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Home My WebLink About86554A - Phhillips, Wendell & Kimberly`°Mr', ❑CAMA ❑ DREDGE & FILL n N° 86554 A B C D Previous 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 ! State Phone #!( Email ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s Subdivision City / S is 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 L Fixed Platform(s) Floating Platform(s) Finger pier(s) 1 Total Platform area Groin length/# Bulkhead/ Riprap length I' Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp ; Boathouse/ Boatlift Beach Bulldozing Other i i ( r . 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: ) Y ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back 1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) -�J Agent or Applicant PRINTED•Name Permit Officer's PRINTED Name �� y C Signature **Please read compliance statement on back of permit** Signature Application Feels) Check #/Money Order Issuing Date Expiration Date DIVISION OF COASTAL MANAGEMENT AGENCY FORM FOIR PERMIT APPLICATIONS (properz do hereby authorize owner of the property located at: (proms':-:na=.-_-r_-addrass) iV Y lid /r��r t/ iA I (_ 77-q <-��_ (proJe�• r �?GC('� (name c: :: acrng as agent) to act as my agent for the purpose of obtaini needed Coastal -Area Management Act and/or Dredge and Fill Act permits, that may be ne _cr -z _^used development at the above - indicated property, which entails: (describe proposed development r"cr -.vhich permits are being sought) This agency authorization is limited to the specific activities described above, and will expire on: (date on which agency authorization expires) 01 1 (signature) (printed name of owner) 1�7 (date) (rifle, if officer of corp. owner or trustee for properly) N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property: Mailing Address of Owner: K, tvc Owner's email: Owner's Phone#: ��CJ Agent's Name: 2,C y f4g24 Sc ,n ilY)t), Agent Phone#: 33 -3 - 36 2- Agent's Email: P.14 MC Z,;Z e &- M14i C 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 drawing, with dimensions, must be provided with this letter. I DO NOT have objections to this proposal. I DO have objections to this proposal. ff 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. 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 15from 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' setba Signature of Adjacent Ripariah Property Owner -O R- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARP�O/X RI1 Gk 4 � / At e u & Mailing Address ofARPO: ARPO's email: )< ARPO's Phone#: (" 2� Date:-)( 7iZ *waiver is valid for up to one y r from ARPO's Signature" Revised May 2021 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: Address of Property: Mailing Address of Owner: /�, tvc::. Owner's email: ' Owner's Phone#: Agent's Name: 2%C-V- t4!:J y1 Agent Phone#: Z :Q_ - 33 53 - 036 2- Agent's Email: P }} yNAC_ Z5 Z &- Y f q i L 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 drawing, with dimensions, must be provided with this letter. 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 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-3901. 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' setb S / cent Rip rianProperty Ow / I do not wish to waive the 15' setback requirement (initial thej�la�... 711r Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO:X 0 ► T 1"� 1_11'A-9�) Mailing Address ofARPO: ,flK k4l_ ARPO's email: AQ one ` 7-6 Date: - / Z *waiver is valid for up to one y r from ARPO's Signature" Revised May 2021 L--�,uIKH"D .2 ppopese-P PtAtvol io LCou1g�� Es�C s VO R 1NC ('G �oK (C a- Cw► �u u- I) C a '�-na'7 Currituck County GIS Data V' wen er 1 Witt. Addresses Communities AydkM Barco Coinjoek corolla Currk=k Gibbs Woods Grandy Harbinger Jarvisburg Knotts Island Maple Moyock PoiM Harbor Poplar Branch PoweL Point Stw wboro Sligo Waterwy + County Boundary — State — county Streets Wright Memorial Bridge Major Streets . - —Artertal_Principal Arterial Malior —Coteator_Major Parcel Land Hooks Parcels - - - � Currituck County r a Aerial Photography (202c ERed: Bard_1 Green: Band_2 m5lue: Band-3 ... Currituck County GIS This map should a used for general reference purposes only. Currituck County assumes no legal liability for the information Phone: (252) 232-2034 shown on this map E-mail: gis@currituckcountync.gov ..✓ Y �,C seYrt,,OC_r ��a- �w Est I-e4 m | \ �� `� ��.: � ■ ' #.