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HomeMy WebLinkAbout86289A - Cassell, Steven & Samanthac1qj ❑ DREDGE & FILL N9 86289 A. B C D 11 GENERAL PERMIT Previous permit Date previous permit issued ❑i4ew ❑ 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: www.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 ❑ EW ❑ 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 (Scale:; ) . Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) ! -•\ % is Total Platform area �,rpin length/# ! ;' \,Bulkhead/tiRiprap length i%J'5 Avg distance offshore =y + 4 Breakwater/Sill -- i Max distance/ length Basin, channel Cubic yards i Boat ramp y*. t Boathouse/ Boatlift Beach Bulldozing Other i SAV observed: yes no '` •'� Moratorium: n/a yes no Site Photos: yes no — - i Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: ❑ TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions ❑ 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 back of permit" Application Feels) Check #/Money Order Permit Officer's PRINTED Name Signature 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 �~ �eUifv-\ Sir' N Address of Property kra )s Mailing Address of Owner —� L ,,s Owner's email J kU�l assrl/f3a) d,/,%�.+, Owner's Phone# T `S �- `f 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 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. 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 arei of riparian access unless waived by me (this does not apply to bulkheads or nprap 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 setbac Signature of Adjacent Riparian Property ner -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: r ARPO's Phone#: Date: �\ ':, - , 'waiver is valid for up to one year from ARPO's Signature' Revised July 2021 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 , Qkv e Q Pcu,, ) (—",,, I ) Address of Property eel kn a }}'s Mailing Address of Owner Z"sA . c c Owner's email 93a) t Owner's Phone#: Agent's Name. Agents Email Agent Phone# ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Owner) I hereby certify that 1 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 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909, DCM representatives can also be contacted at (252) 264-3901. 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 - �— -OR- Signature of Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: c �� Q 'rc•C Mailing Address of ARPO: tt1 ARPO's email:ARPO's Phone#: - �-" 1 .c�� Date: �" \t =� waiver is valid for up to one year from ARPO's Signature" Revised July 2021 tS LAt E HeaA Currituck County GIS Data Viewer Currituck County GIS Phone: (252) 232-2034 E-mail: gis@currituckcountync.gov Addresses Communities Aydlett Barco Colnjock corolls Curritock Gibbs Woods Grandy Harbk*w Jarvisburg Knott* Island Moyock Point Harbor Poplar Branch Powelle Point Stw wboro Slgo Waterly County Boundary _.. state —county Streets Wright Memorial Bridge Major Streets —Arterlal_Princpal — Arterisl_MW —coilector_Mapr Parcel Land Hooks Parcels 171 Currituck County Aerial Photography (2021 ERed: Band_t Wreen:Band_2 Blue: EWW_3 This map should be used for general reference purposes only. Currituck County assumes no legal liability for the information shown on this map.