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HomeMy WebLinkAbout86449A_Consol, Deidre_20220202�❑CAMA ❑ DREDGE & FILL 4Z{- No 86449 A B C D a GPrevious permit 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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name _ Address City Phone # (_ ) Email K Affected ❑ CW AEC(s): ❑ OEA ORW: yes/no State ZIP ❑EW ❑PTA ❑ IHA ❑ UW PNA: yes/no Type of Project/ Activity Shoreline Length Access Length Pier(dock)length Fixed Platform(s) Floating Platform(s) l Finger pier(s) ) Total Platform area Groin length/# Bulkhead/ Riprap length_ Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel f Cubic yards Boat ramp Boathouse/:Boatlift Beach Bulldozing " ❑ ES ❑ PTS ❑ SPIMA ❑ PWS Other SAV observed: yes no Moratorium: n/ no Site Photos: no Riparian Waiver Attached: yes A building permit/zoning permit may be required by: Permit Conditions a + ) i Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Adj. Wtr. Body Closest Maj. Wtr. Body I ❑ 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. Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliancE statement on back of permit" Signature Application Feels) Check #/Money Order Issuing Date (Please Initial) Expiration Date :3�tit� t-,t P C)wt r R u tiPermit" Phtviv Number-, that I have authorized Agent ! Contractor act cm MY behalf, for the purpose of applying for and obtaining all +LAMA permit r*CesSary for the following proposed development: �4 __-, at MY Property located at CKO + in f nr (t1 fY f t 1 erra authorized to great, and do in fact grant perrtnlssiof) to Div. Ott `Of COOSWrnt stafff, the LOC411 Pernntt Ofter and their agents to eater On dW vn k d hands in Dui tjon with evaluating infortxaat ot) related to this M a Wn- • Complete hems 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: A. Signature X ,,LI Agent ❑ Addresse B. Receitlefty (Printed Narl{e) C. Dat of(qelivqr D. Is deliv address different from item 1? Yes If YES, enter delivery address below: ❑ No oN o r Service Type ElPriority Mail Express@ II I I I I III II I II III I I I II II I III3. ❑ Adult Signature El ❑ Registered MailaiI- T'" ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restrict 9590 9402 3209 7166 6720 01 �CertifedMail® Certified Mail Restricted Delivery Delivery ❑Return Receipt for ❑ Collect on Delivery Merchandise 2. Article Number (Transfer from service label) ❑ Collect on Delivery Restricted Delivery El Signature Confirmation? ❑ Signature Confirmation 1020 0090 0001 5724 4490 :1 Insured Mail :1 Insured Mail Restricted Delivery Restricted Delivery - -- - (over $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipl 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: LV t 1 k, .Q r` COYlSZ>'� Address of Property: Mailing Address of Owner: 02 Z C (p SFP� �C1 (c,►-C al S,Y Owner's email: ?��7to r ,6y�c{; f owner's Phone#: 1`1ci q6-Z-34I Z Agent's Name: B, Vh-ecc S Agent Phone#: Agent's Email: /c Chi r1��.c (S��`v�;rVlCcl GUr>7 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. 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. 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 MR Signature of Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: 41 �✓lj . Typed/Printed name of ARi Mailing Address of ARPO: ARPO's email: _ /�� ARPO's Phone#: /1j Date: .21 - 02 U ;Z / *waiver is valid for up to one year from ARPO's Signature* C. .?-775a Revised July 2021 ■ Complete items 1, 2, and 3. A. Signature ■ Print your name and address on the reverse X Agent so that we can return the card to you. ❑ Addresse ■ Attach this card to the back of the mailpiece, waded ) C. Date of Deliver or on the front if space permits. `�� -�� �� ✓C� 1. Article Addressed to: 300 5' fe D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No 3. Service Type ❑ Priority Mail Express@ I I I I I III'I I II III I ( III II I I I I ❑ Adult Signature ❑Registered MailaiIT^^ ❑ Adult Signature Restricted Delivery ❑ Registered Mail Restrict b(Certified Mail@ Delivery 9590 9402 3209 7166 6720 94 ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise P Artirla Ni mnhar fTrancfar frnm garvirp 1AN ❑ Collect on Delivery Restricted Delivery 0 Signature ConfirmationT 7020 2450 0002 3104 flail 0 910 'ail Restricted Delivery El Signature Confirmation Restricted Delivery )S Form 3811. July 2015 PSN 7530-02-000-9053 Domestic Return Receio 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: LU I, �, Q c\ COviS�_) �� Address of Property: Mailing Address of Owner: 02 Z 5 �� 1� C` �U►� �C. (�C 214r2Q Owner's email: � v' ��7to ►i�t', �• ner's Phone#: r I el Agent's Name: �o C�t D� I�h�`�Is Agent Phone#: Agent's Email: / C%1� I� F�•� (S�ct, �rVIC c 1 �>7 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that ► 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 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. 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 15from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments). (If you wis a the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback Riparian Property Owner I do not wish to waive the 15' setback r9eLpr'fement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: ARPO's Phone#: Date: *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 ov -1915 024 ")Q—lIZ , , 4),QZ -oo) 417 �1 � c�2 Currituck County GIS Data Viewer Currituck County GIS Phone: (252) 232-2034 E-mail: gis@currituckcountync.gov Addresses Communities Aydlett Barco Coinjock Corolla Curritu^_k Gibbs Woods Grandy Harbinger Jarvisbury Knott Island Maple Moyock Pont Harbor Poplar Branch Powess Pont shawboro sego waterwy County Boundary --- state -- County Streets Wright Memorial Bridge Major Streets Arlerial_Prncipal -- Arlerial_Mapr — Collector_Major Parcel Lend Hooks Parcels Currituck County Aerial Photography (202t Red: Band_t Wreen: BarM_2 Blue: 8and_3 This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information shown on this map. �\ awA\$f JS�