HomeMy WebLinkAbout84633C - Haworth, Glenna 1*gjCO 41 ❑CAMA ElDREDGE & FILL �� 84633 A B C D
y = GENERAL PERMIT Previous permit
Date previous permit issued
0 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.Qov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email
Affected ❑ CW ❑ EW ❑ PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
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
❑ ES
❑ SPIMA
❑ PTS
❑ PWS
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scat .
❑ 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 readcompliance statement on back of permit" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date
N 14 ❑ °FCOAS'CAMA ElDREDGE & FILL N9 84633 A B C D
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:
I SA 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
AEC(s): ❑ OEA
ORW: yes/no
❑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 rej.—u .,y.
Permit Conditions
❑ ES ❑ PTs
❑ SPIMA ❑ PWS
Subdivision
City ZIP
Adj. Wtr. Body (nat/man/unk)
Closest Maj. Wtr. Body
(Scale: )
❑ TAR/PAM/NEWE/BUFFER (circle one)
1-1 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 Date Expiration Date
AGENT AUTHORIZATION FORM FOR PERMIT APPLICATIONS
Name 01 1"Oi tell Own(,,,t Applying for Permit: �•��. hJrt r
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t, v,"! o'l nt► hr,►1al! 101 111P PUIPM.a Of . PPlylnj and oi;t:► All C.AJ,1A prot^^rr:.
Development of _..rf e,.I
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Th/: CrrY111;.IlIJ.1 Is Valld Pit Ough
(Property Owner Information)
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Title; r:a oo ner or austee for property -
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
fERTI IED MAIL RETURN RECEIPT RECIUE STEP or HAND t7ELIVERY
(Top Portion to be completed by owner or their agent)
Name of Property Owner Glenn & Deborah Haworlh
Address of Property: 959 Becton Road Havelock, NC 28532
Mailing Address of Owner. 959 Becton Road Havelock, NC 28532
Owner's email_ debglenn2003@?yahoo com Owner's phone# (252) 444-3939
Agent's Name.. John Gudaitis _ _ Agent phone#: (252) 675-8210
Agent's Email: —_ salesQriverfrontdocks.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacent to the above referenced properly. 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. t DO have objections to this proposal
K 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.)
I DO wish to waive some/all of the 15' setback
Signature f
t Adjace Ripar n P perty 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: John & Gina Reilly
Mailing Address of ARPO: 957 Becton Road Havelock, NC 28532
ARPO's email: ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
N.C. DIVISION
gpJgCENT RIPARIAN PRppERY OgSYA�"NpTIFICA ONfWAIVER FORM
CERT—F D MAIL- R—E ir�N-Rr_ dWNER , ir_cZTE D or HAND DELIVERY
(Top portion to be complPt y ovvner or their agent)
Name of Property Owner. Glenn $ Det'erahHWoh
�'�---_eW- -rt
Address Of Property _
959 Becton Road elock� NC 28532
Mailing Address of owner: 959 Becton Road Hsvel ck, _NC 28532
er's email. debglenn2003@yahoo.cor� (252) 444-3939
Wn O"ier's Phone#
p'
John Gudaitis 252 675-8210
Agenl's Name .J
�—. agent Phone#, ( )
,agent's Email: sales@riverfrontdocks,com
ADJACENT RIPARIAN PROpERTy OWNER'S CERTIFICATION
(Bottom portion to be corn IQted by the Adiacent Prortv Owner)
I hereby certify that I own property adjacent to the above referenced properly. The individual applying for this
perrnit has described to me, as shown on the attached drawing, the development they are proposing. A
descriotion or drawing with dimensions, must t mvided with this tatter.
I DO NOT have objections to this proposal. _- I DO have objections to this proposal.
If ou 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 hparian access unless waived by me
(this does not apply to bulkheads or dprap 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
N-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property owner: -
Type&Printed name of ARPO: David & Eon Rundberg
Mailing Address of ARPO: 961 Becton Road Havelock, NC 28532
ARPO's email: ARPO's Phone#:
Onto- � -waiver is valid for up to one year from ARPO's Signature"
neighbor seawall
NEUSE RIVER
Deborah Haworth
959 Becton Road
Havelock, NC 28532
IVERFRONT
.DOCKS
3614 Old Cherry Point Road
New Bern, NC 28560
(252) 349.0797
Rive rfrontDoc ks.com
41' seawall- 6' 21' seawall
6" x 6" Wale
(pressure treated)
2" x 12" Top Cap
(pressure treated) 3" Stainless Steel
i Screws
- 5/8" Timber Bolt
(galvanized)
5/8"Tieback Rod
4" x 6" Back Wale (galvanized)
(pressure treated)
Drainage Stone
4" x 10"
Drag Wale
(pressure treated)
Filter Cloth
RIVERFRONT
Vinyl Sheet Pile
3614 Old Cherry Point Road
New Bern, NC 28560
(252) 349-0797
i Rive rfrontDocks.com
8"
Deadman
Anchor Pile
(marine -grade)