84379C - Moore, Julia

ECENNE E,DREOGE & FILL
GENER/AL PERMIT
N9 8437e
Previous permit
Date previous permit issued
ABCD
I Modification f Complete Reissue ! Partial Reissue
As authorized by the State of Carolina, Departnrent of Environmental Quality and the Coasal Resources Commission in an area of environmental concern pursuant to:
l-l Rubs attached. f|,"G.n"..| Permit Rules arrailable at the following link: www.deq.nc.gov/CAMAruhs
-
I5A NCAC
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Applicant
Address
Cit),
Phone#( .')
State ztP
Authorized Agent
i' Proiect Location (County):
Street AddresdState Road/Lot #(s)
rL-l 4.
SuMivision
City
Email
Affected
AEC(s):
ORW: yes/no
fl,',
!rxr
cw Ert
!serrt,tl
E"rt
!rws
Adj. Wtr. Body
Closest Maj. Wtr. Body
u t 1.{
OEA
PTA
UW
PNA: yes/no
1t,lType of Project/ Activity I(Scale: )
Shoreline Length
Access Length _
Pier (dock) length _
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Groinlength/# ' ....
Avg distance offshore i
Breakwater/5ill
Max distance/ length
Basin, channel
Cubic yards _
Boat ramp
-
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: nla yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be
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f TIVemINEUSUBUFFER (circte one)
! S"" note on back regarding River Basin rules
! S"e additional notes/conditions on back
Permit Conditions
urylllr4lEqEIAIIITES, CRC RUrES AND CONDTnONS THAT APPLY TO TH|S PROJECT AND REVTEWED COMPLTANCE STATEMENT.(Please lnitial)il
Agent or Applicant PRI
i
NTED Name Permit Officer's PRINTED Name
SignatureSignature *tPlease read compliance statement on back of permit**
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Application Fee(s)Check #/Money Order Date Date
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Total Platform area
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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 beliel 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 Neuse River Basin Buffer Rules
lf 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. lf you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (970-796-72751.
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 Manaeement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven - south of the Neuse River, Onslow
Counties)
Elizabeth City District
401S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-390L
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-648L
Fax:[phone]
(Serves: Beaufort, Craven - north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
L27 Cardinal Drive Ext. Wilmington, NC 28405-3845
9LO-795-7275
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
htt ortal.ncdenr,dcm-home Revised 6/01/2021
NCanna EDREDGE&FILL N9 8437e ABCD
GEN66lqL PERMIT Previous permit
Date previous permit issued
lNew [Modification [Complete Reissue Partial Reissue
As authorized by the Sate of North Carolina, Departrnent of Environmental Quality and the Coasal Resources Commission in an area of environmental concem pu6u:rnt to:
! ruU. attached. I,lceneral Permit Rules arrailable at the following link: www.dE.nc.gov/CAMArulesr5A NCAC _
Applicant Name
Address -..--
Cit),State ztP
Authorized Agent
Proiect Location (County)
Street AddresVSate Road/Lot #G)
City
Phone#(-)-
E.ail Subdivision
7tP
Affected cw
AEC(s): !osa
ORW: yes/no
Ew frnrHA Er*
PNA: yes/no
ES f ms Adi.Wtr. Body
I snura ! rws ctosest Maj. Wtr. Body
Type of Project/ Activity
(Scale: )
Shoreline Lengh
Access Length
-...-Pier (dock) length
--
Fixed Platform(s)
Floating Platform(s)
-t
4
II
-+
-+I
t
Finger pie(s)
SAV observed:
Moratorium: nla
Site Photos:
Riparian Waiver Attached:
A building permit/zoning permit may be required by: _
Permit Conditions
yes noyes noyes noyes no
:i-l
f] ranuemnEUSE/BUFFER (circte one)
! S"" note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT.(Please lnitial)
Agent or Applicant PRINTED Name Permit Officert PRINTED Name
Signature **Please read compliance statement on back of permit*t Signature r"
Application Fee(s)Check oney Order lssuing Ddte
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
otho'-
tI-1' tC,J./
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 beliel certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Proiect:
Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
lf 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. lf you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (9LO-796-72L5).
Notes/Additional Permit Conditions:
please ensure atl 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
401S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-390L
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washingion District
943 Washington Square Mall Washington, ttlC ZZASS
252-946-648t
Fax:[phone]
(Serves: Beaufort, Craven - north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
9LO-796-7275
Fax: [phone]
(Serves: Brunswick, New Hanover and Pender Counties)
http://porta l. ncde n r. or e/ w eb / cm /d cm-h o me Revised 6/01/2021
AGENT AUT,IIORIZATION FOB CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:tn- a (e)
Mailing Address:Ior e5 + a+.
\eR)o c8 4
Phone Number d5,n-a r".t (- SOteo
Email Address:
I certify that I have authorized
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
),
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in
at my properiy located at
Cou nty.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal hlanagement staff, the Local Permft Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related fo fhls
permit application.
Property Owner lnformation:
L oDre,
Print or Type Name
Title
J.&,.*3o-,-dl-
Date
This certification is valid through I
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION'WAIVER FORM
CERTIFTED MA!L . RETURN LEgEIPT B.EQUESTED OT HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Proper$:
Mailing Address of Owner:a8 s8
Owner'semail:@ Owner's Phone#:a5& dcl t-.:otoo
Agent's Name:
Agent's Email:
Agent Ph
ADJACENT RIPARTAN PROPERTY OWNER'S CERTIFICATION
(eottom ooftion to b )
I hereby certify that I own properly 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. {
I DO NOT have objections to this proposal. I DO have objections to this proposal
lf you have obJections to what is being proposed, you must notily the N.C. Division of Coastal
Management (DCM) in writing wlthtn 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 [phone]. /tJo response is considered the same as no obJection if you have been notified by
Ceftified 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 rny area of riparian access unless waived by me
(this does not apply to butkheads or riprap revetments). (lf you wish to waive the setback, you must siqn
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adiacent Riparian Propedy 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:
Malllng Address of ARPO
ARPO's ARPo's Phone#: '?5n '-373 -37bO
mqlv,*waiver is valid for up to one year from ARPO's Signature*
Revlsed May 2021
s84
.+
Date:
vKo-
N.C. DIVISION OF COASTAL
ADJACENT RIPARIAN PROPERTY OWNER
Name of ProPertY Owner:
Address of ProPertY:
Mailing Address of Owner:
Owner's email:
MANAGEMENT
NOTIFICATION,WAIVER FORM
(Iop portion.to be completed by owner ortheir agent)
dxsr {
Phone#:dSd,cl''{ l't3Ptco
Agents Name:
Agent's Email:
Agent Phone#:
ADJACENTRIPARIANPRoPERTYoWNER,SoER.TIFICATIoN
(Bo-:'ontobelomD|etedbvthe.AdlacontProDertvowner)
I hereby certify that I own property adjacent to the above referenced property' The individual apptying for this
permit has describea to'[i", ""'.no*n
on the attached drawing, the development they are proposing' A
iesciipiion or drawinq, witn dimensions, must be oroviAed with this letter'
I DO NOT have objections to this proposal, t DO have objections to this proposal'
to ,s proposed, ltou notify ofyou
Management (DCM) in writing wlthin 10 daYs of receiPt of this nolice.Correspondence should be
maitedto 400 Commerce Ave.,Morehead CW, NC28557,DCN| representatives can also be contacted
at (252) 808'2808. No resPonse is considered the same as no obiection if You have been notlfied bY
Certlfled Mail.
WAIVER SEGTION
I understand that anY ProPosed Pier,dock, mooring Pilings, boat ramP,breal<water, boathouse, lift, or
groln must be set back a rninimum d istance of 15' from my area of riparian access unless waived bY me
to buikheads or revetments). (lf you wish to waive the setback, You !!!gg]!9!g!1,
appropriate
I DO wish to waive some/all of the 15' setback
-oR-
l do not wish to waive the 15, setback reguirement (initial the blank)oGg
Signature of Adiacent Riparian ProPertY Owner:
TypedlPrinted name of ARPO:
(rl
Mailing Address of ARPO:ci t
ARPO'S
Date:
t:
*waiver is valid for up to one year from ARPO's Signature*
,l_
(.kr\tffi^b
+
Revr'sed MaY 2021
Signattne of Adiacent Riparian Property Owner
ddd*
I
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERW OWNER NOTIFICATION/WAIVER FORM
CERTTFIED MAIL . RETURN RECEIPT REQUESTED OT HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property: I
Mailing Address of Owner:C
Owner's email:Phone#:d.5d-ct.{ l- -3Ptco
Agent's Name
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed bv the Adiacent Propertv Owner)
I hereby certify that I own property adjacent to the above referenced proper$ The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawino, with dimensions, must be orovided with this letter.
I DO NOT have objections to this proposal._ I DO have objections to this proposal.
4ssr {
lf you have objections to what is being proposed, you must notify
Management (DCM) in writing within 10 days of receipt of this notice.
Mailing Address of 0s
ARPO's email:krtMrb
up to one year from ARPO's Signature*
RECEIVED
Nov 0 g ?0?1
DCM-MHD CITY
the N.C. Division of Coastal
Correspondence should be
maited to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at [phone]. A/o 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
to bulkheads or ). (lf you wish to waive the setback, you !!gS!.-g!tEI
the appropriate
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:z4 rttrt
Ea:B
t
\
((Gt-
Date:
(}*waiver is valid for
Revr'sed May 2021