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HomeMy WebLinkAboutWoodard, Catherine 78997CCAMA / KDREDGE & FILL G NERAL PERMIT New ❑Modification El Complete Reissue El Partial Reissue N9 78997 A B (DD Previous permit # 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 0 -% „ f C��� � Rules attached. Applicant Name 9 t� Pi � � Project Location: County Address �� ,,� 1Q 11 Q� V' tye, Street Address/ State Ro Lot #(6 ':;� 5kA Vi City Statef�ZIP_� � �� Phone # () E-Mail Subdivision Authorized Agent Affected 0 CW " "*S El PTS AEC(s): ❑ OEA D HHF ❑ IH ❑ USA ❑ WA CiZIP Phone # ( ) River Basin Ve—"Ze Adj. Wtr. Body / V V na an unkn Closest Maj. Wtr. Body - OMIng EN ■p ■ Platform(s) 'lengthnumber ■■C w. ■ ■ /. ♦ ®� `_ •� III �•� � IN �10 cubic yards ramp ■h ��, , .tea �.:a■�C6 s���� Bulldozing �"" ■,Il . ►�..t'`is� '_ � _�'�' '...%/lam � . '��J► �f. ►. Ali.. ►� �I■ ■■ _ q ■■ �� '�■� �� dine Length 1 torium: n1a Ye n:'J� ■ 1 q* CAMA / DREDGE at FILL a IN"! jNV i GENERAL PERMIT Previous permit# ORKNew ❑Modification ❑Complete Reissue El 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 ®% , I 1 I�Rules attached. j Applicant Name (d1C1 �Pi 1(`�2 ASl Project Location: County Q Address 3771D, 7TTAIajoQ_V i Street Address/ State RcV';;'V ( c7 City State�ZlP_ �� �QA c Phone # () r E-Mail Subdivision Authorized Agent Cityocclvw ZIP Affected ❑ CW _4.fW A JES ❑ PTS Phone # ( ) Rive Basin AEC(s): ❑ OEA ElHHF ❑ IH ❑ UBA [I N/A Adj. Wtr. Body 1fna - an /unkn El PWS: ORW: yes PNA yes no Closest Maj. Wtr. Body Type of Project/ Activity 0 Pier (dock) length Fixed Platform(s) r Floating Platform(s) Finger pier(s) Groin length r number ' BulkheRipra length avg istance offshore max distance offshore Basin, channel _ s s cubic yards i Boat ramp i Boathouse/ Boatlift Beach Bulldozing Other Shoreline Length 0� SAV: not sure yes / nal Moratorium: n/a yes no Photos: yes no Waiver Attached: yes no A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions Ile Agent Sig ture Plqase read compliance statement on back of ermit ** Application Fee(s) Check# Printed Name (Scale: I = 01 ) V_See note on back regarding River Basin rules. r2 G Permit Officer's Printed f 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 landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certifythatthis project is consistentwith the North CarolinaCoastal 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 howto 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 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, Bertie, 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 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT) CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED RECEIVED OCT 18 2021 Name of Adjacent P DCM-MHD CITY City, State Zip To Whom It May Concern: �G `�O 21 ate This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to / r-s p - r" --r® TA on my property at � �-�� 1i z 2 i �� 'i i"l �h i� (CjCl 'ZS in C County, which is adjacent to your property. A copy of the application and project drawing is attached/enclosed for your review. If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no comments or objections regarding this project. If you have objections or comments, please mark the appropriate statement below and send your correspondence to: (LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE) If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL). Sincerely, Property Owner's Name Q .gIgi n -89C)LQ telephone Number Address City State 4f I have no objection to the project described in this correspondence. I have objection(s) to the project described in this correspondence. Adjacent Riparian Signature lYln.r1L l-lr% �V n Print or Type Name L 1 I— Date aS:� -C^�(a-o SI Telephone Number Zip Address City State Zip Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT RECEIVED ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY OUT 18 2021 (Top portion to be completed by owner or their agent) Name of Property Owner. Address of Property: _ Mailing Address of Owner: Owner's email;L Agent's Name: Agent's Email: `f to 4 Di GJ I ott-, Agent Phone#: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) DCM-MHD CITY 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. 11 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 -O R- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: `�7 (�txs /�i � 5 Vfl ARPO's email: ARPO's Phone#: (e. & , C413 Date: )-Va4 *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 v - r AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: Email Address: I certify that I have authorized / 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 12-35 in 0 ra-d cl-1 County. jn: � ll& 16n 0 c i () - 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: SigMure Print or Type Name cI�J AA -- Title °Ll IV 1 202 j Date This certification is valid through 1'2- 1 V! 1 2 L I RECEIVED OCT 18 2021 DCM-MHD CITY f1h.. wnoO Ja§6A :-uedrauM qrjOdq :azaibbA 1�f -93 bashodJUry 9VGd I Wit Yijll%) I 2,fimieq AMAD Its pninistdo bna iol pniylqqs to ae-oqiuq edl -iol 'llsded yrr; no tos. W ab MemcIolev baaoqolq grliwoflof atit iol �paaaiqoen la belsool ytieqoiq ym Is of 16-az'wmeq Imp tsl 61 ab bne ,imp Ot tes:"OdUiz me ladl N�Vltm k ol "We 10 ol beWek cAd&;,vlKu-5Wt Q611stAevs ftvq (AbIbemino-3 61 ztmM bwlcAmmelolf, 'affli (A(,) .nOOSMIDMI leftwo %thapicl ;rjT 0 0 /