HomeMy WebLinkAbout86177A_McElroy, Paul & Teresa_20211122v
��At /C"AMA ❑ DREDGE & FILL �r� V.' °,' I , ® B C D
a GENERAL PERMIT Previous permit �SS4�SA
Date previous permit issued �.
- 2l(-20
[New ❑ Modification ❑ Complete Reissue [-]Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coa tal Resources Commission in an area of environmental concern pursuant to:
15A NCAC -7/1 C� ------ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name %i t /� 4 _Tf 'rE?S d / �� (j9l
LOY
Address 1 CfLfi M� (}AC
City V State ! i/G ZIP _L 1 al--Q-_
Phone # ( '93) 0-6 " 0349
Email f O v ;'j P 6&wod . C,01 . ---
Authorized Agent �.e 3S-1—.QY i A Il✓
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Project Location (County): r.. K
Street Address/State Road/Lot #(s) _]�� Ck�A.'_ -_
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Subdivision fGGkcr $ Cp U a p
City i _ -- ZIP _�-1 S U —
Affected ❑CW VEW VPTA ES PTS Adj. Wtr. Body 1MUS V na an/unk)
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AEC(s): OEA FIIHA 11 UW SPIMA PWS Closest Maj. Wtr. Body 611 r t
ORIN: yes no PN yes no
Type of Project/ Activity Nffw 40'x S-a,S Q;r•'- w/ 2o'x Ao ' pFrs,+Pat,._ +' ue r_) 33' x S. as' F. t�cU der.
(Scale:�1 S )
Shoreline Length 1t l ` o '
Access Length
Pier (dock) length 4Cir S ryrt
Fixed Platform(s) .Zz' X a.G'
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift @ A)O L—
Beach Bulldozing
Other
a� t►�r �<b ao'Xzo'
0
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G'W" Pier
SAV observed:
Moratorium: n/a
yes
yes no
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Site Photos:
Riparian Waiver Attached:
® no
yes ®
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may be required by: �(„f r : +t—r
A building permit/zoniing---
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Permit Conditions A)C'
' OTpermit
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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, (Please Initial)
tZober �'
AgeiLt o licant P TED Marne it fficer's P INTE
Sig a ease read compliance statement on back of permit" Signature
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Ap liration Feels) Check q/Money Order Issuing Date
Qrw_�
Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: PO4" L 114C
Mailing Address: //d2 C ("%� tA-4 'y L
Y06k1-- A) 9 s
Phone Number: 3 Y�
r.
Email Address: 2C2
Y#C'o 490M AIL , cool
I certify that I have authorized VA) C C ( 2 C 1-4 Agent of Lauren Berry Burch ,
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: P I L R-
at my property located at
in C Q 2PI -TUC (- County.
I furthermore certify that 1 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:
Signatu
P Z- 114 C Z:-Z- 2 V
Print or Type Name
Tale
ZO l M� 1 -26,,Z r
Date
This certification is valid through /,;Z 1 3 / 1 .202 1
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:
Address of Property:
Mailing Address of Owner:
Owner's email: Owner's Phone#:
Agent's Name:
Agent's Email:
Agent P
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.
AL I DO NOT have objections to this proposal. I DO have objections to this proposal.
ff 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.)
1 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 blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: ;VA -MrS- Phone#: 15i" I7' 5772-0
Date: lvp, *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 NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
11 /08/2021
Date
Paul McElroy
Name of Adjacent Riparian Property Owner
112 Chapman Lane
Address
Moyock, Va. 27958
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at
in
Count\. which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your rep ie%%.
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
Addres,
City
Telephone Number
State
KT I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent iparian Signature
Kathleen Temple
Print or Type Name
117 Chapman Lane Moyock, NC. 27958
11 /08/2021
Date
757-493-1991
Telephone Number
Zip
Address c its State Zip
Revised July 2021
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