HomeMy WebLinkAbout85638D - Aycock .00 °4'4 17 CAMA DREDGE & FILL N9 85638 ABCD
GENERAL PERMIT Previous permit
Date previous permit issued
n New 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:
if /'
I5A NCAC j /4 / ` ❑Rules attached. n General Permit Rules available at the following link:www.deq.nc.gov/CAMArules
Applicant Name /'J//6''."f; ' // ('L'G Authorized Agent
Address /L' Zr._e:7-- Project Location(County):
City ' ILA,42 State /✓e.. ZIP Street Address/State Road/Lot#(s)
Phone#( {!o)f?J/ s'. _ 9- -t 5
Email Subdivision
City ZIP
Affected I I CW ❑EW n PTA ❑ES ❑PTS Adj.Wtr.Body (nat/man/unk)
AEC(s): n OEA n IHA n UW ❑SPIMA n PWS Closest Maj.Wtr.Body
ORW:yes/no PNA:yes/no
Type of Project/Activity
(Scale:A/ ' )
.1
Shoreline Length
I ` ' '
Access Length 1- '�� ��
, _ -
Pier(dock)length ( � 1 ( /t > z`T
Fixed Platform(s)
Floating Platform(s) i I F
I
{ / I F Ji i / � ,
j
Finger pier(s) 7 ,
_4 'Y 1 S r/tip- 1
Total Platform area , ,
I Groin length/# IV r f'i �. _. 1
Bulkhead/Riprap length .._. Y, ._.. -
�.........._ ._ .....__.. _...._
Avg distance offshore i - -
Breakwater/Sill j '
Max distance/length
- m
Basin,channel mr--
Cubic yards .__ ...._ __ -__ ___, __. ._.__. .1_
, i
Boat ramp
Boathouse/Boatlift 1)l! ' /.)
Beach Bulldozing }
Other I I i
i I
SAV observed: yes no - ! -_ _ �-ir �_ _ .. _ .1 .w__. �� L -r-
Moratorium: _. _
n/a yes �t . Y
0
Site Photos: yes C. .- _—._._. .,_ {�e°, '('r.._�rl7GRiparian Waiver Attached: yes' -n0 /`, �r ,�J
�- 'i% All C �J^
A buildingpermit/zoning ` 'permit may be required by:
Permit Conditions n TAR/PAM/NEUSE/BUFFER(circle one)
riSee note on back regarding River Basin rules
riSee 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)
Il-;321
kgent or Applicant PRINTED Name Permit Officer's PRINTED Name
-2N3 LZ
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 4 .,'f I/. /9/cdt.X
Mailing Address: //Z G'ic/F ,„f Lv^p
Phone Number: 9/0,Se/ot ' '/77.3
Email Address: /``layceckrt @ ;do Ad, c -)/vk
I certify that I have authorized /?ig/r,rr6i n
Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: /3/Clod !6 I r 7 r ,
at my property located at l/ 7.2 14,1,11. AA<17;7,$ f
in ��,� �'c 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:
nature
Print or Type Name
DeWitt
Title
erI -Z l20.2/
Date
This certification is valid through I c- 13 l I 1 Z
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY
TY I OWNER NOES FICATIOHANDADEE VERRM
CERTIFIED MAIL • RETURN
ED or
(Top portion to be completed by owner or their agent)
Name of Property Owner: I``o '1' f"1 Al(I `` i(s
y�
pic), �: e L4,h t "et/calf=c.0 /
Address of Property:
Mailing Address of Owner: I I A 0 r I � z
113
Owner's email: rI. ccec. Lt(';c le,.4,c��1 Owner's Phone#: ((I C) -s/�' i
l
Agent's Name: /��:� Agent Phone#:( iQ)3 ' / " 2/ 5 rl
Agent's Email: k, i.•,11c:n 3(s- :% nc,,% . c',.+.„
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property 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 description or drawing;with dimensions, must be provided with this letter.
,- 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 some/all of the 15'setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement(ini 1 the blank)
Signature of Adjacent Riparian Property Owner: f
Typed/Printed name of ARPO: l/> � � (711. 7
Mailing Address of ARPO: 3 z1 I / l7 �r /( 1 �7 ,
�Y /) f ! ` / ` /
ARPO's email: l' L� ��Jv�ARPOs Kone#: ZQ
r `
Date:. 11 L ( *waiver is valid for up to oneyear from
ARPO s Signature*
Revised May 2021
-
•
•
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner elf6,, Co't-
Address of Property II 71.11(limve. oie 7re.; j5eek41 44/fi C .
Mailing Address of Owner: /42, Oitir 4itti tedr Ale 41.C, .trifty
Owners email: en‘syticASkir' c e st Owner's Phone,* @i0)-5./.2 cr 7 7 3
Agents Name: ti.c4 6/kirtan Agent Phone*: to) 36 7-.2159
Agents Email: hAlcolic ruvA„ .5 ez
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.
e I DO NOT have objections to this proposal 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 Mai)
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 some/all of the 15'setback
Signature of Adjacirtit Riparian Property Owner
-OR-
do not wish to waive the 15 setback requirement(initial the blank)
Signature of Adjacent Riparian Property Owner. ?VI t.OA: \
Typed/Printed name of ARPOt LI s
Mailing Address of ARPO. 3C)c„)D . toV PittkOc3Aclt,64.C-1.3.t.
ARPO's email: ARPO's Phone*: C1 C DS - / 0 I
ic3f-17 0 44-- pf
Date: •Scr: c,) *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
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Check
r/ Dote DMwltod Check From(Nome) Nome d Permit HokNr Wndor Chock number amount Permit Number/Commonrs Raccbt or Rdund/Reelloceted
Column2 Coumn3 Coumn4 Cdumn5 Columns Column7 Columns Columns
)21 James Godwin Elizabeth Godwin First Citizens Bank 8947 $ 200.00 GP#85637D JD rct.15589
)21 North End Builders NC LLC Paul Sommers&Gay Nicholson SunTrust 1020 $ 400.00 GP#85652D BH rct.15648
)21 Coastal Marine Piers Bulkheads Joseph Edward Buck Jr.__--_ Wells Fargo - 24099 $ 200.00 GP#85651 D BH rct.15647
)21 Allied Marine Contractors LLC Robery Aycock First Citizens Bank 10583 $ 200.00 GP#85638D JD rct.15590