HomeMy WebLinkAboutHarris, Chris 84411C° N❑CAMA ❑ DREDGE & FILL N0 84411 A B C D
permit
GENERAL PERMIT DatePrevious
previous ousp
Date permit issued
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina,
Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC '' %iV ❑ Rules attached. `l General Permit Rules available at the following link: wwwdecinc.gov/CAMArules
Applicant Name
Address
City . State f i ( ZIP J-/zal
Phone #O :`i ".-
Email �I('I(( 5 /6N �7ti'zd/i. r(e' 0
Authorized Agent r
Project Location (County): Cis'` /E''!� _`- T
Street Address/State Road/Lot #(s)
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Subdivision
City - ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
Adj. Wtr. Body. r/)(l �' 4� Ina, man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Won. Body
PNA: yes/no
Type of Project/ Activity
i
(Scale: IVT J )
Access Length
Pier (dock) length-
FixedPlatform(s)
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1
Floating Platform(s)
_
�),�
_
Finger pier(s)
Total Platform area
Groin length/N
Bulkhead/ Riprap length
x
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_
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I-
_
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—
--
--
Avg distance offshore
Breakwater/Silli-
Max distance/ length--
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-
1
I
Basin, channel -'
Cubicyards
Boat ramp ��
Boathouse/ Boatlift
Beach Bulldozing
Other
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-
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,
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SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Rioarian Waiver Attached ves no
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A building permit/zoning permit may be required by:
Permit Conditions
❑ 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** Sig� I natupre /
I ��n7
Application Feels) Check #/Money Order Issuing Date ExpRation Date
❑CAMA ❑ DREDGE & FILL
GENERAL PERMIT
No 84411 A B c D
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. Q General Permit Rules available at the following link: www.deq.nc.gov/CAMAruIw
Applicant Name Authorized Agent 1- - /
Address - Project Location (County):
City { State zip l 'r �l Street Address/State Road/Lot #(s)
Phone # (
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Weir. Body (nat, man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wen Body
ORW: yes/no PNA: yes/no
Type of Project/Activity "(I:'4 %ll IJ I ri'<.1IV, YU'.'-
(Scale: )
1
ME
mC
EMS
NMIINN
in
WEE
1
Total Platform area
I
Groin length/#
:....
Boatlift
Beach Bulldozing
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C
IN
no
N�
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mBoathouse/
�n�:�
No
MEN
N
E
Other
IN
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
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,
A building permit/zoning permit may be required by:
Permit Conditions
AND CONDITIONS
i I Qt-
Agent or Applicant PRINTED Name
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
VD REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Permit Officer's PRI TED Name
Signature **Please read compliance statement on back of permit** lira re
Application Feels) Check ft/Money Order Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: (\-AAS 1�ckyeis
Mailing Address: �-1WA
Emern�Z51e4 1 �C a8S°1y
Phone Number: ON) (nm$- r3LQrA
Email Address: (!,NU.0 egYN&TrAlS @ GMAQ\. ZM
1 certify that I have authorized ���tC f'lb�V�iO(1r
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: ��U)�ACA `,\15te yYl
at my property located aty0Q1�LP���P_Lf�. Ems, R1C_ c�Y,F,94
in S�X County.
I 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 atton:
// S' nature
Print or Type Name
wNer-
Title
I Jl / Zo LZ
Date
This certification is valid through
U10 5gzA-
a .elox
aboutblan
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONUAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Christopher Harris
Address of Property: 4008 Leslie Ln., Emerald Isle
Mailing Address of Owner: Same as above.
Owner's email:
Agent's Name: EZ Dock Solutions
Owners Phone#:
Agent's Email: ezdocksolutions(oyahoo.com
Agent Phone#: (252) 764-1234
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 applyingforthis
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.
t DO NOT have objections to this proposal. 100 have objections to this proposal.
it you nave opJechons 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 wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15'setback requirement (initial the blank) -
Signature of Adjacent Riparian Property Owner:
Typed/Printed name
Mailing Address of
ARPO'sWrvr-JC'ARPOSPhone#:.2,o2-36Y--oily
Date:- ---3-~-Y2- - - - *waiver is valid for up to one year from ARPO's Signature*
yd
Revised May 2021
of 2
</1 Nnoo 0.14 AAA
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: Christopher Harris
Address of Property: 4008 Leslie Ln., Emerald Isle
Mailing Address of Owner. Same as above.
Owner's email: Owners Phone#:
Agent's Name: EZ Dock Solutions
Agent's Email: ezdocksolutions@yahoo.com
Agent Phone#: (252) 764-1234
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 property. The individual applyingfor this
permit has descJr'bed to me, as shown on the attached drawing, the development they are proposing. A
descri tion or rawin with dimensions must be rovided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
It 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 recelpt 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 slan
the appropriate blank helow.)
r
I DO wish to waive some/all of the 15'setback Q
-OR-
Sfgnature of A djace nj Riparfan Prop er& Owner
I do not wish to waive the 15' setback requirement (initial the blank)
7 r r
Signature of Adjacent Riparian Property Owner:
ZZ
Typed/Printed name of ARPO: 5) l.r lif ))
g 1 rS Z00rr zf
Mailing Address of `� � ��. � i c, I
ARPO's email: ARPO's Phone#: f I o— I "' I J 1 Z,
Date: . 15)1- 5i /Zoe ?—__"waiver Is valid for up to one year from ARPO's Signature'
Revised May 2021
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Not T erewill be small, approx.
gap beriveeh the existing
floating dock. platform a d
proposed g �.
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Floating glmk- I -—�
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Chiistophe
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Ha�ris
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era'ld Isle, NC 2859
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Existing
Pla
or
Existing Piling
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