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Home My WebLink About84175C - Rush Pt. Marina,o1*0JF� ❑CAMA ❑ DREDGE & FILL NO8 4 17 " A B C ` D z 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 State Phone # ( ) ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Email Subdivision City ZIP Affected ❑ CW ❑ EW 1-1PTA ❑ ES ❑ PTS Adj. Wtr. Body t (nat/man/unk) } AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale:7/,- �' ) 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 _...µ..__...?._. _ ._ SAV observed: yes no Riparian Waiver Attached: yes n } Moratorium: n a ye s no 1 E s...................._...;............._ .......................................................... _...._........................ ............ ............`....._..... _,..........z,........... ........__..........._.............,................................ .............i..._....... .._....... ............ ....... ............d.................._.._. ._......._`......_.... ........................ .......,... .,.._,..... Site Photos. yes no .,_............._........�_ .......... ..�� j I i o r A building permit/zoning permit may be required by: Permit Conditions I AM AWARE OF ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back 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 o1*°E`°"S74 ❑ CAMA ❑ DREDGE & FILL A B C D GENERAL PERMIT Date previous permit issued us permit Date :❑ 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 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 squired by: ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ 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" Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: C_ 1i t- Mailing Address: C-7,z_(ifI hil"AI Z' C Phone Number: Email Address: I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessaryfor the following proposed development: �1� g at my property located at 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 -�_ Print or Type Name �ev-6�r Title I I Date This certification is valid through I I i ► - i �-`I � 09.36 FkOil- _ T-C?63 P0001/0001 F-1 45 DIVISION OF .COASTAI-MANAGEMENT ADJACENT RIPARIAN PROPERTY 01W.NER NOTIFICATION FORM CERT'IFIED MAIL -RETURN REC6IP REQUESTED I hereby certify that 1 own property adjacent to property located at. v;�JP J il�� (Name of Property Owner) (Address, Lot, Block, Read, etc.) on in rn ft. J S (, ►� , N.C. �� , (Wad®rbody) (CitylTown and/or County) Agent's lriame #: - Mail ni g Address: 4e Z> FS&5 Aont's phone �-- "3 � 15 � � � : s � ? He/She has described to me a'shown below the development he/She is proposing at that location, c1hd I have no objections to the oropo8al. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (lrttiivlcfatal proposing develop* 0nt M.ust fill in description below or attach a site drawing) if YOU have objections to what is tbein ro osed . 9A A , youmustnOtifytheDivision of Coastal Management (�lalijinwrlti�g within 'i0. days of receipt of this notice. Contact information for DCM offices is a ViR liable athttpJJ4nry w:t?c:coastalmarta errs ipt raetlweb/ern/staf-listincr orbycalling 1,888-4RCQAS7-. No rIesponse is considered the $ame as no dbjectibn i� f you have been notified by Certified Mal!` (Prola04 Owner Information) signature ,Print r Typ e 'P IJT4t t.. Mlailing Address City/Statel'ip r Yb lophon umber/ Email Address Dato (Riparian Pr arty Owner In ion) pa4- Signature Print or Type IVajrre Mailing Addr6ss 5 D citylstate%zip opf:vne lVurr�ber/�rnail Address hate (Revised: Aug. 2014) 09:36 FRS 1- T-063 P0001 /'0001 F-145 DIVISION OF,COASTAL. MANAGEMENT ADJACENT RIPARIAN PROPERTY 0WNER NOTIFICATION FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED I hereby certify that I own property adjacent to (Name of Property Owner) property located at �C��I ��'�Z (Address, Lot, Block, Road, etc.) on MAOU±r 41, in b CIA CTM6'l N.C. (Wad®rbody) /'Town and/or Coun Agent's Name #: L Mailing Address: -6 T� Ag' kt's phone C-rL He/She has described to me as shown below the development he/she is proposing at that location, a6d I have no objections to the propo8ai. _______--r_----------------------------------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing dov®lopt»ertt Must fill in de.$cription below or attach a afte drawing) If you have objections to what Is being proposed, you mustnetifY the Division of Coastal Mana ement MGM) in writing within 10. days of receipt of this notice. Contact information for DCM offices is av211able ath.tto:lJ'w�+w.r�000a.st,�Imaj�a�eti�ei�t �ietlweb/cnr�sfaffiistin,� o�bycalli�t,g 9�888-4RCC�,q�T No, res onse Is considered the sam6'as no objection if you have been notified by Certified M`aff. (PrOPO4 Owner Information) Clty/State�Lip� S 3_b)- &,6 olaPho e Number/Finail Address Dato (Riparian Propert Owner Information) n ure Print ar Type Nanle Mailing Address City/Sta te%Zip T phone Number/Finad Address Date (Revised: Aug. 2014)