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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 'J P� Air RAP ! a• view 11 �7 i � d e gv r. - -- I 4 . S-10$ L xJ- l u7 Caa � v�lavub� 1 r , N K.� K i ` f _ � :. _ '� y� s � �, r �t k• L ray, �a rs �j. ,,.,k 189 Mayfair Dr Google Earth -rt