Lf' rnus. 5c set bank a minimum distance of 15' front my area of riparian acc:ss units_ w;...:_ rrie. (If you wish to waive the setback,you must in jai the appropriate Mani:below.) I do wish to waive the :5' setback requircmcat ""4 itxY I AD nQt wish to wain:the 15' setback requirement. • \.-7 Q�c k � —Z 2-6 — b� � C2;moo -� S tare l ro+.s Datc D601-70T. Tb` Print Name - -- -- Telephone number with area code lity Permit Number n Hazard Estuarine Shoreline ORW Shoreline Public Trust Shoreline Other (For official use only) FERAL INFORMATION D OWNER Ri Ot aro(5ov\ .ess 5SCI H a 4 ForG6 l W 9q ` tr-Pay State VA Zip 2Z°30 Phone —103 ZZZ °(1ZS 'HORIZ�E2D..�AGENT ess 3L I ly Laa�t- rl a.Wio 4czko- State N v C Zip ZRy 3 Phone clip al70 ' 1750 'ATION OF PROJECT: (Address, street name and/or directions to site. If not oceanfront, what is the name of the ent waterbody.) Lo+ I oG 6aUa't Po w4 1 c act."-F it. VI ray; CYuk . * Awl 1"1 SlereP . Rol. -ro(l sw -{v ,lxpaai 12.d a►" j l o+ CV, r i844 us4- pc a 14.e. CRIPTION OF PROJECT: (List all proposed construction and land disturbance.) ofir cx4, _ o(.0ck OF LOT/PARCEL: js 000 square feet ' 81 acres POSED USE: Residential (Single-family V Multi-family ) Commercial/Industrial r AL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF ENVIRON- ITAL CONCERN (AEC): h ja- square feet (includes all floors and roof covered decks) OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES IN THE ,STAL SHORELINE AREA OF ENVIRONMENTAL CONCERN (AEC): h I(X square feet ulations includes the area of the roof/drip line of all buildings,driveways,covered decks,concrete or masonry patios, :hat are within the applicable AEC.Attach your calculations with the project drawing.) me the AEC area that applies to your property: (I)within 75 feet of Normal High Water for the Estuarine Shoreline AEC (2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC,adjacent to Outstanding Resource Waters 131within 30 feet of the Public Trust Shoreline AEC R RERMITS MAY BE REQUIRED:The activity you are planning may require permits other than the CAMA minor development As a service we have compiled a listing of the kinds of permits that might be required.We suggest you check over the list with PO to determine if any of these apply to your project.Zoning,Drinking Water Well,Septic Tank(or other sanitary waste treat- (stem),Building,Electrical,Plumbing,Heating and Air Conditioning,Insulation and Energy Conservation,FIA Certification,Sand sediment Control,Subdivision Approval,Mobile Home Park Approval,Highway Connection,and others. EMENT OF OWNERSHIP: indersigned,an applicant for a CAMA minor development permit,being either the owner of property in an AEC or a i authorized to act as an agent for purposes of applying for a CAMA minor development permit,certify that the I listed as landowner on this application has a significant interest in the real property described therein.This interest described as: (check one) n owner or record title, Title is vested in , see Deed Book in the County Registry of Deeds. n owner by virtue of inheritance.Applicant is an heir to the estate of ; e was in County. 'other interest, such as written contract or lease, explain below or use a separate sheet& attach to this application. a,"A•c- + O Q t.vr-cl% L ) 5 L `f 6 (loc.-E._ bec.:P✓t ,awcck 1 S , Zo 0 FICATION OF ADJACENT PROPERTY OWNERS: ermore certify that the following persons are owners of properties adjoining this property. I affirm that I have given JAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA permit. (Name) � AA ►AA (Address) 1 nn 1 .6(S 16 �1 MOJA; 10 ri. rq CO-4c.� 1 t)rh i6YOtaA-- tI2 ,4- lc _ RoL 1A)i IVv.iv c564 - . rG 2 81U3 (Ito) ,254- y19q DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS: Dwledge that the land owner is aware that the proposed development is planned for an area which may be susceptible ion and/or flooding. I acknowledge that the local permit officer has explained to me the particular hazard problems sted with this lot.This explanation was accompanied by recommendations concerning stabilization and floodproofing lues. IISSION TO ENTER ON LAND: ermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his agents r on the aforementioned lands in connection with evaluating information related to this permit application. 3plication includes:general information(this form),a site drawing as described on the back of this application,the ship statement,the AEC hazard notice where necessary,a check for$100.00 made payable to the locality,and any cation as may be provided orally by the applicant.The details of the application as described by these sources are orated without reference in any permit which may be issued.Deviation from these details will constitute a violation of • SITE DRAWING/APPLICATION CHECKLIST ase make sure your site drawing includes the following information required for a CAMA minor development permit. drawing may be simple and not necessarily to scale.The Local Permit Officer will help you,if requested. FYSICAL DIMENSIONS ✓ Label roads �-Label highways right-of-ways / Label local setback lines / Label any and all structures and driveways currently existing on property !YSICALCHARACTERISTICS / ✓ Draw and label mean high water mark • Draw location of on-site wastewater system ou will be working in the ocean hazard area: 43- Draw and label dune ridges(note height) +- Draw and label toe of dune v./a. Identify and locate first line of stable vegetation vtfa• Draw and label setback line under CAMA vtia. Draw and label topographical features(optional) ou will be working in an estuarine shoreline area: Draw and label landward limit of AEC Describe terrain (slope) VELOPMENT PLANS ✓/ Draw and label areas that will be disturbed / If a house is to be placed on lot,describe location of house Ida. Note size of piling and depth to be placed in ground ✓ Draw and label all areas to be paved or graveled - / Describe composition of surface rkia Note and list fully all trees and vegetation to be removed or relocated K'c, Show landscaping 1TE TO APPLICANT ✓e you: • completed all blanks and/or indicated if not applicable? • notified and listed adjacent property owners? • included your site drawing? • signed both application and statement of ownership? • enclosed the$100.00 fee? • completed an AEC Hazard Notice, if necessary? FOR STAFF USE Nntirp Pnatprl Final Inanprtinn PPP RPrPiverl . - ru g !z in -- ,.5 0 •• IA -0 1 la Co • g L.1-1 •-• ,10 • .• .11",. 0 "t .. u ••9._ 0 .c - 0 - — 0 - : ,1- B ' •,. ,A, cp - .1=1 • .r ..4.14, r 49:s. . . . . . .. . . . ::6)i F F;1; 14413: . .. .- ..• • - -- _ - • . ... . . _ .. , ... . . - ..1 . . .--- . . • _ i .. .