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Home My WebLink AboutDockside Yacht Club 84247Cl e.l_F. 5 i.: 1 }D ��°`� [�'CAMA ❑DREDGE &FILL - A B ,l._/ GENERAL PERMIT Previous epreviousp Date previous permit issued ('New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by LIM Sta of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC C�`' �✓ ❑Rules attached. 'V General Permit Rules available at the following link: www deo nc eov/CAMArules Applicant Name City _� ( NOV tale _� ZIP Phone # ) Email Affected ❑ CW W PTA ❑ ES ❑ PTS AEC(s): t�.j�OEA ❑IHA —❑IUD ❑ SPIMA ❑ PWS ORW: yes/Ad / PNA: yes/ �% n �► ter --ter Authorized Agent - 4� Project Location (County)I Street Address/State Road/Lot #(s) 1a� Q Subdivision City ZIP Adj. Wtc Bodf J_ Closest Maj. Wtr. Type of Project/ Activity GX Yj t i.jt� C V,tYT 17 rJ` -- (Scale: Shoreline Length Access Length Pier (dock) length---_ Fixed PlatformDOA 1„ , / e' I I Floating Platform(s)� Finger pier(s)' Total Platform are Groin length/4 Bulkhead/ Riprap length Avg distance offshore^ Breakwater/Sill Max distance/ length— Basin, channel Cubic yards Boat ramp Boathouse/ atti Beach Bull o i^n� VIA other ^` 4 A A ( / 4'4 SAV observed: yes Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: yes A building permit/zonin� permit,may Permit Conditions o h I AM AWARE OF STATU Agent or pplicant PRIN �tu read Application Fee(s) CRC RULES AND DITIONS THAT APPLY TO THIS PROJECT AND REVIEWE C a Permit 0,10 ack of permit** Signa dre` Check # Money Order Issuing Date ❑ TARJPAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back Expiration Date �F WASfA! �� NCAMA ❑DREDGE &FILL N° 84347 A B D 3 GENERAL PERMIT Previous permit Date previous permit issued New ❑ Modification ❑ Complete Reissue []Partial Reissue As authorized by the Sta e 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 n n ^ - Applicant Name I Address r City ^� taattee ( ZIP 0?��'J Phone # (' ) 1 Email Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) City / !, LII' Affected ❑ CW W PTA ❑ ES ❑ PTS Adj. Wtr. Bod , (net/ an/unk) AEC(s): OEA ,IHA U\ ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/ PNA: yes/ kilti 4) 4 Type of Project/ Activity. b Win{ (Scale: Shoreline Length Access Length s Pier (dock) length --- Fixed Platform> Floating Platforms) Finger pier(s)`— Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ lengn -- Basin, channel Cubic yards Boat ramp Boathouse/ ath Beach Bull o in Other SAV observed: yes o Moratorium: n/a yes o Site Photos: yes no Riparian Waiver Attached: yes o A building permit/zoning permit may be req Permit Conditions AoUuvo'C6 bi1T- -" by: ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE Q2�� I' )VWA V ) .Agent or Applicant PRINTED Name Permit cer' P TED Na ature ** le 7 read compliance statement on back of permit** Signa re �, f' tJ i 0 Application Fee(s) Check #/Money Order Issuing Date ❑ See additional notes/conditions on back 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 AGENT-AUTHLDRIZATION F!gR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit-, L L-Z A "1 Maiiing Address =2Z Z11W, -Z/ Phone Number. Email Address: VC C' M I certify that I have authorized 5'v/t/ Ageiii s CO.Wradbir to act on my behalf, fot the purpose of applying for and obtaining all CAMA permits necessary for the following proposed developmenr at my property located at ljlo�lt " County I furthermore certify that I am authonzed 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 pormit application. Proporty Owner Information: N.C. OMSION OF COASTAL MANAGEMENT ADJACENT CERTIFIED (MAIL RETURN RECEIPT REQUESTED OWNER Aor HAND DELIVERY TIONIWAIVER FORM C (Top portion to be Completed by owner or their agent) Name of Property Owner: v to l Address of Prop: U erty Mailing Address of Owner: ,y?A\ (aRCJG�bta � `f� t`n�aC` Owner's email: (A(YYS�C�E' iC o:01t' ti owner's Phone#: Agent's Name: Agent Phone#: l �js��t� u9stk Agent'sEmall: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion tm 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 descri ti n or drawina, with dimensions must be orovided with this letter. 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 M.C. Divislon of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce,Ave., Morehead City, MC 28557. DCINI representatives can also be contacted at (252) 808-2808. 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 somefall of the 15' setback -OR- Signature of Adjacent Riparian Property Owner ■,Complete ttemS 1,.&. and 3. III Print your name and address on the reverse so that we cab return the card to you. IN Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: ltMU-r-AW(:AW WVE�SV"W I��II�I Illllt I I �IIIIIII IIItI��II 9590 9402 3756 8032 2275 33 A. X ❑ Agent B. ReaMed by (Pfti5-tetTNe ) II C. Date of Delivery cn S_ 1, S X%i D. Is de (very address difft,.; �t 17 U Yes If YES, enter delivery add, - 3. Service Type net atien ❑ Priority Mall Express® I]Adult Signature ❑ Registered MailN ❑ Adult Signature Restdoted Delivery ❑ Registered Mail Restricted ❑ Certified Maile DeWery ❑ Certified Mall Restricted Delivery ❑ Ralf Recelptfor ❑ Collect on Delivery Merchandise ❑ Collect on Delivery Restricted Delivery 11 Signature Confirmation^' ❑ Si C f _. --_-__ -all g ure on inn 7020 1810 0000 6872 7498 Vi I Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 0