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HomeMy WebLinkAboutLytle, RJ 78339CMA / -' DREDGE &FILL NERAL PERMIT N 03 "19 A B C D Previous permit# - ; w M ifi c tin E] CompleteReissue r part i al F ei n Date Pr-evious permit issued As authorized by the State of North Carolina, Department of Envib-onmental Quality L and the Coastal Resources Commission in are area of environmental concern pursuant to i SA NCAC Rules attached. ! i r� t Project Location : r-��_-- a.,.�._ f4 a Address/State Road Lo. #(s). Address Street # State I i �.- f7j? City. -- - - x 4___ --�.�...�.._ ------ - -� - R % I Phone #9q--. Subdivision E- M ark-r - " Pff 01' Authorized Agent City Z(P Zo W E S 0 PTS Phone —-......__. a r �L River Basin AffectedOEA [7-,1 HHF 011H U BA 0 N/A Ad*. Wtr. Body frr4. a /man /Unkn) .� AEC(s): PWS-R Closest -. 1tr. Bob - _ .' ' - yes n PNA norY7 Type of Project/ Actii 6 t (k'. (Scale: fir(dock) tent ...a...v�.,......_ , .. _. ... • ...__..._. �a:_�.�,. .. a.... _ .... r.. • ........ � _.. _.. r : _._.. _�, __ �._ . _ _:._ --- -. -.--- --� - r, ' '---, ... _... .... + FixedPlatform(s) Floating Platforni(s) Finger piers _ _ ....' : Groin lengch number . r _ - � a,__T.a�—'r��-��..a�.'•�va .� .•.-:.«.• � :. v<t �:.,._—._a__. a�..�.. mac,. �_..-a,._; v-::-____. . i� i ..r-r4. ti.��-� 1 111 'y� 1 � i aVR distance offshore. r' PF ; max distance offshore Basin, diannel 1 1 � Boat rarer M . .._,ter-r... y..r.- -v. _:•,a _.� riv ,r.t _.:,.. ••- - .. - __ � .. .�� ' ! I _ r F t I L k Beach gulldozin FF Other tE r f .1 i -eline Length —`r'r.l� i .w:4�v�•+ � .. .-. ,r }a.. _,��_ � :x LR:-1:� ,��.. ... L= :: r i not sure yes n Mc -ato ri ti m : n/a yes no Photos. yes n - -W20yev Attached-p yes no : - See note on back regarding River Basin rotes. building permit t may b required by -- Note /f}��� V Local Planning Jurisdiction) Notes *l 1 Conditions Agent r• pplicant i-in rJ Name Signat P read compliance statement on back of permit''`'�' A i tion Fee(s) Check # 4. Permit Officer" r ?, tedName-- MW R _:. � _—.-:�+N.�_ ' - - Y� _tam: _ _ _ _ _ � m�..r�-, }���.r.a,a u..v� .. L. ,�aL. �.0 •_ � _ Signature lssulngDat4 Pi r ti T)Date ❑ MA / DREDGE &FILL O N . 78339 A B D NERAL PERMIT wew Previous permit# ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 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 15A NCAC / ❑RuI satached. Applicant Name Z Project Location: County Address U vrl't'rk^ Street Address/ StateRoad/ Lo #(s) City f t State IP l � o % U Phone #Vq.) 131E_Mail Subdivision Authorized Agent To t/iftLret r^ City b-C t ZIP _ _ 5� qz �CEwrA ❑ ES ❑ PTS Phone # O River Basinf�aM O ❑ HHF IH ❑ UBA ❑ WA Affected LJ AEC(s): Adj. Wtr. Body t'�1 Gf�//t � 6 man unkn PW ❑ S: ORW: yes PNA �/ no Closest Maj. W* Body O�' r"� Type of Project/ Activity 6 K2L Pier (dock)length_ Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length Bulkhead/ Riprap length_ avg distance offshore_ max distance offshore Basin, channel cubic yards Boat ramp Boathouse/ Boat] Beach Shoreline Length U SAV: not sure yes no Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: ( Note Local Planning Jurisdiction) Notes/ Special Conditions Nl M Agent or Applicant Printed Name r Signati ' Please read compliance statement on back of permit's*' (-7 Ap tion Fee(s) Check# Issuing (Scale: ❑ See note on back regarding River Basin rules. r/rA Date 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 officer when 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, certify that this project is consistent with 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 mote info—r—m—ation on how to comply with these bufferrules-.— Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-41RCOAST 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 Pender Counties) httP:HPortal.ncdenr.org/web/cm/dcm-home Revised 7106/17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: 0 -&2w,t7�j AJC a�5J14e It 4 - c+42 Email Address: I I a w re-L e- 0 46 0 I certify that I have authorized s Crho.sr e , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at �40 Awltjj� Qa �2wu �-sv iJ in A.r �CY V, ' County. / 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 Print or Type Name O wAJ 2✓' Title / 9 / 20 Z L RECEIVED Date FEB 01 2021 DCM-MHD CITY This certification is valid through ��/ 3 / a CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT - ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNUAIVER FORM Name of Property Owner: r�Y7"/ t? Address of Property: X Y '-*' -4 (Lot or Sire #, Street Agent's Name#: 40N *.5 Lo-, wr Nc e Agent's phone #: aJ �- 115- 01 3 z C 1L 51 b City 8 County) Mailing Address: /2S(, Is &~ LAA .. Is • :.. IN. ••• . {�4'uv.]'arG. o�"�i�1L7}.:AidNkitllrt°�i".h7.i.�.Lii�,,.fF.�l�r'�, :L.aiHti*�ii� I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notffythe Division of Coastal Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC, 28567. DCM representatives can also be contacted at (252) 808- 2808 No response Is considered the same as no objection ff youhave 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 nfo mation) Signature Print or Type'/Name cL D Mailing Address L b� 2u u rr'T� o c a �id'l to City/state2ip J.1;a.4gt'o- Telephone Number 2.- / 9 - 2-02-V Date (Adjacent Property Owner Information) S: a me � VAUNTIMAW Mailing Address City/State2ip 4/0 -I/zl -s 445'" Telephone j ephone Number E ``L t — Date Revised 611812012 ft ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to iev�4 vlle 's property located at &tACIUMSS, Lot, OCK, a MG. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above Io i I have no objection to this proposal. ol�jeclioasio_thi�p[oposal__.---..— DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or at(ach a site drawing) _ _ WAIVER SECTION 1_ I understand ihat a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin back a minimum distance of 15' from my area of riparian access unless waived by 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. must be set me. (if you (Property Ovpipr Information) (Adjacent Property Amer Information) rvra�Jyyn�u / A,)c 111•d���i 1a_ 6g . Date (Revised 811812012) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER-NOTIFICATtONl1NAIVER FORM Name of Property Owner: it J 2 Y-t e Address of Property: C 51I- (Lot or Stre #, Street or Road, City 8 County) Agent's Name #: 4 wk 5- er Mailing Ad/dress: / /244 -3��s Agent's phone#: ,a �j2 oL3y --Ad zPS' 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.8� ll I have no objections to this proposal. I have objections to this proposal. If you have objections to what Is being proposed, you must notifythe Division of Coastal Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC, 28567. DCM representatives can also be contacted at (252) 808- 2808. No response is considered the same as no objection if Lou have been notified by Certified 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 waiv the setback, you must initial the appropriate blank below.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owngr)nformation) Signature 4/ f. Print orTypeName / 4-D 4 k/ldve Mailing Address ;3za-u&r-4 /-) C City/State/Zip J5a.414to Telephone Number (�t Property Owner Information) Signature -Le Print or Type Name ohs VV+ oNP� Mailing Address City/state/Zip Telephone Number Date Revised 6/18/2012 ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that I own property adjacent to teo� y-?4- le s property located at /�' (Address, Lot ock, d etc. L on � 4YL210 r in _�.re7 N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location ' � 1 have no objection to this proposal. �__ __� I hav�okjectioga.f.Qttus_prnposal`.__..____ DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing developmenttmust till in descripgon below or atoch a site drawing) WAIVER SECTION J_ 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.) 1 do wish to waive the 15' setback requirement. I do not wish to waive the 16 setback requirement. (property �Oftion) (Adjaeen,Property Owner Inf mation) /.2- /q - 2n 2.0 Date or Tvoe Name Mailing Address City/State/Lip Telephone Num r Date f (Revised 611812012) .. r.y