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HomeMy WebLinkAbout79355A_Rainey, Robert_20210816VCAMA,, DREDGE &FILL �C4,ENERAL PERMIT 9 /AN B C D Previow permit New Modification Complete Reissue Partial Reissue Date previous permit issued fs-r,,;;L\ As aumortzed by the State of North C_arolina. Department of Environmental Quality I ,Do and the Coastal Resources Commission to an area of environmental concern pursuant to I SA NCACI :)..--. iAuie,; attached, Applicant Name `V.Obar� 'AGE Project Location: County . ct'ft - 4crX, Address Itax 01a ?:Kc Street Address/ State Road/ Lot #(s) 4et It'jst city StateM ZIP HC06 'I� I Facet Pnone # . .... E-Mail 14*ta,4yj 9 w�34.AO+ Subdivision Authorized Agent City C""-;CG ZIP -?;'l a,3 Cw OEW 'PTA ES FTS Affected Phone # f River Basin r.9 OfA HHF lH USA N/A AEC(s): Adj, Wtir. Body CC.R tg��,W,Alnkh) PWSI. . ..... Closest Mai, Wtr. Body Cut ............ ORW Yes PNA yes Type of Project," Activity &A6_L,) 1(!7'4 4; (Scale: . . . ............ .......... Pier filmi,j length hroger fiferts) Groin length ,tumber Wkheadf Rip rap Ivs distance offshore nnax distance offshore Bach, chanpe; e— cumc yards 3each BUILOTM9 UI& Other horeiine Lergrn FL AV. *t sere yes NIL — Yes no no ivarrer Attached: Oes A ouilcing permit may be required by: —fL f —I _n' See note on back regarding River Basm rules. i Note Local F111anning jurisdiction; Notes; Special Co"tions ..A lqel 4r n �awre Please reati romplonce statement on back olpermit 0 4*- Awr[tCfffi,efr's Fn ted N Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:db Mailing Address: fu-- a(d k3J q Phone Number: P / ' ff'( {a 3 2— 5 Email Address: is IZ, t j I certify that I have authorized ik4 itiU�ei( Sty v` aA l nC Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits r / necessary for the following proposed development: 156 �01 1 l c— i y � ,tS rJ'o {+-Y� t� Ie-tt 0�t� r"t°o-�- '(lZ.I(lZ.I at my property located at _ t3 �� U f-,- 4-t `1 ►` in Uri County, t furthermore certify that / 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 0 ormation: Signature Print or Type Name Title/ 1 � l�— Date This certification is valid through / N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL RET;JRN RECEIPT REQUESTED or HAND DELIVERY {Top po , n to be completed b owner or their agent) Name of Property Owner. (((( b—Q r' Ci trio L-4 Address of Property: 13 b Mailing Address of Owner Owners email: fAca,��ti L( `„�- Nc 27�2? t,rt C t'ci i f oo S16 Agent's Name Z ri,►tydsp,�; � , S `�"� "" �� � Agent �5 Z- Agents Email. G �A/IU�,War�f, jt>J a✓OJ'�(tSc�T�-LCY-A 4 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION ;Bottom portion to be completed by the Adjacent Pro arty Owner) I hereby cert.1y 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. dgscnptk>n or gr, ,TAino. with dimersions mus' be provided -with this letter. I DO NOT have cbjectiors to this proposal. 100 have objections to this proposal. ff you have objee4ons to what is being proposed, you must notify the N.C. Division of Coasial 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 bail. Owner's Phone# - WAIVER SECTION i understand that any proposed pier, dock, mooring pilings, boat ramp. breakwater, boathouse, lift. or groin must be set Hack a minimum distance of 15' from mY area of riparian access unless waived by me f this does not apply to bulkheads or riprap revetments} (If you wish to waive the setback. You must sign the appropriate blank below j 100 wish to waive somelall of the 15' _OR_ *S119--- of Adjacent Riparia roperty Gwrer I do not wish to waive the 15' setback requirement ;,initial the blank) Signature of Adjacent Ripanan Property Owner TYPediPrinted name ofARPO: Mailing Address of ARPO ARPO's email:"r_LLes z 2 E; a ARPO's Phone#: i Date: )" 4 b.`Ci a = `waiver is valid for up to one year from ARPO's Signature' Revised May 2021 RECEIVED 07/27/2021 11:154 07/27/2021 10:42 2524534823 MATT SLATE PAGE 02/02 N.C. DMSION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOMWAIVER FORM GERTIEED MAIL RETURN RECEIPT RECIWESTED or NAND DELIVERY (TOP pon to be completed by owner or their agent) Name of Property Owner 1('C} +�� 4- y Q t Z Address of Property: 13 �i �%IA71 Q�t t k 0 �(1 iJ ,' i�.�� 27123 Mailing Address ofjOwner �� L 0 l d [' (J n-T►'1� Owner's email: Ore, +�ne`?A 10wne szr Phone#: QL! 3 �S Agents Name: nZf *4A VtVeU0 :, QAA [it( Agent Phone* _ a� - Agents Email: A rI U'el soel 61 ck�-> ."�aL)-Htsb ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom Portion to be Completed by the Adtebettt rr m rty OWner) t I hereby certify that I own property adjacent to the above referenced property. The individual applying for this l� permit has described to me, as shown on the attached drawing, the development they are proposing. A descriptor or drawtro with dimensions. must he provided with this letter. AID m$� 71 DO NOT have objections to tits proposal DO have objections to this proposal. if you have objecticina to what is being Proposed, you must notify the M.C. of Coastal Management (DCAf) in writing within 10 days of reee/pt of this notice. Conrospondence should be mailed to 401 S. Grfffin St, Ste. 300, Elizabeth City, NC, 27909. DCM rap►vsentatives can also be contacted at (252) 26b901. No response is considered the same, as no objection 1f yoe have been notified by Cerdfied Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, 'ift, 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 revetmerrtS). (if you wish to waive the seft=k, you the appropriate blank below.) I DO wish to waive some/all of the 15' setback -OR- Signature of A latent Riparian Propety Owner o� �I do�to w&jie the 15' � Gr tback requirement {initial the blank) - Signature of Adjacent Riparian Property Owner.` TypedlPrintad name of ARPO: S,� Malting Address of ARPO: 2 G_ L�li1 tOG� - •�-7 ,44 ARPO's email: 6W&"r.1 iiFx'r-`+7 ARPO's Phone* _75��21= 9iaX� Date: 7— "waiver is valid for up to one year from ARPO's Signature, Revised May 2021 \�r �J Ina, It9li f .O..O.. d� T. � b S!XA �.-fit,►,�� 0 - :I.,4irq p .40r *%& M arr Po6ed 141,we 4W,,e-t i,l, 400 �;A-j�6-C�c , 3pc y2 way l6e4pev- W4, Lc.� t' f I Dv� j AD vi tc, L-j ko r gb Gil WO 2�1c� :urrituck County GIS Data Viewer 1R0 Currituck County GIS Phone: (252) 232-2034 E-mail: gis@currituckcountync.gov Addresses Gommunitles Avdwt coniock Coro" cwriWck Gaza wows Grandy Harbrgw Jarvisburb KneUb is kwd MOP%& Moyoe k Point Hnrtx Popov Brancn Po—ft PMnt SYpo watarsly GouMy Boundary . state —county Streets Wnght Memonal Bridge Major Streets —AwWQr Pnnclpal Arterial Major —Cowtor_Maw Parcel Land Hooks Parcels Currituck County Aerial Photography (2014 �Rsd: Band_1 �f3rten�rd 2 �Bws: Band_3 is map should be used for general reference purposes only. Currituck County assumes no legal liability for the informatic own on this map.