HomeMy WebLinkAboutCallahan, Troy 76621CAMA / 0DREDGE A FILL N9 76621 A B + D
NERAL PERMIT Previous permit# C
w OModiflcation CClComplete Reissue E)Partial Reissue Dace previous permR issued
As authorized by the State of North Carolina, Department of Environmental Quality //'. /�
and the Coastal Resources Commission In an are pf is vironmental concern pursuant to I SA NCAC V C
(/ 1I `3, attac ed.
Applicant Name%c•� C G C^ Project Location: County"
Address ej ri Street Address/ State %oad/l Lot #(s)`
AZ
City SwCZIP
Phone # (( _ _T
lE-Mail _ Subdivision
Authorized Agent �r�E V`^ Lf9 �1 {'t �'—y City_ ZIP(
Affected ("-W PTA LIES OPTS Phone # (-__-),_—___ River in
AEC(s): EA ❑ HHF D IH ❑ USA O WA Adj. Wtr. Body. Fws: Unkn)
a b• f
CIRW: / Closest Mal. Wtr. Body
yes (/no pNA yes no /
Type of Project/ Activity exw iv_,` !! 6
• `7��> (Scalev 7 )
Pier (siockl� �.� _
Fixes
Flom
Frogs
Gros
Bulk!
gain
Boat
Mail
Beacl
Othe
Shon
SAV:
Mon
Phots
Wam
Ing Pladorm(s)
! length
number
lead( Ripnplength
{1
(
.'
avg distance offshore
distance
f
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-
-
1
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t
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max offshore
channel —
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, _
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1
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cubic yards
:.
_
_
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__
, T.
_
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i Bulldozing
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line Letigth_�3--'—
nctsure yes o
Corium:
n. Na Yes
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!r Attached: yes nq'
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A building permit may be required by:
( Note Local Planning Jurisdiction)
Notes/ Special Conditions
read compliance statement on b*4 ofpgsmA Ye
D See note on back regarding River Basin rules.
MMUTIPWRAM
X^ AMA / ❑ DREDGE & FILL N° 76621 A B �' D
GENERAL PERMIT Previous permit#
l�New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality /� /v C11
and the Coastal Resources Commission in an are p( e vironmental concern pursuant to 15A NCAC r,
a9ftal attached.
Applicant Name 1 i��/ �C G e'^ Project Location: County
r
City StatVL4,_ZIPP�,
Phone # iE_Mail
AuthorizedAgent
+Ct�1
Affected /W .4"'TA ❑ES ❑PTS
AEC(s): Ei_EA ❑ HHF ❑ IH ❑ UBA ❑ N/A
ORW: /yes //no PNA yes no
Type of Project/ Activity
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Fingdr pier(s)
Groin length r
number
Bulkhead/ Riprap length_
avg distance offshore
max distance offshon
Basin, channel
Boat ramp
Beach
Other
Shoreline Length
SAV: notsure yes /hoy,
Moratorium; n/a yes
Photos: yes
Waiver Attached: yes
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Applicant Printed Name
C,
Street Address/
State Road/ Lot #(s) /
—L/� �C/►,P r� L-c--la
CityZ �_
Phone # (—)—
Adj. Wtr. Body
Closest Maj. Wtr. Body
River
(Scalc;��
❑ See note on back regarding River Basin rules.
CCn
Si ae�'r•Please read compliance statement on b��esmjf'r'r
Wica,,iiro�[[F n JF�eee�e(s�)J.(/SL che.•ck``jj#
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officerwhen the project is inspected for compliance. The
applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
Iandowner(s) .
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certifythatthis project is consistentwith the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
❑ Tar -Pamlico River Basin Buffer Rules ❑ Other:
❑ Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-888-4RCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
252-264-3901
Fax:252-264-3723
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pander Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
AGENT AUTHORIZATION FOR CAMA PERMIT. APPLICATION
Name of Property Owner Requesting Permit: 1 r.1�.1�• r
Mailing Address: 144
rl C. 2-704
Phone Number: 9 &, 21 }
Email Address: �1(y p 'f. Loo. cowl
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 3�i (a/ /% , r,vs�a ff
at my property located at �i 1 b Cr,�e r:+, u�1 %ye,� 2-as9�) ,
in Ca.ltre i County.
I furthermore certify that l 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:
Signature
�l yr o
c� P t or Type Name
'Yfd ark `(�-J.ne�i
Title
13 / A? f 20
Date
This certification is valid through 31 I Pe-e I A0 2-
RECEIVED
MAY 14 2020
DCM-MHD CITY
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property:
0^),,.
(Lot or Street #, Street or Road, City& County)
Agent's Name #: 7�11 -,^l kq 4ee4 e L Mailing` Address: / L'i6 )2 )
Agenfsphone#: Z$2 ��p3L }+<*%erS SS1��� r ric LdS3)
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 drawin the develo ment
they are proposing.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must n6*the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. .Correspondence should be mailed to 400
Commerce Ave, Morehead Ci(y,NC, 28557. DCMrepresentadvescan also becontactedat(252)808-
2808. No response Is considered the same as no oblection H vouhave been notified by Cerdfled Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
xI do wish to waive the 15' setback requirement
I do not wish to waive the 15' setback requirement.
(Property Owner Inf r(afion)
Signature
1 ra �1 ia�„ih
Print orTy s ame
'-)Ito &4e 6.mery l� �rrp
Mailing Address
CityJState/Zip
9z z�3 2yf�i
Telephone Number
Date
(Adjacent Property Owner Inform" on)
Signature a
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TLoMg,S /&y-) oyietr (��mznid/1'Igste
In as ter`s ASSOC iatieh) Inc.
est /Y1ana9tment C1,1SL117t411t"3
Er
3 0-5/8 633 /
Telephone Number
Revised 6/182012
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CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner:
Address of Property: Ail
(Lot or Street #, Street or Road, CV& County)
Agent's Name#: T'W,,O.5 4A Jretet Mailing Address: /246 Trl ..2 1:1'�
Agent's phone#:ESL ?ZS this l�t{��fs �3��� �,aC._Zgs-ji
I hereby certify that I own property adjacent to the above referenced property. The individual
applying for this pen -nit has described to me as shown on the attached drawin the develo merit
they areproposing.
/
I have no objections to this proposal. I have objections to this proposal.
ff you have objections to what is being proposed, you must notify the Division ofCoastalManagement
(DCM) In writing within f 0 days of receipt of this notice. Correspondence should be mailed to 400
Commerce Ave., Morehead City, NC,28557. DCM representatives mn also be contacted at (252) 808-
2808. No response is considered the same as no objection ff you have been notified by Certified Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set
back a minimum distance of 15' 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 to waive the 15' setback requirement.
./ () I do not wish to waive the 15' setback requirement.
(Property Owner Inf a ion)
Signature
1 ra
Print or TYU6Name
,19) (o Ne ,"Crr%-Q �"A
Mailing Address
City/State/Zip
92$ a—t 2LjQII
Telephone Number
(Adjacei operty Owner Information)
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Print or Type Name
qq,V, YA4;
Mailing Address
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Telephone Number
LRS
Date
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