HomeMy WebLinkAboutTyler, Timothy 84130C�1%\°IWASYN c❑CAMA ❑ DREDGE & FILL N9 841.30 A B C D
Previous permit
s GENERAL 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address
City State ZIP
Phone # (_ )
Email
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
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
r
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other i
SAV observed:
yes
no
Moratorium: n/a
yes
no f
Site Photos:
yes
no;
—
Riparian Waiver Attached:
yes
no
A building permit/zoning permit may be required by:
Permit Conditions
t
yy
(Scale:., w" Z2-
C• r yJ /I I I f
1 r) j 9 t? r. �• ❑ TAR/PAM/NEUSE/BUFFER (circle one)
•,rt:' ' I •' CF _ f` , ❑ See note on back regarding River Basin rules
01
' ❑ 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:
1-1 Tar - Pamlico River Basin Buffer Rules F] 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
N%°``°"ST41 ❑CAMA ❑ DREDGE & FILL N9 84130 A B C D
y 0 3 Previous permit
y GENERAL 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.deg.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
f
Shoreline Length _
Access Length
Pier (dock) length.
Fixed Platform(s) _
Floating Platform(<
Finger pier(s)
Total Platform arez
Groin length/#_
Bulkhead/ Riprap I
Avg distance offshi
Breakwater/Sill _
Max distance/ len€
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlil
Beach Bulldozing _
Other
SAV observed:
Moratorium: n/
Site Photos:
Riparian Waiver Al
A building permit/
Permit Conditions
(Scale: )
USee 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 Fee(s) 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 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
Name of trropeily owiler F OgUestrrut P(:,rrr1tt _� L ` %�/_.._ 4 r
Mailing Address
Email Aad nQ
' cettrfy that I have authorized
Agent i Contractor
to act on my behait. for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development.
at "iy property located at 15.31 Pr,L t)qt-d pve five la e 14C
in C rr,, v eh County
l furthermore certify that / 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
perrrut application.
IL t D -tsLA-ALk I
Date
This certification is valid through At— I
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jar rrf Rtape,rty Owns)
►»�a?�r �,.4catd rat 31,�'r�;cv
(Address, Lot, Blook, Road, etc.)
(Waterbody) (city/Town and/or Oou+rrty^ )
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Ic:e.•ad�n�n.
~: I train no objectlan io this proposal.
I have objections to this NroposUi_
O ANDIO DRAWING OF PROPOSED DEVELOPMENT
aFs�RrP� f�i R �
(kmWidua) proposing development must till in description below or art&cti a slre drawing)
WAIVER §gCT{ON
I nderstand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, fPft Of groin
must be set back a minirr►wm distance of 15' from my area 01 riparian access un4ess warred by
me. (If you wise, to waive the setback, you must Initial the appropriate t)jank below.)
i
I do wish to waive the 15' setback requirement,
'i do not wish to Waive the 15' setback requirement.
soon) Alt/ c P dy owner information)
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I horehy wilily that I own pioporly adjacent tcr�t�i?;��1(am�J�of� v- �� Property Owner) t , �t '
property lovated at 5 ,3 p cL-�_1 v v ire L Cr _,_ '...
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(Waterbody) (City/Town and/or County)
The applica has described to me, as shown below, the development proposed at the above
location.
have no objection to this proposal n
-` I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawrin®)!tt�;
SCOALAk1t 1
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MW ER SECMA a s
i I nder:rtt3nd that a pier, dock, mooring pilings. boat ramp, breakwater, boathouse, lift, or grain r ,�
ntt�st t� set back a minimum distance of '15' from my area of riparian access unless waived by
mu (If you wish to waive the setback, you must Initial the appropriate blank below) y a
I do wash to waive the 16 ;setback requirement f
j i do not h to wave t1 15' setback requirement. a Hie(
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