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Home My WebLink About88393C - Barham, Blake & Susan Dulton❑CAMA ❑ DREDGE & FILL N9 88393 A B C D a = GPrevious permit GENERAL 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: w det.nc.gov/CAMArules Applicant Name _ Address' City Phone#O_ Email Authorized Agent Project Location (County): State ZIP " 7 (; Street Address/State Road/Lot #(s) City 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/m PNA: yes/no Type of Project/ Activity (Scales '. ) Access Length■■ Pler (dock) length J �a■■a a a•a �o ■�■ ...aa�aaaa■aaaaa■a �aHaaa a� aaaNaa��..aaaa..aalI Ion ■ Caa 111111aa Total . �� Cubic yards Beach Bulldozinga ■.��■a■■■.a■aaa■■.. �u■n■ ■a■■a■i■=a■■■�■�■■■�■■■■ . ��aa� a�aaa�aaaa�aa�aaaaaaa INE ii ON OEM �lt� ■� It"i�:■�■■■� aa�f/:� +■a a. u a. a a �� a■■■a■■ .aa ■N ONE ■a■■►1� ■�� I� �■-grin ■Other ■■■■ as®■a ■aa■■■�iia i�l■■IQ�1J■■■ ' Moratorium: n/a yes no Photos; yes no ■■� JO NN■■ ■ ■■ �fie MEN ■� ■ ii!■■■�■■■■ E■■Site ■■ A building permit/zoning permit may be required by: ❑ . TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions ❑ 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** 5ignatVre/ Application Fee(s) Check Jt/Money Order Issuing Datle Expiration date 3&0(0Af1°'N❑CAMA ❑ DREDGE & FILL GENERAL PERMIT ❑ New ❑ Modification []Complete Reissue ❑ Partial Reissue N° 88393 Previous permit Date previous permit issued A B C D 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: v v vdeg nc gov/CAMArules Applicant Name Address City State ZIP Authorized Project Location (County): 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 (Scale:; ME ®. ■.:::: .::::.�om.�:::■' . ..: mom :.:i::::.:.::i.MEN■■■ ■...::i■■■.:i.■:■ :::: :I:■:C::�:::E:::::NE: Finger pier(s) EMOS �:■:Io ::::::::::�: Total Platform area ®:■ ■■NONE ■■ ■■■■ ■■■ ■■ ■�iE �:n::�ei■::::9■■1:::■■■■.■ :::NONNI ■■IINSEE ■MIN ■:■■■�■■■■oil■■■■■■■■■■■■■■ �.:�■■No N■■■■■ ■ .!■■ i! ■... �.. w........u..r�■■■.■ .■►� NOON■....! ME ■■■a NOON■■ ■■■■■■■■■■:■■■�■■■ NOON ■■e ■ Nsoon ■ ■ ■■■■ ■ ■■ A building permit/zoning permit may be required by: Permit Conditions ❑ 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" Signat re I l >s k.I Application Feels) Check tt/Money Order Issuing Date Expiration 15ate N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL RETURN RECEIPT_REgUESTEO or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Proper , � �, 4 � {•4' "' � �` Mailing Address of Owner. �i Owner`s emaN x,'>�," ' �;. 7 r ` . Owner's Phona# if, ,_ Agent's Name: '�` l.- --�...... ._.---....—.. Agent Phone#:_._..�.� ,. Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (C ttD01 portion to b@ cam to en by tho Adjacent Propedy 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 (idescnpt(0 nr drawjno with dirriwia s m rGt orovided nth this 1@tt0[. :all 00 NOT have objections to this proposal, _ I DO have objections to this proposal. i if you have o actions 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) 5154400. 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, twat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of IT from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments). (it you wish to waive the setback, you gIiddltgn the appropriate blank below.) 100 wish to waive somelail of the 15, setback -0R- _ �. Signature olAdjacent Riparian Property Owner I do not wish to waive the 15' setback requirement initial the blank) _— t Signature of Adjacent Riparian Property Owner.„ t_ Typed/Printed name of ARPO vT 1 L.-,Kif Mailing Address of ARPO:_._...__.__.__.._........._..____�__._..___._._. _. ARPO's email: F . jWARPO's Phone#: r _`� S i"G' 1' If Date: 2,,>- }.. 'walver is valid for up to one year from ARPO's Signature' TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS Revised May 2021 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 Al Address of Property:%Cl t f� Mailing Address of Owner:SC Owner's email: gLaL ._ Owner's Phone#: t �rli J Agents Name: Agent's Email: Agent Phone#:k ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION /Rottom portion to he completed by the Adiaeent 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. I DO NOT have objections to this proposal. 1 DO have objections to this proposal. H 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) 515-5400. 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 I DO wish to waive somelall of the 15' setback f` Signature of Adjacent Ripari Property ner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Typed/Printed name of ARPO: Mailing Address of ARPO ARPO's emaiC�'v V ` r '�`cARPO's Phone#: Date: 'waiver is valid for up to one year from ARPO's Signature` TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS Revised May 2021 9vvo) v*%w vv4ow I mu 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: ✓r (} 7 J rk Address of Property: 7 L` 7 Mailing Address of Owner. 1 % J rn }r (c"✓ (�. ° ` 'S �} Z 7 f Owner's Owner's email: ��-5c.��=n�`rv�cfPhone#: 1 Agent's Name: Agent's Email: Agent Phone#: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiaeent Proper Owner) I hereby certify that t own property adjacent to the above referenced property. The individual applying for this permit has described to me, as shown on the attached draw)ng, the development they are proposing. 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 M.C. Division of Coastal Management (DCM) in writing within f0 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) 515-5400. 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 midst Sign the appropriate blank below.) f fl I DO wish to waive some/all of the 15' setback cL`/; Signature ofAdjacent Riparl Property ner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Typed/Printed name of ARPO: Mailing Address of ARPO: ((44.71 ARPO's email: wi 1I, tvr:X ;�,.{,, !-..� `�ARPO's Pnona#:.� Data: waiver is valid for up to one year from ARPO's Signature* TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS Revised May 2021 dZOZ XBW p991n08 pue !asuno0 ie6a1 VJ00 pue;}e35 W00 01 lno y0eai asea!d 'ssa0asuoilsonb mod iamsue of >pom p!m am d s!41;noge suo!;sanb due aney nod;! Bw>!oeul 041 ap!Awd pue 'wa;sds 6u! oei aui uo s, WOO o; dian!!ap;o;oad se ;no -laud 8 1 ! 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