HomeMy WebLinkAboutJones, John 78858C/6CAMA DREDGE & FILl-
A 8 rC,)D
ENERAL PERMIT Previous perrmt
Complete Reissuc Partial Reissue Date prev;ous permit issued
iNew Modificat;on Compic
As authorized. by the State or North Carolina, Department. of Eqvironrientai Quality
and the Coastal Resources Cofmrss;o1, an area of enwormemal concern pursuant to I SA NCACqlzAt' )4,Ruies attached.
Project Locadon� County
Applicant Narne,
Address Street Address/ State Road/ Lot #(s)
Clty
Phone # Subdivision . .. .... - ------
Authorized Agent City_
ZIP
CW _A'fW -k-PTA E� PTS Phone # River Basin
Affected H UBA Nifit
OEA PWS MIF at man Jun n)
AEC(s), Adj. Wtr. Bodyll, —,- _ - I _L
ORWi yes PNA yes /" �no, Closest Mai, Wtr Bony..1.Ue-,z
Type of project/ Activity
Pier tdock' Ongut
rgxed Piatfoln,
Finger porrs)
Groin ergw . , , limner`u`�
liner
8u:ahead t Rapnr e"gth
a,gds•a,ce nsnore
ma, d,,Tanr.e offshore
Basm. chime:
cubic yards
Boat rarro
Boavro.se! 30a. rt
Sea, PJ
Oth'
sn.,
SAVR"e
L
A buddirg DLmm:, nay be renp elly
_4� r7
• Note 4 mal P,1J,J,'gj,,,'hJr11
Notes; Special Conditions
(Scale:
See note on tack regarding River Basin rules.
��CAMA / ❑ DREDGE & FILL
� / N9 78858 A
B C?D
C:ACyENERAL PERMIT
Previous permit#
ttQ New ❑Modification ❑Complete Reissue
❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environmental Quality I' ��
I +�
and the Coastal Resources Commission in an area of environmental
concern pursuant to 15A NCAC 07y7 . �J.
Rules attached.
Applicant Name
Project Location: County &'Am p
Address
Street Address/ State Road/ Lot #(s)
/+
cityAJe4, I B€7�(" ram— State G zip
,./ s�
�GJ
Phone # 6 E-Mail
Subdivision
Authorized Agent i
`yam
(�Za+A(,�/�
City ZIP
OCW �W 4' TA DES ❑PTS
Phone# ( ) River Basin
.S
Affected
AEC(s): oEA ❑ HHF ❑ IH ❑ USA ❑ N/A
Adj. Wtr. Body
4-
nat man unkn
❑ PWS:
Closest Maj. Wtr. Body IA IVO
ORW: yes PNA yes no
Type of Project/ Activity
Pier (dock) length ,.—
Fined Platform(s)t_�
Floating Pladororm(s)
Finger pier(s) i
Groin length
number
Bulkhead/ ftiprap length
avg distance offshore
max distance offshore
Basin, channel 1/
Boat ramp
r
Boathouse/ BoatliR
Beach Bulldozing " 1
Other
I
Shoreline Length
SAV: not sure yes o
Moratorium: n/a yes no
Photos: ye no x/ I
Waiver Attached: yes no - _ —
A building permit may be required by:
( Note Local Planning jurisdiction)
Notes/ Special Conditions I
( 63r l IVIX21-cl U
Vftepfor Ap t Printed Name
Si nature ** Please read compliance statement on back of permit*s'
pplication Feels) Check #
r•
(Scale :�'J
- II-J- I - I
❑ See note on back regarding River Basin rules.
./
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: L/Lq "y jUr/�J 9r�D c%✓ZS
Mailing Address: /C' /S C //
Z x1✓ , /✓C 2T5-2�2-
Phone Number: �%;W � jy
Email Address: f_'7'Ow-1 %1 01'l1','I
I certify that I have authorized
Agent
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 4,Sz^
at my property located at IK'oC4 S L/,/.<" !�, �j✓�7J f�G/�i�! i✓�
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:
C f:(O,
Signature Ck4 63
Print or Type Name
�l�i✓ �L
Title
a 1 / 2-
Date
DECEIVED
This certification is valid through I I FEB 2 4 2021
®CM-MHD CITY
I hereby certify that I own property adjacent to c16IJ-1 /7 /i�J��� �lni lF1 s
�� �D(Name of Property Owner)
property located at ���5� /Sn reFl
,,/ (Address, Lot, B)ock, Road, etc.)
on /�/Z�CC s' �nF29C , in / ,- W fStiz.✓, 60v4✓ ✓LO, N.C.
(Waterbody) (CitylTown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location
>� I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
S At �yz� >�•�v�
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
kl I do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Property Ow r Inf rfiation) (Adjacent Property Owner Information)
Signal1�� tre tg a Tre*
N/ _WA4410 irk (A Jai ixns C�-hi Iv�Uni�czr
Print or Type Name Pa t or ype Name-
��i�fs'ic.C�r NeA }_' eyry , PO P>-a 1►'zil
zsj-Z 2,
Telephone Number/ email address
—/0-�Z Zo---- —
Date
Date
-yam N Cis,>e�
e�h�Zr1_Sh'l�Gvfl�vJ�'�'rnn4
fiber / email address �D U
(Revised Aug. 2014)
`Valid for one calendar year after signature'
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to did/✓ 0 V 's
(Name of Property Owner)
property located at /�/5� `S�i�6s" `-/1� /�i�
"� (Address, Lol, Block, Road, etc.)
on /}/21 CfS L/L6Fl< in /✓<-� ZzSI W e� llrl l 6' , N.C.
(Waterbody) (City/Town and/orCounty)
The applicant has described to me, as shown below, the development proposed at the above
location.
I have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
Z,-X/571'<
L A%2� �e(K
EON/�Z
�� nti/A[jvfi,Ir9)/
WAIVER SECTION
I understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.)
✓ I do wish to waive the 15' setback requirement.
(Property
IOTA
I do not wish to waive the 15' setback requirement.
rmation)
Ern,'✓ , iVC 28'59z
City/State/Zip
2S-4 -k7o-Zt6� / CO- [.Posh
Telephone Nu ber/email address
/O—/2 -2o
Date
(Adjacent Property Owner Info
JP- 0 P_ j0do C' &L —(--fie 42 i% e—
Print or Type MmeV
Mali in Address
ity/State/Zips
,�—�fY N
Telephone Number /email/—dres ads
Date*
(Revised Aug. 2014)
`Valid for one calendar year after signature`