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Home My WebLink AboutMyott, Shelley 84813C°``°"S`A, c❑CAMA ❑ DREDGE & FILL NO 84813 A B �'c`' y = GENERAL PERMIT Previous permit Date previous permit issued 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: 15A NCAC 1 - ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Address City (..'-� State zip U rat Phone # ( ) Email Authorized Agent A ) �- 1 Project Location (County): Street Address/State Road/Lot #(s) Subdivision City P Affected ❑CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) t }} AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body J „?� j c�C- ) 0 ` 1 ORW: yes/no PNA: yes/no Type of Project/ Activity x (Scale; � ) Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform Finger pier(s) Total Platform arE Groin length/#_ Bulkhead/ Riprap Avg distance offsl Breakwater/Sill _ Max distance/ ler Basin, channel _ Cubic yards Boat ramp Boathouse[ Boatl Beach Bulldozing Other SAV observed: Moratorium: n Site Photos: Riparian Waiver F A building permit/ .....6 V�...... ... -Y — —4--- vY Permit Conditions Il i ,VI 1-1 ❑ 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) Agent or Applicant PRINTED Name Signature "Please read compliance statement on back of permit" Application Feels) Check #/Money Order Permit Officer's PRINTED Name Signaturq/ Issuing Date Expiration Date 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 1-1 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 a�F(OAS U,&I ❑CAMA El DREDGE & FILL N° 84813 A B 4C D y = GENERAL PERMIT DatePreviDS permit Date previous permit issued 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: 15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # (_ ) Email Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑ OEA ❑ IHA ❑ UW ORW: yes/no PNA: yes/no Type of Project/ Activity Shoreline Length Access Length Pier (dock) length _ Fixed Platform(s) _ Floating Platform(s) Finger pier(s) Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift ) Beach Bulldozing Other SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be requirea Dy: Permit Conditions ❑ ES ❑ PTS ❑ SPIMA ❑ PWS Subdivision City Adj. Wtr. Body Closest Maj. Wtr. Body P ❑ 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) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Signature Application Feels) Check #/Money Order Issuing Date Expiration Date 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: F-1 Tar - Pamlico River Basin Buffer Rules F-1 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 CAM,& PERMIT APPLIII ATI®N Name of Property Owner Requesting Permft:o Mailing Address: Phone Number: Email Address: I certify that I have authorized to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: __��}-� �(?{-jQn cor,Gr�e e (�- OCK at my property located at F �vw n 9 in Go►r }- P.1r �,-�- County. I furthermore certify that l am authorized to grant, and -do in fact. grant pennission 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 (��- �ao#_ Print or Type A16me Tile "2- (D Imo_ Date i"hiS certiitcation Fs valid tl�roaast� - - "�'•:i tip k_:i. i I !T-' I:i ,. <- �`} l F' .p Fdlti �L=e +i:;,. - Z.? d l.= 4•e""j, 8 fc.i "?''C�� E-a{ _I t t ' -. tie.��; �% a � s 2'�.t. tai� c'•,.% e �s t .�SE�-�-a d�' -..; .... .. �i \ - q.,.�:.- i- i ' �- <S• :�� :;��.t ,i' L{` .a... ,- �� l i# 4Z:'�" a a .� ,�, ri '.� ADJACENT RIPARIAN PROPERTY ®WNER STATEMENT I hereby eer N that I own propert adjacent to sh � N �§ property located at Fo►wh I^.YPP"� r�(Name ofPropertyOwner) on (Waterbody) M. Lot, Block, Road, etc.) in _ GedOi+r Qol'Y1f" CDC�+f Pf" , N.C. (City/Town and/or County) The applicant has described to me, as shown below, the development proposed at the above location. i I have no objection to this proposal. I have objections to this proposal. ut bUMPT1ON AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) WAIVER SECTION I understand that a 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. (if you wish to waive the setback; you must initlal'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) (Adjacent Property Owner Information) AAC-a Of e Sign e* Mar Fro,hGK Dnwr�� ;PrndrTtorr Ty a Name PAW or'Type Name 123 �gwn Oree% 00vt r Mailing Address Mailing Address GWollr POi0hNC, 2S84 ErneYamol, ls� r IVG 2 01fy/State/Zip CitylMatemp Telephone Number/email address *Valid for one calendar year after signature* Telephone Number/email address Date's (Revised Aug. 2014) '2.` 13 ol "'ern's Mort 1V Y VIM.- first.titt 5 vm To, Ald CK!, ADJACENT RfPARIAN PROPERTY OIAINER STATEMEtdI I hereby certify that I own property adjacent to s I Nam o prope�t Owner) property located at 12-3 Fa w n CGr2 eK A AAr�� Lot, Block, R nfi� eclY1i' r T in GP�1G (City/Town andlor County) on (Waterbody) T,ie applicant has described to me, as shown below, the development proposed at the above roc -on. i I have no objection to this proposal. I have objections to this proposal. DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must f l in description below or attach a site drawing) WAIVER SECTION 1 understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 16 from my area of riparian access unless waived by me. (If you wish to waive the setback; you must Initiial'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) ;1A Pro rty► weer Information) s' e D PAGik\G Sq►1� LAG Print or yp Name PnntorType Name IZ W 1'\ C'r 'K C®k.ty-E 131 OArr�� MQ e:pd Pr i V e. Mailing Address Mailing Addf�ss Gec\Qr po,r,�i NG Moye,y)p�1 rit NG 2855� City/statelZip City&�WWWp Telephone Number/email address Telephone Number/emef7 address Date *Valid for one calendar year after;signature* FIV-1flu (Revised Aug 2014) 125 }:r_• Fry ,ti r,3: s MIT,, ,. .. .. _ -.. ., .. t{� � _. '7.^er �_,-• ..{e ?i�.{ �'"? x � ini'�J��t4K '��k� ?��.�� -::� �i,�o1:s�7. tk:�: .l .`i. - '� ' Z. 1 lU [ � i+ii1 ,z -' e �z,.: � ��' � Y�� '4tra,.- k°��'�`..- ' � _- aw� r �'i � �f' s A� • s� - .. ' -�*�� S7, � 1� �,j l 5[ ` •� TM,rX.5.�1'A' o�s p t 1^` _ _ t,� f4 y}�.�V4t'j[�h-z h' �.... y k7 - Ii7tb'; tF ;' '47.r � {; % � �r t�b M1 - - - ': 1 �,f "t'r�+�`p E �,- '. 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