HomeMy WebLinkAbout86038D - Nadell[CAMA . - DREDGE & FILL N° 86038 A B cam)
Previous permit \
GENERAL PERMIT Date previous permit issued
§�UlNlevv ❑ Modification ❑ Complete Reissue ❑ Partial Reissue l t ,j "I T 7 - fAm-�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:
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15A NCAC l i J 91 -2 r ' (' ❑ Rules attached. �0 General Permit Rules available at the following link: www.dea.nc.gov/CAMArules
Applicant Name
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Address Zl I!% '�
f�, .a -"Ct C7--(✓/u .F
City GU {'t^
State /UG- ZIP
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Phone # (Z�) d f
Email
Affected ❑ CW
❑ EW Z PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA
❑ IHA ❑ U W ❑ SPIMA ❑ PINS
ORW: yes/no -
PNA: yes/&cY-.
Type of Project/ Activity
Authorized Agent '
Z7roject Location (County):r` i /
Street Address/State Road/.Lot #,(S) r
City A^'
Adj. Win Body , '1 F c
Closest Maj. Wtr. Body Sri
Shoreline Length ,...
Access Length 1 lVr� 1%❑ y -
Pier(dock)lengthill /.-G
Fixed Platform(s) jZ K-
Floating Platform(s) id-
-----
Finger
'- i Q r-.,
Total Platform area
Groin length/p
Bulkhead/ Riprap length
Sr,r•.
,f
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathous oatli Z-
Beach Bull ozing
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 by:
Permit Conditions
• 1•
(Scale: 11: ZC)
❑ TAR/PAM/NEUSE/BUFFER(circle one)
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. (Please
or Applicant PRINTED Name
t Officer's PRINTED Name
Signature --Please read Compllance statement on back of permit'
y,.tiG
Application Fee(s) Check #/Money Order
Signature
Issuing Date Expiration Date
Statement of Compliance and Consistency
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Management Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover and Fender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021
AGENT AMTHOROZATRON FQR LAMA PERNOT APPLICAT90H
",VName of Property ®caner Requesting Permit: Pr/
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Z,440 o zip J- Z
to act on my behalf, for the purpose of applying for and
necessary for the following proposed development:.
at my property located at Z.
in e/ county.
,L
all.CAMA permits
I furlherrnore .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 -lairds in connection with evaluating infonnation related to this
permit application.
Property Owner Information:
or Type Nariae
Title
/ Z. 11
Date
This certification is valid through 1 I
0-
ADJACENT RIPARIAN PROPERTY OW'�'NER''s�'TAT-tM'EN'
L-x,a 00AS
I hereby certify that I Own property adjacent to. ., I 1.. 4, t) 4
(Name of;Pro erty Owner
property located at z
Aldre Viock,
04re ,Lot, Road; Md
On nAV4V
i MaterbodO -. I Y2rW.,rrAi,"
The applicant has described. to me, .i as shown below, the development. proposed -at the above lont . ion.
I have no objection to; this' p
roppsal.
I have objections tothip proposal:`
-.7.— - -"7 _ . ' ` � 7f '. __ ... .
(individual t - 7 7 777 below or
WAIVER SECTION
I understand thatla pier, dock, mooring pilihgs rea a "b i j'-'1666tho'use lift, or groin must be a'
kW't ii�6
minimum distande. of 15'frdm my area of riparian access u'mdss waived by Me. (If 'you wish to waive
the setback' you must initial the ap
propriate blank . below:)
I do Wish to waive the I - 5'seiba6.k reqUiremp'rit..
I do not wish to waive the 15'setb6bk requirement. -
(Property
Property Owner Information).
Telephone
,7 Number
LP
6Z& 1
Date / f
(Revised 6118120l2)
I
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to : o e
(Name of Pro erty Owner
property located at f,l? yam, , 407(5 22.4 3 ,-5 < 1
(Addre ,Lot, Bock, Road, etc.).
on 1 7.5&_./ �Din L �,..D< v�..J>`
r (Waterbody) . "(CitylTown_a'hd/or County)
The applicant. has described to me, as shown. below; the_ development proposed at the abovelocation.
y I have no objection to, this proposal:
have objections to this proposal:
DESCRIPTION AND/OR.DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must Mt lh descry ''do hi below or attach a site -drawing)
r
WAIVER SECTION
I understand thata pier, dock, mooring pilings, 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.)
kI dowish to waive the 15' setback requirement.•
I do not wish to Waive the 15' setback requirement.
(Property OwneJnfonnation)
Type We e' [,
C �lr 4
4ddress
Z S /Z
ne umber
(Revised 611812012)
f � Cam`,-� ��.'�.
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