HomeMy WebLinkAboutDelaney, Susan 80061CaCAMA / ❑ DREDGE & FILL
GENERAL PERMIT
j]New ❑Modification ❑Complete Reissue El Partial Reissue
N9 80061
Previous permit #_
Date previous permit
A B CC) D
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 0 7 R • /ri
<� Rules attached.
Applicant Name -J('(001'1 U6I0I)(- Project Location: County rknl lzP n
Address _'��(S l '/ rOjl C �� Street Address/ State Road/ Lot #(s) J�V
City i �Fn I F'i� I`) State
eCZIP
Phone # 9.56 E-Mail Subdivision
Authorized Agent 111 C> t �A—� MCY I /t ( Cc I City ZIP
ii
❑CW ❑EW SEPTA ❑ES APTS Phone# ( ) River Basin /VIA'-L(f-e
Affected ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A
AEC(s): Adj. Wtr. Body I°T p��� FF' t(na)/man /unkn)
Agept or Applicant Printed Name
Signature "* Please read compliance stateme;ton backof permit
PermltOfficer's Printed Name
Signa pre
ss ing Date Expi. tion Date
Application Fee(s) Check #
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
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 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 more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/1-888-411COAST
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, Bartle, 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://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17
ACAMA /'❑ DREDGE & FILL O
N . 80061 A B !C', D
GENERAL PERMIT Previous permit#
�7NeW ❑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
X Rules attached.
Applicant Name l "t / ( Project Location: County
k
Address %, I � � � Street Address/ State Road/ Lot #(s) (lj k
City % 1 : State / , I ZIP
i� �/
Phone # O " c,, - E-Mail
Authorized Agent
Affected ❑CW ❑EW fS PTA El ES OPTS
A
Affecte ❑OEA ❑HHF C11H ❑USA ❑WA
❑ PWS:
ORW: yes / no PNA yes / no
Subdivision /
City ZIP
Phone # (_) River Basin A 1(_>E
Adj. Wtr. Body 1 , i t jnat) man /unkn)
Closest Maj. Wtr. Body
®'In
`
aE■■■M■M■
■■.���■■MOM
ME
■■®�■■■■■■■"�■�
MMEMMMM
■M■■■■
■■
■
■Iw
■■
■■■�C■�
®�
■OMEN■
�E.■�■.�_....
11EMMMU
M■M■■N
N■■�■N
■■■■
M■■■■
■■■■
�■■■■■■■■■
■■
■■
■MINE■■■
Ns.■■■■■��■■■■■
•,•�■■■
■■■��■�N■EE■■�E■m
■■■■■
E■E■E■■■■■
■MEN
■■■■.C.■■■EEAEG■■■■
■EE■■■■N■a
WE
■MEN
E�NEmoon
■■■■uwN■■
■■NE■■a
■E■E
OEM
■�■■EEN■N■■■■E�EN■iE■■E�
■■■■
:'■�_EE
aN
O�M:Ci�:i
N
■
N■■�
.■.
.
®
MIMEC■.■■■■�...■
�....EE■E■�NEE.■■NNEME■iiii■ONEMEN!
.
No
ME
ME
ONE
■M■■
ME
IN
=E■■■■■E■ME
C.■..■..E
■■E■MOMM
q.E■■■..
■■E■■..■
.
N■■■■.■..
■■EME■■
.
E■■�■
■.
•
a■■EN■■■�E�N■IONN
�■■
.:Cm�:::
M
�Ag f^Qr Applicant Printed Name
Signature "Please read compliance stateme t on back of permit"
r -
Application Fee(s) Check #
Permit Officer's Printed Name
Signature /
i
Issuing Date Expiration 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, certifythat 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 INC 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 how to complywith these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave
Morehead City, NC 28557
252-808-2808/ 1-888ARCOAST
Fax: 252-247-3330
(Serves: Carteret, Craven, Onslow -
North of New River Inlet- and Pamlico
Counties)
Elizabeth Citv 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, INC 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: 9 10-395-3964
(Serves: Brunswick, New Hanover,
Onslow - South of New River Inlet -
and Pender 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: Sf7`��eN
Mailing Address: lfo,-\ r`.
ll()Oodr mac/ �d'S6c).
Phone Number: ZjZ Steil 7,es
Email Address:
I certify that I have authorized FIt V i'r (n.T
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 40116-- k DOC16 - 5c+ L14-
at my property located at �M IAJ ly I 11-2n Lyu-ag
in County.
I furthermore certify that I 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.
Propert Owner Information:
Signature
< (0,I t.ij -1>da-R -eu
Print or Type Name
Title
l�l Zo L
Date
This certification is valid through
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property: 30g
Mailing Address of Owner: a-htkA
Owner's email: ;>1 6e DYN14I. 7'Ow/ner's Phone#: Zf Z f6 7fi 6,
Agent's NameRt / /^ Agent Phone#: 2a to �d
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property. The individual applying far this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawing, with dimensions, must be provided with this letter.
x_ I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections 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
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at (252) 808-2808. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand 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). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) TG
Signature of Adjacent Riparian Property Owner: �^P
Typed/Printed name of ARPO: �Q d<vir�
Mailing Address of ARPO: 3y 6 iO• 1-d, /sw, C••e-K )r, r� HJ , L3, d t Z S G L
ARPO'semail: baJ�63Nftl>w/ISS�6-P,rr1`O'YARPO'sPhone#:
Date: _ %1/ i�Z / 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: SvS A'..r`11 '' ,' II l � /1� �r11 �� 11 /I
Address of Property: �� 1N Wr /itA l "w (� � w-e TrQ-" 0QGJt yu(f c zeF6 )—
Mailing Address of Owner:
^
Owner's email:, (aela oeq a I crag (•'Owner's Phone#: 0 7-`C6
Agent's Name: Mr- ' gi Akkv1l\Q (g>wQ" Agent Phone#: 2l2-
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what /s being proposed, you must noury me iv.u. uiviston or coasrat
Management (I)CM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at (252) 808-2808. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand 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). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setbackp�/!
Signature o r djacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: (X V t y1� � .I A Le
Mailing Address of ARPO: �0 1 W i �i4>\ ct^Oci /OVA
ARPO's e/mail: ' �, Gwt,\ARPO's Phone#:
p
Date: 0 I I `waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
Susan Delaney 252-560-7856
308 W. Wilson Creek Drive SKDelanev2l@amail.com
Trent Woods, NC 28562 Cnaan: Yes county: No
Note: Eaves of roof should extend to cover 22 ft boat
1 block = 2 sq ft water 3.5' deep per customer 7K boat lift w/roof
16' 13'
M
2 mooring pilings
Dimensions
L x W SgFt
20 4 = 8o
10 16 = 160
Total sq Ft 240
approximate shoreline
4'
Pier & Dock installation as proposed, will consist of installing:
Twelve 10"x25' pilings and six 4'X10' concrete dock panels
resting on 4" x10"cross beams
finished with a 4"x6" boarder
step down @ corner of pier and dock
two 10"x35' mooring pilings
7K boat lift with roof, consisting of eight 10"x35' pilings
• � a
ti