HomeMy WebLinkAbout84528C - Lamanna, Ann�'"� NCAMA ❑ DREDGE & FILL
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®New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
No 84528 A
Previous permit
Date previous permit issued r
B & D
As authorized
zby7the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC t) T lei 1200 ❑ Rules attached. N General Permit Rules available at the follovnng link: w .deq.m.gov/CAMArules
Applicant Name /`tf"/t",'��t��.fl/�IRt',vrvf ��.�^ .p-�/�
Address �64 ("= il�lillCT� 12—, ���g���q
city �Ndas 6D?' '�ry/yS�ttate /V% zIPkj*�'W
Phone # (II (D) `Dq — (*ivl Y
Email AMNINNILC LN(V %MAIL r %w
Authorized Agent 6 VNItl1 Af/14LIU " LJVIV)1 [' VVf NJM
Project Location (County): mj-01.0
Street Address/State Road/Lot #(s) 4A a LLi
City _S4(l & zip ti 6
Affected cW
EW
PTA
� ES
❑ PTS Adj. War. Body f l%w�'ri).D t.Y.a"y— Oat man/unk)
AEC(s): IDEA
IHA
❑SPIMA
r yyam�,,
❑PWS Closest Maj. Wtr. Body CeiMWLLL I� &J
ORW: yet-)
PNAivef/no
��`'��❑UW
Type ofProject/ Activity FO-OF050)
SxIfA'
Ftet
WtTF( A 12,12f Vj1VPb 10t1e2f='D P11T(7aw t cY)Z
(O,))L}7tLdL%;'i)
F�)%D
AA17 A
WX)I ST 4''fk)l/N (%l)LL.0 RAIN 111,4(Scale:Af�j )
Shoreline Length
Access Length _
Pier (dock) length
Fixed Platforms)
Floating Platform(s) r
Finger pier(s)
Total Platform area 2Q lky
Groin length/# e
Bulkhead/ Riprap length i
Avg distance offshore
Breakwater/Sill
Max distance/ length l
Basin, channel i
Cubic yards
Boat ramp e'
Boathous oa ' ) ?CI31
Beach Bulldozing i
Other 4
SAV observed: yes
Moratorium: n/a yes
9
Site Photos:
Riparian Waiver Attached: yes>
no
A building
Permit Cc
IAM
Ll�
ggpl>♦bx5 1
WNW
L
i
may be required by:
Name
G
"T Po'
P�P g
1
LMuA+J !VA
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature'"Pie ad compliance statement on back of permit"" n Signature L' 1 y,
N4, 1-75-2 Z 5Z -
Application Fee(s) eck # 1oney Order Issuing Date Expiration Date
'0Aotwtt NCAMA [IDREDGE & FILL
3 GENERAL PERMIT
fg New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N9 84528 A B CD D
Previous permit '
Date previous permit issued r
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 T I �ZPiCi ❑Rules attached. ®General Permit Rules available at the following link: www deq c gov/CAMArules
State f `Z ZIP
Authorized Agent r-001I IVAAOl COOS 1`9 "JoN
Project Location (County): i1t)OL61?J
Street Address/State Road/Lot#(s) SA aJQ
Subdivision '
City s4u&i ZIP �'�6
Affected CW EW ,PTA rZES ❑PTS Adj. Wtr. Body FVL� 1R)L &— (9man/unk)
AEC(s): �OEA IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body (,14AbUJI qM
ORW: yesb A @e/no
/no
Type of Project/Activity R-OPOSL) S X1IV Viet- W(TN A 12rx12) V VI1b aVeAk-0 PUTEOLM . V VW
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s),
Floating Platform(s) l
Finger pier(s)
Total Platform area VQ It
Groin length/M e
Bulkhead/Riprap length i
Avg distance offshore
Breakwater/Sill Z
Max distance/length
Basin, channel i
Cubic yards l
Boat ramp l
Boathous a 15VI3`
Beach Bulldozing
Other /'
W
%V
Be0fNA�
wxveb
SAV observed: yes
Moratorium: n/a yes
Site Photos: 9
Riparian Waiver Attached: ye no
A building permit/yz,�p��i{ng grmitt be required by:
Permit Conditions\'JI 4)� 1� k Ao(Fil
APPLY TO THIS PROJECT
"Qi}12 i 5 71Pi oA)
Agent or Applicant PRINTED Name
Ik)wA) VVI210 YV iFt9f-," WITR (Scale:vlfl� )
Duw�
640 (WAY Ym6 D2
LJhu NA
\0
lAl
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature'"Please read compliance statement on back of permit" Signature C" — /
`Z00 m � q45 I -Z5-p 2 j Z
Application Feels) eck q oney Order Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Ann La fyI Qnn(l
Mailing Address:
50 (,hodwic.k Lrff
---T� - -
Phone Number: 2/0 -1 j 6 4- y ri i cl
U a+.
I certify that I have authorized
Agent /
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in. lh; C U) county.
eaaj
nn��lft,�Fr�h c���tnin�t S{cr�io
J 4- /,1d3
e-r^
I flrrthermore 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.
Signature
.�� �.�, Mil ►�1�� --
Print orPrint � Name
Title
Date
This certification is valid through
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: 11 I 1 f �Cil� 11G
Address of Property:
Mailing Address of Owner: �C11�1 L cn
Owner's email: Qnn,` kiCI n /Ugliyid. 6wner's Phone#: g(4o- r%D1- �gg 11
Agent's Name: �Cij�� Mnrinf CnlA Agent Phone#: (IIo'-' q—O`4il"-)c`
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
Q\ 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.
1\\R
VL %& 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 noury me n.c. urwsion or 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) 808-2808. No response Is considered the same as no objection if you have been notified by
Certified Mall.
466
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
Signature of Adjacent Riparian Property Owner
-OR-
k I do not wish to waive the 15' setback requirement (initial the blank)
\t \� Signature of Adjacent Riparian Property Owner: J\,q � �A - �
l b � Typed/Printed name of ARPO: Put 0E - 3 a s
k C t Mailing Address ofARPO: SG s CWAD) ,ACy- �ti4tT 3 Soicf,k6 `�4-1 t�L
ARPO's email: brute rJht\xvr5(2) ARPO's Phone#: `W`L ^ f"7
ya ea . Cmw"
Date: t ' % LL "waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
N.C. OpmmN OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION
(Top portion to be completed by owner or their agent)
Name of properly Owner..
Addjeas of Property:
Mali V Address of owner:PAM
J�CIll)) e
! Ir 11 ! t
c
IYu. A el f�._t�AaJ1T- + lr
ADJACENT RIPARIAN PROPERTY OWNER'S
FORM
oar* that 1 own property adjecentto the above referenced property. The individual appiy'm9 for this
as described to me, as shown on the attached drawing, the development they are proposing. A
100 NOT have objections to this proposal 100 have objections to this proposal.
Afaimuemera (ocm) in w►iang wfthin 10 days of receipt of this notice Correspondence should be
malted to 400 Commerce Ave., Mom%W City, NC 2MW- WN re mmenft hrea can also be rrorrmcted
`t 104 808.2M. No response is considered the same as r o objection 11you have freer nMW by
q mall.
WAIVER SECTION
i urldersbM that any proposed plat, dock, mooring pilings, boat ramp, breakwater, boathouse, lit, or
\ g must be aet book a minimum distance of 15' from my area of riparian access unless waived by me
does not apply to bulkheads or dprap revetments). (If you wish to wake the setback, you mtot son
th appropriate blank below.)
Gf �\ j 1 1 wish to waive some/all of the 15 tutbadk
Signettms of Adjacent M ben Property owner
1 d}+not wish to waive the I& setback requirement (initial iqe blank)
of Adjacent Riparian Property Owner:
66
TypsdlPrbttad name of ARPO:��-
Matling Address of ARPO: 3 �' r� �' '� �Ac�— C.� v r�.. NC, 2-11e�
y
ARPO's email: }2g�a Sicresd_ rb_y_a�_t akv� ARPO's Phone#: `t\`\-°\A'S- (pWo
Date: 1 • to • zti �*walver Is valid for up to one year from ARPG's 818nature'
Revised July 2021
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