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Home My WebLink AboutHowell, David 83803CAMA / ❑ DRED W& FILL CD ENERAL PERMIT PrevioS�80#A B ew ❑Modification OComplete Reissue ❑Partial Reissue Date previous permit issued As auth rized by the State of North Carolina, Department of Environmental Quality and the oastal Reso rces Commission i an area of environmental concern pursuant to 15A NCAC r Y'r"") Applicant ame Project Location: County y Address_ Street Address State Road/ Lot #(s) City State ZIP r - Phone # — _Mail Subdivision Authorized Agent CW ' ❑ aW \A 'XPTA Affected AEC(s): O OFA ❑ HHF ❑ 1H PWS: ORW: As) no PNA yes / Type of Project/ Activity $FS ❑ PTS ❑ UBA ❑ N/A Cityjj Phone # Adj. Wtr. Body_ Closest Maj. Win Body River ZIP (Scale: /�- 416 1) Fixed Platform(s)-- Floating Platform(s)- Fingerpler(s) Groin length ---� umber - -+—r- Bulkhea Riprap Length - rI "w avg distance offshore ' max distance offshore,'�t /�� Basin, channel -.� 1- - _ - -1 -1 _ .... __ __I � � - cubic yards �...s.� Boat ramp Boathouse/ Boatlift_ 1 — � ..—J _. , ; i - - I I i i -- I -- -- - ---- Beach BulldozingI---F...- Other Shoreline Length SAV: notsure yes - Moratorium: n/a yes no Photos: yes no Wafver Attached: ves n j -� _ -� _1 i_ i - �_J r 1-- v A building permit may be required by: ( Note Local Planning jurisdiction) . Notes/ Speg[al Conditi¢fts f 0 See note on back regarding River Basin rules. N ur�,R n 1 A,0-ILI A . - v n A h I'n. L)..'In 1) #A.tl _Ali ,-b 0n-,A.. X- PAft1t)11 At IPIA Sig a re`*Ccomplrancestatement onback ofpermit '9r* Signature. Application ee(s) Check# Iss I ate Expiration Date AMA / ❑ DFGLDGE•& FILL 9 83803 A B &9D ENERAL PERMIT Previous permit # ew ❑Modification ❑Complete Reissue 4he ❑Partial Reissue Date previous permit issued Ad by the State of North Carolina, Department of Environmental Quality 00 astal Reso rces Commission i an area of environmental concern pursuant to 15A NCAC ^ ached. Applicant t4ame -41M Project Location: CountyV L( Address Street Address State Road/ Lot #(s) City State ZIP I Phone # Mail '� Subdivision Authorized Agent City ZIP ElCw EW XPTAS ❑ PTS 9 Phone # River Basin Affected AEC(s): El El El ❑ UBA ❑ N/A Adj. Wtr. Body 1 nat Iman Junkn El PWS: ORW: ry) no PNA yes / >o Closest Maj. Wtr. Body J Type of Project/ Activity Pier (dock) length �--� Fixed Platform(s) Floating Platform(s) Finger pier(s) �---- Groin length umber . ulkhead BRiprap length avg distance offshore max distance offshor Basin, channel cubic yards —� Boat ramp - Boathouse/ Boatlift —� Beach Bulldozing -- Other Shoreline Length j' U r—I- SAV: not sure yes o ...........:.... Moratorium: n/a yes no Photos: yes no Waiver Attached: yes n A building permit may be required by: ( Note Local Planning jurisdiction) . Notes/ Speual Conditigins (Scale: ❑ See note on back regarding River Basin rules. i n n I A n JLI /s 11 / 11 A A rI /). JIV,,-% z it 1) /) ill,. ► )— 41hi VO 4.4 Jk reA/ r Printed ZSig at �r)e�} Pje�ass faad compliance statement on back of permit Application Fee(s) Check # Permit Signature Iss m ate Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific 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 or certified mail return receipt has been obtained from the adjacent riparian landowner(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: ❑ Tar - Pamlico River Basin Buffer Rules ❑ Other: ❑ 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. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215) for more information on how to comply with these buffer rules. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ I-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven, Onslow - North of New River Inlet- and Pamlico Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax:252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Bertie, Hertford, Hyde, 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, Onslow - South of New River Inlet - and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed Name of Property Owner: Address of Property: _i Mailing Address of Owner: Owner's email: Pz!eZleV Agent's Name: Agent's Email: .ie, w r or their agent) MAI 101 i 7�G1m7/�L Owner's Phone#:�� l/ / l 1 Agent Pho ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent 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. I DO NOT have objections to this proposal. I DO have objections to this proposal. If Y06 have objections to what is being proposed, you must notify the N.G. uivrsion or coasrar Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM 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 some/all of the 15' setback 6arian �Pro�p�ert Signature of Adjace t RipOwner -OR- I do not wish to waive the 15' setback requirement (initial the blank) I �1 , Signature of Adjacent Riparian Property Owner: =\�'r� A J J Typed/Printed name of ARPO: Mailing Address of ARPO: ' V ,n� , � S ARPO's email: � �� ) `� � ARPO's Phone#: Date: Ll____*waiver is valid for up to one year from ARPO's Signature" RECEIVED Revised May 2021 L%G1 e) AUG 0 9 20?_1 ,xq�- 3,3 15 DCM-MHD CITY d. #, N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed Name of Property Owner. Address of Property: 4 Mailing Address of Owner: Owner's email: A:<, ley. Agent's Name: Ze owner or their agent) 7C Owner's Phone#: Agent's Email: u_ Agent Phone#: 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. 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 400 Commerce Ave., Morehead City, NC 28557. DCM 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 siStn 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 (initial the blank) Signature of Adjacent Riparian Property Owner: 7--AMA-6-4 ......, , c noon. \ �'v o k C L' Mailing Address of ARPO: 1 �� J,� 4x Noy < ARPO's email: W Ih.>!Iul ARPO's Phone#: _70L %Y1 Date: —�f -�J ( *waiver is valid for up to one year from ARPO's Signature* ECO AUG 09?Vi Revised May 2021 I)CM-MHD CITY t kk p{�• i A ._.,y..t::x �'uiv?F::.,e�, .r-�aaiia-_;::�...f �a,�%,•a�fi7t�[ryr�'�$:y°.�e}�p'�akS.��t"c:�l .. _._ ,___(. s., ,_ _ .. l:� � Z'� i��F '� . ... 4_T �n7. { t< y`.Xti��'<✓J�'F �Y."L�K:�j�i: Yr °< C`i ::'it-43 C`. � r _ _Fa , n;` x ,. :'F. ,f. ;'�•�, i �F=�f�-" �.�fi� �i f' i lrai�b ` i : _. � :r! .. r . ,. f_.t. down_ . .. a7,t =PAW, i`!, a6 `a.'- 'ram f�ik f>r l e.. _ .. .a• _, sb{�, =I *ht Aim /7 ,P �.i oAA 0 Ilk ti �31a �4� Oo ytln� bola AUG 0 9 2021 C)CM-MHD CITY TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A NCAC 7J.0204(b)(5)). Proof of actual notice (a sign -off by the owner on this form) or certified mail return receipts (showing delivery of notice) are needed, or any other method which satisfies the Local Permit Officer (LPO) that a good faith effort has been made to provide notice. The purpose of this notice is to make adjacent riparian property owners aware of the proposed development so that they have an opportunity to provide comments (or potentially object to) the proposed development, and to give DCM or the LPO an opportunity to consider these comments/objections before a permit decision is made. "Permission" of adjacent property owners is not necessarily required for DCM to issue a permit; however, permission must be obtained for certain types of proposed developments if they fall within a 15' setback area along the riparian access area of the adjacent property, as determined solely by DCM. It is in the applicant's best interest to provide comprehensive and accurate notice so that any concerns or objections can be resolved early in the permit review process. In addition, if the adjacent riparian property owner appeals the permit decision, insufficient notice could be a basis for granting such an appeal. Who is an Adjacent Riparian Property Owner? What is Adjacent? (Note: DCM reads this broadly to ensure commenter potentially impacted neighbors) • A property that shares a boundary line with the site of proposed development; AND • A property that fronts a natural or manmade waterbody that is connected to coastal waters and can support some form of navigation, even a kayak or canoe, including a common canal system or a manmade basin. • Easement holders? Yes, if the easement could be impacted by the proposed development. • Streets/Roads? Only if the street/road could be impacted by the proposed development. This might include street -ends which might be used for parking and beach access. • Holders of recognized submerged lands claims/shellfish franchises. What is Riparian? Do the boundaries of the adjacent property legally intersect with the water at mean high tide? If there is a question about whether an adjacent property is considered "riparian," please reach out to DCM Staff - especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water. Who/What is a Property Owner? For private individuals (or families), send notice to the address listed on the tax card. If the property is owned by an Inc. or LLC, please send notice to the person listed as the registered agent on the NC Secretary of State's Corporations Look Up site: . For Condominiums or neighborhoods with an owners' association (HOA/POA), send notice to the association (which is usually a corporation, for which you send notice to its registered agent). What is Notice, and how do I ensure it is received? • You can meet with your adjacent property owner, provide a description or drawing of the proposed development, and ask them to sign this form and return it to DCM; OR • You can hand -deliver this form and a description or drawing, and ask your neighbor to return it to DCM (consider providing them with a stamped envelope); OR • You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). If you choose this option, you must provide either the signed & returned green card OR track the certified mail package number on USPS.GOV's online tracking system, and provide the tracking print-out as proof of delivery to DCM If you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel and we will work to answer your questions. Revised May 2021 AUG 0 9 202 ) DCM-MHD CITY