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Home My WebLink About86208A - Holcomb, Mike & PetraV -11 CAMA ❑ DREDGE FILL B C D �> Previous permit GENERAL PERMIT Date previous permit issued 'C� D 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"TH__.__ Rules attached. General Permit Rules available at the following link: www.deq.ncgov1CAMArules Applicant Name? tY ' t-Vr CA Address T r 111:: YIi% ti t_ ii-vA, City 11 f� IL Phone # Email Authorized Agent ty is 1 "1 }ALL t2trAV Y1 Im t lw i tri - Project Location (County): ��, Street Address,/State RoaclUt #(s) _I .__hA itG h {4c _i4 G i. t. An.,e,, - Lo+- J' S 2 J _ Subdivision �e - 6 vt — t'rW_ ' —.JQ l.t.lnj city. CC .d i _ZIP l -- Affected 71 CW EW PTA r ES pTS Adj. Wtr. Body ai='i'!_ 0C Lk '2[,i 1='�1(4 �t/t�an/unk) AEC(s): 17OEA IHA 11 uW QSPIMA OPWS Closest Maj, Wtr, Body ice .Lt[� Lt. 2 j, _ A ORW: yesAD PNA: yes no Type of Project/ Activity C C CA, 112' A 13'. kli') Shoreline Length t i Access Length _ ^ "" Pierock) length �� ± � _ latform � Floating Platform(s) Finger pier(s) - bt�.tur Total Platform area Groin length/a _ Bulkhead/ Riprap length ._ Avg distance offshore Breakwater/Sill ........ ........ ,......W _................. Max distance/ length , __ Basin, channel Cubic yards Boat ramp Boathous Boatlih! ter- SAV observed no Moratorium: n a no Site Photos: (.X_�ress�3 no Riparian Waiver Attached: yes A building permit/zoning permit may be requin Permit Conditions 19 C_ t in i 4 fir: , WEF'117�_"Emlm r 6+- PC;' JL i✓1{i irk �' ,�. `U I by: , _ I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJ g Applicant P#INTE Name Signah a 'Please read compliance statement on bacl of permit'. 10 Application Fee(s) Check #/Money Order n`- (Scate:5 ) a f 3 d 3 !� 7'L�7' tC__I TAWFAM/NEUSEIBUFFER (circle one) WIA- See note on back regarding River Basin ruses ti1__t/l.Wt 50 W _ � See additional notes/conditions on back AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Permit O1,ricer's PRINTED Name Signatu e r Kc- Issuing Date. Expiration Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: -- Mailing Address: l `> nc: t �n > U' (T5,Q)PV I certify that I have authorized (agent) to act on my behalf; for the purpose of applying for and obtaining all CAMA Permits necessary to -� n cooI� install or construct (activity) '1 5�- i ti_�' i7CL, -k,(, txx��'� at (my property located at) _ (1 4S'b k f f' U 7 t, i ")Cf This certification is valid thru (date) Property Owner Signature Date DIVISION OF COASTAL MANAGEMENT ply ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM, CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERED, Name of Property owner. b 7R— Address of Property- Y . ........ LT (Lot or Street#. $#eet or Road, City & Ccu�. Agent's Name #: Mox f) e Mailing Address: C Agent's phone V -, X kw�-, i hereby certify that i own property adjacent to the above referenceo property. The individuai applying for this permit has described to me as shown on the attached drawing jhe development theareropot�lng.Adescri�on rdrawinci. with dimensions, [nW§t be provid with ft Igt r. ha P ;NI)i I have -no'o,�jections to this proposal. X�'t 0 �j e L S this r a non to I P opas 1. Ifyo have objections to what is being proposed, you must notify the Division of Coastal Maq--gement (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264- 3901. No Meonse is considered the same as ro objection ff you have been notified by Certified Mail. WAIVER SECTION understand that a pier, clock, mooring pilings, boat rank: breakwater- boathouse, lift, or groin must be set back a minimum distance of 44 5'frorr, rry area of riparian access unless waived by me. Of you wish to waive the setback, you must initial the appropriate blank below,' I do wish to waive the 15' setback reouirement, do not wish to waive the i 5' set -back requirerrtenlE. (Property Owner Information, Signature (-o f Print or Type Name r) CAI C�ctnol Inc i U-) Mailing Address —) —911qq Ityl- C S'tatelzhu " Lcio - CA o3- Telephone Number / Ema# Address - Date *Valid for one calendar year after signature, (Adj cent Prooeq-v Owner Information) Signature Print or 'rype Nacre Marlin, g Addmss k-al ( 'itylstatelzip Telephone Number/ Email Address ........... - 2017 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED. MAIL � RETURN RECEIPT REQUESTEC or HAND DELIVERED Name of Property Owner, -Mk)KQ.- Address of Property,. (Lot or Street #,,ttreet or Road City & Qcj,7ty) Agent's Name tA F -)( -LY' t Mailing Address I Agent's .phone 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 A description pr drawing- with dimensions. mustbe Provided with this letter- k'15*6 P�-e'r ';� F10001b objections to this proposal. I . ...... -- I have obliections to this proposal. If you have objections to what is being proposed, you mustnotifythe Division of Coastal Management (OCK) In writing within 10 days ofreceipt of this notice. Correspondence should be malted to 401 S. Griffin St., Ste 300, Elizabeth City, NC, 27909. DCW representatives can also be contacted at (252) 264- 3901. No response is considered the same as no 94*tlon if you have been notified by Certified Mail. WAIVER SECTION f understand that a pier, dock, mooring pilings. boat ramp. break -water. boathouse. lift, or groin must be set back a minimum distance of 1 55"from my area of riparian access unless waived by me. (if you wish to waive the setback, you Must initial the appropriate blank below.) i do wish to waive the 15'setback requirement. I do not ?vish to waive the 15' setback requirement. ` "')Perty 0woer :Signature ry-�� 1 x I I Print or Type Name aNng Address , Cit ylStatelZip 0 - 01103 Tafe-PhoneNumber /Email Address Fare '%Ialid for one calendar year after signature.. (Adjacent Property Owner lnforrnatior-i Print or rye Name Mailing Address7'— "4d4 �Istatel�zp T,J-ephone,)Jumb-erlf Email Address Data Revfsed Jan 2017 h t l 7�45 1,41k. O PU 1ACTINITY MAP { ap a ;-NNIERTY tS LOCATED IN A a.RN (`- COVERED AREA r ..... �� r�,j fi� d�!fj,✓bY.j,ft.j t'�iA£il fiRfiR Et�yiti a'�" 3 a ,F 9 i ORCED FLAT i g tj? DALE DU. PNJ 687={03) 16 35& EASNEW "As 4 PROFE W k4 'LTM4,.74'S' DWELUNG yF t ;,x �I eK A.10 '- - 1 �Zaj p'll I s4� r s UNE f �:. T rest s it1� `f %URA CA EA ttP€ilUz INN N3 3 3t 54-1 MICHAEL D. HOLCO44B & 'wife M �T A L. 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