HomeMy WebLinkAbout85362D - Dail P'ce`mrk4t,t, CAMA DREDGE & FILL N . A B C U
Previous permit "
GENERAL PERMIT Date previous permit issued
1/%1 New Modification I I Complete Reissue n Partial Reissue
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:
I 5A NCAC i / '1/'U n Rules attached. General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name 70 /' //yVt. 4//4'r Authorized Agent ,
Address WZ)/� Q �-' 9( Project Location(County):
City -C,,I f (71 ^y State __,n ZIP Street Address/State Road/Lot#(s)
Phone#( ) n
Email Subdivision
City ZIP
Affected n CW EW PTA n ES n PTS Adj.Wtr.Body rf1 (nat/man/unk)
AEC(s): fOEA HEW
fUW nSPIMA PWS Closest Maj.Wtr.Body / `�' ,r
ORW:yes/no PNA:yes/no
'ype of Project/Activity ./4.1,A- "; f,
(Scale:A/7-S )
Shoreline Length
� F i
Access Length -
iilir: ,, N , : ii..,
Pier(dock)length '� t ..
SHIN
Fixed Platform(s) 17 / 7_7-> __
r,
Floating Platform(s) •3 19 Pi 4- —
Finger pier(s) I 1
-
..- Lill
Total Platform area r1 l -:
Groin length/# _ _ - i I 1 III V.
Bulkhead/Riprap length
Avg distance offshore 4" .. a - P ' ...........
Breakwater/Sill
Max distance/length ,_,,, ;,�`
Basin,channel i '
Cubic yards / ( i -- j
-- ,. IMO I .
Boat ramp '" [4 ,. oIa. k 1 .__ l , h
Boathouse/Boatlift Mgrr iliiii=1111M311J111,
,
Beach Bulldozing \N., 11 , i1 l
Other Z . ► { t { ( --*."�_
I
SAV observed: yes elk) __
Moratorium: n/a yes �4a0 _ _ � ,
Site Photos: NM —_--
Riparian Waiver Attached: KOm _ _ 11111110•111111111
J. `�
A building permit/zoning permit may be required by: ` %;
n
Permit Conditions TAR/PAM/NEUSE/BUFFER(circle one)
0 See note on back regarding River Basin rules
I I 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 Initia
gent or Applicant PRINTED Name Permit Officer's PRINTED Name
5 - it-2Z
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: CO14bnI • \ NAO.(\ene La• o` l
Mailing Address: g 0 OCR C" 4
Ct.V I GJ C_ ag (114 c)
Phone Number: CI i 0- 3 et -s'? C'Qt
Email Address: a t c ahoo. Cow
I certify that I have authorized l►,-heri I-t►. i NDY , ,
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 0.rr.Ye �xi6�l�. deck 0)1,0
fe PI CCe W C-4 NA , ll ed- TZ,e_1° 12: X is
at my property located at 2,050 Srd 5-Ei p 4 1 SaxFC;lc/ #JC aZf`lf�
in 0 tf (0 -k..) 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:
Signature
C `01\‘V2, � \ 0.3(\ca,c\-e \e LLJ•'lam, I
Print or Type Name
Title
%r
Date
This certification is valid through `4i) / 122
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
Name of Property Owner: A,r ` } ()NI R . 6a t_I ( h&c -e n J• Tom,`r i
Address of Property: S lJ C le C k• P.f T 4 c ti Crc, 0vS/0(.A.)
(Lot or Street e,Street or Road,City&County)
Agent's Name d P11- is P N 'i Mailing Address: e.7 q PA'tic c fed(
Agent's phone#: oft -� '�Sob 5,1 0ll‘el N.c- Z i
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 descriobon or drawing.with dirnensions,fust t2e provided with this letter.
I have no objections to this proposal. I have objections to this proposal.
if you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCVO in writing within 10 days of receipt of this notice. Contact information for DCM offices is
ava*laat/rttp:// ww.nccoastalmanaQemeftnetIwebicm/Staff-listtngorbycaking1-ti88-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier,dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
U i I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner ja aUwa) (Riparian Property Owner Information)
/ /1/ 7 •
Signature Signature
Print or Tj'pe Name Print or Type Name
v 3rdSkcee - 9 yUsing Address
,
�- C L/ 41 / sir z 23
ip
0 0r 3 g-c3b�l Cx(a, I AO. boot P r/ �r -a. 2- 3 VJ ye/
Telephone Number/ Addnses Telephone Number/Email Address
l° j �Z f � 1 3 2
CERTIFIED MAIL • RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NO1TI_FICATION/WAIVER FORM
Name of Property Owner: IkoY\ �. �0�. Cc \ene
Address of Property: 3O50 11C a. c`ic-re,e-`�" SuC FQ*L\ r c71\1 O w
(Lot or Street#, Street or Road, City & County)
nn
Agent's Name #: r 'Q\LL t'l Mailing Address: 27�1 4�a YY1 S CeQ( o,
Agent's phone #: 910-330-556� ,y NV 111P, ,�. ZjS.O
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 have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed,you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at http://www.nccoastalmana_gement.net/web/cm/staff-listing or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.)
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Owner Information) (Riparian Property Own .F-7Iformation)
Ajle .,CAQ,b6-/Q uZZZ 14/.
Signature Signatures
Cos 1}01•1 ►e .tJa:, l Arlen( w. , ► t13.3✓e� f, e"/Sfl (1J
Print or Type Name Print or Type Name/
3090 3rd 3(°1 SAdC k
Mailing Address Mailing Address
City/State/Zip City/State/Zip Ji
3y9-S 309/ez\i%1 QP 9Qhvo,con e/- ?53"- 5Q;3
Telephone Number/Email Address Telephone Number/Email Address
-717TFCCT itY))Y • \ 0 .----1 I I ' t
ti \ V +1 '
717T
o Cl
/ /
IS 4 _1
f, ,cz ___.. . -7-
U 7 pact6pl.i_s! c
4o ' fir►
p9()"69 -{-s Tit 2
... o ? ay
Check
ed Date Deposited Check From(Name) Named Permit Holder Vendor Check number amount Permit Number/Comments Receipt or Refund/Reallocated
Column2 Cdumn3 Colum,N Column5 Column6 Cdumn7 Column8 Column9
2021 Patnck Amon Dalton Dal First Gnaws Bank 1124 S 600.CO GP 885362D 3D rct.14099