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HomeMy WebLinkAboutJackson, JC 84614CPrevious permit Qaywarr41&IMCAMA 2DREDGE & FILL NO 84614 A B C 'D 3 GENERAL PERMIT Date previous permitissued .F]New []Modification []Complete Reissue [-]Partial Reissue As authorized by the /Stt1ate of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC 0 :1'f , �� ❑ Rules attached. /`t General Permit Rules available at the following link: www.c1eq.nc.goy/CAMAnuIes Applicant Name Address '12 ? ? alt City ,'+. A. '% State \/�� ZIP Phone # ( )'.. •�� Email Affected ❑ cW ❑ E W ❑ PTA - Q S" ❑ Prs AEC(s): ❑OEA ❑IRA ❑UW SPIMA ❑PWS ORW: yes/no PNA:yes/no j Type of Project/ Activity { > Authorized Agent V NI ( V Project Location (County): Street Address/State Road/Lot #(s) Subdivision City i, e .k;V _O{ _, .. ZIP Adj. Wtr. Body ( Closest Maj. Wtr. Body Floating Platform(s) Finger pler(s) Groin length/# Bulkhead/ Rprap length dist ance offshore Breakwater/Sill Other MEN ■ ■ �C. ► ■i ■i p .0 ■n■ ...0 ■i■■■■ .. ■Avg . ME ME ME ME NONE ii■■■ ■■■i■■ii■■e ■.....■.loom ■. SAV observed: yes no Moratorium: n/a yes Site Photos: yes no .Riparian Waiver Attached: yes no M �.► ME ■.:�.� 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 lease Initial) Agent or Applicant PRINTED Name 1 Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** // Sig Ire/ {y ~' l �tr `�/ Application Feels) Check N/Money Order Issuing Date EzplratJ Date 000"r4 pCAMA R, DREDGE & FILL N9 84614 A B C is Previous permit sa . 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: I SA NCAC ❑Rules attached. ii General Permit Rules available at the following link: wwwdec.nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot#(s) Phone # (_ ) Email Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑OEA ❑IHA ❑UW ORW: yes/no PNA: yes/no Type of Project/ Activity 11 ES ❑ PTS ❑SPIMA ❑PWS Subdivision City Adj. Wtr. Body Closest Mal. Wtr. Body . Access Length Pier (dock) lengthFixed Platform(s) MEMO ■■■■� 1,,■■0� ��■■■■■��■■■�ii■®O■ �.■■ 111 ::.�■ ■il�■■111■1 o■■■■■■■ MEM■■■■■■■■■N■■■■■■■■N■ CME IS 5.11111N �Is:::: C �C' TotalPlatform... Bulkhead/ Riprap length Avg clist ance offshore ■■■■■/■■M�r■■k�7■■■■Ip71�'■■■■ ■■■■■■■■■■ 8 ■■ ■■l ■■■■ ■■■ ■■■■■■■■■■■■ A■■� ��■■■ ■■■ ■■■ '■■il ■ ��■. ■■�i iC ■ Gii■■.�■� ■■.�'IME ■� '•:� ■i �■■■ I all ICE''�. ■M s i .1��':�sa■ � ■■®E ■ 0CCM�C .CC::C:CCC:� so on� No 0 i■iiiiii�iM ■ ■■■■■■■.■.■■■■■�■■■� OEM O■tf■■■�■■■■■■ SEEM MEN A building permit/zoning perm!): may be required by: I Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back r� I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. Agent or Applicant PRINTED Name l�' Permit Officer's PRINTED Name, I Ii 2 Signature "Please read compliance statemj�nt on back of permit' Sig rrr� j IL s� Application Feels) Check N/Money Order Issuing D to /C Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: /V� 1� 11 OL6kDV) Mailing Address: �SC t LP1 gear art t AlC a��« Phone Number: oZ S oZ ' is 3 (P 7 91 Email Address: t(�fdl� ��JJ� C I aCr1 , iivvl I certify that I have authorized R I C�afar 1 a�/�ot' Agent / Contrbctor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development rlPf-&D PIVeMM f , A at my property located at 3 a in Aj-rf- � County. dock r fPatVrs4 hood 14� 10144I)4� Lh 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. Prope4 Owner Information: I C Sjnature / JerenV L ('■�)Pnrriint or Type Name Title I I t Date This certification is valid through 4 I (4 1 ,to 13 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: �11C A AC VSO V\ n I - Address of Property: Jna 1 /,A't L oLx t I� (w4 Vi Mailing Address of Owner: 6 0.1 Seel L avle- �/j Owner's email: jfr<T 1C,14C�ksuA Owner's Phone#: r gS a-�3(P' 70C % Agent's Name: Agent's Email: Agent Phone#: 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 proposea, you musr norny me im- urvramn vi a uaaim 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 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 sometall of the 15' setback Signature of Adjacent Riparian Property Owner MR I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: 3tl/? ✓1 2f Mailing Address of ARPO: d 1 "r Q�S{ LQ N/C� ARPO's email: �4O*4 ?,112 l,M ARPO's Phone#: Date: �� *waiver is valid for up to one year from ARPO's Signature* 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 b/e� completed by owner or their agent) Name of Property Owner: V ^^C J A C vsov% Address of Property: A 64 stq LNv1C f B&A-A4A Mailing Address of Owner: a 3 3 C At 5 c jtgn t Owner's email:gl frCMiQ C Soh•Co Owner's Phone#: Agent's Name: Agent's Email: Agent 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 proposea, you musr noury me rv.�. ummiun yr i,vaaaat 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 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 sometall of the 15' setback Signature of Adjacent Riparian Property Owner KOM I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: 11 Typed/Printed name of ARPO: yPlil N ( ek W/Q Mailing Address of ARPO: I 4 4st`' 1. A A e ARPO's email: ARPO's Phone#: Date: *waiver is valid for up to one year from ARPO's Signature* Revised May 2021 Project Description: All rotted boards will be replaced on existing dock. The pilings closest to the shoreline will be replaced. Riprap will be placed under the dock at the shore- line, extending out a short distance on either side. A boat lift will be added on the north end of the dock, on existing pilings. New Hf ,,, e i 10 ftdeep II Core Creek 3 Property of: i Ann Kirkbridge M oi- CD CDI Applicant: Jeremy Jackson 321 Gatsey Lane Property of: Paul Schwartz 1