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