HomeMy WebLinkAboutTurner, John 84174C01`°"S'4 ❑CAMA El DREDGE & FILL �,� 84 A B C D
zN.,21
G E N E RAL PERMIT Previous permit
Date previous permit issued
El 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
Address `' r �?;t•f� ; /• 'JVP �,
City State r r' ZIP
Phone #
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
r
ZIP
(nat/man/unk)
Type of Project/ Activity
(Scale
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
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:
❑ T
Permit Conditions AR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
y ❑ 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
(Please Initial)
Application Fee(s)
Check #/Money Order
Issuing Date
Expiration Date
o1*°FC0
PT4&FICAMA ❑ DREDGE & FILL A B C D
GENERAL PERMIT Previous 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 _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
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)
pier(s) Finger s
g p ()
Total Platform area
Groin length/#
Bulkhead/ Riprap length
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 rE
Permit Conditions
(Scale: )
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squired by:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Permit Officer's PRINTED Name
Signature
Application Fee(s)
Check #/Money Order Issuing Date
Expiration Date
2/8/22, 11:14 AM
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Name of R(opertY Owner RequestIng Permit,, 0 T
MaIlIng Addrwsw
ct
Phone Number, Womb's =114
C,
C"
Emall Address: V L's
ti-IN that 1 have. authorized LA iAe
Agent I Contnftr
to od, on my behalf, for thm pUrposp of -applying for and obtaInIng all GAMA permits
noo.ossary for the f6flowing proposed developmeft. w.; ere i a
at my property located- at
In W County.
I futtriermam aerto that I am authoilzod to giwnt, and do In fact grant permission to
DIvIsIon of Coastal Mvnagament-staf the Local Permit WOOF end their agents to Pater
on the eforemonflonedJands In oonnootion With evolunfing Information 'related -to this.
perrmit appIlostion.
Propooftnerinform�t
U
This cartfficatIon i's valid through
https://mai1.google.com/mai1/u/O/#search/John+/FFNDWLHxxztJQGdbzNGgvMtpmmOpMZTq?projector=1 &messagePartIcI=0.1.1 1/1
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ADJACENT RIPARIAN
I hereby certify that I own property adjacent to _Marne (�f P ner)
of ropeftY ()w
IV C 2-
property located at
OT Road, et
(Xddyess, L LO loch
on Co
(Ci'q,1T%KMn analor Uou-0
to me, as shown below, the development proposed at the above
The applicant has described
locg I have no objection to this prop
osal-
e _ob _jaCLti0ns__t0_th:15_pro
_p SED V
DESCRIPTION AND/OR MA:�AMNG C - p,
vidual roposing dellelop.rnent Friusi rill in description begolAi or attact' a site dravfing)
(Indip
0
& o 3 3 3 S-P ,�,
t� A-
'5
A_
CIA
WAIVERSECTIONN_.
Ouse, 1*1ft, or groin must be set
pilings, breakwater, boathouse, mooring d by me. (It YOU
I understand that a pier, d y area of ripar
an access unless waive
back a minimum distance of 15' from m
pate blank below.)
wish to waive the setback, you must initial the appro
I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
jproper�y owner InforMati0n)
sj�awr
J JU_
Pn*nt or 7yp.p ame
sA,pjfing,Address A
ZC' L1 /Z/P
e//_
oG
lephone Number
(Adjacewe
Signat�vre�� Iz 'S-00
e
a, .. ... ......
1:1n,,t or Type Ime
0 tL Ft-1
ailing Addr S' 5
Citylstate2'P 252-636-7896
Telephone Number
12-26-21
Date
Revised 0111201
19
FEB 0 8,2022
DCM-MHD CITY
ADJACEITRiPARIANPROPE[in'OVVNERSI,A-,EMEI,,-f
I hereby certify that I own property adjacent to a
Mame of Property Owner)
property located at 13(�Se4
'(Address, Lot, Blo k, RO d tc.)
on in.
(Citfifrown and/or County)
The applicant has described to me, as shown below, the development proposed at the above -
locetio n1�
U-1 I have no objection to this proposal.
-,..--.---Lhav-ej)bie-cliQn-s-to-this-prop-os.al---
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPIVIENT
(Individualn below or attach a site dr A
proposing devoi0orrient inust fill in desr-r�Pfio
J)
V
�AWVER SECTIOR
1 understand that a pier, dock, mooring pilings, breakwaO, boathouse, lift, or groin must be set
back a minimum distance of 15' from my area of riparian access unless waived by me. (If you
wish to waive the setback, you must initial the appropriate blank below.)
I dowishto waive the l 5' setback requirement.
I do not wish to waive the '15' setback requirement.
.'Propanly Oviner 140 Mlaiion)
Signat
Print or Typ11lctrA
e
74-4 - -
Aftailing-Address
cityjStltelzip
Telephone Numbei
-
(Ad-
ty
P"I *t or Type Na
Mailina ddrws
Telephone Number
I Z -3 -24 Z I
Date
tRavised 611812012)
RECEIVED
FEB 018,2022
DCM-MAID CITY