HomeMy WebLinkAbout87774D - Latitude(tiE
AMA DREDGE &FILL lda-y N9 87774 A B CNERAL PERMIT Previous permit
Date previous permit issued
ew ❑Modification ❑CompleteReissue ❑Partial Reissue
As authorized by the State pf North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC � ❑ Rules attached. JJ Gegeral Permit Rules available at the following link www.de�nc.gov/CAMFwIes
Applicant Name "-'�
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Address
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Project Location (County): : itC._�-
City - -
State-
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ZIP 7V&A-'V
Street Address�5j//SStat//e��Road/Lot Is) '
Phone#1(�)i D I'.i
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Email
Subdivision
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Affected ❑CW
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AEC(s): ❑ OEA
❑ INA
❑ uW
❑ SPIMA ❑ PWS
Closest Mai. Win Body, G IiLl
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ORW: yes/(o 7
PNA:
yes/po
Type of Project/ Activity
(Sesiejj 1
9
Fixed is
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Floating Platform(s)
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Max ,sl8nce/ length
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Cubic yards
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A building permit/zoning permit maybe required by: T ( /_! it'L_ '*--
Permit Conditions
❑ TAWPAM/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)
{ V �A
Age or Applicant PRINTED Name Permit OfficeF's PRINTED Name
Signatu a "Please read compliance statement on back of permit"" Signature
a G17i� Z2.-�
Appli tion Feels) Ch c f1/Money Order Issuing Date Expiration Date
Statement of Compliance and Consistency
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 belief, certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
1-1 Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules
If 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. If you have any questions, please contact the Division of Water Resources at the
Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215).
Notes/Additional Permit Conditions:
Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized
project area and disposed of in an appropriate upland location.
Division of Coastal Manaeement Offices
Morehead City Headquarters
400 Commerce Ave Morehead City, NC 28557
252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330
(Serves: Carteret, Craven — south of the Neuse River, Onslow
Counties)
Elizabeth City District
401 S. Griffin St. Ste. 300
Elizabeth City, NC 27909
252-264-3901
(Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford,
Pasquotank and Perquimans Counties)
Washington District
943 Washington Square Mall Washington, NC 27889
252-946-6481
Fax: 252-948-0478
(Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington Counties)
Wilmington District
127 Cardinal Drive Ext. Wilmington, NC 28405-3845
910-796-7215
Fax: 910-395-3964
(Serves: Brunswick, New Hanover and Pender Counties)
http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021
I
a�
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Regl
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
to act on my behalf, for the pu
westing Permit: t L S 1 I
n
o s�`I 1 BeoLeNN KA
t4S
ato- N-72oy
rC
om
C09i !►'1w" ✓ l�I�GT
I �dl
Agent / ContnuEor
nose of aDDlvina for and obtaining all CAMA!pemft
necessary for the following proposed development: Xr14A!f//If.4%
at my property located at 10 Z ,
in _. /� ;h-_� :� County.
l furthermore certify that 1 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 Information:
'Print or Type Name
AVW1
Title
Date
This certification is valid through I__J
SSc�C
i
I
ADJACENT RIPARIAN PROPERTY OWNERSTATEMENT
fE56vG.
hereby certify that I own property adjacent to LA =�1) 0
property located at x- )-:�' I vc- x x l\
(Address, Lot, Block, Road, etc.)
on l i;cx�c �� C ��t.v�c� in ` AI Eez? icln N.C.
(Waterbody) (City/Ton and/or County)
N�- "601-, the applicant has described to me, as shown below, the development proposed at the above lotxtlon.
1 have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
0615rl acd�'1306f6v WD
WAIVER SECTION
��� I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, or groin must be set back a
� Il' L minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive
dION the setback, you must initial the appropriate blank below.)
I do wish to waive the 1 b' setback requirement.
i do not wish to waive the 15' setback requirement.
(Property� Owner lnform7 24
C�ip}yt atur lrr�x�t
Imo- "14 &X-CADW?
Print or Typb Name
17a3 C'ay'c) I
Meiling Add
I bp-:ci, I
CityState/Zip
LiiJ- (o1 71204
Telephone Number
1
(Adjacent Property Owner Information)
Signature
or Type Name
Mailing Address
U y
City/statatzip
Telephone Number —
Date
(Revised 6/16P1012)
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
Ll fl;SyvC
hereby certify that I own property adjacent to %A`�Tkuxj e SJ Q 10 DVOINe
property located at T?> C `_0 �1OW
1 (Address, Lot, Block, Road, etc_)
on 1 r G cz <n tv,C1 in [I F,&dCJA , N.C.
(Waterbody) pty/Town and/or County)
) �"80' fhe applicant has described to me, as shown below, the development proposed at the above location
N6.
�e�� * ]'have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description_below or attach a site drawing)
e,Mwe_� ld 06K Yzz' /)
Go'
WAIVER SECTION
I understand that a pier, dock, mooring pilings, breakwater, boathouse, lift, 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
0 A/' the setback, you must initial the appropriate blank below.)
do wish to waive the 15' setback requirement.
_ I do not wish to waive the 16 setback requirement.
Owner I ��jlo�nnYY'' 6\ta (Adjjaaceen-tyProparty Owner Irdoi
n ��CLWR� i '\ ! \ rl / / A_11
°rint or Type Name
17t�3 Carol or
Wing A
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Telephone Number
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Date
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Date Received
Date Deposited
Check Prom!Name
Name ofP—It Holler
Vendor
Check number
Check
.mount
Penny vumberlComments
Receipt or Refund/Reallocafed
Column!
Column2
Column]
Column4
Columns
Columns
Co1umn7
Columna
Columns
715/2022
7/6/2022
Gregory Holden
Town of Holden Beach
United Bank
5632
$ 400.00
GP #87753D
PA rct. 18043
_
715/2022
_
7/612022
Li hthousa Marine Construction Inc
Faircloth
Coastal Bank & Trust
4327
$ 400.00
GP #877750
JO rct. 17686 _
_
7/5/2022
7/6/2022
Li hthouse Marine Construction Inc
Hill
Coastal Bank & Trust
4326
$ 400.00
GP #87776D
JO rct. 17685
_
7/5/2022
7/6/2022.
_
Delta Dock & Boat Lift
Let 34 Slip Owners Assoc.
First Citizens Bank
9356
$ 400.00
GP N87774D
JD rct. 17684
7l5/2022
7/6/2022
John McClure
Barnes
United Bank
_ 1037
$ 400.00
GP #87729D
PA rot. 17951
_
76/2022
7/6/2022
John McClure
Kelly
United Bank
1110
$ 600.00
GP #857620
PA rct. 18044
_
715/2022
7/6/2022
H5 Construction
Duke
Truist
10166
$ 600.00
GP#85990D
PAr.t. 18045
715/2022
7/6/2022
John McClure
Gray
United Bank
1102
$ 200.00
GP #877310
PA rct. 18042
71512022
7/6/2022
Sea Dog Marine Construction
Williams
First Bank
1810
$ 400.00
GP #85976D
PA rct. 18050
_
715/2022
7/6/2022
John McClure
Baker and Arnold
United Bank
1103
$ 600.00
GP #87730
PA rct. 18043
7/5/2022
716/2022
Permit Pals -
Rowe
CresCom Bank
3808
$ 200.00
GP #85991 D
PA rct. 18040
7/5/2022
7/6/2022
_
Dwi ht Burgess
same
United Bank
1050
$ 200.00
GP#85784D
PA rct. 16148
7/512022
7/6/2022
Gre o Holden
Town of Holden Beach
United Bank
5635
$ 200.00
GP #85975D
PA rct. 18035
_
7/5/2022
7/612022
Richard Penn Construction LLC
Sinclair
NAVY FCU 1 of 2
5216
$ 200.00
GP #87798D
RM rct. 15507
715/2022
_
7/612022
Richard Penny Construction, LLC _
Sinclair
NAVY FCU 2 of 2
5215
$ 400.00
GP #87798D
RM rct. 15507
715/2022
_
7/6I2022
RG Marine Contracting LLC
Armati
Bank of America
1109
$ 200.00
GP i1877840
BB rct. 18016
_
715/2022
_
7/6/2022
Permit Pals
Walters - _
CresCom Bank
3812
$ 200.00
GP #87786D
BB rct. 18021
7/512022
7/6/2022
H5 Construction
Vignola
Truist
10121
$ 400.00
GP #87717D _
BB rct. 18020
_
7/512022
7/6/2022
Delta Dock & Boat Lift
McKenzie
First Citizens Bank
9357
200.00
GP #87773D
JD rct. 17543