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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) ■■■ n ■ ■■■■� ■�■■■■ :1 I ME■■M EME ■ 1:1ME11o..q ��■. Floating®1.1111 .■■IH■■■■■.■■.�l,�lrr■■ISEE�■1:111111®■11 ■■■E1M 11■■::E'1�■■■ ■■ ■■■ 1 ■■■■■.■■'.■■111111 no■.111®1■■I:IC' Total Platf. length/# Bulkhead/ Riprap length MOM■ N ■ ■.■n■ ■ nit■ ■■ n■ ■ ■ ■■n■ ■ ®� ■Groin ■■■■■■■nlf■�■■■Own■■■� imII CMOIII ■■■■� 1�: 1111 111 ■1■ ■■■■■ ■■f/■■n MEN ■■■■■■.■■■■ C :: :C:: 1 ■ ■■■■■O■■nf/... ■■ MIME ■■1■■■■ ..IMMESE ■ '■� u® ■'� NEON' t■1! ®® '��:1 n l'lso SAV observed: yes no Site Photos: yes no 11 SEEM 1 OM 1■■n■■■■iil■nip■■■n 1■■..■■■■ MENn■■ ■�1 ■■■n ■ 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 W .COOD r � R: bz,) W o � �� . ■ � 3 {2 ; v� vy ®c2 / _- ;rl � N \ \J LA � « A ° / ! ±; f . �\ �� � !) � \ ko )7 � � t !„ B