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Home My WebLink AboutWickline, Terrance 84410C❑CAMA ❑ DREDGE & FILL N9 84410 A B C D 3 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: wwwdetnc.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/fJ �. Bulkhead/Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other.. SAV observed: Moratorium: n/a yes no yes noSite Photos:- RiparianWaiverAttached: yes no A building permit/zoning permit may be required by: Permit Conditions (Scale:;) ) ❑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)I/t! d� Agent or Applicant PRINTED Name Perri?�t'Officer's PRINTED Name _f Oi, Signature **Please read compliance statement on back of permit** Signature I r1�2.. Application Feels) Check#/Money Order Issuing Date Expiration Date ��`°"'"�❑CAMA ❑DREDGE & FILL N9 84410 A B C D GENERAL PERMIT Previous permit Date previous permit issued I I 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. a General Permit Rules available at the following link: wwwdegnc.gov/CAMArules Applicant Name Address City State ZIP Phone#(_) Email Authorized Agent Project Location (County): Street Address/State Road/Lot Subdivision City Affected F/I CW ❑ EW ❑ PTA ❑ ES ❑ pTS Ad(. 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 (Scale:, ) ..... ...... _ .o_.. f Access Length it r-- -- - -- .,� — �: Pier (dock) length t Fixed Platform(s) •� t' `� Floating Platform(s) VI Finger piers) Total Platform area t"r ` - ;t t \ 1 Groin length/H Bulkhead/ Riprap length _ _... r Avg distance offshore Breakwater/Sill Max distance/length j Basin, channel -- Cubicyards i Boatramp Boathouse/ Boatlift, ..'tr:- Beach Bulldozing " Y — I fiI{�1 SAV observed: yes no t I �• Moratorium: n/a yes no �{"-'^'� Site Photos: yes no Rioarian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions TAR/PAM/NEUSE/BUFFER (circle one) r 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. Agent or Applicant PRINTED Name Permit Officer's PRINTED Name (Please Signature **Please read compliance statement on back of permit" Signature (. Kl Application Feels) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PPRMIT APPLICA,�ION Name of Property Owner Requesting Permit: tC,K ht�P Mailing Address: IA50b lcicir-q� Rglt Inh Nc 2lworl Phone Number:glq _ vgn ^ H 17 Email Address; r r G . cGm I certify that I have authorized Gr IStAI GOGSi Ma. 1c2 tCn�rcici ir) Agentr ContracWr to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development _40115tt41Ci-IGvt Gf n C_Vr�Crete [1rt'R ar�r{ hont 11�t at my Property located at 1510 $9 u nd Dr t of in Cfnr4ere+ County. t furtharmore certify that I am authorized to grant and do in fact grant permission to Division of Coastal Management sfaff the Local Pang Ofter and their agents to enter on the aforementioned lands In connection with evaluating information related to this Permit applicaEon. Property OwnerMm ationn: A- 61917atME) Terrnnr_pyy,rKt,nN Print or Type Name owner Trde Date Tp1O Gt101e{¢lO4f1 D. V011a thmust, RECEIVED JUN 0 2 4, DCM-MHD CITY ADJACENT RIPARIAN PROPER T Y OWNER S TATEMENT I hereby certify that I own property adjacent to TP.r vnnce oV Get t Yee 's (Name of Property OSmer) Property located at "1550_SOLtwI Dr,vP on ac r, �t E SO uj ncl (Address, Lot, Block, Road, in Emt'rra d 1SIE GgPtel'e I N.C. (Waterbody) (CitylT�d/or County) the applicant has described to me, as shown below, the development proposed at the above to ' I have no objection to this proposal I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOP BEEN I v---- (lI"didduaf proposing development muss fill in description betas, or attach a _ite drawing) WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lifi, 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 must initial the appropriate blank below.) I do wish to waive the 15 setback requirement. I do not wish to waive the 15 setback requirement or �ntC�iCH�. N(, 2'l�ocri City/Stale2p �15 C5 - tnGrt • `7r�"l-i Telephone Numberl email address Dole valid for one calendar year aRor signatum (Adjacent Property owner Inlignnatl ry r .Stymatt" �IiG P_ qt` tMi S�eU�vS Prier or Type Nam, �qOto 0Li 11 QOp� M,ading Addiess Kirh5(Olin,NC, C11y/State/4ro Telephone Numberl amid address Daley (P.ovisod Aug. 2W9C E I V E D JUN 0 2 2022 DCM-MHD CITY ADJACENT RIPARIAN PROPERTY OWNER STATEMENT I hereby cer5fy that I own property adjacent to Ter ranee vVI CK11 ne s (Name of Property Owner) property located at "i 510 SO �,t nrJ f7 r 1 vP on--aCa�d2,ynaiau,cw. ( In ��ld IS1E GC1V-+e�et N.C. Waterbad y) (cmrrrnwn 4nrunr Cm mhA The applicant has described to me, as shorn below, the development proposed at the above location. I have no objection to this proposal, ---,w— I have objections to this proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (IndMdual P%IopashW devetoprserrt must H11 in de=1pMw below or attach a site drawing) WAIVER SECT I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, r>c, or groin must be set back a minimum distance of IS from my area of riparian access un)ess waived by me. (if you wish to waive the setback, you,must Ittfttal'the appropriate blank below.) I do wish to waive the 15 setback requirement, I do not wish to waive the IN setback requirement. (Property er information) (Ad)acen Property Owner Informatlon) IF TPX r'cAnGe vV iGK1tV1C YK ?riot or Type Name Print ar Type Namo 450R Ygtl�in Dr%VP-. (Q0qL A 8io KhC1VPv G11 GIP Wafting Address Maging Address tale r, Nr- 2"1%ocq John, c- tr, , CAA 3oogI :dyStatamp C,ty/Sm100 -Ll dt - ta0C4 - Qcl ,a-i ' retephoneNumber/emai/address TetephonoNumber/om .address nor Dw,' RECMED 'Valid for ane calendar year after signature' (Ravrsod Aug. 2014) JUN 0 2 2022 DCM-MHD CITY V,i)AOA SQk4nr� 3.S N LV\/ ZO TY CZLU W LU 1.10 N O N a S Lc G U a 9 A s 14 0-1