HomeMy WebLinkAboutMaynard, James 87365Ca �OF§`F]Nevv
COAfTAT ❑CAMA ElDREDGE & FILL N9 87365 A B c D
JyGENERAL PERMITPrevious permit
❑
Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (_ )
Email
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
i
Shoreline Length.
Access Length
Pier (dock) length
Fixed Platform(s).
Floating Platforms
Finger pier(s)
Total Platform are
Groin length/# _
Bulkhead/ Riprap
Avg distance offsF
Breakwater/Sill _
Max distance/ len
Basin, channel
Cubic yards
Boat ramp
Boathouse/`Boatl
Beach Bulldozing
Other
SAV observed:
Moratorium: n,
Site Photos:
Riparian Waiver
A building permit/zoning permit maybe required by: •S_ : f_$'W
Permit Conditions !
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
nk)
(Scale:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date
oaoFconsr41 ❑CAMA ❑ DREDGE & FILL N9 87365 A B C D
y = GPrevious 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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Address
City
Phone # (_')
Email
Affected ❑ CW
AEC(s): ❑ OEA
ORW: yes/no
State _ ZIP
❑EW ❑PTA
❑ IHA ❑ UW
PNA: 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/#
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 by:
Permit Conditions
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
P
❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
(Scale: )
❑ 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 Initial)
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
2 r," 3C
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
{SigXnpj[a{ture j[t
17,
Issuing Date Expiration Date
CAMA ❑ L
ENERA
ew ❑ Moclifi
As authorized by the State o North Caro
I SA NCAC
GE & FILL wv Na 84352 A B )D
Previous permit
ERMIT Date previous permit issued
[:]Complete Reissue ❑ Partial Reissue
'rent of Environmental Quality and the Coastal Resources Commission.in an area of environmental concern pursuant to:
❑ Rules attached. [V General Permit Rules available at the following link: www deq.nc.Qov/CAMArules
Address •�i it ._!'7r�
City_�u1I - v
Phone
6 i1Email
Authorized Agent I
Project Location (County):
Stre Address/St ad/Lot(s)
4)
City lA-tVAd zip
Affected CW �HA
W PTA ❑ ES ❑ PTS Adj. Wtr. Body n m n/unk)
AEC(s): OEA PTA
❑ SPIMA ❑ PWS Closest Maj. Mr. Body
ORW: yes/� PNA: yesf22
Type of Project/ Activity
(Scale:
Shoreline Length r P:2
_
_= 4�f 1
1 ✓�-_
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v
_
_ _ T_
_
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_
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Access Length
Pier (dock) length
r
z
•
FixedPlatform(s)
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-
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-- -'--
-
_
- T _ '
t_ _'
FloatingPlatform(s)
(-
�'-
-
-
-
-
-fie._
I
-
-i
- -
-
- --. -
Fingerpier(s) m,,.^• ---�-
Total Platform area 1-4 N -
_
Y
'
I _ i_�_.. _
)
= __
_.
_.•_ _
Groin length/It
Bulkhead/ Rlprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length `"__«_
-
-
Basin channel r- --
-
I -
--r-�--r
--�-
-
-
;
1
i
1
f
Cubic yards
Boat ramp
I-�r-i
-
--+
-
-
---�--! --
Boathouse/ a ift
Beach Bulldozing �� I
Other
SAV -- `I
iu
y' -
inj__
_i --
!
--
-- -
i
1 j�241
observed: yes o
Moratorium: n/a yes o
Site Photos: yes ! -
Riparian Waiver Attached: � i.-.i_.__.L_,..:_
--�
--C.— -`
_i"�_.1___T,_
if
-�
' `
-
-
i
--(
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---
;--
-- -
--
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-
,.�_ �__
-
i -
_�._�._��_.�__L.__.__-.._1_�__�__-_L._._.=<__1d�-_L:_�__.'
I ' - -r-�. _!
i -- -
1 -(
-
--
- ----=
- -
r _ —
j--s
-
-
- --
1 AM AWARE OF STATUTES. CRC RULES AND CONDITIONS THAT APPLY TO
orADMIcant PRINTED Name
ri
Signature *;sPse read compliance statement on back of per 't** Sien t
pplication Fees) Check #/Money Or er Issuing
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ see additional notes/conditions on back
Expifation Date
Email Address: amorr i 5L 1 Ve-.STof S MA-nn r° me rat -cc rn
I certify that I have authorized 77D• EV re
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: dock
at my property located at 1(9 00 ` ram' t-* Sf 13 ctJ f D rf iJG
in Jr_;- er County.
1 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:
Signature
rnt=s H. M "na4- c
Print or Type Na e
Title
I l I I tv I ;ZD2(
Date
This certification is valid through 0 5 130 I .20� ".),
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 prong. A description or drawing, with dimensions, must be provided with this letter.
ave no objections to this proposal. I have objections to this proposal.
Nyou have objections to what Is being proposed, you must notify the Division of Coastal Management
(DCM) In writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athtto://www.nccoastaimanaaement.net/web/cm/staff-listingbrby calling 1.888.4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mall.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must
be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If
you w.6sh to waive the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
I do not wish to waive the 15' setback requirement.
(Pr erty Ow r formation) (I}ipari n Property Owner Information)
tuft yrl
nature Si a -e
' l
Alai k4i
Print or Type Name Print or Type Name
Mailing Address Mailing Address
City/Scat City/State/Zip
9/9-6.5-3-74/0'li�?-'_2
Telephone Number / Email Address Telephone Number/ Email Address
P-a--a I >/-a - A)
Date Dale
(Revised Aug. 2014)
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 have no objections to this proposal. _ I have objections to this proposal.
you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available athtti)://www.nccoastaimanagefnent.netlweblcmlstaff-listing orby calling 1.888-4RCOAST.
No response is considered the same as no objection If you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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.
I do not wish to waive the 15' setback requirement.
(P party 0 ner Information)
gnature /�y��(
Jaw"1�Vl�+tar�
Print or Type Name
go/ >\I, lx s-e sf
Mailing Address
ilWeixi. ) IC a7�03
City/statelZ i
IM -653- tiros"
Telephone Number/Email Address
Duce
(R' rian Property Owner Information)
Signature
Cr►-A-c �-t.-s J �Ja�,�o,J
Print or Type Name
1538 �r.rr S�.T
Mailing Address
r Fall & G Li t
Tty/btate/Zip
346 - 3Q3L
Terphone Number / Email Address
Da
(Revised Aug. 2014)
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