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Home My WebLink About88328C - Ross, Sue FieldsMoOcamp" ❑CAMA [I DREDGE & FILL GENERAL PERMIT Nn 88328 Previous permit Date previous permit issued _ A B C D 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: I SA NCAC ❑Rules attached. General Permit Rules available at the following link: wwwdegnc.gov/CAMArules Applicant Name Address - l� } City State .. V ZIP Phone#O. ! Email Affected ❑CW AIHA EW AEC(s): ❑ OEA Type of Project/ Activity ❑PTA ❑ES ❑PTs ❑UW SPIMA ❑PWS PNA: yes/no Authorized Agent -- Project Location (County): Street Address/State Road/Lot#(s) -) Subdivi;ion City �. ZIP - - Adj. Wtr. Body Closest Mal. Wtr. Body (Scale://-, Access Length I Pier (dock)length F.} _ Fixed Platforms ! Y I (71 Floating Platform(s) ". - Finger pier(s) i M4, Total Platform area I ~i�— _ _ -: Groin length/N ._... Bulkhead/Riprap length — -r -- - Avg distance offshore Breakwater/Sill Max distance/ length F _ - -� - - r ; - -- Basin, channel 1\ I lP � j 1 - Cubic � _i Boat ramp Boathouse/ Boatlift �_ _. Beach Bulldozing + Other '. 1 SAV observed: yes no �--- Moratorium: n/a yes no ,- - — Site Photos: Yes no Rinarian Waiver Attached: ryes no A building permit/zoning permit may be required by Permit Conditions IAM APPLY TO THIS Agent or Applicant PRINTED Name .1 Signature **Please read compliance statement on back of permit* may, �fill Application Feels) Chet-ck II/Money Order ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Permit Officer's PRINTED Name Sig atu e IS�cgng Date 6pilation Date ❑CAMA ❑ DREDGE & FILL N9 88328 A B C D Previous permit GENERAL PERMIT Date preiouspermitissued I-FINew [:]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. LEI General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant I Address City Phone # Email Project Location (County): Street Address/State Road/Lot #(s) Subdivision City (, ZIP Affected ❑ eW 'D 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 -T Access Length i Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger piers) Total Platform area Groin length/ft Bulkhead/ Riprap length Avg distance offshore _ Breakwater/Sill Max distance/ length _ Basin, channel Boat ramp Boathouse/ Boatlift Beach Bulldozing Other I i SAV observed: yes no •i 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 u (Scale: ) ' ❑ 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 J Signature `*Please read compliance statement on back of permit- • }„{ Sigrlfatu e 1 Application Feels) Check #/Money Order Isfu)ng, ate 6ppifation Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: ttt °6 ritJ4 A055 Mailing Address: e, 0 • 66, i�3S ww"M La m a�'sg`i Phone Number: il0 6 5I`'f 0'-` 15- Email Address: �7pp�� E c ° I certify that I have authorized �of •- �� Aaent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: "le e b u-, o- Jock at my property located at la I Urn �eruk�c, 1�r7, CC�r�ar PO n in &,-r tt/L� 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 Ow.per Information: T Signature Sue. Toss Print or Type Name owvt le r Title ? / vzZ- Date PFCFlVFD This certification is valid through /Z 11 ZfJLZ CCM-Mire CITY S W —Bo kof cv,d to d-4 6 eaw dl s 71 i I zi uiaF4rM 7r've QecJ�ar PO�tif,,hd S85w ��P„�, Swe, Folds loss Ave Y .Wj,�- sc.. : L"; 5/ RECEIVED ftR 21 2022 DCM-MHD CITY ';6 (k 11 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: l U P r, CUs ')�Dss Address of Property: Mailing Address of Owner: i '_8" 5 35 Owner's email: 5f(o5510( 0,2o1.0 yyn Owner's Phone#: G2�Z 39 3' 81059 Agent's Name: 906 !Jf % !tii` Agent Phone#: ql o-' 'S!j - 04 75 A t' Email: gen s C0� r 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 for this permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawing with dimensions must be provided with this letter. �j. 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 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) 808-2808. 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 (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) Pt. t Signature of Adjacent Riparian PropertyOwner: / --1 Typed/Printed name of ARPO: Nr / of Mailing Address of ARPO: ' 1 RD (2 3 f i,,ty � / G ` nr C ' ARPO'semail: ldlk;LL,:rA hlCnarc c'a.ti ARPO'sPhone#: `110 4fl-ire Date: l -waiver is valid for up to one yearfrom ARPO's Signature' Revisuw3ifm FIB 21 2022 DCM IAHO CITY z W 9 �plYll 3� �of u,;dtti !7-1 U/C"f RECEIVE® O-ec4t- 1oijj )) le d858</ •'I�ropic� �u,2 ,F alds moss FEB 2 s, 2022 a �"'" CCM-MHU CITY 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: sue. Ro` ` //� n �t — Address of Property: 12l l plc iw uJcwl Tr, p e- Zoe r Yt7 %n'Iy Mailing Address of Owner: P a BUJ lb� 3> ;oJew4ero owner's email: S -o,,s4 ( lQt4-1.Cpm owner's Phone#: "i z-- 393 "S6259 Agent's Name: J&h 4 Agent Phone#: (Ito S S �L O c%75 Agent's Email: h � , f4d t ✓e- eo^'r. ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent PrOPOrtV Owner) 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 theA _ attached drawing, the development they are proposing. L _ .._;A-A,.6lh thie latter 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 muse ❑vulr - - - 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 (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) w 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) Signature of Adjacent Riparian Property Owner: 4-4 Typed/Printed name of ARPO: (7^` � Mailing Address of t1 ARPO: t t / w ) ^" ��===------ ARPO's emai1:�obSa ^- t r cry 1 •ems ARPO's Phone#: Date � '�- 'waiver is valid for up to one year from ARPO's SignatCi�',�. IVFD Revised May,202_1 DCM-Mho CITY 5 W P qT YY , a �- 3vof Lie¢ a- 40- G cif" seaLvdi= '7J 4/OcK wr 1 ZI ujc- trek+y� I o ve �eclar POi��yle �$5$y nl ropart,� S�� 'Ids -Ross (Jwned- RECEIVED FEB 21 W2 DCM-MHD CITY