HomeMy WebLinkAbout86300A_56127 Elizabeth Avenue, LLC_20220504CAMA WDREDGE & FILL ' " NO 86300 dA B C D
Previous permit
GENERAL PERMIT Date previous permit issued
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:
I SA NCAC - T7 / t r ❑ Rules attached. ;tt-&Wral Permit Rules available at the following Ik*: www.ft.nc.2oy/CAMAru1es
Applicant Name
/
—
�t- { *-v%M LLC Authorized Ag ent
Address 1� e�Ck
$ T S 13
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9
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Project Location(County):
City �
State
V A
zip �-2 ! � �
Street Address/State Road/Lot #(s) A
Phone # ) 3l'(—
1d 1.3
4
S Io Vo 6/' 2-d % <- 4k A d Q r
Email IA -rk.0
e-
1 .. s +rk--_
1r9. s •'h
Subdivision
�y� y
fLT�`1
City !.;'o• s ZIP 2% % 3
Affected W CW
W
®RTA
®ES ❑ PTS
na an�nk)
Adj. Wtr. Body C: a- nf5 �� c bC a71--
AEC(s): ❑ OEA
❑ IHA
❑ U W
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body 7 Q�/s S �� �- cti ✓
ORW: ye no
PNA:
yesjQ
Type of Pro ect/ Activity
4 S
j r G
t�/ G
(P *4 4�S
6„�v o t/
`�,
W -TI
and S ZA � S r'i�
�-x a. A d Lo 1 ,% GI+Q.c s-3 e-A (Scale: 114T.S
u r
Shoreline Length
Access Length %• 1 s� , �1fi
Pier(dock)length
Fixed Platform(s) r
Floating Platform(s) ^
Finger pier(s)
Total Platform area
Groin length/p '-
Bulkhead r p ngth 3 3 ;L -
Avg distance offshore
Breakwater/Syil
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
.� LIP a
Beach Bulldozing '
Other
oW,
r'C'N
-
Lc .o
T-
SAV observed yes no
Moratorium: n/a yes
Site Photos: es
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ 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)y
Age�tMpp'nt I D Na Permit Officer's PRINTED Name
001,
Sig re "Please read compliance statement on back of per '• Signatu
Ll� V !��_5 -Z-,_ 2-'Z—
Application Fee(s) Check if/Money Order Issuing Date ExplA on Date
E (3a d
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMIAIVER FORM APR 0 6 1022
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)n DCM-EC
Name of Property Owner: 1 by- k J ) S k //5"6 12 7 �k/li /a a,& �//J7Ve, LLC—
Address of Property: Slvf o� 7 LCl ct/�itGr /-tVe,`!'taT►'Q�. Nf✓ 0?1�7�
Mailing Address of Owner: l3 90 1JnYmYt � Edo 6e-d el6c k s onq VIA 22�06
Owner's email: Ma'k@ M-)4 e✓ kn c fru ckr'A lOwner's Phone#: $DJ(--3! f- - d (f 3
•Co
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I nereby 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 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' setbacks,
Signature of Adjacent Ripatr/ia_n1P/ro_ erty Owner ^ O
-OR EI M e- I , O ot, % tom me ra S rCs�S N
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:' e2 :X
Typed/Printed name of ARPO: Z�inrn 7--
Mailing Address of ARPO: L/4J
ARPO's email: ARPO's Phone#: y/ `/ - 2U 33� Z—
Date: />z J--�Z �-�- *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
GERTIRED MAIL • RETURN REgEIPT REQUESTED gr HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner.
Address of Property:
Melling Address of Owner.
Owner's ernall:
. Cowl
Agent's Name: A11A Agent Phoneit:
f
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(192Qlp pgdon 12 be completed by the A lacgnt Prooarty Owner)
RECEIVED
MAY 0 4 2022
DCM-EC
I hereby certify that I own property adjacent to the above referenced property. The indtvldue( applying for this
pemnit has described to me, as shown on the attached drawing, the development they are proposing. a
Shacriation or ¢g dna. with dipgnsigns. Must ,bfl,orgvided with this leW,
X 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
N you have objections to what is being proposed, you must notNy the N.C. D ikon o Coastal
ManWoment (DCM) In wddng within 10 days of receipt of this nodce. Correspondence should by
matted to e01 & GnWn St, Ste, 300, E/tzaboth City, NC, 27M. DCU repnoaentsdves can also be
contacted at (262) 264.3901. No response is considerwk the some as no oAAwdon N you have ba w
notttled by Cwtltlad Mall.
WAA" SECTION
I understand that any proposed pler, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of IV from my area of riparian access unless waived by me n ,
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you mu21 sign
the appropriate blank below.)
100 wish to waive some/all of the 15' setback
Signature of nt Riparian Pmorty Owner
-OR- / racy A 1�o1,►�n p� r �
I do not wish to waive the 1V setback requiremdfit (inWal the blank)
Signature of Adjacent Riparian Property Owner.
TyPe"l inted name of ARPO:f7-;7 6 c ,4 A
Malting Address of ARPO: 3 /� r co s y /�a �� `i C� �� e14 ?54 1 7 � S
ARPO's small: Z lr e,,, a Phone*. 71 '% - Z (09 - 9 3 / G
Dab: 'waiver is valid for up to one year from ARPO's Signature"
Revised July 2021
Re rest' n `-o K &r k 3 k
9'n ve.lobe- Gnclosee .
N.C. DIVISION OF COASTAL MANAGEMENT tii
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM R �- �
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be Completed by owner or their agent) APR 1 8 2022
Name of Property Owner:
Address of Property:
Mailing Address of Owner.
Owner's email: b1ArkCca cet)4eeh-Ac iyuckih owner's Phone#:
. CoV•-t
Agent's Name: A11/4 Agent Phone#:
Ascent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be complelted by the Adjacent Property Owner)
M--F
,0- -/ - 6
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 dramdna 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 401 S. GrifNn 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.)
1 DO wish to waive sometall of the 15' setback / `
Signature of Adjacent Riparian Propeq Owner
-OR- i fgcey A b✓ -ti
I do not wish to waive the 15' setback requiren-Ot (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
"waiver is valid for up to one year from ARPO's Signature"
Revised July 2021
IJ
Rc rl n 4-D (` " kA Sisk
,OPUS-TALMR—VICE.
UNITED STATES
FALMOUTH
16 LICHFIELD BLVD
FREDERICKSBURG, VA 22406-9998
(800)275-8777
04/12/2022 04:09 PM
---------------------------
Product aty Unit Price
Price
----------------
-------------
US Flags 1 $0.58 $0.58
Priority Mail® 2-Day 1
$8.70
Hatteras, NC 27943
Weight: 0 lb 1.80 oz
Expected Delivery Date
Fri 04/15/2022
Certified Mail®
Tracking a:
70200640000056138233
Return Receipt
Tracking #:
9590 9402 6278 0274
Total
U.S.
Postal
Service"'
CERTIFIED
MAID
RECEIPT
Domestic
Mail
Only
For
delivery information.
visit our
ctehcitn
,t
m
rq
$3.75 .U1
$3.05
1332 81
$15.50
-------------------------------------------
Grand Total: $16.08
--------------------
Cash --- - -- $20.10
Change -$4.02
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