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HomeMy WebLinkAboutWilkerson, Troy & D Dubs Real Estate 84573C()L" CAMA ❑DREDGE & FILL N° 84573 n e D GENERAL PERMIT 'Date urev nit ,,��,,��!! Date previous permit Issued L�New ❑Modification El Complete Reissue [:]Partial Reissu As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources - Icn in an area of environmental concem pursuant to: I SA NCAC -11 1 kIDO ❑Rules attached. rr rLJ`.,.,/Genanl Permit Rules available at the following fink vvvntdgsgov/CAMsr,� Applicant Name_'( , U Q niN_f�-Authodaed Agent 1i.Q. &ff&LKho Address s ( -Vlyr i3r�1�1C.([A Project Location (County): S�A% O� City State NCB LP -16 L Strest Address/Staee RoadrLa#(s) t \\J@T:! tiei n".) Phone Email_ �A.li .CAM Subdivision tQPlr1��}t�ptilf\& nShn�c�i�n'a5rncul• coA\Cky ZIP 7-34(0 Affected ❑cw Ew PTA ES ❑pTS Adj. War. Body N 4 -IC na n/unk) AEC(s): ❑OEA ❑INA ❑UW ❑SPIMA ❑PINS Closest Maj.Wtr.Body QDJL) \mil eS ORW: ye no PNA; yye no `- y In,", 1 �/ �� Type of Protect/ Activity k r\44CA-V ri 0, bYa f a _ (Scale: k7lr> ) Shoreline Length _ j Access Length 1 ll L 1 i j!I Pier (clock) length 1 -f Fixed Platform(s), •.;.. - i -` 4 1 _ _.! Floating PlaUorm(s) i ' Finger pler(s) jit i I7 I j c g — - — 1 Total Platform area� Groin length/g /Tr_1 ulkhead IphOaplengthAvgsMoffshore i.-L- Breakwate/l Max stancece/ten h Casio. channel_' - •_� -rJ. �--i - �_ --__ I _ Cubic - -. y ' yards i- Boatramp\ �•( '' I -� !I- i t' pF `-r 1�lCu_1C�L Boathouse/Boatlift \ I _ _pl ' I I' _ I •,V„ _... .. Beach Bulldozing \ Lr 1 � Other I_ SAV observed: _ �} 5�•7� Yes no 1 �� L��tA_r`� t _� �__ i_ Moratorium: n/a es no r I r -r �- Site Photos: yews no r - - --I Riparian WaiverAttachad: r•p€5� n0 _� 1__.. _1_J_� I _------ A building permlt/roning permnitfmta'y be requiredpy: / 1 ❑ TARIPAM(NEUSFJBUFFER (circle one) Permit Conditions f1•_w 1Mt�s t"sF fltblaoar,La, 1(MY , d �t) .'ZD � Ws ttt L�) !nYUDO$Q Lt Yytt/L u,�'l�(,LOt , ❑ See note on back regarding River Basin rules �" —' ❑ See additional notes/condklons on back IAM AWARE OF STANTES,CRC RULES AND CONDITIONS THAT APPLY To T�RS PRDIECTAND REVIEWEUCOMPUA_ STATEMENT. (Please Initial) Signature "'Please read (lance statement on back of permit'" Applkadon Fee{s) Check tf/Money Order ❑DREDGE & FILL N9 84573 A B D Previous permit _ 3 GENERAL PERMIT Date previous permit issued [ slew ❑Modification ❑ Complete Reissue ❑ Partial Reissue As authorized bytheState of North Carolina, Department of Environmental Quality and the Con I Resources Commission in an area of environmental concern pursuant to: 15A NCAC byit r 1StI \ , 06 ❑ Rules; General Permit Rules available at the following link: www degnc.gov)CAMArules Applicant Name ,� � � 1 --1 Project Location (County): On nSIow City _(�CJ\i�� State --r N•C., zip a ISc>) Street Address/State Road/Lot#(s) I7JS Phone # (�" 3a I — ._)7t S Email - U�bZ);: Y�1 ,t. � . It om Subdivision �� G '�p,�yy 11L✓ niz;` t"adr\e CbaiEAN C-h0 l Chi GfYIGtA`• COMCity 4LY)eA Lt�.J� -- ZIP y Affected ❑ cW AEC(s): ❑ IDEA ORW: ve no UEW LJ PTA ❑IFIA ❑uW Type of Project/ Activity Shoreline Length f LJ Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Z Finger pier(s) PNA: Total Platform area Groin length/# � ��-t5�1 ulkhead iprap length � �� Avg distance offshore � "\�� Breakwater/Sill ~� Max distance/length \ Basin, channel Cubic yards Boat ramp Boathouse/ ft \ Beach Bulldozing \ Other NNQQ�` �ty 3 SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: D no A building permit/zoning permit may be 1 Permit Conditions 1. LIM\T7 fJl' 6 Agent or Applicant PRINTED Name 0 ES ❑ PTS Adj. Wtr. Body 1 N UAA.) K..aV f�A ynaWran/unk) ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body QQ 1. T—\�J G 1 (Scale: ) �'1 � Q�V �Ic, V.lhik�s / (WANe o Mr. VMK.tnon Qrovar� PROJECT AND ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Signature "Please read compliance statement on back of permit" Sig�.n—at�ure oo +k - !:hQ 60 21�Zz 9-1617 cJ ZZ Application Feels) Check#/Money Order Issu g Datfe lxpira6on Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Irt) k 2 r Mailing Address: -77H 0">Vn . A2!�vr NC Z75DI Phone Number: l n - 7q —16 tO A Email Address: irny. jj U b:5 e Qa)A i L C 6 M I certify that I have authorized Agent! Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located adn in County. I furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management 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: ZA Signat re rK—,qu W, I�C�,�_ �rint or Type Name Ou ex Title —t O 2 L Date This certification is valid through N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER 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: TYDi I. (Y Agent's Name: FnQ1 A Agent's Email: C OC, C Owner's Phone#: M G71LJAgent Phone#: e�i16"Jarl -0415 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adlacgnt Propety Owner) I hereby certify that I own property adjacent to the above referenced properly. The individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A NOT have objections to this proposal. I DO have objections to this proposal. N 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 Mall. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or CC groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me �ilt �ti� (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign �t the appropriate blank below.) � ' /%�A I DO wish to waive some/all of the I V setback wa{ -OR- Signature of Adjacent Riparian Property Owner I do not wish to waive the 16 setback requirement (initial the blank) �e Signature of Adjacent Riparian Property Owner: CL)0'\1 \y Typed/Printed name of ARPO: k1�rb{� Mailing Address of ARPO: _ �i) 3D �G 3 2 R nv&S V' 1' w 20 ±6 5eG ARPO's email: p1 dao� le h�llb�lly@GARPo's Phone#: _910-'1 i l 6 2C) rim Date: G��$� 22 , *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENTRIPARIAN 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: _ TLO Wi Address of Property: 8�J I &yer5j e/� Dave 5ncad5..Femr i NCo�B`��d Mailing Address �o_fOwner; I i7 L'Jel�SOh Kc� 56i Owner's email:"fYOU, d hl Il•c Owner's Phone#: ' Agent's Name; � IIG�tx AgentPhone#:JID' rl-3t75 Agent's Email:4.4 1] O r t C 0 S C G 1 G ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be oc mufaed by the Adjacent Property Owner) I hereby certify that I own property adjacent to the above referenced properly. The individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A descdotlon or drawino with dimension& must be provided with this letter. I DO NOT have objections to this proposal. I DO have objections to this proposal. If you u 'have objections to what Is being proposed, you must notify the N.C. Dtvlslon 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 1 I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or (� groin must be set back a minimum distance of 16 from my area of riparian access unless waived by me Dilt �t� (this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you must n 5t the appropriate blank below.) 100 wish to waive somelall of the 15' setba / -OR- Signature 6NWoent Riparian Proarty O ner 1 do not wish to waive the 15' setback requirement (Initial the blank) SEGO Signature of Adjacent Riparian Property Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's small: #(JC1� r/• C ayt �/ 9 S ARPO's Phone#: O Date: �3'J� 'waiver is valid for up to one year from ARPO's Signature* Revised July 2021 3 <. T`lli � �` � i c, ��� .y -�•- -�� S i -- U� �+ m .Y. ,� ,t �. �_ G �� �. �J. ��. _ fi � ;�� �_- �, �� `� i� ' � � -, k t • ..