HomeMy WebLinkAboutScoggins, Jonathan 84648CAMA❑DREDGE & FILL N° 84648 A B C D
GENERAL PERMIT Previous permit
t 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. . 0 General Permit Rules available at the following link: vmw.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot#(s)
Phone #
Email Subdivision
City ZIP
Affected . ❑ CW ❑ E W ❑ 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
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/p
Bulkhead/ Riprap length
Avg distance offshore /
J
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be re
Permit Conditions
(Swle�
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLYTO 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"
'100
Application Feels) Check q%Money Order
Signature -
Issuing Date Expiration Date
❑CAMA ❑ DREDGE & FILL N° 84648 A B C D
GENERAL PERMIT Previous 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: vvv.vvdeq.nc.gov/CAMArules
Applicant Name _
Address
City `
Phone # ( )
Email
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS
ORW: yes/no. PNA: yes/no
Type of Project/ Activity
11 ti t I irw'
Project Location (County):
Street Address/State Road/Lot #(s)
City
Adj. Wtr. Body_
Closest Maj. Wtr. Body
(Scale:'-
Access Length
Pier (dock) length
Fixed Platform(s)
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Total Platf.
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Bulkhead/ Riprap length
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SAV observed: yes no
Site Photos: yes no
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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
IAM 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••
7160
Application Feels) CheckIf/Money Order
Signature
Issuing Date
Expiration Date
A ES E
North Carolina Department of Environment and
Division of Coastal Management
Pat McCrory Braxton C. Davis
Governor Director
Date � L,"-),
Applicant Name
Mailing Address % O O N Ar �h.s�i s I�
Natural Resources
John E. Skvarla, III
Secretary
I certify that I have authorized (agent) r ' ` �i /� S to act on my behalf, for the
purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity)
at (location)
This certification is valid thru (date) �� Aj
Signature
400 Commerce Ave., Morehead City, NC 28557
Phone: 252-808-28081 FAX: 252-247-3330 Internet: www.ncooastaimanagement.net
An Equal Opportunity 1 Affirmative Action Employer
RECEIVED
MAR 29 2022
DCM-MHD CITY
NorthCarolina
Naturally
PROPERTY OWNER STATEMENT
DJACEN RIPARIA - S 's
`N��
I hereby certilY that I own Property adjacent to m Name of Property
�
( 1 a lock, Road, t ! !� No.
property located at Address, Lot, B�af�F in own an for `
on (Walerbody) (clent proposed at the above
The applicant has doscribed to me, as shown below, the developm
location. -
I have no objection to this proposal,
VELOPMEKr
Uon below or attach a site drawing)
DESCRIPTlO eAo nient r usi rll In d� RfPPOSED DE N f
(Individual proposing p _ IV ✓Ir
r1r/L
rf6o,IJ daK
r FXridr✓5
S Fria-tPr"'X
Ian
yltgjVER SECTION _ o rein must be set
pilings, breakwater, boathouse, Ilft, r 9 me. Qt you
I understand that a pier, dock, mooring p area of riparian access unless waived by
back a minimum distance °ou murom my st initi I the appropriate blankbelow.)
wish to waive the setback. Y requirement.
x I do wish to waive the 15' setback
I do not wish to waive the 15' setback requirement.e Owner Information
entProp m
(Property owner Information)
Signature
print or
e a �587
relephohhoon Number
Date
STOW Smith
Prtnt or r Type mo
1706 Wil ins_Drive—
Nlalling Address
Sanford NC 2
City/Stato/zip
919-434-7154 mobile.------�
Telephone Number
31 Jan 2022
Date
(Revised 6/181
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