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Home My WebLink AboutBoyed, Sammy 88529C&❑CAMA ❑ DREDGE & FILL N9 88529 A B c D o � Previous perm a GENERAL PERMIT Date pre io slpermitissued MNew ❑ 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. .<-�\❑"� General Permit Rules available at the following link: wwwdeg nc coy/CAMArules Applicant Name Authorized Agent I i7X )!f'f1 {�1Cs�' Address Project Location (County): Y' S• IS.'- 1 City ;% State ZIP Street Address/state Road/Lot #(s) goq Phone # (_ ) Email Subdivision City U1 . ZIP Affected ❑ CW , ❑ EW -❑ PTA ES ❑ pTS Adj. Wtr. Body Pi I lei I)j/I. �! (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yeS/noj PNA: yes/nd ;! pp II ( Tyne ofllProiect/ Activity l N f e - '7 !' ' K /1 T �� (Scale;-; �� ;� ) Access Length _ (dock) lrm(s) FPier ixed /5 x,.F f) I ! ! Floating Platform(i) 'T Finger pier(s) �I ! ! 1, __ _ _ ,.. Total Platform area Groin length/# - - Bulkhead/ Riprap length _ Avg distance offshore Breakwater/Sill Max distance/length Basin, channel �` y`i^ I ' - _ _ — _— Cubicyards I r Boat ramp Boathouse/ Boatlift I I Beach Bulldozing 7 —L _ Other SAV observed: yes no -- Moratorium: n/a yes no Site Photos: yes no—i— —'— Riparian Waiver Attached: yes no I/ A building permit/zoning permit may be required by: I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROI Agent or Applicant PRINTED Name _ Signature **Please read compliance statement on back of permit'*.-• — Application Fee(s) Check #/Money Order Permit Officer's PRINTED Name Signature Issuing Date U IAr4rAM/NtU3t/nUrrtn tcirae one/ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Expiration Date ❑CAMA ❑ DREDGE & FILL N9 88529 A B C D GENERAL PERMIT Previous permit 3 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 ❑ Rules attached. .. General Permit Rules available at the following link: wwwdeq nc gov/CAMArules Applicant Name _ Address City ' Phone # (_ ) Email State e Authorized Agent Project Location (County): Street Address/State Road/Lot Subdivision City= Affected ❑' CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Win Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no i Type of Project/ Activity (Scale: ; ) Access Length— Pier(dock)length Fixed Platform(s) i Floating Platform(s) -- Finger pier(s) - _ Total Platform area Groin length/# Bulkhead/Riprap length - Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel ! Cubic yards Boat ramp_- Boathouse/Boatlift Beach Bulldozingi Other� —(- — i i - ? - __. — --— F—. - �i —' _ — !. _ — -_. SAV observed: yes : no,. Moratorium: n/a yes no Site Photos: yes : no RioarianWaiver Attached: ves' no +- ,� - I — ---- "+- — A building permit/zoning permit may be required ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules 0 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 Signature **Please read compliance statement on back of permit*--,; Signature Application Feels) Check N/Money Order Issuing Date (Please Initial) a: Expiration Date im AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Mailing Address: Phone Number: Email Address: I certify that I have authorized Permit: G 011vqG 6 C) Y llt lam, J� M VC N` L '� FS-? S- "�S2-3 y).--070S % A Wc�r Agent / Contr to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: r at my property located at in AL-- G YA P( I � 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 Information: Cj _ ,,— tint or T pe Name Title Z/ /L Date This certification is valid through /. RECEIVED JUL 14 2022 DCMi-MHD CITY O C '� rt z 7/13/22, 8:54 AM USPS.com(g) - USPS Tracking® Results USPS Tracking® Track Another Package Tracking Number: 70212720000080241389 FAQs > Remove X Your item was delivered to an individual at the address at 3:42 pm on July 9, 2022 in RALEIGH, NC 27607. USPS Tracking PlusO Available v OV Delivered, Left with Individual July 9, 2022 at 3:42 pm RALEIGH, NC 27607 Get Updates v Text & Email Updates Tracking History m RECEIVED `CD D CL N JUL 1. A ZOZZ UCM-MHU CITY u n July 9, 2022, 3:42 pm Delivered, Left with Individual RALEIGH, NC 27607 Your item was delivered to an individual at the address at 3:42 pm on July 9, 2022 in RALEIGH, NC 27607. July 9, 2022, 8:42 am Out for Delivery RALEIGH, NC 27607 https://tools.usps.com/go/TrackConfirmAction?qtc tLabelsl =70212720000080241389 1 /3 7/13/22, 8:55 AM USPS.com® - USPS Tracking® Results USPS Tracking® FAQs > Track Another Package -h Tracking Number: 70212720000080241372 Remove x Your item was delivered to an individual at the address at 10:32 am on July 11, 2022 in MOREHEAD CITY, NC 28557. USPS Tracking Plus® Available v RECEIVED G Delivered, Left with Individual July 11, 2022 at 10:32 am JUL 14 2021 MOREHEAD CITY, NC 28557 DCM-MIND CITY Get Updates v Text & Email Updates u Tracking History u USPS Tracking Plus® u Product Information u See Less ^ https://tools.usps.com/go/frackConfirmAction?qtc_tLabels1=70212720000080241372 1/2 From: J Phillips <jphilips08@yahoo.com> Sent: Wednesday, July 13, 2022 5:22 PM To: Connell, Brad <brad.connell@ncdenr.gov> Subject: [External] Form Attached and question on Adjacent Riparian Property Owner Notification Form CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to Report Spam. Hi Brad -- good to speak with you about the application at 804 1/2 Bay Street, MHC, NC that you are handling for the NC Division of Coastal Management (DCM). Thank you for answering my questions and informing me that it is possible to not object to the proposal while still NOT waiving any riparian setback. I am writing on behalf of Ambient Advisory Services, Inc. I have attached the Adjacent Riparian Property Owner Notification/Waiver Form indicating that we DO NOT wish to waive any setback. Please confirm receipt of this notice and attachment of my signed form. Thank you, Brad Jon Philips Ambient Advisory Services, Inc. C ADJACENT M O TIBE [TAIL - R T (Top portion to b, 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 ttheir agent) Name of Property Owner: !!�� 5 tC,/ 1 r�V t (/r Address of Property: ((I�CJ 0 I t /(�J ��J `f� /�n /� Mailing Address of Owner: (, of �/'L � 6L� / J� / " ' I' 6 Owner's email:(� Owner's Phone#: e Agent's Name: ,( ki c� ^ Pye, � Agent Phone#: J �-� 3yZ—`a- 7I;? Agent's Email: t�3 1 ��`• rt�G✓v� rcJvyllry UCPc� r q ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION ®oJr-ro f r LU^-t (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. 7f 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted �r at (252) 808.280& 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 DO wish to waive sometall of the 15' setback Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank Signature Signature of Adjacent Riparian Property Owner: dtc K //II ear y5,r t�C.�TG(�- Typed/Printed name of ARPO: �aA ie( LCi( 6��CLM S- _'1 Mailing Address of ARPO: � � (7� -2r,- i e& 4- en!d � / ! ,r X i 2KS� ARPO's email: ARPO's Phone#: _ Date%:Q az _•waiver is valid for up to one year from ARPO's Signature' otr Revised ✓u/y? Created with Scanner Pro