HomeMy WebLinkAbout86551A_Straab, David & Patricia_202206163o1+0 OASr'4,k❑CAMA ❑ DREDGE & FILL �,(i, N° 86551 A B C D
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Previous permit
GENERAL PERMIT
i 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 -4 " f ( ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name
Address
City State ZIP
Phone # (� )
Email
Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
FixedPlatform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
i
Groin length/#
BBuul_k_h_ead/)iprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
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
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Adj. Wtr. Body (nat/man/unk)
Closest Maj. Wtr. Body
(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.
Agent dr Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Feels) Check #/Money Order Issuing Date
(Please Initial)'
Expiration Date
ti
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date /n RECEIVED
MAY Z
Name of Property Owner Applying for Permit:
avid ,s ma DCM-EC
Mailing Address:
l 3� S 1^ sin Tt a
eared eve- cD3 117 L `1
I certify that I have authorized (agent) Cadder► fnAe �1L'��, to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (
/ I p
at (my property located at) 3 Stn.ti .for. IS Arev
This certification is valid thru (date)��-
.1371C,
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: V Q If
Agent's Name: 14t"de&n /'►'LA/'fnt, 1i I -
Agent's Email:
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: lbat,. d S4rG.."
Address of Property:
Mailing Address of Owner:-54/'7 e
C_
Owner's email: A1.4 Owner's Phone#: [v J7-3 ZK GOd 9 �/�//��
Agent Phone#:�S1' 331' 013 - ool'44 -
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 A
I DO wish to waive some/all of the 15' setback II AQ�
Siana re of Adjacent Rip ian Property Owner
1
Mailing Address of ARPO: / Zg b • tii C Q'I C,' `% .
ARPO's email:
ARPO's Phone#:
Date: Z_ "waiver is valid for up to one year from ARPO's Signature"
Revised July 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: _0CL&, %d r,4/'GuAL
Address of Property:
Mailing Address of Owner: S /4/'1 r G
Owner's email:gld Owner's Phone#:
Agent's Name: �t✓1 /�'1Gi%i►e..7/tt�
Agent's Email: �4�,1de.-►��•��
Agent Phone#:..s,''&3I (A30 - t-f-PCei
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
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, o.0 must sigrl�
the appropriate blank below.)
I DO wish to waive some/all of the 15' setba D
Sig to of Adjacent Riparian Propertwner ec
-OR- D 'o-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: r�
Typed/Printed name of ARPO: J �`` 'rn W LA�, e-1 ^ /
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: 5 llr7/A V a �_ *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
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