HomeMy WebLinkAboutDriver, Heather 84683C❑CAMA ❑ DREDGE & FILL Nn 84683 A B"'C ;'D
GPrevious permit
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:
ISA NCAC ❑ Rules attached. ❑`General Permit Rules available at the following link: www.deq.nc.goy/CAMArules
Applicant Name Authorized Agent
Address Project Location (County)'
City t State ZIP Street Address/State Road/Lot #(s)
Phone #
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body ) - _ (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mai. Wtr. Body
ORW: yes/hod PNA: yes/no
Type of P oject/ ctivity Xa /
I Scale
Shoreline Length
Access Length l.'
-�_
-_r-_
—
--
-
Pier (dock)length
Fixed Platform(s)(
_
I
T
Floating Platfors) _
r
a
❑
�
_
,-
�-
i
(
)
�
r
Finger pier(s)m
i--
-
Total Platform area
ec.
Groin length/N
Bulkhead/ Riprap length
Avgdistance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
-
I
L
_...
-
,
_�-
f
i
I
_Y
Other—
i
7_
SAVobserved: yes no
I
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
_�
T
L
er
'
A building permit/zoning permit may be required
by
U imNrrd'prv�u..iDurrcntarae Dne)
❑ 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.
Agent or, Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit** Signature
Application Feels) Check q/Money Order Issuing Date
(Please Initial) �...;.
Exoiration Date
Aldcour" ❑LAMA ❑ DREDGE & FILL N9 84683 A B C D
Previous permit
I 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. ❑' General Permit Rules available at the following link: www.deq.nc.Roy/CAMAruIes
Applicant Name
City' State ZIP
Phone # I—)
Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Eh .... i....-1
Authorized ,agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wen Body
(Scale: )
_.
-Access Length-
_-
-
Pier(dock)length
I
(
-.
•"
,
Fixed Platforms)
Floating Platform(s)�
!
_
I
!'•
J
+tit_--
-_-
'.
-
Finger iers
g P O
-__'•
_
._—
i
I
Total Platform area
Groin length/Jt
Bulkhead/Riprap length----
I
-
---
"
rt
�-
(---
I
y
i--
-
Avg distance offshore
e
Breakwater/Sill
Max distance/ length y
Basin, channel
I
-
Cubic yards
Boat ramp
Boathouse/ Boatlift
77
j
/
'
I.J
ILL
-,
j__
E'•t
Beach Bulldozing
__..
T
Other
SAV observed: yes no - -- -
i
40
Moratorium: n/a yes no
,
Site Photos: yes no - - --
Riparian Waiver Attached: yes no
A building permit/zonin permit may be required by;
Permit Conditions
--�-—
—
tt�`� i i t
...} TAR/PAM/NEUSE/BUFFER(circle one)
- �q A rtj ❑ 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 Initial)
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on
Application Feels)
Permit Officer's PRINTED Name
ofpermit** Sig atbre-
Check ft/Money Order Issuing Date Expiration Date
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER 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:
Mailing Address of Owner:
Owner's email:
Agent's Name:
Agent's Email:
Heather Driver
115 White Ash Drive. PKS, NC 28512
115 White Ash Dr. PKS. NC 28512
heather_rn02@att.net
Owner's Phone#:
Agent
252-904-051
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 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 sian
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
No
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: `''� -��<� e-C
Typed/Printed name of ARPO: 'r fx t cheixl Far f 'li ll , />
Mailing Address of ARPO: Q, (')n1r, : , `lb (+ 1 N-�lQAJ, pic'>_ Ca:A ry i ., r $ :3 (
ARPO's email: rntP;..,;� i. v:a}�r►, ARPO's Phone#:
hYxi 4 Z.G iYl
Date:_*waiver is valid for up to one ear from ARPO's Signature*
ow �(�1f a Revised July 2021
U RFCEIVED
i
APP i 12022
DCM,MHD CITY
OUTER BANKS
MARINE CONSTRUCTION
Tim Grimes. 252-240-2525 . Cell 252-241-64.55 t _
1501 First Avenue. Morehead City . NC -
IS t A*f-- -N-4A
`ids 1-7�-Zz
www.outerbanksmarineconstruction.com
RECEIVED
APR S 1 ZOZZ
DCM-MHD CITY
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: tJCC(nLyV VVIVrII Address of Property: I I S N I lb //I 4` V t J /y ( � a q S/ z
I I.Ash S12
Mailing Address of Owner: II S V �jYl I ��y /�� N Z
I
t
Owner's email: I1QQi�1Pr_rQfZFv Quis�-90 -vast Owner's Phone#: � �
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certifythat I own property adjacentto the above referenced property. The individual applying forthis
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.
v/ 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 some/all of the 15' setback
Signature ofAdj ben Riparian Property Owner
-
OR-1 do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: /441 0'
Typed/Printed name of ARPO: 91 / —4i/r
Mailing Address of
�ARPO: / / 3!(i!( //%/ y /7 A D2 !MKS
ARPO's email: M-ul'hier 6 J��/MGM, e, ARPO's Phone#: � 25 )-)
IK
Date: -7, 11 36 7— 7,_'waiver is valid for up to one year from ARPO's Signature"
RE
Revised July I
APR 21 2022
DCM-MHO CITY
OUTER BANKS
MARINE CONSTR(7CTI0N '®
Tim Grimes. 252-240-2525 . Cell 252-241-6455--
1501 First Avenue. Morehead City. NC --
) Is w i►*- -N, -�f-»
`ids 1- Zo-22_ i
in(Co,*6,- qxElxz a(,Fio
coo -tom
www.outerbanksmarinecanstmction.com
RECEIVED
APR 21 2022
DCM-MHD CITY