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Home My WebLink About88421C - Bessette, Kimberly;aN°``°"Sr^1hN, c❑CAMA ❑ DREDGE & FILL 9 8421_ A B ` c 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 # (_ ) Email Subdivision City Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. 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'? Moratorium: n/a yes not Site Photos: yes no, Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions (Scale:,f j ) ❑ 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 Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Signature Application Fee(s) Check #/Money Order Issuing Expiration Date ti 1*°``°"Sr', ❑CAMA ElDREDGE & FILL N9 88421 A B C D s = 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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name _ Address City Phone # ( ) Email State ZIP, Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(.,): ❑ 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 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 (Scale: ) TAR/PAM/NEUSE/BUFFER (circle one) ElSee 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" Application Feels) Check #/Money Order Permit Officer's PRINTED Name Signature Issuing Date Expiration Date i�l DRatfsdl ulof ic v rs� I I� /„ Z4- / . i , CJ BOl4 G� QD i+t-�-ec` �o b Z. 7500 (b &v A- L C' � q RECEIVrD APR 2 ?02.2 DCM-MHD CITY AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: t Mailing Address: t S" l�l.�'0'-C�� VjAN 5 90 (Z- I\J Phone Number: (�Q� Email Address: �� 5 5E' r aldg y r C a ✓1''� I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all LAMA permits necessary for the following proposed development: 10 i ot C -e Poe% '''V at my property located at 3/3 5. w4--I-L-w 5',c- r,,i oe l AA� in QV (S/o kt) 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 wner Information: Si natu e e�� l e6scf �mcf Print or T pe Name Title 1 ICJ 1 2-0 2-2— Date This certification is valid through RECEIVE® APR 2 8 2022 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: k i 5 S Address of Property: i , (��`i � �� AJS1_6&Zb K)0_ a%,S I Mailing Address of Owner: 31 S0 1*TEIZ 5�" SWA,-1 S Bko ag o NC Owner's email: (1101M Owner's Phone#: SqO -' o 7050 Agent's Name: Agent's Email: Agent Phone#: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be com Ip eted 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 drawing with dimensions must be provided with this letter. 5;�� 1j& 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 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 =waive his does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign te blank below.) some/all of the 15' setk-7� _ Signature of Adjace Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: et/y� Typed/Printed name of ARPO: NN P,Y A NQ K t (STl✓ Mailing Address of ARPO: �� . � ►�� >{-�+�, �,,,�.�„ iS Cif �� 1� a � �� ARPO's email: ARPO's Phone#: Jl% Date: — 2, Q --'2-OZZ—*waiver is valid for up to one year from ARPO's Signature* Revised July 2021 APR 2 8 202?. DOWNIHID CITY N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: k ( v"6 4� t! Address of Properly: -3 � 3 5, lAa+��'n 51?2 ems" swp_ s�'z° h�C a $ s $ 7 Mailing Address of Owner. 313 S. ttwnm STt2�ar`1- ,xAjrA,js a,% NC Asno? 4 Owner's email: gjjessOtt aeqo,*;(XVA Ownees Phone#: SW9 -6 R9 _ r*D570 Agent's Name Agent Phone#:v________: Agent's Email: __ - ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Proo—erty Owner 1 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. 5 , X 100 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 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.) 1 DO wis waive some/all of the 15' setback Signat re of djacent Ripan n P eriy Owner -0R- 1 do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner. TYPBd/Punted ram®of ARPO: n�we'T"�iw►a�Soy1 R a i 5 tr'e,d ,e,,� m4vi* swtef Uc. Mailing Address of ARPO: 2V Ze ® G w Avc j �d C'ttA L10J-te /V6_ Aloldl ARPO'semail:5_ 'M��`Fru;K� rn•r;`9ceARPO'sPhone#. Date• cq IqN 2,022 ., "waiver is valid for up to one year from ARPO's Signature* Revised July 2021 0,EIVFr)'