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HomeMy WebLinkAboutE P Properties 84847Ch*"ttansr+tom AM ❑ GE IL � i ' 7 A 6 .D GENERAL PERMIT Previous permit Date previous permit issued ew [] Modification ❑ Complete Reissue [-]Partial Reissue As author] ed by the State of Nortb Carolina, , Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC 4._�_ z�/ 4� n Rules attached. neral Permit Rules available at the following link: vyww.deq,n��� Applicant Name .Lr� rr Addressr-� City N Stat (--zip � Phone # AM `R Email Authorized Agent C� Project Location (County): _,,... Stl'eet Addi'ess/State Road/Lot # ,,I , Subdivision City ZiP�._ Affected [I CW - W PTA ❑ ES ❑ PTS Ad). Wtr. Body AEC(s): ❑ OEA ❑ IHA [� UW $PIMA ❑ PWs Closest Mai. Wtr. Body Type of project/ Activity Access Length f { f�49 Pier (dock) length _ m f. ~ f( Fixed Platform(s) _ FloatingPlatform(s) µx Finger pier(s) _ Total Platform area Groin length/N Bulkhead/ Riprap length I_ Avg distance offshore Breakwater/Sill Max distance/ length _ Basin, channel Cubic yards...._.....----..._�___.._..._..__-. Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: Moratorium: n/a Site Photos: Riparian Waiver Attached: A building permit/zJo� I Permit Conditions N yes ler'qui ' yes yes yes it rgayrFd by: ❑ s 'K c t AA) i AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REV Agen rApplicantPRINTED �Narn Tp Permit Sig **Please r ad c pliance ment on b k of permit** Sign �_ Apl ication Feels) Cheek N/Money Order Issuing Date s l ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please I @i1�ai Ind' c �SgKatu�- °F`°"�'^1 � AMA ❑ DREDGE & FILL 1/;93 l - 84847 A B / D ti i 3 GENERAL PERMIT Previous permit Date previous permit issued ew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authori ed by!the State of No Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC � [_j:a=L/ V ❑ Rules attached. r�h eral Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Address ij Email Subdivision City ZIP n Affected ❑ CW W PTA ❑ ES ❑ PTS Adj. Wtr. Body � nat/ an/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/0 PNA: ye no Type of Project/ Activity /V / C �, " ✓ (Scale: ) Shoreline Length Access Length ' Ls/ Pier (dock) length Fixed Platform(s) Floating Platforms)--- - LL- �- (jam Finger pier(s) Total Platform area - Groin length/# Bulkhead/ Riprap length Avg distance offshore < — T- Breakwater/Sill /� �� �� Max distance/ length /.� Cyr ej� Basin, channel /✓ :L N Cubic yards > > y Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes Moratorium: n/a yes o/ Site Photos: yes Riparian Waiver Attached: yes A building permit/zo ' pe it ay e r quirt d by: �v`7 Permit Conditions ! f- ' 1 G I ` d CI e � i�/� ❑ TAR/PAM/NEUSE/BUFFER (circle one) Ji% v t U ce ✓t ❑ See note on back regarding River Basin rules J C �� , ❑ See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEVq OMPLIANCE S ATE ENT. (Please Initial- Agent or Applicant PRINTED Name Permit O 'ce 's INTED Name Sig **Please pd Compliance statement on back of permit** Sig tuf'V J Ap ication Feels) /1 �� Check #/Money Order IssuilnDate Expiration ate 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-1u 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 APPLtPATION �:Tvk�W Name of Property Owner Requesting Permit: _ u '� 1� C7� .1Q��1� VD Mailing Address: Phone number:` Email Address: o C I certify that I have authorized Agent 1 Contractor to act on my behalf, for the purpose of applying for and obtaining ail CAMA permits necessary for the following proposed development: at my property located at in County. t furthermore certify that t 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: Signature -4AC4 il --), '-Ctn 4iSOr� Print or Type Name Title � \ _ 1 \ (3 l-1\_ Date This certification is valid through t 1 0, . i t {i+F $3$ — I } --j •.�_ �- ..._._� F } - F .....ram � � { � Y S �_' - � � I { —T—F i• � 1 e � # ± j"-- --_ �— —r•--.. � ate_ _ _, � ! S i { _ — 4 — I i I i f - . i i } t. F i { i i ! ^ I I � � Y f F 4i' r -•— i — f' t k I � _ I ! t F - . i I r 7`F i t i i r i i � � f j I E I � i � � t t •� �I� i N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM CERTIFIED MAIL . RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner. Jt_, _ Utt s ri� �L'.. \ Address of Property: Mailing Address of Owner. Owner's email: tr cc��o Owner's Phone#: 1L ME T IZ5 t` A Agent's Name: �L1Tit�_45 Agent Agent's Email: to ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed bu the Adjacent Properjy,Owner} i hereby certify that 1 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 (DCM) in writing within 90 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 somelall of the 15' setback Signature of Adjacent Riparian Property Owner -OR- F�A 1 do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: — Brad Haste 8509EIVWC4C7... Typed/Printed name of ARPO: Mailing Address of ARPO: 295 Wilmington Hwy 7acksonville, NC 28540 ARPO's email: blhaste@ncdot.gov ARPO's Phone#: (910)467-0500 10/26/2021 Date: *waiver is valid for up to one year frorrr ARPO's Signature* Revised May 2021 m co N . Jy4wp®w r� F GG CV t m Kr F� 0 LJ LL. S: 4 co IK f tF. ��/ J ,"• t�Ot AD .. 1jtl � 1 Fd 4