HomeMy WebLinkAboutMarsh's Surf & Sea Inc. 88395C#'New
❑CAMA [IDREDGE & FILL N9 88395 A B C D
Previous permit
GENERAL PERMIT Date previous permit issued
❑ 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: w .deq.nc.gov/CAMArules
I
Applicant Name
- f; Authorized Agent i d
Address
I Project Location (County): -'•' - si'
City k
State
ZIP _ Street Address/State Road/Lot#(s)
Phone#(_)
Email
Subdivision
City ZIP
Affected ❑ CW
DEW ❑ PTA
❑ ES ❑ PTS Ad!. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA
❑ IHA ❑ UW
❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no
PNA: yes/no
Type of Project/ Activity
(Scale:' -
Access Length
Pier (dock) length
I
ISO
Fixed Platform(s)
Floating Platform(s)
ME
:E:Total
9:9:
Finger pier(s)
Platform area
Avg distance offshore
Max distance/ length ��■■
Cublcyards
:...Basin, channel
Boatra- *
milli
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■�:�O�H:
/
Div
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0
Ell
MEN
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** Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date
°`°"'° ❑CAMA [IDREDGE & FILL N9 88395 A B C p
Previous permit
G E N E RAL 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: wwwdea nc gov/CAMArules
i I
Applicant Name +, Authorized Agent
Address i Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTs Adj. Wtn Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scaler '1)
1
:■.:■::.■:�
..�a::....::�:■■
■■■ME
Floating Platform(s)NO
ME
■�.■■Ai�1:::■
■■■■■
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■
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:■■p■
■■0■■■
:N■■
■■■■■■■■■■■■■■■■■■■■■■■■■■
■
■■■■■■■
■■■■
■■H
■■■■
■■
■
Total Platform area
Groin length/#
Bulkhead/ Riprap length
MEN
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NONE
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SAV observed: yes no
n/a yes n
Site Photos: e no
■.■■.■.Moratorium:
.�..�..■■.�.
...1/■.
A building permit/zoning permit may be required
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. (Pledse Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signatu
03 U IRA, b
Application Feels) Check ft/Money Order Issuing Date Expiration Date
N.G. DIVISION OF C0A51AL mt%T" •ENT
ADJACENT RIPARIAN PROPERTY OWNER NOIFCAnrI�ANDDE�LIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
6 tv
Mailing Address of Owner:
, ¢M1ht�nk , nit f)y6,
D 3) i�
Owner's email-, #�rtwrtt�dt 06t Q�0r7f� 0wner'sPhone#:
Agents Name:
Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CEeRTIFICATION
prtv GwM
adjacent to the above referenced property. The individual applying for
I hereby certify that I own property 1 ro sin
this permit has described to mews shown on the attached drawing, the development they are R Po 9-
I .,.,.mot i. nrnvirlM with _fhii-10 L
1 DO NOT have objections to this proposal.
I DO have objections to this proposal.
17you have ab)ections to what is being proposed, you must notify the N.C. Division of Coasts!
t receipt of this notice. Correspondence should be
Management (DCM) in writing within 10 days a
mailed to 400 Commerce Ave., Morehead City. NC 28557. DCM representatives can also be
contacted at (252) atiti-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 waivedgat me
(this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you e
((L!O,w
10
ttiaappprlate blank below)'11h to waive sometall of the 15, setback 3 y` 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:{
TypedlPrinted name of ARPO:
5(k5 kn La rn{�
Mailing Address of ARPO:
,•
Date:
ARPO's Phone#:
'waiver is valid for up to one year from ARPO's Signature'
TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION b WAIVER FORMS
Revised May 202f
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTtFICATIONANAIVER FORM
CERTIFIEp MAIL RETURN RECEIPT REQtJEL
(Top portion to be completed by owner or their agent)
1
Name of Property Owner r "
Address of Property.
Mailing Address of Owner
owner's, Phone#.
Owner's email.
Agent Pbone#:
Agents Name:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION )
I hereby certify that I own property adjacent to the above referenced propertY=hein vidual applying for
this permit has described to mews shown on rhea tt ovheddrawing,
ra teltdY i g, the development they are proposing.
I DO have objections to this proposal.
zf i p0 NOT have objections to this proposal.
tal
t ou have objections writingat is being propose , you must notify wr'th n 10 days of receipt of this nodes. Corresponden a sho dsbe
mManagement (D )
matted to 400 Commerce Ave., Morehead CO, NG 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
areav f riparian
warvaccess
h esunless
setback, waivedyou by Sie
(this does not apply to bulkheads or nprap revetments). ( y
the appropriate blank below.)
I DO wish to waive sometall of the /5' setback
Signature of Wcen Rt paean 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:
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: —.—*waiver *waiver is valid for up to one year from ARPO's Signature'
TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS
Revised May 2021
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