HomeMy WebLinkAbout85359D - Drummond 30,+5(OMrk '1f 1CAMA 1 I DREDGE & FILL N9 85359 A B C b,
z GENERAL PERMIT Previouevioupermit
Date previous permit issued
"'---
E New n Modification Complete Reissue 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 �� n Rules attached. 7 General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
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Applicant Name 12,,',,
f/�i���`F� �J{�,�i�'�'j- Authorized Agent
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Address /7 f1 t,/ '/' Project Location(County): ✓f1, G-t-
City d S e (s ZIP j-- f/ / 2— Street Address/State,Road/Lot#(////(//..
Phone# t •'� Z7k %t-24'_- - • ; �+(/Gt C/1`2".-
Email Subdivision
City `!l-file ) e� ZIP L >�`t ".t
Adj.Wtr.Body �/� >i.( i`^,',,1R3� an/unk)
Affected n CW ❑EW n PTA n ES n PTS L _.
AEC s: OEA IHA UW SPIMA PWS .
O � � I ❑ � I Closest Maj.Wtr.Body �/� �z�:, � �-+'��:
ORW:yes/no PNA:ye /// �`
type of Project/Activity CC// 14��'Gfi r
(Scale:/) j )
Shoreline Length
Access Length .._
Pier(dock)length . ; J 1 I A.- —
(,� lt
Fixed Platform(s) , ; � �
- t �_ I A �_ A4.
/ _ ___
Floating Platfprm(s) , r„
-� - T Finger pier(s) a j ws •
__
(.---- 4 ,;:4,e,
t I ;
Total Platform area11111
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Groin length/# j� t 2 } j
Bulkhead/Riprap length - - '_. - _ -- _ -t-- -
Avg distance offshore {
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Breakwater/Sill " . . _ 1"' _ I "„""'..'"."'
Max distance/length
k j
4IBasin,channel j }
Cubic yards .,.,._
Boat ramp , , I I
.tw. .. I'^ y /' --
Boathouse/-Boetlift �, JIIIMI
Beach Bulldozing
Other ••\ ..__ I t
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SAV observed: yes nowIIME —
Moratorium: n/a yes :n• li - mu , imp"
Site Photos: yes no
Riparian Waiver Attached: yes o
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A building permit/zoning permit may be required by: /rc 1; / ed. A
n TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
riSee 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) • ,
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\gent or Applicant PRINTED Name Permit Officer's PRI TN ED Name
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: //1. Ge 11.N A-. Cite m Ute
Mailing Address: `f 2 3 C R v 1r /3 i�'I j .e ie4e.
Phone Number: 3 3G _ o. t v -,Z 7 p'f
Email Address: N��cML
Gp m Pa
I certify that I have authorized tle./KaifixdAgntractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ,Bc 4, r<�
at my property located at 6 vim.t r l .'p /,Z_ S � f� ��(� 1/�h 4'/'k
in ,e 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 //
M c c.Le( R. ��G." O'04t0�-
Print or Type Name
Title
/0 / 2-7
Date
This certification is valid through /2 / 3/ / 2 2
N.C. DIVISION OP COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: i t ee . r✓r't1'110
Aooress of Property: (J>v� Lk vi it eiy l e1C 14. C i 4 ,, tip 12
Mailing Address of Owner: -r 2,,2R,-;'c-K Or f4t t `y fit ,�` Ntt .2 7: L
Owner's email: olliA4okefax,Kr,'it. etof Owners Phone# _3- '0.2t0--ri78
Agent's Name: Hai t teivtg,,,, Agent Phone#: 'PI(.).3E7 .2f°.7 7
Agents Email. /1ct.( - Cifra c f.^%C
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 er draw,nq,with dimensions, must be provided with to s letter.
t,Jfa I DO NOT have objections to this proposal. i DO have objections to this proposal.
tf 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
;Trailed to 127 Cardinal Drive OCT, Wilmington,NC 26405.DCM representatives can also be contacted at
(910) 796-7215.No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
1 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 sorneiali of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(initial the blank) atZt
Signature of Adjacent Riparian Property Owner. l�n
TypediPrinted name of ARPO: r_}uf'►S i nG.au ,S, �n n p-c (oP564;I
Mailing Address of ARPO: ta.0S G]P--f'0t1 Ud 1ap—
�l`' �� n 2 Nys.
Gbu.-fit C 4-o f+s eti00.ts.Cl.,owl 1
ARPO's email: ARPO's Phone#: 4\►U - 3 el9 "6J&{t
Date: 10-2.8 -2 V. `waiver is valid for up to one year from ARPO's Signature"
Revised May 2021
•
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: f ' Y 1 to eL 2)riirfri41,04
Address of Property: ' i o - 1--- beestaL V i 1(a5 d' 'iac Lt" V I4 f S f o0 Z
Mailing Address of Owner: qZ..b /'C /K-d oc-I(&'(4, ', GTE ra 1 kg, 1V1C.2 7ZZ •
Owner's email: ' 4e )paari etc2f Owner's Phone#: 336'a/0-J7 0'c
Agent's Name: lfia( I -tt2 Kot rx Agent Phone#: cT iD 367 e2t51
Agent's Email: na t -G.m(' &G kr,n.e.1'
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
hereby certify that Y 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.
Vet 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 127 Cardinal Drive EXT, Wilmington,NC 28405.DCM representatives can also be contacted at
(910) 796-7215. 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-
I do not wish to waive the 15' setback requirement(initial the blank) %M 4-
Signature of Adjacent Riparian Property Owner: ��-�,u?
Typed/Printed name of ARPO: tk L?(A)i , `
Mailing Address of ARPO: J L&) no sQ ? I* p ad AJ,c 0��
ARPO's email: ARPO's Phone#: I lO-j'Zb
Date: 1 1131 7--I *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
Chock
M Daft aPo.lt.d Chock From(Name) N.m.or Permit Hold., Vendor Chock numb, .mount Permit Numbw/Comm.nto Receipt or RefunMiw/but.d
Column2 Column3 Column/ Column5 Column!! Column7 Column! Column!
21 Allied Marine Contractors LLC Sam Smith First Citizens Bank 10606 $ 200.00 GP#85360D JD rct.15596 .
21 Allied Marine Contractors LLC Michael Drummond _ First Citizens Bank 10607 $ 200.00 GP#85359D JD rct.15595
21 Allied Marine Contractors LLC Andrew Edwards First Citizens Bank 10608 $ 200.00 GP#85361 D JD rct.15594