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Home My WebLink About88611C - Martin, Susan&❑CAMA [A DREDGE & FILL N9 88611 A B 'C ';D a° Gprevious permit GENERAL 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 I i ❑ Rules attached. J4 General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules Applicant Name I rr Address City a fl L,r I 1 I '. State ZIP / Phone#(_) Email Affected ❑cW DEW ❑PTA ❑ES ❑PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no PNA: yes/no Type of Project/ Activity Authorized Agent Project Location (County): )) Street Address/State Road/Lot #(s) 1 Subdivision City ZIP Adj. Wtr. Body Closest Maj. Wtr. Body (Scale: Access LengthC, Pier (dock) length Fixed Platform(s) I - Floating Platform(s)y Finger pier(s) Total Platform area Groin length/ft Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/length Basin, channel Cubic yards . Boat ramp. - Boathouse/ Boatlift ^ Beach Bulldozing Other I— -` - '-I _' i — i -` �' — } _ I / - _ 1-- w_ I� I I I SAV observed: yes no Moratorium: n/a no es y Site Photos: yes no �•-�'I Riparian Waiver Attached: yes no ,.. , _ 1 r - X E - e -_, ._ - - 7 ._ A building permit/zoning permit may be required by; Permit Conditions Agent or Applicant PRINTED Name Signature **Please read compliance statement on back of permit** Application Feels) Check p/Money Order Ca ❑TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules p% ❑ See additional notes/conditions on back (Please Initial) fe' r r Permit Officer's PRINTEDName Signature Issuing Date Expiration Date �`°"" ❑CAMA ❑DREDGE & FILL N9 88611 A B C 'D 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. FIGeneal Permit Rules available at the following link: wwwdec.nc.goov/CAMArules Applicant Name Address City State ZIP Phone # (_ ) Email Authorized Agent Project Location (County): Street Address/State Road) Subdivision City, _ 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 r 9 l Access - �� ■■■ ■ ■ ■ E A■■■■1■i ■■ ■■■■ Floating Platform(s). ■nu Finger pler(s) Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Max distance/ length - Basin, channel Cub .- .. :Boathouse/ Boatlift Beach Bulldozing Oran, 1■■p�� ' ►' � ■ MEN ■■� ■A 1f■�� ■N�n� NMI .. , . .. .l..■■ ■■■■�C .,� �■ ■ C�� SEMI Other ON SAV observed: Site ia iDar. ■®■■■III A building permit/zoning permit may be required by: Permit Conditions r Agent or Applicant PRINTED Name 9 NT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STJ ;n Permit Officer's PRINTED Name ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Signature "Please read compliance statement on back of permit" Y // Signatbre j I / . Application Feels) Check #/Money Order Issuing Date Expiration Date D2M LFc,;�D C R ✓r- M� 0 -1 q 34 see- Q)Zl l��v �c' �s Z Q N 04-G, 6,o,662aA o �- Lkv mp4U'- YLaAAX It d�-�- v�a� Gv1/�it� To gym,. LIA-0- l��YlW�wm�m CXiS� ,C2�' �rn�� a9iaai4Z ctio: 1 `r s7 a,c c-&rmo woldelbv�am�q RECEIVED qJzeall y A t to �mshe� "`�^ s s ALh-e -o, w ud JUL 112022 �cx-ro-4T d '� - 'tJADR7IL of DCM-MHD CITY %)�e- �"`�` flz°' PX�T�w� �mePZ - �u r "e-T o /z)Tj lid (z 2 5176 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: Lee mick Susah AAw-i V1 Address of Property: 4 2 tp s o L5� -I Mailing Address of Owner: �� W ` I-fa►�PCI� Si- &ICOH t / IvC 8D Owner's email: _bleeryw+0 7pe(VIa,�• —Owner's Phone#: ZsL ZI -0233 Agent's Name: _ Ai 1A Agent Phone#: Agent's Email:_ /✓/4' 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 drawino. with dimancinnc �« k ;a_ ...:... .. . ... I DO NOT have objections to this proposal. —N— I DO have objections to this proposal. If you have objections to what is being proposed, you must notify the I'll, I';' Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Mornhead City, .NC 2855T. DCM representatives can also be contacted at (252) 808-2808. No response is considered the same as no objection if you have been notified by Certified Mail. ON I understand that any proposed pier, dock, mooring WAIVER ilngs,tboat 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 some/all of the 15' setback RECEIVED -OR- Signature ofAdjaconf Riparian Property Owner JUL 112022 I do not wish to waive tr 15' setback requi ement (initial the blank) 'L ,ids. ,,,, ,� ._/ ar * .. --/ DCM-MHD CITY Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: L\ C%ts`rf'? Mailing Address of ARPDX / c= 3 64 Sf rarad. lg luft VT. 6116 / � ARPO's email: �` a ARPO's Phone#: DI -3.017le/�f-Y Date: _ 7- - *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: Address of Property: Mailing Address of Owner: ;zo?) W' - C4A5Htk nIC 2Q60D Owner's email: bken'l d 91�q"la'"Co Owner's Phone#: 2Z Agent's Name: ��/� Agent Phone#: Agent's Email: A114— 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 proposinq. A description or drawing with dimensinns f I lQf tie . ,,:a ..:.,_ - . _ I DO NOT have objections to this proposal. �j //�._ y =L L:uf'• ri G�C%c�'l —++- uv nIj ave onlectlons to this proposal. if you have objections ri what /s 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 Chy, .NC 28557. DCM representatives can also be contacted at (252) 808-2808. 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 some/all of the 15' setback -OR- Signature orAdjacent Riparian Property Owner I do not wish to waive t*15' setback requement (initial the blank) — i Signature of Adjacent Riparian Property Owner. Eta •; Typed/Printed name of ARPO: A -1 , L, 1 Mailfi ARP( y, Date: EJ�j�l� l ---- ,--. 1vu s 019nazure- 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: Address of Property: F2 Mailing Address of Owner: zvfJ W ` Hay -Per 6t &101,4i r,'li k 1 p Nic 29S8D Owner's email•.} Le2tY d V1 a `I'�A"owner's Phone#: 2'SZ 71 ;—f0233 Agent's Name: LA Agent Phone#: Agent's Email:__ /L/4— 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. _ Y 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 Ccasta! 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 at r252) Mail.t0a" 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 some/all of the 15' setback am I do not wish to waive the Signature of Adjacent Riparian Property Owner 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: i �_S t %l ', 4 ,2n, n , / � ARPO, s Phone#: Date: _,, .� S *waiver is valid for up to one year from ARPO's Signature* i Revised July 2021