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HomeMy WebLinkAbout84575C - Salyers, Michelle❑LAMA ❑DREDGE & FILL N9 84575 A B C D GENERAL PERMIT Previous permit 7 Date previous permit issued ' I"1 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: 15A NCAC ❑ Rules attached. General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArulees Applicant Name Ile /% `/: Authorized Agent //' /�///Xlr. Address " 1 i l l 1�/ _ Project Location (County): City State Cl1/ ZIP '/' JG�J',� Street Address/State Road/Lot Phone # Email // - D 6 Subdivision City ZIP Affected FICW DEW PTA BES ❑PITS Adj. Wtr. Body /-- /��'�<� (naUman/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Won. Body ORW:I es o PNA yes no rype of Project/ Activity �) / X / (Scale: ) chn Hnn I nnm6 Access Length Pier (dock) length ) \t Fixed Platform(s) / `. I —{ Floating Platform(s) "' i Finger pier(s) / , Total Platform area )4. L - Groin length/h I s Bulkhead/ Ripraplength x t' Avg distance offshore Breakwater/Sill- Max distance/ length Basin, channel —.)Boat Cubic yards ramp Boathouse/ Boatlift Beach Bulldozing - -�-- — - — ry-- —(•— ��{ .— �— -� - - Other l _L SAV observed: yes no — n/a yes no 4�k _Moratorium: -#-- j'' I - l ) \\7 I' iSite j Photos: yes no --a_ _ —1— �. .� _ __ -Its\ _ Riparian Waiver Attached: ,yes no A building permit/zoning permit may be required 6y: ❑TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions l (Ittx tq vr� l;�.i -1171 S i>t'r �i ii f'or i-Iun of ❑ See note on back regarding River Basin rules Ik_4 I)V4i �lI/tl{✓tt Uyy li i'.It i, hO,)JI �>llA0 Le d'(�7 �,�I'.1 _ �If tl(.(l. ❑ See additional notes/conditions on back Vl �r-�i ,�rtlL ins I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) A t % r r Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature Signature**Please read compliance statement on back of permit" Application Feels) Check II/Money Order Issuingba) a ExpirAon Date 1*0te"r',IL ❑LAMA ElDREDGE & FILL: NO 84575 A B c D iaRN aff GENERAL PERMIT Previous permit Date previous permit issued i F71New ❑ Modification []Complete Reissue ❑ Partial Reissue i 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: j I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq c gov/CAMAmIes Applicant Name i Authorized Agent Address City Phone # (;) Email State - ZIP " Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑OEA ❑IHA ❑UW ORW:yes/no PNPu yes/no Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area—! Groin length/R Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required b Permit Conditions ES ❑ PTs ❑SPIMA ❑PWS Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Adj. Wtr. Body Closest Mal. Wtr. Body (Scale: ) Y ❑ TAR/PAM/NEUSE/BUFFER (circle one) I, 1 ❑ 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 (Please Initial) _ Signature**Please read compliance statement on back of permit** Signature Application Feels) Check p/Money Order Issuing �batei Expiration Dati S 0(OAS)w N9 8451.0 A B @ D �CAMA ❑ DREDGE &FILL Previous permit 3 GENERAL PERMIT Date previous permit issued PNew [❑Modification ❑Complete Reissue -❑Partial Reissue - - -_-_ As authorized bbyyt ' (,the State otf�TNorth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 1 I SA NCAC L t � (X) ❑ Rules attached. 'K General Permit Rules available at following link: Ww wR=� nr aov/CAMArules Applicant NameV't t-Vr�t7 f•I/i V.�(7uM.YA Address :�%yC City iA)t(.�t jAlGJru State W— 71P Phone # Email(�L iL'rjt WtP '1( 'lsr 4[d F�If�QI � (F�'11 Authorized Agent Project Location (Canty): C`tr Street Address/State Road/Lot#(s) L, ��tnfi7 ��1,40D ix City Affected [yjcW MEW �Q PTA AES ❑ PTS Adj. Wtr. Body 5TVA 9 yNVp (nat(91unk) AEC(s): ❑OEA 61HA ❑UW ❑SPIMA ❑PINS Closest Mal. Wtr. Body ?tWW _--....----- ORWA/no PNApna Type of Project/ Activity 12'Kiy iyt W'b Pj'Aqaj( AT -tf4e 1'0(S or- A JI X1CV Pia f� (Scale:P T5 ) Shoreline Length _ Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger piers) Total Platform area Groin length/# Bulkhead/ Riprap length / Avg distance offshore Breakwater/Sill / Max distance/ length Basin, channel Cubic yards / Boat ramp Boathouse/Boatlift / Beach Bulldozing 1 Other i SAV observed: yes Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: It es L` permit may be required by: 609WW 60—V r N — A building Permit Co l� I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAI APPLY to I nm rnun Agent or Applicant PRINTED Name 'Signature`t __._ -*Please read compliance statement on back of permit! ��R Signatt 2-00 60 _ __.. Application Feels) ec # Money Order Issuing TARIPAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Initial) ki-.,,_:.._.. ._ PRopeex a J. cARLiov HawaRD 3601 bLGIJO GR. NOp1H TWBIIL BFAGN. NL Y.tO MMP S ND APPRox. Is' ware¢ DEPi11. nLw 1M M.IG NON+L WAY ARE arcs¢. ow. - dLL PILIIMB T^ BE ME TO BE 0' Wff PILMfiO. - I BIRD. T. i. BE (L MW WIM (J N0' BOLiO EdCH. - d X118T0 TO EE T. . b' ... - dLL PECK GO1RL0 O BE Ma. RIM FOR DENNIS . MICHELLE 54YMS % b ISLAND DR. NORTH TOPSAIL BEACH, NC ]8KO SITE PLAN: 1" • BO' PROP6YrT of Jdl'IE1 b1RKM YLDI NORa rOPaAIL BEAcu, Nc rasD AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �IGNLLL L Mailing Address: 3p4 PM-Ar . �'royl-E-m , n4 ��Co3g Phone Number: Email Address: I certify that I have authorized to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 5 'X /70 iC�L 2 Pvirz/ '4 12 " i2 P6,4D at my property located at 96 05-1'SLAn/D Gil / &,-,z� /11--54iL / in Oiy5Le)k l County. I furthermore certify that I 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: 6 Signature Print or Type Name �11N�n� Title l ii f zoZ 7— Date This certification is valid through —2--1 // i ZoZ� fire . 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: /VI C66ME 4& SWZ5e S Address of Property: S(126- Ae Q&U% al?�-K. 8c�t/ Mailing Address of Owner: 3r°y /Z Owners email: 7 J, Owner's Phone#: Agents Name: Agent Phone#: Agent's Email: .ywl?, o- C�yv5T2utrT/ut/ CCYt� 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 properly. 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 (OCM) 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 Certi fed 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 16 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 somelall of the 15' s a k Signa(U Adjacent' Riparian Property Owner � -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: G TypedtPrinted name of ARPO: t-u-rkbwY HdWo rp ()` Q }4 t �• ��i�✓ar� Mailing Address ofARPO: 3V,? 1 Lj� =4 tJr_ /i%vri� ARPO's email: ARPO's Phone#: Date: Yl>'ZU / 7-02Z— "waiver is valid for up to one year from ARPO's Signature* Revised July 2021 ■ Complete items l„ 2, and S. ■ Print your name Andaddress on the reverse so that we can return the card to you. a Attach this card to the back of the mailpiece, or on the front if space permits. Y. .dress to: ._---- Article Addressed to: .,JL:✓e„GAS �t1tY r' •a Bra-���. �dF• 11111111111111110111111111111111111111111111 9590 9402 7231 1284 6465 69 2. Article Number fr11" 716 8 319 316028.6 , Ps rpjWP&?; � .. 4 i�1' f 000-ooa x. hecjlv1 _E�� ❑ Agent ❑ Adds B. eceived by P me Name} O D�t� of OSP. D. Is delivery address different from item 17 '0 Yes If YES, enter delivery address below: ❑ No J. Service type ❑ priority Mali Express® ❑ Adult Signature ❑ Registered Mail' C Adult signature Restricted Delivery ❑ Registered Mail Restricted erIi115u MairD Delivery Can!red Mail ReStdeted Dellvary ❑ 55line'ure Conftrmation1a ❑ Collect on Delivery ❑ Signa'ure conflanaticn Cl Collect on Delivery nestricted Delivery Restricted Derm y C insured Mall M Inar,ad Mall Reatdetad Delivery Domestic Return Receipt N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: MrGI,/ELLGS .SW S Address of Property: 3CoOs 151-'AAvD A9 /IhVY TLi�/m &2�4 Mailing Address of Owner: 38y /)Q Owner's email: Agent's Name: jk�% Owner's Phone#: Agent Phone#: / —2S2 —6-7 Z — 903S Agent's Email: 1lkbt4Fr4:�D LnvG. iV4,2,11VO-CGii A-14--7/u'✓• a 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 Certlf/ed 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 slan the appropriate blank below.) I DO wish to waive some/all of the 15' setback���/�4� J� -OR- Signs tu Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printedname ofARPO: Mailing Address of ARPO: Zr C) l /✓.,. r (GLgR east ARPO's email: ARPO's Phone#: Date: q/ZU 'waiver is valid for up to one year from ARPO's Signature* Revised July 2021 RECEIVED APR 1,1 2022. DCM-MHD CITY