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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: W1—KI /� 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, (Scaie:wb ) ,��pfi��K \M� a t �, v a fro 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 s ,, � � fir✓''` �� ,;` , / v �I;��_� Y i IV vfCL 41 N «' (7,/it � p Lily y � S1.t• ��. � iEl Y��: � i+�y v r ✓ : _ �i .r •l�e (i( � �.: ., b JJ �i ( //t �Y;± �t t � r� r� /ii` ✓e! r �y 5e �_~c "1.Y rtg jjj♦ t` li; `b \ +YuNe 'h ,#< j =' 1