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HomeMy WebLinkAboutTimberlake, John 84841C❑ PTA !rtm ❑ PTS ❑ UW ❑ SPIMA ❑ PINS City Adj. Wtr. Body Closest Mai. Wtr. Body o�" AMA�P-DREDGE & FILL N9 84841, A C D 03 Previous permit i G E N EARL PERMIT Date previous permit issued v",New []Modification ❑ Complete Reissue ❑ Partial Reissue As authoriyed by the State f North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: � Rules attached. NCAC general Permit Rules available at the following link: www.deq.nc.goy/CAMArules Email Subdivision Affected ❑ CW -n'EW AEC(s): ❑ OEA ❑ IHA f�rB Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platforms) Floating Platform(s) Finger pier(s) Total Platform area C th/# length ce 1 — offshore Breakwater/Sill _ Max distance/ lenf Basin, channel Cubic yards Boat ramp Boathouse/ Boatlil Beach Bulldozing _ Other SAV observed: Moratorium: n/ Site Photos: Riparian Waiver At A building permit/ Permit Co di ions i (Scale:_ V ) ❑ 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 REVIEW COMPLIANC ATEMENT. (Please Initi I Kari Taylor Agent or Applicant PRINTED Name Permit O e 11IRINTEDNanne „ Sirplicatio. "Please re compliance statement on back of permit** ep Signat r A Fee(s) ChecNlMoney Order Issuing D to Expiration Dat Statement of Compliance and Consistency This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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 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. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, 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 and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 ,j`°"S'4c AMADREDGE & FILL a 84841 a _ c D G E N E*RAL PERMIT Previous permit Date previous permit issued New ❑ Modification ❑ Complete Reissue [:]Partial Reissue As authori ed b the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: Y ) {� P tY I SA NCAC 77 H I 1 qu []Rules attached. eneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name jj Address _ l City V Phone; Email Affected ❑ CW -�PrEW AEC(s): ❑ OEA ❑ IHA ❑ PTA ❑ PTS ❑ UW ❑ SPIMA ❑ PWS ORW: yesL�' PNyes IlA o Type of Project/ Activity. l 0 1 Shoreline Length Access Length Pier(dock)length Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area Groi th/# Bulkhea Riprap length ance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp l� S Boathouse/ Boatlift Beach Bulldozing Other Street Address/State Subdivision City lf� b�J�� z ZIP 7 . Adj. Wtr. Body I CI-) 1-t j %T. PL `-;rl Closest Maj. Wtr. Body lr (an/unk) Y l- (Scale: �� ) 1 SAV observed: yes o' .�I Moratorium: n/a yes Site Photos: yes ( / Riparian Waiver Attached: yes o A building permit/zoning r/ nit may be re L�I,uired Permit Co ditions ❑ 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 REVIEWY fgCOMPLIANC�EMENT. (Please InitiVDI; B _s C 4A 1✓/, nt or Applicant PRINTED Name Permit O)CPRINTED Name "Please read compliance statement on back of permit" Signatur �---�� CAI/ $00 n Feels) Check #/Money Order Issuing D�te Expiratkn Dat Statement of Compliance and Consistency This permit is subject to compliance with this application and permit 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 from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(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: 1-1 Tar - Pamlico River Basin Buffer Rules F� 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. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, 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 and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 1 DLL , P "i � J ; w' -be r 1 !�X(' Mailing Address: C� W h At -� g � m r A) r 2R 7� Phone Number: (e "7 -3 a- ) 7 Email Address: e Y-16\ W V I certify that 1 have authorized e rVic�S , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 5 -2 6 w' a ) i Q K C at my property located at Mq W Ae �xVY; in C&Aey' e-} County. I furthermore certify that l 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 f onpr Information: Signature Print or Type Name Title 0/II/ ?\K) �, Date This certification is valid through / / ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby certify that 1 own property adjacent tol,,1-1 hLslty,2' 's ( ame of Property Owner) property located at ITIe��,a� � v ys �" �, c� (Address, Lot, Block, Road, etc.) on 0JcJ&k1s C.tpeK , in S�y-arm � ,�c�r�c're� N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. M I have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must rill in description below or attach a site drawing) WAIVER SECTION I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.) Zl-e- A I do wish to waive the 15' setback requirement. 0o not wish to waive the 15' setback requirement. (Props Owner Information) (Adjacent Property Owner Information) gnature Signature �'� 1a. �.) `"G'►►n r1 tw _)�(° )/ i 1 ri1 Q 1 W ys 1�'16i-r Z r Print or Type Name -� ` Print or Type Name Mailing Address Mailing Address S Yn r ncti N C NJ +ro - CitylstaCiSt Zip 33U �915-15,/ at Telephone �� %u(mb rIe1mail address Telephone Number/ address rat 7 c�, �14�l Date (Revised Aug. 2014) "Valid for one calendar year after signature" - �iii�IiVlill�Ill iDpUliI1S�W.1�7:iRi ...>.r.�i��rusa�attal>t1�W17i/ELLil�i�t� ADJACENT RIPARIAN PROPERTY OWNER STATEMENT }` I hereby certify that I own property adjacent to :37() ,x K y0.Q� he*-� fig �P 's _ (N)prrte of Property Owner) property located at ILI t� 5 (Address, Lot Block, Road, etc.) on en r flf) in `' T C 1 , N.C. (Waterbody) (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. Y— 1 have no objection to this proposal. I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must flit in description below or attach a site drawing) WAIVER SECTION I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.) IY I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. Information) Print or Type Name 17c' W 1.1IJ 1, y,cc + ' Mailing Address �S?T_ City/St te1Zip 3; �7�j� -�at7 �����a��Ma►1��.... Telephone Nr9m¢e'1ddress Date / —` l �� �( *Valid for one calendar year after signature' (Adjacent Property Owner Information) Signnatur M i4yaiig H Print or pe Name l9I [ IJ� �1 9r�. Mailing Address X qs5,-lq_ City/ telZip Pad -7fr,-2 ARV' f 1 rratz Tele hon Number eYnail address rn 1(n ab a• Dale * ' (Revised Aug. 2014) r F yt U +r O U +� a� a� U Ot q K3 . le, ............... ................................... - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 46M M % -TW VIE f ;A-POr, my X W, fi 4 q 1, WTI_PN ' _10k_ Po-y i. A w Wq 0 f rM - 4� "- AMP q T 4W, '. ft .9 P. _R� kin "W A v e a:­ 'U"? V. ­4 .!�W rill 1 A x"s toll, %4 Q All k r Z i& An A V AAA