HomeMy WebLinkAbout86372A_Kirby, Robert & Michelle_20220426 (2)Li
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^ICAK4A X DREDGE & FILL Na 86372 B C D
s GENERAL PERMIT Previous permit
Date previous permit issued
® New El 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:
t SA NCAC — % H ' I I c7(y Rules attached. ® General Permit Rules available at the folk yft link: www.deo.rr-SgyJCAMAru1es
Apputa„t Name 0r\k 6'lP (e. `rbT Authortwd Agent y�i �L� 0eealmalde <C rre�tS
Address 3i�o %2 ?J , Project Location (County): f✓ka �1�,n
city _ er\al br State t� • ZJP 9L 3 a Street Addressl5tate Road/Lot #(s)
Phone # (2sz) Arai t - eZ aao 231,v
Email _rY1n i t,t-\oy Ae. L, -6 Cc M Subdivision •'�
City eldfm rn q. zip 2rlg32-
Affected ❑ cW MEW ® PTA ® Es fl(m Ad). Wtr. Body C h OyW WN
AEC(s): ❑ OEA IHA UW SPIMA ❑ PWS Ckuest Maj. Wv Body rT��
ORW: Yes/41) PNA: yes, 'h Type of Project/ Activity s�,a1\ SZlO` ID
�rnry% f'�ai
(Scale: f"-(pd }
Shoreline length-_-71 /
T `t-•-r- 1 I , r._� I 1- ;'_>`..''`�-T_q... � 7'-r--,--r----e i
Access length �.t.. a-
Pier (dock) length
Fused Platforms)--r- l- --t^ y- ►—;r I 1 t 1 t t- , r 1 t 1 r
-1--1 -!... �. _
Floating Platform(s) 1 r 'r--r--�-+ 1 , T
m1 t �.I ...r. + .. r -r-r t—•-1-- t-' i—,--r—i_i. i
+,-•!•=—.i...i... 1 I t_ 1 I 1 I ' J.�r._._,• _ 1 1 I , , 1 { 1 _'�`j'-�.-_, 1
rFinger pier(s) ,
/1-�--y..-it•—�--'--+.-.J_-T_.___�__�.-i �_ � `!-T-..-.-.. _._�.. MIOi.. 1. _. • _:_._�s_.i_....� ..__ / I i 1 t - -' '-1--+
Total Platform area r_ 1 I I I i ( 1 I t t I
Groin length/4 Lam. r 1_ -T.!.
1 t 1 I '�--—I 1 ,-r-�--t^"-'-�--'TY:`-(- r-•-1—�.L—t-1-•.¢.,_� t 1
uikhead Riprap length I I -^
- .-- r
Avg distance offshore
Breakwater/Sill
i-
Max distance/ length
Basin, channel
Cubic yards " � � � i r I _.;...-�--.L-_i. i , I "• �, t� -� ' -; ; f ,-_ +- -' ,-�•-+---�
Boat ramp , ...�.i ; --, , ; ��•-t-•_I«-. ..._. `I,—i I ' r _ i I
Boathouse/ Boatlift
Beach Bulldozing
OtheriB-
{ _1_... .. r 1 , , t t 1 I I rI I , •tQ/Si , r
SAVobserved: yes t ' ' ' —• -- t_l__� ..t._ i t 1 �.
Moratorium: yes T 1 „•, ;----.._ ' _ i i i l I 1 ' i 1 I i �� 1 1
I I � .'.a'�_ I ,r_'_r"T",f""r•""r i �• �
Site Photos: no «-j -}--�- ,--r-
_ _'
Riparian Waiver Attached: yes t _L_ 1 . t __f !! I -i _Ls- ,
A building permit/zoning permit may be required by: C+lD >.ati.l-4 M
Permit nditions (-) ])%ij rv,: - �o� kv; —0 2TP� ❑TARIPAWNEUSE/BUFFER(circleone)
1 �*_ a 0.A t -� n of r•Fn� See note on back regarding River Basin rules
See additional notes/conditions on back
1 AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
J I -flk1a
Agent or Appll nt D Narrid Permit s PRINTED Nam
r
Signature "P se read compliance statement on back of permit" Signature
Application Feels) Check q/Money Order Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: O & tA 141-(w P 1ra*'l
Mailing Address: In, iC5 Lpndi a 20nA
2'I43Z
Phone Number: it Z52 - ZZ -ZZZp
Email Address: �,� � o& CC &I
I certify that I have authorized ZQ=n-5 jZ Cr�-I-racl .
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: n ?,' 4v ( F-
��
at my property located at
in rA1'QWQ f1 County.
I furthermore certify that l 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:
Signature
X Ej Z4hi tit iC-IELLc P Kirtt37
Print or Type Name
�V ocz 'A x m5-'�
Title
,4- 641 0 U I L z-
Date
This certification is valid through 04 /�* I ZO Z3
REC
APR 0 6 2022
()CM -EC
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to becompletedby owner or their agent)
Name of Property Owner: RO►�t�- i�1 Li rb� / / N �Wf, P. 141(*-1
Address of Property:
Mailing Address of Ownei
Owner's email: rm LV KA Pic U 62� . cOM Owner's Phone#: )t- 255." ZZ il- 2ZZO
Agent's Name: J R R IU'Aan P Siae Agent Phone#:
C C✓tflAC.(A'S
Agent's Email: 6Cenns�<1P_, _Q,� f,rac fr�,�5r�c►Mai 1. �o��l
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. 9
T 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 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
OR Signature of Adjacent Riparian Property Owner APR 6 2022
1 do not wish to waive the 15' setback requirement (initial the blank) `
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: (,4j e0 %_L l�G�i 1r
Mailing Address of ARPO: ) eZ U 4u4tl I*C41- 1-4-tvik)4 L. ' FOa);71) O J(, 2,793L
ARPO's em�,,Z"
ilARPO's Phone#: Z 5 2- 3 3 3 - �W
Date:WZ 2 -waiver is valid for up to one year from ARPO's Signature"
Revised July 2021
r-PPrr vri nZ 5�S F F 3' rn (�
(A) /IT 23�1 Z1t)p17-0 GAr'ojvA 12OW
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: RQV_A} e - A L Vb�) //*Wa& t , x,� r
Address of Property:
Mailing Address of Ownei
Owner's email: rrA l".t(bucoM Owner's Phone#: )t- 2-52'" ZZI-- 2•-ZZO
Agent's Name: i IUQAn klmAs?J LO Agent Phone#:
C O✓lfiRLlb•'S
Agent's Email: ���n;;rjP Ova }Y trNS�� Qt t GOvi/)
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacentto the above referenced property. The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. 8
description or drawing, with dimensions, must be provided with this letter.
X 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
if yyo7uhahave 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 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 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 sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setba�k ,
Signature ofAdjaceARiparian Property Owner APR 6 2p22
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
DGM®�
Signature of Adjacent Riparian Property Owner: S ::�W
Typed/Printed name of A RPO:
Mailing Address of ARPO: 209 Z,�Q)04 kD, CD J1V1Jj k)C-
ARPO's ail• ARPO's Phone#: Z� `Z - 3 I.z
Date: 7 ;72, T -waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
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Parcels Middle
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PRC More info
03 PIN 687800380682
SITUS_ADDR 236 WHITE'S LANDING
1. RD
PROP DESC R W BLADES TRACT
s
ACRES 8.55
TWP_NAME ROCKY HOCK
SUBDIVISION
ZONING CDE Al
TAXCDE G01 JIF02
TOT_VAL 862308
ACCT_NUM 26130
ONJNERI KIRBY. ROBERT M
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