HomeMy WebLinkAbout86092D - Altobello44S CAMA ❑ DREDGE & FILL 9 86092 A s C
GPrevious permit
E N E RAL PERMIT
# Date previous permit issued
'® New [:]Modification ❑ Complete Reissue ❑ Partial Reissue U 4-1 1. ZDZZ 4Mw
As authorized by the Sta of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC ✓ t ❑ Rules attached. General Permit Rules available at the following link: www. ft.nc.gov/CAMArules
Applicant Name
City I-`
Phone If
Email
Affected ❑ cW
AEC(s): ❑ OEA
Type of Project/ Activity
M
EW iO PTA
IMA /❑� uW
PNA: ye no
Authorized Agent c- ' 1 AAr11w,
(r � Project Location (County): -64i
ZIP J7' F s-�-- Street Address/State Road/Lot #(s)
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
Subdivision
City
Adj. Wtr. Body
Closest Mal. Wtr. Body
D �r1
t (ScaIe:/�s2� �)
Shoreline Length iDo I 77��J A
Access Length�� I�
Pier(dock)length f1 v
Fixed Platform(s) IJQy / A- Sq?10
/
Floating Platform(s) k:z
Finger pier(s)
Total Platform area
Groin lengt /N
Bulkhead/ Ri ap length
Avg distance o ore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes
Moratorium: n/a yes Idepf,o
Site Photos: yes
Riparian Waiver Attached: p
A building permit/zoning permit may be required by: 15RO n-+
Permit ConditA / • — _ . -- .. A z z A
'If�
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
Application Fee(s) Chetk H/IVToney Order Issuing Date Expiration Date
1+ j`°AS'"1❑LAMA ❑ DREDGE & FILL N° 86092 A B C b
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 (% 1 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address a
City
Phone
1gCC
L-"00
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)�?G Lf.•-^
Email Subdivision ,t
r,)
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
(Scale:($ )
t
Shoreline Length
Access Length
1
#
[
7
U
Pier (dock) length
_
Fixed Platform(s) ?
i
i j
1
Floating Platfor
Finger pier(s) _
Total Platform
Groin length/#
Bulkhead/ Ripr
Avg distance of
Breakwater/Sil
Max distance/
Basin, channel
Cubic yards
Boat ramp _
Boathouse/ Bo
Beach Bulldozh
Other
SAV observed:
Moratorium:
Site Photos:
Riparian Waive
A building permit/zoning permit may be required by: , w" 1,' `,,r ,v,-
Permit Conditions
l ,.
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
See additional notes/conditions on back
i
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 Perm it,Offider's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Suzanne Altobello
321 Dogwood Lane
Hampstead NC 28443
(910) 789 - 9457
Kevin.keller604@gmail.com
Southern NC Marine
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Construction of Pier and dock
at my property located at 321 Dogwood Lane Hampstead NC 28443
in Pender __County.
l 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 In
Print or Type Name
Owner
Title
3 � t! _/--24
Date
This certification is valid through _12 __/ _ 31 / _2022
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiON/WAiVER FORM
CERTIFIED MAIL - RETURN RECEI;,T REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Suzanne Altobello
Address of Property: 321 Dogwood Lane Ham sp tead NC 28443
Mailing Address of Owner: 321 Dogwood Lane Hampstead NC 28443
Owner's email: kevin.keller604@gmaii.com Owner's Phone#: (910) 789 - 9457
Agent's Name: Southern NC Marine
Agent's Email: SouthernNCmarine@gmail.com
Agent Phone#: (910) 512 - 7647
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.
x- 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 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at (910) 796-7215. 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= O
0` (ni
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:,
Typed/Printed name of ARPO:
David Watson
Mailing Address of ARPO: 325 Dogwood Lane Hampstead NC 28443
ARPO's email: l�Qwo>�Son(�'t lw'olrl ARPO's Phone#: oiL 910- a7y -
S71+V
Date: .3 — 21 — *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
280
■ Complete Items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed to:
QC►y1 tsrl a Coy � i j� -
5�cel Nc 2gI493
X It O Agent
O Addnmaee
131.1111ac ehred by (Prjn Nerve) C. D to of ivory
11� I 3/(2
D. Is delivery address different froM,Own 1? 0 Yea
If YES, enter delivery addresabaw. Pwo
3 Service
El Priority dMail-
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Ad.` Signaturee
❑ Registered
= Ac. t S g. ature Restricted Delivery
❑ Registered Mad Restricted
9590 9402 7154 1251 7763 21
= CeK.`ied Mai:b
= Ce^..fed Lail Restricted Delivery
Delivery
❑ SignatureConf rmatlon-
I - Co aet on Delivery
❑ Signature Confirmation
-ZArtiGIe Number(TrartsW from_ se.^/Ice labe:)
— c ect o' U very Restrcted Delivery
Restricted Delivery
7021 0950 GOOD 8007
Mil Res71c't�r! Da::ery
8478
,PS
USPS TRACKING #
First -Class Mail
111
i
e & Fees Paid
LISPS
Permit No. G-10
9590 9402 7154 1251 7763 21
United States
P stal Service
• Sender: Please print your name, address, and ZIP+48 in this b
N(I / k r �L
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Date
Date
Check From
Name of
Vendor
Check
Check
Permit
Rct. #
Received
Deposited
Permit Holder
Number
amount
Number/Comments
4/5/2022
Southern NC
Altobello
First Bank
1509
$200.00
GP #86092D
JD rct.
Marine LLC
16322