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Home My WebLink About88358C - Andrew, Russ & Daniels Byrum0 1°ECOA'41hcFICAMA El DREDGE & FILL 9 88358 A B C D 2 =GENERAL PERMIT Previous 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 Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # (_ ) Email Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no 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 j y Moratorium: n/a yes no i Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by Permit Conditions (Scale:' V j ) i ❑ TAR/PAM/NEUSE/BUFFER (circle one) �I I ❑ 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 Feels) Check #/Money Order Issuing Date Expiration Date 5 `OASTN&❑CAMA ❑ DREDGE,& FILL NQ 88358 A B C D y GENERAL PERMIT Previous 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 Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # ( ) r Email Subdivision City ZIP Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nak/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: ) 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 n Permit Conditions ElSee 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 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 AGENT AUTHQRIZAT9QN FOR OAMA RNIT.APPLICATiON Name of Property Owner Requesting Permit: Aaa 6 /7NQrP� Mailing Address: oV?, 90( /yC Ai' G o 7 Phone Number: g a'S',Z 3 - G46 a r Email Address: r'1es5_ &Ujve.� / '6,�,�.,�r I certify that I have authorized '/ h0-s'a S 40.,,,y.&e 5 Agent i Contractor to act on my behalf, for the purpose of applying for and obtaining all LAMA permits necessary for the following proposed development: at my property located at 16 d 1 S' &�� in 0.0.t- Ce t,-i' County. I furthermore certify that/ 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 Print or Type !Name O WSW e, Title Date 712�D This certification is valid through / �1_ i / S' 1 9- 2- FED 9 3 2022 ®CM-MHD CITY N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM C�nTIFIED MAIL RETURN RECEIPT REQUESTE or H NA D DELIVER (Top portion to be completed by owner or their agent) nr� s lw Name of Property Owner: G� // e Address of Property: Mailing Address of Owner: 8r5' w rc4,r'o.� Ra [�a3- oyti8 Owner's email: rksf. and.t"s 8 7'; nd%mot Owners Phone#: 9(g� p4,t.k . nc,.I— 1 fo �(. - VIP Agent's Name:_ Agent Phone#: _� Agent's Email: 6n-st c�� ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Prooerty 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. 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. you have objections to what is being proposed, you must notify the N.C. Division of coastal tf Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be NC 28557. at (252 t808-808. No response is consideredCommerce Ave., Morehead �the same as no objection If you have been notifie esentatives; can also be by Certified Mall. 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 must s an (this does not apply to bulkheads or dprap revetments). (If you wish to waive the setback, you the appropriate blank below.) 100 wish to waive some/all of the 15' setback Signature of Adjacent F2lperlan Prop y Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO:�' ARPO's email: ""'�'�� ARPO's Phoned: --- n..e. a � 15121- 'waiver is valid for up to one year from AR PO's Signature' Revised July 2021 W-] C .1',, tJ6 rJ N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL RETURN_RECEIPT REQUESTED or HAND DELIVERY (Top / portion to be completed by owner or their agent) Name of Property Owner: ' ` t-V ` /Mc, Address of Property: Mailing Address of Owner: �� %� 4- 1 o we WJ • tp. /tiL Z 7 6 0� Owner's email: runs• andsy r' Ads-1. Owner's Phone#: Agent's Name: � Agent Phone#: ' 7? Agent's Email: f a M41 row j�wc f- 3j ragT how. Cen 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. A description or drawingwith dimensions must be provided with this letter. &,kmO NOT have objections to this proposal. I DO have objections to this proposal. J ' If you have objections to what is bung proposed, ro osed, 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. 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' setback Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner. Typed/Printed name ofARPO: Mailing Address of ARPO: ARPO's email: Af! fi- ARPO's Phone#: Date: *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 CEIVED FEB 2 3 2022 DCM-MHE) CITY 8/10/2020 Free Affidavit - Create, Download, and Print I LawDepot (U5) Type Location Personal Details Facts Signing Details Print/Download t;ounty or of ` D6 5� � in Mt C t North Carolina, MAKE OATH AND SAY THAT: 1. I am co-owner of the dock located at 1605 Shackleford St. Morehead City, N.C, 2. I will share the cost of all up keep and repairs at the rate of 33.3 percent of total cost STATE OF NORTH CAROLINA COUNTY OF a L - f Ng—'T SUBSCRIBED AND SWORN TO 13EFORE ME, on the �_ day of gowsgr . kw Signature L (Seal) NOTARYP 4LIC_-- My Commission expires: MyER iZ CURRNL.W N0AARY C �t countyartere North Carolina 193101 _ �ptin`- = ExAlra4 (signature) (N-e) 1 02002-2020 LowDepoLcom9 ' I 8/10/2020 Free Affidavit - Create, Download, and Print I LawDepot (US) Hype Location Personal Details Facts Signing Details ) ! County of-�7�%J�'- t �__._.�.�.__.��IG/i_ f___, _._-•_�_�_._. w 1, US-f45�ftWir OAS— 11 l I , in � - -�' Noith Carolina, MAKE OATH AND SAY THAT: I. 1 am co-owner of the dock located at 1605 Shackleford St. Morehead City, N.C, 2. 1 will share the cost of all up keep and repairs at the rate of 33.3 percent of total cost. STATE OF NORTH CA�ROOLIINA COUNTY OF SUBSCRIBED ANQ SWORN O BEFORE ME, on the day of zo20 Signature (Seal I NOTAR PU 1C 1 My Commission expires: D0 'a0'�Z �9 U2002-2020Law t.mmA 11frtl1r6trr 3s (Si®uwm) �u S $ ;I S (Name) V 8110/2020 Free Affidavit - Create, Download, and Print i Lowtlepot (US) -ype Location Personal Details Facts Signing Details Pi it /Uav;rti �4c • yJ1 ...._ COURty Of GartELEt 1, Kevin T. Anderson of _1606 Shackleford Still Morehead City , North Carolina, MAKE OATH AND SAY THAT: i 1. 1 am co-owner ofthe dock located at 1605 Shackleford St. Morclncad City, N.C, 2. 1 will share the cost of all up keep and repairs at the rate of 33.3 percent of total cost, STATE OF NOR1I1 CAROLINA COUNTY OF IN•C4 ,_,_, E SUBSCRIBED AND SWORN TO BEFORE ME, on the T t day ofI Ar, I rs�aoaU Signature2di"m �Yfr - F - NQTARY PUBLIC - -� i My Commission expires: i 111'1'� "_ (SiV-0 Kevin T• Anderson (N—) ADJACENT RIPARIAN PROPERTY OWNE STATEMENT I hereby certify that I own property adjacent to ,f v c _.'s (N a of rope Ly Owner) property located at f'i0 le � e ec• G ZB5S'�� (Address, Lo B1oCk, Romd, c on in e. d (Waterbody) (City/Town andl® County) The applicant has described to me, as shown below, the development proposed at the above I have no objection to this proposal. I have objections to_this_pr_opos_ai— DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) �t9 , e4 A a Ice 4 io 0 � �krt4 doh WAIVER SECTION I understand that a 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 dust initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Property Owner Inforrnation) ;cent Prope Owner Information) s 1 U ► �� ru- s� 6'e, � Pf or�pgLame� Print or Typ ame (a � c� Mailing � � e � ling ddres !�• � • ZO Citvstate2i Cjylstate2ip 4yl 4 �3 0 ! Z �2 [= � 9� ✓P�O�" Telephone Number Telephone umber q I p- ,O:LbA.1 4 t F- - Z-o 2, 2. Date Date (Revised 6118/2012)