HomeMy WebLinkAboutDern, Robert 84315C�wfflll
1* qj COAS74, &I DCAIVIA F] DREDGE & FILL N9 84315 A B C D
a I Previous permit
4. GENE ' RAL PERMIT Date previous permit issued
I
F] New [] Modification [:] Complete Reissue F-1 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 F-] Rules attached. F] General Permit Rules available at the following link: www.c1eql.nc-gov/CAMAruIes
Applicant Name
Address
City State ZIP
Phone #
Email
Affected F—Icw 11 EW 0 PTA FIES FIPTS
AEC(s): 1-1 OEA D IHA 0uVV LISPIMA 11 PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length ' Access Length (0y x -4-A
Pier (dock) length
Fixed Platform(s)- 11 1
I - , 't./ I —
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 I F
Moratorium: n/a yes no
Site Photos: yes , no
Riparian Waiver Attached: yes no'
A building permit/zoning permit may be required by:
Permit Conditions
Authorized Agent - -
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
I
(Scale:
T i t
F-1TAR/PAM/NiEUSE/BUFFER (circle one)
I L
I See note on back regarding River Basin rules
F]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
Issuing , Date Expiration Date
Application Fee(s) Check #/Money Order
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-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
4 1°1COAr4 ❑CAMA ElDREDGE & FILL 1V9 84315 A B c D
J 3 Previous permit
s 3 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 ZIP
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
(Scale:' )
Shoreline Length
Access Length
I
Pier (dock) length Ci X '} iFi
Fixed Platform(s) i ?
Floating Platform(s)-�
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
�.
l
Avg distance offshore
Breakwater/Sill :3t -
i
Max distance/ length i
Basin, channel_..-
- — _
Cubic yards _
Boat rampno-
Boathouse/ Boatlift
Other
Beach Bulldozing - e Ir-� „i1_- i .' — -4 .-.....
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no ;l
Riparian Waiver Attached: yes no'
A building permit/zoning permit may be required by:
Permit Conditions
❑ 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 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:
1-1 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 AUT}i0¢ttZ,,ATfOTI FOR LAMA PER W APPLICAT M
�RobeLDrn
1�6 Oft Creek tNW,
M� Ares;` �
{ Morehead City, NC 28557
Phone Num ;.
Emixf Address: t rciernvec tr,cnrn
OredW
llfe M3tlne ConsUucWn
Aqwd r CAntr»i6v
to act On my bOkil#, for wpom of apptying for :md obtaining all CAMA pernuls
r r: XS-SAT t- wWosed devesdra` Yv*nt
st Wmw W *T' i rafto aluminum ramp
at my PrOpeftv lc' fir t:*>?_ Cre€-k Une, Mama city j
t hot rae Wy that i' aria atAt#awod to grant, and do in fact grant pwnssion to
Liao~ a C-asW Aft"A00Istall: the L" i wnW Offivor and VNw agents to onfor
nrt the Sl t*Mvd hwVs ea MnrtX*w wM owattairng information rotated to this
Prcpetty Oww
ADJACENT RIPARIANLRTY TEWff
map �pRyuner)
Plu
Bloc*. RoA(L-v!6J
N C,
(CjtYrf6wn1iii&'6r county)
The app�<�-t has (Joeunbed w me, as Sh,-Afv bel0w, Ov., da*u'01(Vn1,W proposed w Wo above
locapTn.
gnat er, to " tyopmw
haW- oowxtxw� $(1 ft-; fvopntl at
DESCRIPTION ANO,-'OR DRAWING OF PROPOSED DEVELOPMENT
(ladivm1uj1propovnq dwv*iop~n1 must OW in description botow or attach a site drawing)
6!�' T- 4,A dcw-x *"'n f "f(vs alt lei alunvnurn ramp
W-AB" SECTION
"W a P*—,, dock, x pilelgis, bcW ranW, breakwalof, boabf)u%i. kit, or grain
*bu.,A be $0 bar* a rowwm= dmtv" of 15'ftcm my anon rat npatian acxvA unlur-,% waivod by
w. (if yw*ash In muss Mo setbaK*, ycm must initial OW awopriale blank belowj
X— f do rxA wws %:l %aivv CP,- 16 settux* fuquifefw"flt
(Adjacent Property Owner information)
PWl1''x T)PO
AWA-Ig Address
ie
(R0450d Aug. 2014)
a
!t,�JACt:NT Rlt'Atj,.iAN PROPERjY [NMti�Et� Ai£�t+:
i hurrtw cnrtdy th,�t6 I ryNrt (�r ar�trrn isF,^ _ ,,
£rtk :kry;N:.rt t tII i -
1N of Prc»rrty O.vnert
06416rfy tStCdtNtf at
ont sw.in
(1Natetbodyj
. trr:tyl%a or �ownfyi
The aPPllrant tact; dwv¢ itred to it*. as slxmn twt+r4, `^ CWOWAUA 41 Two at=,vo
,.,...__. I have no obtectlon to uws prcfxMr w
I ha"'. otejtx txarLS to to s P4eytxa i
DESCRIPTION ANWOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing deveiopmmi must W in description bolow or afUctr a she dmwingi
Nwid sraLortary 65 _r Nog Slat tkx:k with rothngs aM alamexuns rarro
y�l��R SECTfOlt
I urxSc4rbW. that a {tier, bock, mooring Ptl", boat strap. hieakw <, by�, Wq. or groin
routs ho stet. back a mininvxn-dfstaWe of f fi from my arm of man wxr , who" waved ®y
M. (If you wisti to waivtr the sott*ck, yw mu#t tsaftiai tie appropmm bw b, 0ow,i
I do with to w*ve ihO 15'snt .ts
A_- . 1 do not vw%b W w4wo ih€t 1 a° SetWck recytw e"ir
(Property Owner Information)
Robot Dorn
Pr or or Tyfw Nagw
hfa*nq Addrvsa
Ci<f � PubrZ�p
sc �Irt;
1
srifyArN:AtkJ PJutramr! 6rrt:a0 rxktress
11o,
,vala7 hzr ta'sta r, tt rot,x yrNtr oftur
tAdiacent Prop" (watt kdoerttationj
Phnf of Typ* &v-
-ice.. r'?K actt�f
AW
v '�: 6i*mw1 Aug 2014)
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