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Home My WebLink About86150A_Braddock, Peggy & Samuel_20211022M AMA DREDGE & FILL N9 86150 (J a C D Previous permit GENERAL PERMIT Date previous permit issued E.New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorizedby fthe State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC % t ' ( D J Y 13 0 Rules attached. .General Permit Rules avallable at the following link: www deq_nc eov/CAMArules Applicant Name i . 1� d e Authorized Agent e7p0'k, '.fl C' CA. Address 1+p D 2.53 Project Location (County): ----- City State N zip 27 9 y3 Street Address/State Road/Lot #(s Phone #1 ) IT? 9 I S8 Zz S r� ( r Email '1LW a Sy..n. -T !R !10-kb a, R-Z n. Subdivision r �/ City, a. ZIP S-77 l 3 Affected � CW EW MPTA �-ES EPTS Adj. Wtr. Body e o- fX 0, ! / 7 k, S /o``j (n ma nk) AEC(s). OEA IHA U�v SPIMA D PWS Closest Mal. Wtc Body ORW: ye no ) PNA: Type of Project/ Activity C V A S I-rti- c5f-- Shoreline Length _ 3 5 %- Access Length — �tl4A Pier(dock)length �.► o� ,hp Fixed Platform(s) Floating Platform(s) _ Ca Finger pler(s) t � _ � t Total Platform area ength/N Bulkheadl Riprap length S 9 Avg distance offshore 2 r Breakwater/Sill Max distance/ length Basin, channel Cubic yards oat ram J o xt S OWIZ Boathouse/ Boatlift Beach Bulldozing Other Sr - 9 SAV observed: Moratorium: n/ Site Photos: Riparian Waiver Attached: A building permit/zonin I Permit Condiions no Jt I OL ts,44, 3-8 i� �c (Scale: /Ul�:S j �L NT ilk e �e 5 a U r.LY� �4pt FL�Ift PQs0OLa I ILL C- INAITOX ks S'A P,0S Cof IG-R 6uN1� no iermit may be required by: 'k- G t^ yes yy yes TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. �(P(ease Initial) \y --- 1/ts t/ Agent pplicant PRINTED Name Permit Officer's PRINTED Name Sign tur a read compliance statement on back of permit" Signatu boo -5Zr / � Z 2 Application Fee(s) Check N/Money Order Issuing Date Expiration Date a VeAUS NZAMA *DREDGE & FILL ��-IJ�' ��) � ;�0 A) B C D I GENERAL PERMIT Date usporm``_ Date previous permit issued ,01INew ❑ Modification n Complete Reissue ❑ Partial Reissue 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 7 r t i D J Y _ 1-3 Rules /attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMAruIeS Applicant Name i_J0.Mss ¢ t-G. a (� _- Authorized Agent __ r]Di0 0-% �_---- Address L 2-33_ _ Project Location (County): City _ a Tic-tti3 State �_t_ _ ZIP _ 'L7 3_-_ Street Address/State Road/Lot #(s Phone #L(4(&) c{ - 3 9 9 1 - - _ FZ 'ZwZ Email Sy-eK ��i f�f RVck-kebte..n/+-.. Subdivision_ -- City S - --- .-�/ ZIP 2 7 3 Affected U CW EW [WTA V.ES FPTS Adj. Wtr. Body C Q. exckf / Va"1 (n nk) AEC(s): OEA IHA U SPIMA PWS Closest Maj. Wtr. Body 0.M �r C- c O Lk- ORW: yew / PNA: yes(o Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) .d N Finger pier(s) -� a Total Platform area ength/il Bulkhead Riprap length Avg distance offshore Breakwater/Sill ` Max distance/ length Basin, channel _ Cubic yards �7 oat rS -ta XI fit+ l Boathouse/ Boatlift Beach Bulldozing Other rK 0. Vt /t•/( �jtA-JKj1-- "I1' 4 rsti'1- 3- �1 "4� wj-VVIO Z V y fit_ SAV observed: yes no Moratorium: n/ Site Photos: Riparian Waiver Attached: yes no Pt J� r A building permit/zonin permit may be required by: _�. Permit Conditions /Ke 4It, Ac�R `t uc_JI�.D _,,.-C.AA1A L 3 A 6.1 1 L[ C f iNUITFR AS ,(z A cd A S 44u-4,4 _ a- I (S (Scale: AJT:S ) Y4nms Cof +AJCX 6"AI> TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. Initial) Permit Officer's PRINTED Name Signature t N&W read compliance statement on back of rmit.I n _ Signa_ttr KOO _ / Application Fee(s) — Check it/Money Order ��Issuing Date 20210923 111330 (i).jpg https://mail.google.com/mail/u/O/ AUTHORIZATION TO ACT AS REPRESENTATIVE FORM Property Legal Description: DEED BOOK: 1663 PAGE NO: 0474 PIN NO.: 15683003 PROPERTY STREET ADRESS: 58225 Fulcher Lane, Hatteras, NC 27943. Please Print: Property Owner: Peggy & Samuel Braddock Property Owner: The undersigned property owners of the above noted property, so hereby authorize Doug Dorman of Atlantic Environmental Consultants, LLC to, (Contractor/Agent) (Name of consulting firm) 1. Act on my behalf and take all actions necessary for the processing, issuance and acceptance of permits and/or certifications and any all standard and special conditions attached. 2. Enter the property to obtain site information including inspections with regulatory agencies (Dare County. North Carolina Department of Environmental Quality, U.S. Army Corps of Engineers, etc.) for the purpose of obtaining permits and/or certifications. Property Owners Address (if different than property above): PO Box 233 Hatteras NC 27943 Property Owners Telephone Number: 25b-419-3991 We hereby certify that the above information submitted in this application is true and accurate to the best of our knowledge. P �� Authorized Signature and Title Au Si , gnature and Title Date: 9 02 a - -- Date: 1 of 1 9/30/2021, 5:22 PM 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 Peggy & Samuel Braddock Address of Property: 58225 Fulcher Lane, Hatteras, NC 27943 Mailing Address of Owner: PC Box 233, Hatteras, NC 27943 Owner's email: twosummerbirds@yahoo.ComOwner's Phone#: 256-419-3991 Agent's Name Doug Dorman Agent's Email: dougdaec@gmail.com Agent Phone# 252-599-2603 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) 1 hereby certify that I own property adjacentto the above referenced property. The individual applying for this permit has d ribed to me, as shown on the attached drawing, the development they are proposing. A descri ioDK& 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. 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 Signature of Adjacent Riparian Property Owner: _ . Typed/Printed name of ARPO: Stephen Peele Mailing Address of ARPO: PC Box 484, Hatteras, NC 27943 ARPO's email: Phone#: X_7 3717 '1 C % Date: I ,�L *waiver is valid for up to one year from ARPO's Signature' Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMIAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Peggy & Samuel Braddock Address of Property: Mailing Address of Owner: 58225 Fulcher Lane, Hatteras, NC 27943 PO Box 233, Hatteras, NC 27943 Owner's email: twosummerdirds@yahoo .comOwner's Phone#: 256-419-3991 Agent's Name. Doug Dorman Agent's Email: dougdaec@gmail.com Agent Phone — 252-599-2603 ADJACENT 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 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 (DC1V>) 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 somelall 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: Typed/Printed name of ARPO: Eagle Pass Road, LLC Mailing Address of ARPO: 101 Creek Point Circle, Williamsburg, VA 23188 ARPO's email: 1s �, � �0. 4�� GC-ARPO's Phone#: ?_5377 Date: / " a� 'waiver is valid for up to one year from ARPO's Signature" Revised July 2021 o ck4— ra P :41 # 2021-05-19 2021-05-19 ................. 2021-09-16