HomeMy WebLinkAboutMaxwell, Eric 84537CAMA ❑DREDGE & FILL N9 84537 A B V D
GENERAL PERMIT Previous permit
Date previous permit Issued
New ❑Modification El 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:
ISA NCAC 01�A t l lNj _ ❑ Rules attached. 0 General Permit Rules available at,he following link:
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/� I� daO,M,$OV/t.AMAI lI3
Applicant Name _P_ R/lr/ A-VApft ��(�,I
Authorized Agent �N_ I)F l�1SC2if �(b.jJ
Address Atlyy)/` f'lA Project Location (County): /tMISIAN.)
City-U&km State A)L zipb Z946nn Street Address/State Road/Lot #(s)
Phone # (Yo) 4
Email tsi Subdivision 11
'MI'E City— SN�.A zip 29q/AO-
Affected � eW M EW MPTA ®ES ❑ PTS Ad). Win Body /� at mardunk)
AEC(s): ❑❑ OEA IHA ❑UW ❑e4i__
SPIMA ❑PWS Closest Mal. Wtr.Body 9 AMV-
ORW:yes&o PNA: yest9
Type of Project/ ActivityrAA&MV A Sly 2CW 06V W,W llurnu,.`Acn elurlr of ���_�., CAm—i bre-rrr
Shoreline Length kA,
Access Length_ NBI,er t
Pier (dock) length 5 r 1( 266
Fixed Platform(s) _l21)d
Floating Platform(s)
Finger pler(s) n 3��� \�✓
Total Platform area 2aq y
Groin length/g _ /
Bulkhead/ Riprap length /
Avg distance offshore
Breakwater/Sill / y
Max distance/length
Basin, channel
CubBoat raards�
Boat ramp
13t )
V
Boathouse oatl X/A
Beach Bulldozing ��ff
Other
$AV observed: yes 21.OV,51�1
Moratorium: n/a yes
Site Photos: y s o 1U
Riparian Waterer Attached: as no
A building permit/zoning permit may be required by: Olysw �(
Permit Conditions O N iii, POua' Al)-U e2t7- 117,
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1 1 �,Ig1U('Y
1 .lAtt``W131.1. I
_lhN aii `7_ I
t)A)(s VO4M j% 'p p ❑TAWPAM/NEUSE/BUFFER(circle one)
1 r1'N S z�tl ( yp 1`pp��'i�./ri11t-n❑ See note on back regarding River Basin rules
'F,/}(�) �i 'mot li / Fit �'l G•'"l
Nr R)wl Titi df1•M v,=,\ ❑ See additional notes/conditions on back
30��`°°'"�JCAMA ❑DREDGE & FILL N° 84537 A B O o
GENERAL Previous permit
3 PERMIT Date previous permit issued
New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the 1'S1t1ate of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC 6+ H r 1100 ❑ Rules attached. 9 General Permit Rules available at the following link: wwwdegnc.govMA-MArules
ApplicantName YRI(�l AANAVI?U.)
Address 3AAbilL iv_ G,UMM LA�J
City .SN6kcd State AiL ZIP.__[i (Z
Phone # ((moo) 3ND - n4�'
Email SLAAORZI VA4i 2 CM
Affected 10 CW F0 EW r9PTA ® ES ❑ PTs
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWs
ORW: yes& PNA: yes tp
Authorized Agent ey*
Project Location (County): r^�A7S1,a.t�
Street Address/State Road/Lot #(s)
Subdivisions l `f
City Ski, 53�l zip 2Aq00—
Adj. Wtr. Body. UAALP1Y�LP INMlc— �man/unk)
/
Closest Maj. Wtr. Body �i�Ilju y-
Type of Project/ Activity( .D1 f iII Pr `J' Y LSh' VIOL (b x 1 / ' UULOVb'(tW F) >W V L&f V-&ILA I—(flyaew f t Grt;�
0i , A- Uf f (Scalers )
Shoreline Length 62-I �
Access Length .� ,C iJ ��
Pier (dock) length- S')C 25d �nr��`Va�
Fixed Platform(s) 121 `L 11—,-
Floating Platform(s)
\ Q t
Finger pier(5)�q
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel i/ N (, J , ♦ ��f�
Cubic yards`Y p
Boat ramp � lib
Boathouse/ oat 13'X/.3l ,li `F
Beach Bulldozing
Other
I
I WA4V
SAV observed: yes "o21.OWsw I I W'1'\u�
Moratorium: n/a yes C' �U� 1 ����rl,� t �/-
Site Photos: y s o W 1 - 'IVY T""""'
Riparian Waiver Attached: es no e I I
A building permit/zoning permit maybe required by: ONSCOU) (100U(W 1
Permit Conditions orm Fouili Mruf{oQl2OG nub TT7rrrJ4y1, '7(S�LiP ❑TAR/PAM/NEUSE/BUFFER(circle one)
�rl Ij/ �( (.00�!'Gt�D/� ��Qy451`J}(, 6t/� rl/FA,�S �uGS ( [7p Gw'1/�C�i ❑ See note on back regarding River Basin rules
3ld' /K3OVL-' f, UOs ret-75 �rtta� rC9 fau(t�l._�I _S j NoCf+� notes/conditions on back
.... �.,..� a .nn a .✓ .0 , n A f-LL. t l._n ❑ see additional notes
Agent or Applicant PROTED Name
Sig ature "Please read compliance statement on back of permit'"
/'M co2
pplication Feels) heck__PyMoney Order
VD REVIEWED COMPLIANCE STATEMENT. (Please Initial) 7
e!b"
PermiyJ() ' er's RIND r�D ��� /-
Signa/[,uss r�/b'�/22 lY �I _ �,
Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 1'! /' 10 mLAX yj e l
Mailing Address: 121 i7 <. hd J �l K 5 z-5 1 1l / r
Phone Number: q ( I) - J 4 d - O & 11 (
Email Address:
I certify that I have authorized
Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: I x ((o I j UG iZ A 5 C' X 5 t
at my property located at `��f �' �1C1/i (�! G���S >s�C� Dr ,
in (tn,� 1 a cQ County.
I furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
Signature
Sri rMazl
Print or Type Name
uj n e-r-
Title
Date
This certification is valid through
N.G. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED , IFIED MAIL - RETURN RECEIPT REQUESTER or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: mh it r I G We
Address of Property: 792 C 44d w I � le 5% Qy-r3- V
Mailing Address of owner: 5 4vh e
Owner's email:
Owner's Phone#: q d-jz-o�9�
Agent's Name: uP nYIite . n roLi 1� Agent Phone#: � ,i1O-oarl-34175
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(atom portion to be coI>!gdIkythe Adjiwgnt Property Ownerl
1 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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
tr you nave oD/ecitons to whet is being proposed, you must nouw the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 4W Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at (252) 808-2808. No response is considered the same as no objection /f you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
�LC groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
tit (this does not apply to bulkheads or dprap revetments). (if you wish to waive the setback, you must sign
5 t the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent, 1parian Prop y Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:v�C
t I� Ck ��f111
Mailing Address of ARPO: _[j(j_( i%1 9 � V e S
5eG ARPO's email: ARPO's Phone#:
Date: -� - ) b -- L— "waiver Is valid for up to one year from ARPO's Signature -
Revised July 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: ! j r I J �C 19 /_ I CI n / t✓ a j��1_ L
Address of Property: ( CPC ((� l C�K to lr(J (/ r
Mailing Address of Owner: nn ,SDI Mc /
Owner's email: l I j�� O9 d cv l a w/,�,O p ner's Phone#: �I I d j`h&-66g1
Agent's Name: G y d (�Oi1�J� Agent Phone#:�
Agent's Email: �61Y)e }11C11�1lleGUUlS LIC%IOj)��jL91Gl�,Gbli11
T
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
�Ql 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
l�l description or drawing with dimensions must be provided with this letter.
DOG � 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 or coasrai
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) 808-2808. 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
6\� (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
D the appropriate blank below.)
I DO wish to waive some/all of the 15' setba
Signature of Adjacent Riparian Property Owner
-OR- /
I do not wish to waive the 15' setback requirement (Initial the blank) C
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: i X 6-0,W
pO Mailing Address of ARPO: �3 e yam/ / c5 f S 0 / /!�/(
5 ARPO's email:"4tG ARPO's Phone#:
Date: r2-11" Z2 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
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