HomeMy WebLinkAbout87325C - Johnson, WinifredN❑CAMA ❑ DREDGE & FILL
N9 87325
A B C D
a°
3 GENERAL PERMIT
Previous permit
3
Date previous permit issued
New ❑ Modification ❑ Complete Reissue
❑ Partial Reissue
As authorized, yihl )taT of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
�
M
I SA NCAC r ❑ Rules attached.
General Permit Rules available at the following link: wwwdeq
ncgov/CAMArules
Applicant Nfme
Authorized Agent
/
Address
r—.
Project Location (County):
City State i (i 1. ZIP
Strjet A�dress/State Road/Lot #(s)
Phone #
Email
Subdivisio,
City vv, ZIP
Affected \[�CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Adj. Wtr. Body It
(hat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
Closest Maj. Won Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(
f
(Staley
Access Length—
T
I
Pier (dock) length
_
Fixed Platform(s) .�RN
t
Floating Platform(s)
I
Finger pier(s)
Total Platform area
i
7-
Groin length/fl
_
Bulkhead/ Riprap length___
'
Avg distance offshore :—
^
f
-
L
Breakwater/Sill
Max distance/length
I 4j
—
--
Basin, channel
Cubicyards
- .
Boat ramp
Boathouse/ Boa[lift
n
Beach Bulldozing
Other
I
I
SAV observed: es no
y
—
L
—
Moratorium: n/a yes no
—
I
Site Photos: yes no -
i --H
Rinarian Wzivcr Attached vet no
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 THATAPPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)_
i
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
r,
N"
Signature —Please read compliance statement on back of permit"
Application Feels) Check M/Money Order
Signature
li }(k
Issuing Date Expi anon EUe
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330
(Serves: Carteret, Craven —south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021
❑LAMA ❑ DREDGE & FILL NU 87325 A B C D
Previous permit
s 3 GENERAL PERMIT Date previous permit issued - - - --
❑Nevv ❑ 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: wwwdeg nc yov/CAMArules
Applicant Name _
Address
City
Phone #
Email
Authorized ,Agent
Project Location (County):
State ZIP Street Address/State Road/Lot
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑MA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Access Length -
-
-
Pier (dock)length s-
Fined Platform(s)
-
Floating Platform(s)
!
'
Finger pier(s)
-
Total Platform area
Groin length/N-
--i-
---
__
--
-
---
Bulkhead/Riprap length -—�
Avg distance offshore
Breakwater/Sill
Max distance/lengthl.
,•
I
/'
Basin, channel
t••--1`--
L.
7111iCubic
yardsBoat
-
-.
-
ramp
Boathouse/Boatlih
,'
r
Beach Bulldozing ....- '--
I
r%
Other
-
-
SAV observed: yes no
-
..
Moratorium: n/a yes no
(-
-�
-
Site Photos: yes no
-
-
-
-
---
Rioarian Waiver Attached: ves no
:
_
--.
A building permit/zoning permit may be required by:
Permit Conditions
g
❑ 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
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature' -Please read compliance statement on back of permit-* Signature
I,
Application Feels) Check#/Money Order Issuing Date ' Expi anon ate
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development Is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax:910-395-3964
(Serves: Brunswick, New Hanover and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021
AGENT AUTHORIZATION FOR CAMA PERMIT APP�ION
Name of Property Owner Requesting Permit: --
Mailing Address:
Phone Number: q t 2.41-7
Email Address:'2 223Q �a� n`a
I certify that I have authorized Agent/Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: (ooX G t (fifer^ w
V X loy -T "
at my property located at 1-711 � ?q 1, n
in a i f e County.
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.
Property Own nform 'on:
Signature
Print or Type Name
Title
l 3 1 1>ZZ
Date
This certification is valid through
p C4�
ReCBII/eA
APp 05 2)22
CC'W A4H® CITY
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:
Address of Property: 11 ly _ 11 1 1 � Z4
Mailing Address of Owner: (� 1 1 � Lot-3 Z ✓` °^ J P� (T i i J L
Owners email: (cpOwner's Phone#:
Agent's Name: n G`- Agent Phone#: n Gc—
Agent's Email: I i G--
NTRt OWNER'S CERTI
(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 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) 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 somelall of the 15' setback
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: .
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email: iV,/nC• ARPO's Phonem Z91 �y�9
Gd r"/
Date: 3 -Z (�. 2�_*waiver is valid for up to one year from ARPO's Sic�'1i mmvrr
Revised May 2021
hpl, (�, !i 'r,,
�ull
u
O
X
F
N.C, DIVISION OF COASTAL (MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONtWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HANG DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Winifred O. Johnson
Address of Property: 1711 Hwy 24, Newport, NC 28570
Mailing Address of owner: 1711 Hwy 24, Newport, NC 28570
Owner's email: pie223@uhotmail.com Owner's Phone#: 919-417.0517
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 t16 provided wikh this jette!.
X 100 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 N.G. Division of Coastal
Management (OCM) 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 15from 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
-OR- RECEIVE.ID
I do not wish to waive the 15' setback requirement
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: '''
Mailing Address of ARPO,
ARPO's email: xwi.[gkQ
APR d 5 '1..UTZ
DCM-MHD CITY
Phone#: �i�Z -,�577 fdc)()
'waiver is valid for up to one year from ARPO's Signature`
Revised July 2021
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