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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