Dykstra, Glen 80705C

trcAMA/BoneocE&F|LL
GENER/AL PERMIT
ENew EModification IComplete Reissue f partial Reissue
N9 80705 A BCD
Previous permit # _
Date previous permit issued
fu authorized by the state of North carolina, Department of Environmental euality
andtheCoastalResourcesCommissioninanareaofenvironmentalconcernPursuanttol5ANCAC
Applicant Name_
Address
Project Location:
Street Address/ State Road/ Lot #(s)
State ZIP
Phone # ( )___E-Mait Subdivision
trES
tr UBA
!PTS
trN/A
Authorized Agent_ztP
Phone# (-)_- RiverBasin
Adj. Wtr
Closest Maj. Wtr. Body
(nat /unkn)
)<c
Type of ProjecU Activity
(Scale:)Pier (dock) length
Fixed Platform(s)
Floating Platform(s)lriFinger pier(s) /
Groin length
number
Bulkhead/ Riprap length _
avg distance offshore_
max distance offshore
Basin, channel
cubic yards
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes no
yes no
yes no
yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
I S"" note on back regarding River Basin rules.
Notes/ Special Conditions
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Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
PermitOfficer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
_ CW ]EW -PTAAnected
AEC(s): oEA - HHF tH
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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
nulland void.
This permit must be on the prolect site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I ) prior to undertaking any activities authorized by this permit, the applicant will
confer with appropriate local authorities to confirm that this proiect 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
landowner(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 prolect is consistent with the North Carolina Coastal Management Program'
River Basin Rules Applicable To Your Proiect:
Tar - Pamlico River Basin Buffer Rules
Neuse River Basin Buffer Rules
E oth"r,
lf 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 (9 l0-796-721 5) for more information on how to comply with these buffer rules.
Division of Coastal Management Ofiices
Morehead City Headquarters
400 Commerce Ave
Morehead Ciry, NC 28557
252-808-2808/ | -888-4RCOAST
Fax:[phone]
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
2s2-264-3901
Fax:[phone]
(Serves: Camden, Chowan, Currituck,
Dare, Gates, Pasquotank and Perquimans
Counties)
Washington District
943 Washington Square Mall
Washington, NC 27889
752-946-6481
Fax:[phone]
(Serves: Beaufort, Bertie, Herrford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fax: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal. ncdenr.orglweb/cm/dcm-home
Revised 7/06/ I 7
As authorized by the State of North Carolina, Department of Environmental Quality
andtheCoastalResourcesCommissioninanareaofenvironmentalconcernpursuanttol5ANCAC
trCAMA/trDREDGE&FILL
GENER/AL PERMIT
ENew EModification EComplete Reissue EPartial Reissue
N98o7o5 A B c D
Previous permit #_
Date previous permit issued
Prolect Location: County
Street Address/ State Road/ Lot #(r)_
Subdivision
City ztP
Phone # ( )River Basin
Adj. Wtr,(nat /man /unkn)
Closest Maj. Wtr. Body
Applicant Name
Address
State zlP
Phone # ( )-e-yait
Authorized Agent
. CW -EW ; PTAAttected
AEC(s): oEA - HHF lH.
- PWS:
ORW: yes / no PNA yes / no
nES
tr UBA
! PTS
!N/A
)C
Type of ProjecU Activity
(Scale:)
Pier (dock) length
Fixed Platform(s)
l**j---l--j-
Floating Platform(s) _,
Finger pier(s)_
+
I+-fr H.
Groin length
nurq-ber
Bulkhead/ RipraplErEtlt.'_'---------.+--t:t:i+
avg distance offshore
max distance offshore _
Basin, channel
cubic yards
liH'
i!1-T j
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
Shoreline Length
SAV: not sure
Moratorium: nla
Photos:
Waiver Attached:
yes no
yes no
yes no
yes no
A building permit may be required by:
( Note Local Planning Jurisdiction)
E S"" note on back regarding River Basin rules.
Notes/ Special Conditions
Agent or Applicant Printed Name
Signature ** Please read compliance statement on back of permit **
PermitOfficer's Printed Name
Signature
Application Fee(s)Check #lssuing Date Expiration Date
1
1
I
t-t,"1"
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
nulland 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 l) 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
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, ceftiry that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
I t"r - Pamlico River Basin Buffer Rules E other:
* ru"rr" River Basin Buffer RulesI
lf 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
Water Resources. Contact the Division of Water Resources at the Washington Regional
Division of
Wilmington Regional Office (9 l0-796-721 5) for more information on how to comply with these
Division of Coastal Management Oftices
the
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ | -888-4RCOAST
Fax [phone]
(Serves: Carteret, Craven, Onslow -
North of New River lnlet- and Pamlico
Counties)
Elizabeth City District
401 S. Griffin St.
Ste. 300
Elizabeth City, NC 27909
257-264-3901
Fax:[phone]
(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-U78
(Serves: Beaufort, Bertie, Hertford, Hyde,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext.
Wilmington, NC 28405-3845
910-796-7215
Fa<: 9 I 0-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River lnlet-
and Pender Counties)
http://portal. ncdenr.org/web/cm/dcm-home
Revised 7/06/ I 7
N.C. DIVISION OF COASTAL MANAGEMENT
A DJACEN T RI PARIAN PROPERTY OWNER N OTIFICATIONIWAIVER FORM
CERIIFIED MAIL . RETURN RECEIPT REQUESTED oT HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:€',1/
Address of Property J3zt Tzn'PLqs Pr r<0. i1+va Lack ,ilc ) trst z
Mailing Address of Owner:n *mg tt
ftWlanz 6 3{ 4 qfiq.t: l. e,^Ornefs email: t Orner's Phone#:lte - ?vz-J?37
Agent's Name
Agent's Email:
Agent P
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Dortion to be completed bv the Adiacent Properhr orrvner)
I hereby certiffthat I own property acljacent to the above referenced property. The individualapplying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawinq. with dimensions. must be provided with this letter.
Y I DO NOT have objections to this proposal.- I DO have objections to this proposat.
lf you have to what is being proposed, you must notify the N.C. Division oieoasAt
Management (DCU in writing within 10 days d receipt of thb notice. Correspondence should be
mailedto 40O Commerce Ave., Morehead City, NC 28557. DCM representatives can also be conhcted
at [phone].ItIo response is conside red the sarne as no objec'tion ff you have been notified by
Certified ltlail.
I understand that any proposed pier,
groin must be set back a minimum d
(this does not apply to bulkheads or
the appropriate blank below.)
I DO wish to waive some/allof the 15'setback
-oR-
I do not
Signature of Adjacent Riparian rty
TypedlPrinted name of ARPO:
WAIVER SECTION
dock, mooring pilings, boat ramp, breakwater, boathouse, lifi, or
istance of 15' from my area of riparian access unless waived by me
riprap revetments). (lf you wish to waive the setback, you must siqn
<Pn
I itiaHhe blank)
.{6 rr^}i ,X]7tur-
3s53t*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
Date:
Mailing
ARPO's
ARPO:
TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Ownerc (15A
NCAC 7J.0204(bX5)). Proof of actual notice (a sign-off by the owner on this form) or certified mail return
receipts (showing delivery of notice) are needed.
The purpose of this notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially object to) the proposed development,
and to give DCM an opportunily to consider these comments/objections before a permit decision is made.
'Permission" of adiacent orooertv owners is not necessarilv reouired for DCM to issue a permit; however,
permission must be obtained for certain types of proposed developments if they fall within a 1 5' setback area
along the riparian access area of the adjacent property, as determined solely by DCM. lt is in the applicant's
best interest to provide comprehensive and accurate notice so that any concerns or objections can be
resolved early in the permit review process. ln addition, if the adjacent riparian property owner appeals the
permit decision, insufiicient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent? (Note: DCM reads this broadlv to ensure comment bv ootentiallv imoacted neiohbors)
o A property that shares a boundary line with the site of proposed development; AND
o A property that fronts a natural or manmade waterbody that is connected to coastalwaters and
can support some form of navigation, even a kayak or €noe, including a common canal system
or a manmade basin.o Easement holders? Yes, if the easement could be impacted by the proposed development.
o Streets/Roads? Only if the streeUroad could be impacted by the proposed development. This
might include street-ends which might be used for parking and beach access.
. Holders of recognized submerged lands claims/shellfish franchises.
What is Riparian?
Do the boundaries of the adjacent property legally intersect with the water at mean high tide? lf there is a
question about whether an adjacent property is considered "riparian," please reach out to DCM Staff -
especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water.
WhoMhat is a Property Owner?
For private individuals (or families), send notice to the address listed on the tax card. lf the property is owned
by an lnc. or LLC, please send notice to the person listed as the registered agent on the NC Secretary of
State's Corporations Look Up site: https://www.sosnc.qov/search/index/corp. For Condominiums or
neighborhoods with an owners' association (HOA/POA), send notice to the association (which is usually a
corporation, for which you send notice to its registered agent).
What is Notice, and how do I ensure it is received?. You can meet with your adjacent property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return it to DCM; OR. You can hand-deliver this form and a description or drawing, and ask your neighbor to retum it to
DCM (consider providing them with a stamped envelope); OR
o You can mailthis form by USPS Certified Mail, return receipt requested (the Green Card). lf you
choose this option, you must provide either the signed & returned green card OR track the
certified mail package number on USPS.GOV's online tracking system, and provide the tracking
print-out as proof of delivery to DCM
lf you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel
and we will work to answer your questions.
Revrsed July 2021
\
Mathews
Tellez
{ '* LL ?r. ytr-uJ &,^.,.-L"_ hs..i- R"^.,^P
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/N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERW OWNER NOTIFIGATION/WAIVER FORM
CERTIFIED MAIL . RETURN RECEIPT REQUESTED oT HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:G'te p Dvx STRA.
Address of Property:JSZr TUnpLEs tr llmtaork ,A./.(- 2{fgt
Mailing Address of Owner:" ShrniE "
Owner's email t7tr Jsa - ?vz- a 732
Agent
l
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed bv the Adiacent Properhr Owner)
Orner's Phone#:(.r!r.
I hereby certifo that I own property adjacent
permit has described to me, as shown on
to the above referenced property. The individualapplying forthis
the attached drawing, the development they are proposing. A
I DO NOT have objections to this proposal._ I DO have objections to this proposal.
lf you have 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
mailedto 4OO Commerce Ave., Illorehead City, NC 28557. DCM representatives can also be con,:rctex,
at [phone].ItIo response is conside red the sarrre as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I undersland 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). (lf you wish to waive the setback, you must sisn
the appropriate blank below.)
I DO wish to waive some/allof the 15'setback
Signature of Adjacent Riparian awner
-oR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Oruner:
Typed/Printed name of ARPO:0
Mailing Address of ARPO:
ARPO's email:ARPO's Phone#: fz/ .- L''. " " - ', 6
>
p to one year from ARPO's Signature*Date:*waiver is valid for u
Rewsed July 2021
a
Agent's Name: ,"'/
TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS
CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A
NCAC 7J.0204(bX5)). Proof of actual notice (a sign-off by the owner on this form) or certified mail return
receipts (showing delivery of notice) are needed.
The purpose of this notice is to make adjacent riparian property owners aware of the proposed development
so that they have an opportunity to provide comments (or potentially object to) the proposed development,
and to give DCM an opportunity to consider these commentslobjections before a permit decision is made.
"Permission" of adiacent orooertv owners is not necessarilv reouired for DCM to issue a permit; however,
permission must be obtained for certain types of proposed developments if they fall within a 15' setback area
along the riparian access area of the adjacent property, as determined solely by DCM. lt is in the applicant's
best interest to provide comprehensive and accurate notice so that any concerns or objections can be
resolved early in the permit review process. ln addition, if the adjacent riparian property owner appeals the
permit decision, insufficient notice could be a basis for granting such an appeal.
Who is an Adjacent Riparian Property Owner?
What is Adjacent? Ol_ote: DCM reads this broadlv to ensure comment bv ootentiallv imoacted neiohbors)
o A property that shares a boundary line with the site of proposed development; AND
. A property that fronts a natural or manmade waterbody that is connecled to coastalwaters and
can support some form of navigation, even a kayak or canoe, including a common canal system
or a manmade basin.. Easement holders? Yes, if the easement could be impacted by the proposed development.
o Streets/Roads? Only if the streeUroad could be impacted by the proposed development. This
might include street-ends which might be used for parking and beach aocess.
o Holders of recognized submerged lands claims/shellfish franchises.
Vllhat is Riparian?
Do the boundaries of the adjacent property legally inter:sect with the water at mean high tide? lf there is a
question about whether an adjacent property is considered 'riparian," please reach out to DCM Staff -
especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water.
WhoMlhat is a Property OwneP
For private individuals (or families), send notice to the address listed on the tax card. lf the property is owned
by an lnc. or LLC, please send notice to the person listed as the registered agent on the NC Secretary of
State's Corporations Look Up site: https://www.sosnc.oov/search/indextcoro. For Condominiums or
neighborhoods with an owners'association (HOA/POA), send notice to the association (which is usually a
corporation, for which you send notice to its registered agent).
What is Notice, and how do I ensure il is received?. You can meet with your adjacent property owner, provide a description or drawing of the
proposed development, and ask them to sign this form and return it to DCM; ORo You can hand-deliver this form and a description or drawing, and ask your neighbor to retum it to
DCM (consider providing them with a stamped envelope); ORo You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). lf you
choose this option, you must provide eilher the signed & returned green card OR track the
certified mail package number on USPS.GOV's online tracking system, and provide the tracking
print-out as proof of delivery to DCM
lf you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel
and we willwork to answer your questions.
Revised July 2021
Mathewst
Tellez
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