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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 ✓�-_ !� �„ j i v _ _ _ T_ _ -� _ _ __ ___� Access Length Pier (dock) length r z • FixedPlatform(s) I- "+- --' ' -•-� -�---I--`-- i _ 'Tt - I _L-' -- -'-- - _ - 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 --( ___L..�__ --- ;-- -- - -- �__ - ,.�_ �__ - 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) i Pc�cQtn , IVK14' ftF 6 S:cN6u� 5/Y-70 P:MR w/(1) WWI i