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HomeMy WebLinkAboutBeck, Sherra 84389C°``°"T4,1 ❑LAMA ❑ DREDGE & FILL N9 84389 A B C D =GENERAL PERMIT Previous permit 0 n 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: 15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # (_ ) Email Subdivision City P Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Bodyt r. (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body r ORW: yes/no PNA: yes/no Type of Project/ Activity Shoreline Length _ Access Length Pier (dock) length Fixed Platform(s) _ Floating Platform(! Finger pier(s) Total Platform ares Groin length/#_ Bulkhead/ Riprap I Avg distance offshi Breakwater/Sill _ Max distance/ lent Basin, channel Cubic yards Boat ramp Boathouse/ Boatlil Beach Bulldozing_ Other SAV observed: Moratorium: n/ Site Photos: Riparian Waiver At A building permit/ Permit Conditions (Scale: U 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. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" O w Application Fee(s) Check #Application Fee(s) Check #/Money Order Signature Issuing Expiration Date 1°``°"4, ❑CAMA El DREDGE & FILL N9 84389 A B C D Previ0 GENERAL PERMIT Date r 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: 15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # (_ ) Email Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity Shoreline Length _ Access Length _ Pier(dock)length Fixed Platform(s) . Floating Platform(s) Finger pier(s) Total Platform area Groin length/# Bulkhead/ Riprap lengtf Avg distance offshore _ Breakwater/Sill Max distance/ length _ Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions (Scale: ) TAR/PAM/NEUSE/BUFFER (circle one) 1-1 See note on back regarding River Basin rules ElSee additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" r Signature Application Feels) Check #/Money Order Issuing Date Expiration Date Styron, Heather M. From: webbddc@gmail.com Sent: Friday, January 7, 2022 5:31 PM To: Styron, Heather M. Subject: [External] Needed permit - Beck Attachments: Doc 01-02-2022 19-23-19.pdf CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam.<mailto:report.spani@nc.gov> This one is pretty easy too! Dock going in the same foot print Thanks Andre 252-665-4378 Sent from my iPhone AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Sf✓c 06CK Mailing Address: y2 7 GOgu6TrE Sr, Phone Number: �SZ - �ZS� - G 729 Email Address: _ S�i��.a,I'Iec% e yG460. Co.4- 1 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: P,^Val '76cle at my property located at /Zo 6`271"VW in GAR7?/e County. / furthermore certify that l am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Offrcer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: �,A �� I j 0, P Z L signature 5;q"6q -?kK Print or Type Name owN c�2 Title 1 l IDwi This certification is valid through I I N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM C-ERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner. /lt- XA -91C-ae- Address of Property: 120 cveyyoe- zxo � Mailing Address of Owner, W % &,ZvifrTd- 5" 7o/L T /-Iv /ye 9 �d Owner's email: 54/ rru •6ed-z 0,y446D • etoetOwner's Phone#: Z!'Z-7ZS.. O%98 Agent's Name: /rN Of e Agent Phone#: 7-5 Z - kE-9?7F Agent's Email: kjebl' Ad . Gcill, 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 forthis permit has described to me, as shown on the attached drawing, the development they are proposing. A 1 DO NOT have objections to this proposal. 100 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 A ve., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. No response is considered the some 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 wntc d�� Signat of jacent Riparian Property Owner -0R- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owne Typed/Printed name of ARPO: -_ JlA M & S 1 N6R45 Mailing Address of ARPO: T$:A ISeo, 46 7A IZ 2-?S ARPOZ&—t- 0-VAww— v ARPO's Phone#: Date: waiver is valid for up one to r from A P Y� R O s Signature* Revised May 2021 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. SCQQa �� Address of Property: !/ 20 G/ZYSTioC Mailing Address of Owner. `l2? &191=77E Sr 9 -?o y/ Ownersemail: 5Ar/rn . ket/` eVA40'• co"''Owner'sPhone#: ZSZ'725-0798 Agent's Name: ��, _____ Agent Phone#:. 2.5 2 % 6 5 4 ? i R Agent's Email: Gt eL (0 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 forthis permit has described to me, as shown on the attached drawing, the development they are proposing. A descriplion or drawing with dimensions must be provided with this letter. -�A— I DO NOT have objections to this proposal. I DO have objections to this proposal. ff 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) 808-2806. No response is considered the same as no objection N 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 IS 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 Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) N_ Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: Date: IZ - Z f3'-'7- l "waiver is valid for up to one year from ARPO's Signature* y V � I Revised May 2021