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�