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Home My WebLink AboutChapman, David 84183CDREDGE & FILL N9 84183 A B COD Previous permit 3 :GENERAL PERMIT Date previous permit issued I�New ❑Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by the State of No Department Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC ti k oo ❑ Rules attached. General Permit Rules available at the following link: wvv vdeo.nagov/CAMArules n Applicant Na Authorized Agent Add Project Location (County): City GXa[e ZIP Street Address/State Road/Lot #(s) ne # Pho( ) '� Email Subdivision City ZIP Affected ❑ cW _S4 PTA ❑ ES ❑ PTS Adj. Wtr. Body na an/unk) AEC(s): OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: y /no PNA: y s no Ty a of Pr ject/ tivity (Scat ) Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platforms) V. to jt7 VV Finger pier(s) Total Platform area Groin length/q Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill istance/I Bas' , 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 permi may a re I AM AWARE or AdDlicant PRINTED Name bx: COOL -\ 'U AND REVIEWED Permit Officer's �fj*,I_hv ❑TAR/PAM/NEUSE/BUFFER(circle one) / ❑ See note on back regarding River Basin rules e—% `Pj See additional notes/conditions on back (Please SlgnJe --Please compliance statement on back of permit•'' �o� AppliMA'oll FF'eeeelsls))/07' Check I/Money 0rder Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Reqi Mailing Address: Phone Number: 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: S L S P D R k t, C,Sr-A/Co-' at my property located at I S � D AKt-E'er i mKVL E KS in l.PgagR C 1— 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 Inforrnatlon: Title 2t11O1Z�Z Date This certification is valid through r_I_ I & I a 3 RECEIVED FF-B 2 r: 10L2 DCM-MHD CITY N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner Address of Property: a a n,4ISI-45tr ►W102- ?, KNdI-L SHakes Mailing Address of Owner: �RTjzC—Pi& klVD.L S /*A* Owner's email: DGV�fhyiN `f I q Mpj Owner's Phone#: °I I " Lf % — LM 17 Agent's Name: %yVy Fi&MLR Agent Phone#: %)I_N5 3CYD a Agent's Email: "'C✓dfVECATNkR C FKl Ci)1r\ - 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 1 DO NOT have objections to this proposal. 100 have objections to this proposal. If you have objections to what Is being proposed, you must nonry ury ff- ,. 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 noted 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.) 100 wish to waive some/all of the 15' setback Signature of Adjacent Riper an Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) `_'• `� x Signature of Adjacent Riparian Property Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: Date: �7 ��- -waiver is valid for up to one year from ARPO's Signature' Revised July 2021 RECEIVED FEB 24,2022 DCM-MHL) CITY N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: DRI_tn C.P+6A -MAN Address of Property: 1 98 nAi+� ekr tD. rRiUE KNOL SHORES Mailing Address of Owner: 0AKLEA1P j)RSur: �QE K114L S /f 45 Owner's email: 'DCyVJ huhry e, cf l q Mp c Owner's Phone#: III - `Ja 7 — y`117 Agent's Name: )v EVTN fU2TNL"R Agent Phone#: 25A - 7251 S02 a Agent's Emait: 4ty_ IM FLATtyOkcM)- CAkl C c�tmrl 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. 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 some 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,)lank) 4 x Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO Mailing Address of ARPO: (ol? WfCD-urbo>f�P�RrA I., Y 4alb( E5 , N� d751-/D ARPO'semail: E-416fTTA(rARPO'sPhone#: 7! - 1))y Date: 2 -1 7-a0 a �L *waiver is valid for up to one year from ARPO's Signature* 11ECFIv Revised Ju y 2 FE° ; 4• �:i;22 DCM-MHD CITY OUTER BANKS MARINE CONSTRUCTION Tim Grimes. 252-240-2525 . Cell 252-241-6455 1501 First Avenue. Morehead City . NC 't r I \ a Six PS R J Is 4xi4 www.outerbanksmarineconstructiocom i` RECEIVED DCM-W1: