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