HomeMy WebLinkAbout86351A_Epps, Pamela_20220425-ry
COMA ❑ DREDGE & FILL NQ 86351 0 B C D
iffGENERAL PERMIT Date permitous previouspermit issued
--50New ❑ Modification ❑ Complete Reissue []Partial Partial Reissue
As authorized by die State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of anvironmental concern pursuant to:
I SA NCAC 714 ' ❑ Rules attached. ® General Permit Rules available at the folk»ving link: www deq nc g2dCAMArules
Applicant Name 1)QmLAck _ -- Authorized Agent D l t�t R &M �.-j�C- -__._......__
Address a r�Project Location (County): 0- V1nr�oar' _
City - . per r, sta.—IX _. _ zip—IISL4.S street Addrrtess/State Road/ t #(s) 1 JO �'51
Phone # ( ) ova r% or ._.. 1 � a r m' Qu�LL
Email._ M,bi nsL1 @�jct APi. _ _ subdivisio�n+ �nT'Glc'" ice`--- kVeM-�1 G ^�
City- QjAn41Y1 ZIP
Affected ❑ CW ❑ FW PTA ❑ ES PTS Adj. Wtr. Body --I
eCi M �t r e ["marJunk}
� 1 y- -
AEC(sy oEA ❑ LJ
IHA ❑ UW SPIMA PINS Closest Mal. Wtr. Body£ tTL+.r SOtw —
ORW: "SAO PNA: yes/®o
Type of Project/ Activity 40' K S I K 0' "4 f e- C..'V kl ya)
Ce-'e.-Pck n qn, a ` x 121 116ts e" [] (Q' xS' 11i' ', e. lc'Cl (Scale:I*'--5T-4 )
Shoreline Length
Access Length _ 1.Q a_ i.
Pier (dock) length_.-.1.� O. _s
Fixed Platform(s)
Floating Platform(s)t t ^� 1 t
_ i....._ r z._r. _ �_ >. r r x.. f., t G
—w :--T—�_.T._,_�+. yam.._.__-•_ _ . -. �.._ T " -a
i Finger
pier(5)
Total Platform area
Groin len gam/ ii
Bulkheads �ength ' ±3V t
Avg distance offshore
_ Breakwater/sill - a� i i i „ r _.l . i1Qi —" —r—i f -
Max distance/ length
Basin, channel
Cubic yards
F f. .4. ... r b •t \ ..14 ..
Boat ramp
Boathouse/Boatlih'`u
Beach Bulldozing
Other X't
t ,
SAV observed: yes
Moratorium: rn15. yes
Site Photos: no
Riparian Waiver Attached: no ! _:. _ . _- . _ _.. -.. _ _ I__ v: __
A building permit/zoning permit may be required bv: CKOL134.1s
Permit Conditions
TAR/PAMMEUSE/BUFFER (circle one)
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)
Brandon Mitchell L0. fe
Agent or Applicant PRINTED Name Permit 0i�cer� PRIN � 1) Name
Signature "Please read compliance statement on back of permit•• Signatur
U60. `�s�� `'° �s �3 : S51 Y /cute 'T4Zs-i22
Application Fee(s) Check N/Mo ey Order Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA EgRM! APPLICATIOfy
Name of Property Owner Requesting Permit: PaXY4 q E t' 1- S
Mailing Address: 9-12 Red C Ckle,
Phone Number:
Email Address: d -eamb1(vS;W 6�
I certify that I have authorised 0Ir e 9M ING
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Ott I i2y'1 2-
at my property located at
in _"_"_ 0 W County. 279�2-
1 furthermore certify that I am authorized to grant, and do in fact grant permission to
Division of Coastal-l:lanagement staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
a ip_ "
Signature
Pamela Epps
Print or Type Name
- -Tate._..-. -
3/16/2022
J__-_ __1.___.- -.
Date
This certification is valid through _ - f
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED IAAli, • RETURN RECEIPT REQUESTED or HAND DELIVERY
JOP portion to be completed by ot}arjer or their agent)
_y
Name of Property ovrrier: A-. I._.
A00re3s of Property: t
U� _ ___.._...._
Eti��l::ncJ A.ddt��s cif Qo•�Itcr: _,� _._ _ _-.- __-. __.._ .___ _ _..__.
Owner s emaii. de%-N\�jl s P110110.
Agent's Nanle:gJAIA`'c��V7
L'ky
Aaent's Entail
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATiON
(Bottom portion to be cornpletod by the Adiacont Proporty Ownar)
i :lr':rc'.hy crr tiFy ti1�1t � own t3rofrc�rty adjarcr:t to tttc atlovEl rr�fcrenrecf property. (hr intirviriva! appiyiny for ttus
nermit has described to nie. as shown on the attached drawing. the development they are proposing.
des4, ,�• o�; or d. avr�nq. ��ith dimension . inust he provided with this letter.
%1 q/:Wl DO NOT have oblocUons to this ro l- p posat ! 17t7 ticrvL` rahjHriruns to this t:ropoaa:
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 considerod the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
kinclerstarld that any proposed pier. dock. mooring pilings, goat ramp, breaKwater. boathouse. ir;t. o►
uroir: rr;rst Oe Set Hack a minimum distance of 15' from my area of riparian access unless waived by tre
(91,'S u0cs rlct apply to bulkheads or riprap revetments). (If you wish to waive the setback. you must sign
the amropriate blank below.)
t t) v:.sh tv viaive sonic -tali of the 15' setback
Signature 0fAd8,ceiIt RWp-a'iiniI Pt,olrE►ty 0t>rrer
i do not wish to waive the 15' sulback re4ttirerticmt (initial the blank)
Sigrlmturc .f A.c1;a(a:nt R+fj8h8n i)r0 perty
Typed/Printed name of ARPO:
Mailing Adclrpss of ARPO:
ARPO's email: C �Cou ARPO's Phonuil. a 5;J
Date. 31 .waiv" is valid for up to one year froln ARPO's SitJ naturai.
Revised .hily 2021
A
I-- — — — — —
11-1
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:
b"4t �76kAlrkn NL Dq 3Z
Mailing Address of Owner1212 lz�e-A �Q� Lan-e. -yam -Ty 1,2)0 2-5
Owners email: O& i nSY'k 0(TOwner's Phone#. L4Li J' 0Z2 ' C U
Agents Name: �( Q\6,00 ", +CAXJ k Agent Phone#: I (A `'t C�Cp
Agents Email:
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.
4)?!rl DO NOT have objections to this proposal. 100 have objections to this proposal.
1f you have objections to what is being proposed, you must notify the N.C. Division of Coasts!
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 15from 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
EM
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:
Mailing Address of ARPO:
ARPO's email: _ ARPO's Phone#:
ease Si In
Date: `waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
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189 Mayfair Dr
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