HomeMy WebLinkAbout79403A_Owens, Ellen_20210907:XCAMA / /DREDGE & FILL jj CA) B C D
9ENERAL PERMIT Previous permit #
-M_New 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 I SA NCAC iZRules attached.
Applicant Name Project Location: County C t : +&,C �K,
zu —
Address Street Address/ State Road/ Lot #(s) al
City State./Xr ZIP . ... .......... .. . I . . . .. . ........
Phone # (b;L) 12 1_1.5 I- E-Mail cka.2e �_lt _&__zc�,
Authorized Agent
Cw AW APTA AS 1711 PTS
Affected
AEC(s): OEA HHF 1H USA 7,'! N/A
PWS:-- —
ORW: yes 'CIOPNA yes no.
) ,J
Subdivision
zip
Phone # River Basin
Adj. Wtr. Body,1�24K__,,, ,
Closest Maj. Wtr. Body. C(-% 1__41%_ak__,�,-- .......... 11 ............. .... . -
Type of Project/ Activity so' i OCA F
(Scale: /,)7---
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groin length
number
OG
Bulkheadl Riprap length Arc,-6" C
avg distance offshore
max distance offshore
Basin, channel
cubic yards
Boat ramp
Boathouse/ Boadift
Beach Bulldozing r c, F L
Other
. . . ... . ............. . ......... ...
Z. ..... . ....
Shoreline Length
SAV: not sure yes
Moratorium: yes
Photos:
Waiver Attached:
A building permit maybe required by: See note on back regarding River Basin rules.
( Note Local Planning jurisdiction)
Notes/ Special Conditions
Agent or Anlicar r Printed Name
�-c - 17,0�
Signature ** Please read compliance statement on back ofpermit '*
�Vn
Application Fees) Check
........... . ........ . - ----- ----
tofficer'sP
Signature
C), . -I
Issuing Date Expiration Date
RECEIVED
AUS 2 4 2021
DCNI eE
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Eae,'1 A . wrcas
Address of Property:
Mailing Address of iOwner: 3 -�l� i`�� fc��r y' + s� �{ Lt U-U't,
Owner's email: Owner's Phone#:
_t
Agent's Name:
Agent's Email:
Agent Phone#:
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 for 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.
-�(— 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 401 S. Gnffrin 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 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
[go
I do not wish to waive the 15' setback requirement (initial the blank)T
Signature of Adjacent Riparian Property Owner: `r[ AZL J 4_ )
Typed/Printed name of ARPO: M (x t, kq LL . -T u t-!2, r f-
Mailing Address of ARPO: t ) trLyLc'U Ly)t, , l -lsyl'tic V,
ARPO's email: %c2rS<'d;tARPO's Phhone#: 4S"- M7- t0JN -� 3
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
Prof e 4 Y I i tN-e W Nh m,O (-sh
ci Ttrhler
RECEIVED
AUG 2 8 2021
RECEIVED
AUG 2 4 2021
DCM-EC
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Etyn cw -nf> i
Address of Property: Q I LP F- t l 2)rwns el-4 LaO C y IrYC'►i r , �7 o�
Mailing Address of Owner: r7 N ; t y e-
Owner's email:- liar-S XX> 11r- i C-44 Owner's Phone#: c���}--��57
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Ownerl
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
description or drawing, with dimensions, must be provided with this letter.
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 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 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)
Signature of Adjacent Riparian Property Owner:CL�5� S
Typed/Printed name of ARPO: �� \ °--
Mailing Address of ARPO: 22-
"Z
s
ARPO's email: w%��rr-� Iq$(`' (OAPO's Phone#:
Date: -23 Z\ *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
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