HomeMy WebLinkAbout86133A_Wheeler, Jerry & Sally_20211022tour (% �1, �' tSb 1 3 U B C D
3�0 k [�CAMA [ DREDGE &FILL � ( pe
GENERAL PERMIT Previous rmit
Date previous permit issued
W(New [_] Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the t)he State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
1 SA NCAC _T_►7 s' �+J� Rules attached. dGeneral Permit Rules available at the following link: www.deq.nc.eov/CAMArules
Applicant Name Sett -' wee le r ---_ _ _--
Address Spy 6D - 1 D_
City
Phone # �) �- � 6 f S
Email .i) LikeC t &Lu Mrz; It .Coto,
Authorized Agent A l l a,, 01wn+, 2 ---
Project Location (County): C,,& a . k" Q *--- -----
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Street Address/State Road/Lot #(s)
L.,2 t t3 ---
Subdivision l )a r i, o a e) S),oi e$
City C7rcxGAt I ZIP
Affected CW VEW PTA VES L PTS Adj. Wtr. Body rMawt f"/Y /. (nat/ an/ nk)
AEC(s): ❑ OEA 11 IHA UW SPIMA PWS Closest Maj. Wtr. Body
ORW: yesAio PNA: ye(no
type of Project/ Activity 1 n lac, t- e. 13, t j� �� � .
fScale:NTS
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin ngth/#
Bulkhead Riprap length 44 r
Avg distance offshore '
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
t_,eo (P IF
PICT
SAV observed: yes
Moratorium: n/ yes no
Site Photos: l5
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
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TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APP MTHIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
A16- nr,_
%gent 2M�44
PRINTED e Pi fficer's P PI ED
C
ig' ature "Please read compliance statement on back of permit" Signature
Co"-
,pplication Fee(s) Check #/Money Order Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Je r rV � � I t- W keE�leV"'
Mailing Address: 5100 60-'6 gf-ree-4 E-S'f' , �� fi �- t 2
a)',:Je✓ -f-on I FL. 3+ao3
Phone Number: Sad-- 3C,(�>' IG 15
Email Address: J 1 tv1V eel 6 e h6fi,�-,a (, �o►�-�
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at I ) �4 ()0001 OU e, ,
in C-L" cr; 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.
Property Owner Information:
9__� ?"_e_tJ&
Signature
�erry L.ln)r e-e.l-*-'r S�II., D. whee_)er_
Print or Type Name
Vj,:Y►'e0iJYeer 1 f' C44,cv ne/
Title
ID D5 1 a4d l
Date
This certification is valid through 061 1 /a&_�'
AW
-CEIVED
Kt
OCT Z t Zal
C)c GG
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: JF ((r r S& O W w hPP I e r
Address of Property: I I I W nod 11 ' u Sep -hr. l3 in nA�) IV C. a 1139
Mailing Address of Owner: 51 �D LOA �, C . L Gf .IJ - 12 &-cAe(dz)n FL S� J,03
1 ` . �Cbm f
Owner's email: 7 IyJk t_e_l S @ kO+ry c,, ( Owner's Phone#: R Q leei - SWI _ 110iJ
Agent's Name: kri Esn�- o
Agent Phone#: _Ja..4 !S7:S7 i7
Agent's Email: eyrom,s r_= si:c-kc_ 'e)n
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. 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 ob'e9A0A4n IjVeDen
notified by Certified Mail.�--
WAIVER SECTION 20
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, bcWoUe, 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 set txoq i n
the appropriate blank below.) 1��
I DO wish to waive some/all of the 15' si
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: Z/
Typed/Printed name of ARPO: C
Mailing Address of ARPO: IOZ S GoosewI na C.. Grnnr�y��C.
ARPO'semail: Jg_tJ01L��LJMaAQ6T ARPO'sPhone#:,blr) LkO
Date: S Al' 10 a•\ "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 NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: TC r a nc-1 S a l W h P P, I e f
Address of Property: I (`} 1 f o c, c h U u s e- - -, C Cn n V N ('- A 1 C ;9
Mailing Address of Owner: _ .7 I D L io c th -5f, Ell Lot D - 1 a 6f r_ i ntc)n FL Bt a o3
11 II I • Com
Owner's email: i 1 VNl h e 1 S C- kutma Owner's Phone#: D 5 LoL - I� 1
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.
1 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 arian Property Owner
-OR- KtuEIVEID
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: 24'*-
OCT 2 1 2U1
DCM-EC
Mailing Address of ARPO: &7((5 664s' Lane—, La Ia+cL I rl v .,;260- O
ARPO's email: ARPO's Phone#:
Date: cr *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
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- - - — - -- - -- - -- - - -- --RECEIVED
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Aerial Photography (202(
NRed: Band_1
Green: Band_2
Blue: Sand_3
'his map should be used for general reference purposes only. Currituck County assumes no legal liability for the information
hown on this map.