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HomeMy WebLinkAbout79944D - Mackains ,LJCAMA / ❑DREDGE & FILL N° 79944 A B C GENERAL PERMIT Previous permit# >Z JJNew ❑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 H • !IOC. l �/ ,_ � �. ❑Rul attached. Applicant Name I,4Ckaril ,, , /li4j1( ty�'rn% f r,;4.� 7a t tki\o Project Location: County ``--�..� u^� '' , , - Address ,C.,„L (\A\v {l'1 Q. L.A. 1 Street Address/State Road/Lot#(s) ell C(c ,4ck City ':.l ,).1\M.A .1-(5VA State f_tiL ZIP !e4-(C:: Phone# ( ) E-Mail Subdivision '/ t_-,— y 7v-M� Authorized Agent '\,v�ruy I N City L ��Itt• AI�`TCr ZIP 2F tI``L__ A Affected ❑CW N EW PTA ES D PTS Phone# ( ) River Basin ( l,'tc Qt k AEC(s): OEA ❑HHF ❑IH ❑UBA ❑WA Adj.Wtr. Body ..T`'i f -9.)tk. Rft.01 (nat /)/unkn) ❑ PWS: ,6 ORW: yes / no PNA yes / no Closest Maj.Wtr. Body y \�ww Type of Project/Activity ,-: 1 11.1 t V7("tr-�ccc _ ' o6 Q)c 72-,+rr•-) (Scale: ij\ ) Pier(dock length { Fixed Platfortta(s) ' "-""" 1 I Floating Platform _ i i �r I } I Finger pier(s) ( 1 __ Groin length i { j number - .._._.... --- — — r Bulkhead/Riprap length Z7 i 1I— II , avg distance offshore f -- max distance offshore �-` a Basin,channel cubic yar I i ;�, Boat ramp 4 . . 11 Boathouse/Boatlift - -- �(1 - ..__ 1. - uy.5�r —.._.. - i __..i...._.._1..__.. -_...... - Beach Bulldozing _ Other 20 4 (le��yy//G��t j do" \ 1 ` i -1 { ;'�VCh 4V�/pv-CJ Ik i ! .s. r " ' l Shoreline Length }(- I *..." 1 1 r Vt ( 1 1 II/ i f + '. , { c•k.A(.2.1(- SAV: not sure yes a ` 1 / 1/ " r Moratorium: n/a yes (e 6io 1 / 1 'Itin ' 1 H • Photos: yes [ I i _.___. — t Waiver Attached: _ yea no I ' - 1 1 1f'1( (cO), L ! .{ , i A building permit may be required by: 1 .. CIl . . Li See note on back regarding River Basin rules. (Note Local Planning Jurisdictions ,: A Notes/Special Conditions `�, 1./S 444, �� ?of f -'toI r o vde ',U�love-'. �)^ -- t kZ��t� l' ` ( L Agent or Applicant Printed Name ,�'� Permit Officer s Pri r Signature **Please read compliance statement on back of permit** Signature Application Fee(s) Check# Issuing Date Expiration Date �r t 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 I)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(910-796-72 15)for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-648 I Fax: 252-247-3330 Fax: 252-948-0478 (Serves:Carteret,Craven,Onslow- (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet-and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District Wilmington District 401 S. Griffin St. 127 Cardinal Drive Ext. Ste. 300 Wilmington, NC 28405-3845 Elizabeth City, NC 27909 910-796-7215 252-264-3901 Fax: 910-395-3964 Fax: 252-264-3723 (Serves: Brunswick, New Hanover, (Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet- Dare,Gates, Pasquotank and Perquimans and Pender Counties) 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: -> mod. azanc6.__7� J Mailing Address: /? �� �� _c6 h- 701,1l _ o Phone Number: 6?a 2 (. Email Address: [` ://iagr. r� '� eo t I certify that I have authorized Fr 2' -5 �m� ( Agent/Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ��/4 4"1 at my property located at _ l�•`/ 211V, ire,6"/ft in /&'74;40. County. I furthermore certify that 1 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 Inform. ignarr Print or Type Name T,tie — Date This certification is valid through i l • N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM QaJ1FIEU MIL RE7l1RN S .al:REQUESTED or HAND DELIVERY (flop portion to be Completed by owner or their agent) Name of Property Owner ''etcl -./ite 404. i'" '�"reja- f 7` Address of Property 7 / - _ I _t144-----Ze-e Ma''ing Address of Owner /D Z. ��e 1� G .� e -"`Z-7- Owne's email r I'�>!>fl�_ Owners Phone# glifl ° z5( fete-" Agents Name. �i'./AT f 2 4- Agent Phone#. �rD Z3/- rF57 9 Agent's Email Asssmasser ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to,be completed the Adlacent Property Owner f 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 8 lion r rawi ith i n ion m i h r. 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 127 Cardinal Drive Ext., Wilmington, NC 28405-3845, DCM representatives can also be contacted at(910) 796-7215. No response is considered the same as no objection If you have been notified by Certified Mail. WAIVER SECTION v derstand `,"at any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift or gran must be set back a minimum distance of 15' from my area of riparian access unless waived by me (tris does no+! fppiy to bulkheads or rrprnp revetments) (If you wish to waive the setback, you must sign .he aap'oprate bank below ;O W he to we've serreeaii of the "It)" setback bryntaturu ul AdiaGuf t Htpsrkar7 Pruporiy Ownor -OR- I do not wish to waive the 15' setback requirement (initial this blank) Signature of Adjacent R.par►an Property Owner Typed/Printed name of ARPO: __ __-fed l Malting Address of ARPO. 2Z . .. : ? ' G-�/3 . / (t zc °.7 ARPO's email: ARPO's Phone#: "t a s►®.2..5.25? Date: __ � t 'waiver Is valid for up to one year from ARPO's Signature' Revised July 2021 •corns_ .,- - ,'�#f • N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MA L RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner.,4 t i sef./ACS,R 12. /4-G 4?D Address of Property: � _�,Q'� � ��/�`� ,/Z---FC/67 Mailing Address of Owner: /D e-- zeta. • /t1 C Owner's email:�..� ner's Phone#: �� _ 2�3(. e67-Z' Agent's Name: J/Iii ,' h i-trr Agent Phone# 7 3/ ` " 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 individua'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 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 127 Cardinal Drive OCT,Wilmington,NC 28405.DCM representatives can also be contacted at (910) 796-7215. 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 r -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:_L 1 i Arless Mailing Address of ARPO: CAC) N(\.,/a,\t° '1 t ,4%.teD te4.0* Lot.LotA wk- a$4.04 ARPO's tL ARPO's Phone#: Ca el' ‘-1/4"ck Darts: .,, ___*waiver is valid for up to one year from ARPO's Signature* Revised May 2021 $ ..J14Aw,IX 7 —70,C✓ t- 7.504 04Sr',...) O re) X 0 k' I lill piiot.)o 5P47/ r ex ,�Q(;N k0 ' butl� l►ec� 4/ ....._ r 1 rlutt7 P..,ItC1". /q/ C - t3t) :.rtoJa� I� 1ati� Lgim /6/ Gr0J `ce1c s». J r A cji $4c3S Check Deb Received Date Deooslted Check From(Name) Neme of Prmtt Riskier Vendor Check number amount Permit Number/Comments Racelot or Refund/Reallocated Colima Column2 Column3 Colume Colurnn3 Column6 Column7 Columns Column9 9/23/2021 North Carolina Baptist Assembly same First Citizens Bank 5687 $ 400.00 GP#80369D Tmac rct 15564 9/23/2021 Coastal Mayne Piers Bulkheads LLC Richard Paschal Wells Fargo ' 24012 $ 200.00 GP#803480 •KE rct.15742 9/23/2021 Coastal Marine Piers Bulkheads LLC Monique Fissher 'Wells Fargo 24040 $ 200.00 GP#79945D BH rctl5635 9/23/2021 Coastal Marine Piers Bulkheads LLC William Fuller Wells Fargo 24042 $ 400.00 GP#80375D BH rct.15633 9/23/2021 'Coastal Marine Piers Bulkheads LLC Mackains Revocable Living Trust Wells Fargo 24041 $ 400.00 GP#799440 BH rct 15634