88606C - Helfrich, Kenneth

[_] oneocE & FILL Nq' 8S606 A s @'o
GENEFT/AL PERMIT Previous permit
Date prorious permit issued
f]New IModification -ffComplete Reissue IPartial Reissue
As authorized by the State of North Qarolina, Depanment of Envirorrmental Quality and the Coastal Resources Commisrion in an area of environmental concem purcuant to:
se"cxc O-7 H , f flOO [l Rules attached m General Permit Ruler arailable at the fottoadng tink vw-vw.deq.nsfde,AMArutes
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Applicant Name
Address
Authorized Agent
Proiect Location (County) :
Street AddresJState Road/Lot #(s)
SuMivision
City State ztP
Phone #
Email
7toCity
Alfected [a*
AEC(s): floer
OnW:Ve@
fl"
f]snrur
GW
tltA
PNA:
Irrt
Inws-sr"o--.
LJUW
Adi. Wtr. Body
Closest Mai. Wtr. Body
,"@
Type of Project/ Ac6vity
Shoreline Length
Access Length
Pier (dock) Iength
Fixed Flatform(s)
\o
DTEV;
II
)l
Floating Platform(s)
Finger pier(s)
Total Platform,
Groin lengthlfl
Bulkhead/ Riprap
Avg distance
BreakwaterlSill
Max distance/ length
Basin, channel
Cubic yards
Beach
Other
v*;U
A*sOL\
Yq
fernnit unA*ioasr
SAV observed:
Moratorium: nla
Site Photos:
Riparian Waiver Attached:
A building
Permit
PRINTTO
no
may be required by:
Yes
yes
@ efoupn (o, rr*v
(circle
-X16" note on back regarding River
l-l See additional notes/conditions on
or
Fee(s)
compliance statement on back oT
Check flMoney Order
Permit
rnitiall
)
As authorized by the State of Nonh Carolina,
I5A NCAC
E ONCOGE & FILL T*N9 88606 A e @o
GENER/AL PERMIT Previous permit
Date previous permit issued
E New E Modification ,ffComplete Reissue ! partial Reissue
Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
! n t"t attached. ffi Generat Permit Rules available at the following link: www.dE.nc.gov/CAMArules
)o
Applicant Name
Address
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City State ztP
Phone #
Email
Ctty ZIP
Affected CW
AEC(s):OEA f rxa
Ert
!snrrrrr
Inrs
f,ews
EW Adl. Wtr. Body
Closest Maj. Wtr. Body
ORW:ye@ ,*O,t"@
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform a
Groin length/#
Bulkhead/ Riprap
Avg distance
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Beach
Other
SAV observed:
Moratorium: nla
Site Photos:
Riparian Waiver Attached:
A building perm
Permit
yes
yes
l:i,\IJ
may be requ ired by:(circle
-El<* note on back regarding River
coM
See additional notes/conditions on
coN
or nt PRINTED
**P
'"8'"to
Permit Officer's
IAM
cation Fee(s)
compliance statement on back df,
Check #/Money Order lss
lnitial)
LMDr*
)
* fil pceVious ?elrnll- un),fions
rl-;// offly'F
,4.
,ftiroory@rrrr*
This permit is subject to compliance with this application and permit conditions. Any violation of these terms may
subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for
compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this
permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the
local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s)
has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and beliel certify that this project is consistent with the North Carolina Coastal Management Program.
Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
lf indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules
for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the
NC Division of Water Resources, lf you have any questions, please contact the Division of Water Resources at the
washington Regional office (252-946-6481) or the wilmington Regional office (910-796-721s).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorizedproject area and disposed of in an appropriate upland location.
Division of Coastal Manasement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 29557
252-808-2808/ 1-888-4RCOAST Fax: [phone]
(Serves: Carteret, Craven - south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3907
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washingon District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: [phone]
(Serves: Beaufort, Craven - north ofthe Neuse River, Hyde, pamlico,
Tyrrell and Washington Counties)
Wllmington District
127 Cardinal Drive Ext. Wilmington, NC 28405_3845
9LO-796-7215
Fax: [phone]
(Serves: Brunswick, New Hanover and pender Counties)
http p ortal.ncdenr.org/web/cm/dcm-home
Revi.ed 6/0U2021
Statement of compliance and Consistency
River Basin Rules Applicable To Your Project:
I5A NCAC
Ht fi4114 A u#o
Previous permit
Date prwious permit issued
[] Partial Reissue
the Coastal Resources Commission !n an area o{ environmental concern pursuafit to:
I RuUs attachea. ff Ceneof Permit Rule arailable at the following ltnk www.deo.ncgq/CAM&gtss
Applicant
Address
City
Fhone #
State zlP
Auth0rlzed Agent
Prolect Location (County):
Street Address/Stata Road/Lot #{s) - d.-*r*g* . ,__
Emril * . _...* -..... ,.. *.,. SubdMston
City P
1
I
Affact€d
,AE{(s):
ORW:
f,nrs
Irn*
f,cw nIo* D
Ew *ffin
rHA Uo*
Pt',lA:yes,@
Ies
f srlrvra
Adi. Wtr. Body
Closest Maj. Wtr. Body
Type of Projectl Aetivity
Shoreline length
(5cale:
Acaess Length
Pier (dock) length
Fixed Platform(s)
Floating Platform{s}
Finger pier(s)
Total Plat{orm area . 1
Groin length/#
a-zrryI
Bulkhead/ Riprap length
Avg distance offshore .-
Breakwater/stll -.::1
Max distance./ lencth ,/
Basin. channel ./.-
Cubic vards
Bu
0ther
SAV observed:
Moratorium: n/a
She Photos:
Riparian Waiver Attached:
A building
Conditions
permit may be
H6trJ no lkf&,c I,
S tmrtorrq@tsuFFER (circre ane)
,.EfS* note on back regardlnE River Basin rules
f] Su" additional notes/conditions on back
ot
Fee(sl
CBC
Check #lMoney Order
Permit Officer's
STATEMENT.(Please
Date
I AM AWARE OF
**Please read
4rp
statement 0n back of permit**
TO T}IIS PROJECT AND REVIEWED
tr nnrncc & FILL
GENEHAL PERIVIIT
' t-n - "..('-
-,l^ V\ t 14 t
-t/i;er- -,i!f,
N.G. DtvlSION OF COASTAL
'IANAGEMENTAI}JACENT RIPARTAN PROPERTY OYUIUER N OTIFICATION/WATVER FOR}I
fl-op portion to be completed by owner or their agent)
(r,^olL J /,riName of Property Ovmec
Address of Propertl6
Maiting Address of Owner .*rx g
Oirng's email:f'ar s*n"a" phone* Jll - t d L' 7 {c 7
Agent's Narne: Carteret Marine Services Agent Phone* 252 631-9435
Agenfs Emait: i [e-mail]
ADJACEN; RIPARI,AN PROPERTY OWT{ER'S CERTIFICATION
{Bottom bortion to be completed bv-lbeAdiacent Pronertv Owneri
l hereby certify that I own property adjacent to the above referenced property- The indMdual applying iar 5:spennit has described to me, as shown on the attached drawing, the development they are prcps:r6- p"
descriotion or drawing. with dimensions. must be orovided with this te.tter
't,/
, I I DO NOT have objections to this proposal. I DO have objections to this propcsa.-
Managemertit {DW in wfiting within lO days of rcceipt of *ris notke. Con espandenee sfio*id be
mailed to l{N Commeree Ave., llorehead CW, NC 28557, DCM rcpre,s;enlafi'ves can also be cantu*d
at {252) 808-2808.IVo rcsponse is coasidered t'he same as no objxtion if you hava been notifrd by
Cerffied ltail.
WAIVER SECTIO!{
I uE:dersEnd &at any proposed pier, dock, moorirq pilings, boat ramp, breakwater, boathouse, lift. c'r
groin musi be set back a minimum disiance of 15 from my area of riparian acress unls waived by ma
{his does not ap$y to bulkheads or riprap revetments). (lf you wish to waive the setback, you rnr.rst sisa
fi':e appropriate blank below"i
I DO wish to waive some/allof the 15
-oR-
I do not wish to waive the 15' setback requirement {initial the blank)
-_.--
Signatlre of Adiacent Riparian Property Owner:
TypedfPrinted name of ARPO:h? 't p n\".r 6 ",rrbi..* / fi*^ r/]*ir:ro I ti;
17 Z'*o'Z-
Na CIttQPaxnA't ji urul
ARPo's Phone#: 1;Z - LZ7 - 7-Z
af
i*{ailing Address of ARPO:
ARpO.semail: pf O*J,
{{
is val'rd for up to one yearfrom ARPO's Signahre-Date:
Revises May 2*21
Js ? dpf *^r, il [o*. , r]u* R*no; Ait elsia
t
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Reguesting Permit:{*,n " r,L & l/r t.f.,',..L
Mailing Address:Jo? AwnlzEct tA,'jt"
,t/&J
Phone Number:.?{e- U Ju - 7l:0 ?
Email Address:rna, ( to pr
I certify that I have authorized (1ar*en i- flion;* - .(pr-,J.i.p c
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:Ti ,'tlar* *f,.. ,{"rl
c,^,( {" i^s{-*./i q b*"f i,f,t-o),/'a/e,t *-^r{ Fil ( {,:{/.
at my property located at
in fno
I furthermore cedify that t 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
an the aforementioned lands in connection with evaluatina information related ta this
permit application.
Property Owner lnformation :
Signafure
lrn*.t/- -!f{
Print or Type Name
Title
-qI-i /3-lCoal-
Date
e
This certification is valid through a Jar:,
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERW OWNER NONFICATION'WAIVER FORM
(Top poilon to be completed by owner or their agent)
Name of Property Owner:y'rrnnlL J {.il
Address of Property:I
Mailing Address of owner: .4 rq f
i:r," Crype,r,sphone* .?-Q-QL- 7{GOwner's emeil:7
,Acent's Narne: Cacteret Marine Serviaes ar."*.t ?t-a*c-' 252 631-9435
Agieflt's Email:info@carteretna ri ne.com
ADJACENT RlPARlAtl PROPERW OWHER'S CERTIFICATIOiI
(Bsttom portion to be comoleted bv the.Adiacent Propgrtv Owner)
i hereby certify that I own property adjacentto the above referenced property. The individual applying forthis
pennit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawinq. with dimensions. must be orovided with this lefter-
\a' Y I DO NOT have obiections to this proposal. I D0 have objections to this proposal.
lf Wu have objections ta what is being proposed, you must nottfy the N.C. DMslon of Coastal
llanagemeat (DCW ln writlng within lA days of rcceipt of this natice. Conespondence should b
mailedta4.OOCommetceAve,, ilorchead ClU, NCZAi!57. DCful representativescan alsofuconffied
at [phone]- ilo response is considered the same as no obJection if you have been notlfid by
Certifred frilail.
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'ftom my area access unless waived by me
(this does not apply to bulkheads or riprap revetmentsi. (lf the setback, you must sisn
the appropriate blank below-)
I DO wish to waive somelall of the 15' setback
Signature G#Yler
-oR-
t do not wish to waive the 15' setback
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
ltiailing Address of ARPO:e$t>
.66fARPO's
Date:
ARPO's Phone#:
is valid for up to one yearfrom ARPO's Signature*
Revised ttay 2A21
!
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