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HomeMy WebLinkAboutPeletier Shores HOA 80529C❑CAMA / ❑ DREDGE & FILL N9 80529 A B C D GENERAL PERMIT Previous permit# ❑New ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit issued 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. Applicant Name Ile Project Location: County Address c: �'"/� �, • `� St et Address/ State Road/ Lot #(s) city ZIP Stated (�' c_r/ '� (r P"'',� Phone # ( )y' " t E-Mail Subdivision - 4 Authorized Agent A o .a ,-� '`� } l �� City i r 0 ZIP Affected ❑ CW ElEW W_pL' TA J [IES PTS Phone # ( ) River Basin p`.�f` AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body / ( <? 6Y' man Junkn ❑ PWS: / Closest Maj. Wtr. Body` ORW: yes / no PNA :' yes / no .< r Type of Project/ Activity% n Pier (dock) lei Fixed Platforn Floating Platfc Finger pier(s)_ Groin length number Bulkhead/ Rip avg dista max dist Basin, channel cubic yai Boat ramp Boathouse/ Bc Beach Bulldoz Other Shoreline Len; SAV: ni Moratorium: Photos: Waiver Attach A building permit may be required by: (,- 't'' ❑ See note on back regarding River Basin rules. ( Note Local Planning Jurisdiction) Notes/ Special Conditions Agent or Applicant Printed Name • �l Signature ** Please read compliance statement on back of permit ** y 16% Application Fee(s) Check # PermitOfficer's Printed Name J Signature Issuing Date txpiraiion 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 I) 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 Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888ARCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (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) (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 ❑CAMA / ❑ DREDGE & FILL N980529 ^' GENERAL PERMIT Previous permit# A B C D ❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued 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. Applicant Name Project Location: County Address Street Address/ State Road/ Lot #(s) City State ZIP Phone # ( ) E-Mail Subdivision Authorized Agent city ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Phone # () River Basin AEC(s): ❑ OEA ❑ HHF ❑ IH ❑ UBA ❑ N/A Adj. Wtr. Body (nat /man /unkn) ❑ PWS: ORW: yes / no PNA yes / no Closest Maj. Wtr. Body Type of Project/ Activity Pier (dock) ler ` Fixed Platforn Floating Platfc Finger pier(s)_ Groin length number Bulkhead/ Rip avg dista max dist Basin, channel cubic yai Boat ramp Boathouse/ Bc Beach Bulldog Other Shoreline Len SAV: n Moratorium: Photos: Waiver Attacl A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions (Scale:,,, ) t" ❑ See note on back regarding River Basin rules. j Agent or Applicant Printed Name PermitOfficer's Printed Name Signature Please read compliance statement on back of permit Application Fee(s) Check # Signature Issuing Date 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 howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ 1-888ARCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet- and Pamlico Tyrrell and Washington Counties) 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) 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 !1r •a{ •:1\1"r I�! !"r'{ iti1 •;I;��:!\r VK )I'�I I � �f 0 t �111111/� 1 °I :I �Illil'I' t�E•�!'I ,Id ;,�1� 1t �l�l Name of Property Owner Requesting Permit: Peletier Shores HOA, Inc. Mailing Address: 121 Gat -not Lane Jacksonville, NC 2864.6 Phone Number: (9.10) 389•.6610 hmail Address: Clijahllliorton@Wlorton"fi-ucicing.com I certify that I have authorized Jonathan L. McDaniel 'Tidewater Associates, Inc. to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Peletier Shores Subdivision, Section II — Open Space #4 adjacent to Starkey Creek, off West Firetower Goad in Peletier, Carteret County, NC (PI Ntt 535701491490000). 1 furthermore certify that 1 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 permit application. Property Owner Information: Signature Irii•�al-I•. IUlorion Print or Type Name President Title 12 122- 121 Date This certification is valid through __ 12 I 21 _I 2022 "W V 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 by owner or their agent) Name of Property Owner: Joel R. Petrus and Patience E. Petrus Address of Property: 155 Starkey Creek Drive, Peletier NC 28584 Mailing Address of Owner: 9 Sunrise Lane, Poughkeepsie NC 12603 Owner's email: •oaf L i2�}S'�c2 C� G/M.4,6 . (�' 1 Owner's Phone#: �K qS �<a% " Agent's Name: Agent's Email: Agent Phone#: 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. X 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 sinn 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: Typed/Printed name of ARPO: A CJ ( L- Y Ti✓�'A� /� % /2�'� Mailing Address of ARPO:til ARPO's email: iPv►� T 12v i q.., CO 1iA)44 . (, ,ARPO's Phone#: Date: / �/ Sri 7�' ° ! *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 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 by owner or their agent) Name of Property Owner: B & M Developers, LLC (Elijah Morton, Managing Member) Address of Property: 163 Starkey Creek Drive, Peletier NC 28584 Mailing Address of Owner: 121 Garnet Lane, Jacksonville NC 28546 Owner's email: ElijahM@MortonTrucking.com Owner's Phone#: 910-389-6610 Agent's Name: Jonathan L. McDaniel Agent's Email: JMcDaniel@TidewaterENC.com Agent Phone#: 252-393-6101 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. X_ 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 sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback Sign ture of Adjacent Riparian Property Owner -O R- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: t'�l �Q��mCt'IY1 tivr�fUc-1<<�a.t ` �ARPO's Phone#: S149 Date: j2-1 114� 20 *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 A 3 0% IJ G-v xmN DOME -91 qu nwds 04. 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