HomeMy WebLinkAboutHolman, Robert 84649CcourN41CAMA ❑ D EDGE & FPLL 9 R4h49 A B tn; D
GENERA. PERMIT Previous permit
®ate 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 QT Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
City C i-oL KtoW
Phone #
Email
Affected ❑ CW
AEC(s): ❑1OEA
ORW: vesto\/
NJ= Authorized !{gent
� / . t l l J Project Location (County):
y (� Zip Street Address/State Road/Lot #(s)
l
NtW �nPTA
❑IfIA ❑UW
PNA: yes/(io?
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
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
< e
P
:-t(Scale� ,4 )
a1Ax
-
SAV observed: yes('noi
Moratorium: n/a yes
Site Photos: yes fnq
Riparian Waiver Attached: < es no
A building permit/zoning erm' may be required by: Ec `fbj)� / �j o f�
Permit Conditions 44 J 4
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF TATUTES, CRC RULES 8VD CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMP IANCE STATEMENT. (Please Initia
/�, /7 - 71 t f ra r'\ fl,t; fl.mil
D Name Permit Officer's
Signa a **Please redo
mpliance statement on back of permit** Signa re
Application Feels) Check #/Money Order Issufng Daye Expi/atiold Date
CAMA ❑ DREDGE & FILL N9 84649 A B � D
GENE PERMIT Previous permit
Date previous permit issued
�G
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 7 " 102
C':J ❑ Rules attached. r General Permit Rules available at the following link: www dea nc eov/CAMArules
City
Phone # ( )
Email
Affected ❑CW
AEC(s): ❑ OEA
NLW �JPTA
❑IHA ❑UW
PNA: yes/0,
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/q
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAv observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoningA
yes
Sn
yes
yes
es no
CRC
ZIP
❑ ES ❑ PTS
❑SPIMA ❑PWS
Authorized Agent 1T1/�' V(
1.
/ Project Location (County): —4Po�[1�../J—�
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body R
Closest Mal. Wtr. Body C/ 0(7 V 6-
Fsae- F11all't .1:3i PS
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
STATEMENT. Please Initiax
/, c
Slgnat({te� -Please read.¢ompliance statement on back of permiN' // i / Signa re
I A / �.�5� (/1-l/f,i 3 r
Application Feels) Check ft Money Order Issuring Dade
AA ❑DREDGE & FILL J � N9 84649 A B � D
Previous perm
3 GENERAL PERMIT Date pre io sipermitissued
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 0 � ' I `� "ti ❑ Rules attached. 10 General Permit Rules available at the following link: wwwdcq nc gov&AMArules
Type of Project/ Activity
Shoreline Length N 1 V
Access Length
Pier (dock) length
Fixed Platforms)
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
Closest Maj. Wtr. Body
e Avow;► �j VJAb W-V+1.n3 a
g A /l
SAV observed: yes
Moratorium: n/a yes
Site Photos: yes n
Riparian Waiver Attached: io no �/1
A building permit/zoning er . may be required by: Pc I I 'ice 0� I, � s
Permit Conditions A�/ A
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
AND REVIEWED COMP IANCE STATEMENT. Please Initial)
�Q �'A n n e-
Permit Officer's PRINTEDName A /�
Signay(ftf *PI_ease rempliance statement on back of permit••
elrl
Ap "ation Feels) Check # oney Order
Name of Property Owner Requesting Permit: `f[ a b4-0 90 µaJ
Mailing Address:
Phone Number:
Email Address:
1 certify that I have authorized
ll2 Ail-borvi+xa--by-,
1.
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development S �' $ �` f'i ooT,^, G
'jfoGl< pro '31r/D' 1�1v61-.ey rj2ah10
at my property located at /l Ak /3o,¢yr7-A O 'DA/L4 SNa�FS,
in US ftTERf-T County.
t furtitemron; certify -that I am authorized to grant, and do in fad grant permission to
Division of Coastal Management s(afi, the Local Officer and their agents to enter
on the aforementioned lands in connection ';; eveluaBng information related to M
hermit appf►cation.
Property Owner Information:
0W1V (- G
TH/e
J 2Zt2627
Date
This certification is valid through SJ 27 I ZozZ
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER AOTiRCATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIV
(TOP Portion to be completed by owner or their agent)
Name of Property
Owner
Address of Property
ala'A- 9-0IMOU)
- P K S� N C 2-8.5 !a
MaRV Address of OwW. S^fie, " A"Ve�
Owners emaih ,,fN%rn r awAt0ACMAw owners PlwneB: % ` f ?,32
Agent's Name: NNyw `.lam Agent Most ZS 2 -665 `%378
Agerd's Emal'
Goµ,
ADJACENT RIPARIAN PROPERTY OWNER'S CERTFICATION'
(BottornPortion to be comaMbed by the Adlecant Prooeft Ownsrl
I hereby certify that I own property adjacent to the above referenced property. The individual appyiM for this
panne has desatbed to me, as shown on the attached drawing, the development they are proposing. A
d xidion or dmwko, with dimenslona, must he provided with this leer.
I DO NOT have objeMM to this proposal I DO have objections to this proposal.
# you haw Objections to what is bafny pmpo o4 you must notify the N.C. DhIslon of Coastal
A11VUq Wd MM In wfM w wffbhr 18 drays of rom" o/ thls nofte. Correspondence should be
ma0edtolooCommarceAw.,MWWn dCNy,MCM 5U.DCMmpf dvwcanalsobocw*dad
at (25V 8M2Mf: No response Is consideredbo sane as no objection Yyou haw bean nooiw by
Car/ Ab&
WAVER SECTION
I understand that any proposed:pier, dock, rtaodng pimps, boat ramp. breakwater, boathouse. itt, or
groin mpg be set beck a ffkdmm distance of 15' from my area of riparian access unless walved by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive; the setback, you �jgp
the appropriate Wank bebw)
I do not wish to waive the 19 setback requitement (initial the Me*
SWatur'e of Adjacent Riparian Property owner.
Typeffrinted name otARPo T," guc1<7-MO L
Malkw Address of ARPO: AMojeLen iyE P)Zi✓r 7e-ct ,watt 5Nvgw Ax
ARPO's amaik ARPO's Phonef gig - 900 - /% 311 ,
Date: 3- 26 '?.a ZZ yirahrar Is valid for up to ores year from ARPO's Swurkw
Revised May 2M
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(84ftorn portion to be completed by the Adlacent PropertV Own*
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 1 DO NOT have objections to this proposal. 1 DO have objections to this proposal.
e you nave ot>tecuons to what Is being proposed, you must notify me N.(;. MWOn or coasts►
Management (DCQ In wr►ft within 10 days of receipt of this no*& Correspondence should be
maned to 400 Commerce Ave., Morehead City, MC 26W. ACM representadves can also be contacted
at (252) W&2W& No response Is considered the same as no objection N you hays been noWled by
CerdRed Man.
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 ak,ess unless waived by me
(this does riot apply In bulkheads or riprap revetments). (if you wish to waive the setback, you must slan
the appropriate blank below.) n
I DO wish to waive some/all of the IF setback tx
Signs re Adjacent R4parien Properly Owner
-0R-
1 do not wish to waive the 1S setback requirement (Initial the blank)
Signalise of Adjacent Riparian Properly Owner.
TypedWntat name of ARPO: SLoT T P Wp 1;lAc l N/ <1<5
Mailing Address ofARPO: //o o4,?6oAvrrArF aeiZ f a4- /a'ocGSArS Rl /vr-
ARPO's email: ARPC's Phonat: 94- V0 - 7 ,/-796
Data. 3 26 - ZOZZ %valym is valid for up to one year from ARM* StgnatuW
Revised May 2021
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