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Home My WebLink AboutDoggett, Michael 84455C,Acomr" ❑CAMA ❑ DREDGE & FILL N9 84455 A B C D GENERAL PERMIT Date Previouspermit s Date previous permit issued ,a 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: r'�z 15A NCAC r) "° `' I 11/7..G ❑ Rules attached. LJ General Permit Rules available at the following link: wwwdeq nc eov/CAMArules Applicant Name '.'l (�7 f-di/�t,l_ ��2-0(Y 4'1,—� V Address hrlks,L) a- City State All t ZIP Wi ppyy n 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 Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City / Adj. Wtr. Body Closest Maj. Wtr. Body (Scale: /tj4<, ) Access Length X-� Pier (dock) length - �_I -- _ —'-- r — T --- — -- Fixed Platform(s) I � � U ( ! I 4 Floating Platforms) �Q � >15 V' _..i. 4 T.. Finger pier(s) / Total Platform area Groin length/M •�_ Bulkhead/ Riprap length —s— _. �_ — (__ .i I _ _ 1__ ..,. ,( r - 1- ___.. Avg distance offshore Breakwater/Sillr- Maxdistance/len h Basin, channel Cubicyards Boat ramp — I i T— I ( �. I I� v l. - ' - I ,- I - _ -- Boathouse/ Boatlift _ _ d _ Beach Bulldozing %` -, Other r f�i- ..,� 11 W� -- . - -� - I ---- _ _ T y"' ---- r - i 37 ri{� I� r. ! H _ - —) - �, - �t — ✓*- 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 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" `Yl ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Permit Officer's PRINTED Name Si nar,e/a)`- Issuing Date Expiration Date Application Feels) Check it/Money Order 0`°" ❑CAMA El DREDGE & FILL N9 84455 A B ;c D GENERAL PERMIT Previous permit Date previous permit issued 0AINew ❑ 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 n�ov/CAMAr les Applicant Name City Phone # ( ) Email _State ZIP Affected ❑ CW ❑ EW ❑ PTA AEC(s): ❑OEA ❑IHA ❑UW ORW: yes/no PNA: yes/no Type of Project/ Activity ES ❑ PTS ❑SPIMA ❑PWS Authorized Agent ti Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Adj. Wtr. Body Closest Maj. Wtr. Body (r',.d-( (scale: N15 ) Access Length Pier (dock) len F Fixed Platforms) M i.� j Floating Platform(s) it; V i Finger pier(s) I I I I Total Platform area Groin length/# I 1/ Bulkhead/ Riprap length -" - - � - -4 - - -- -- I— I Avg distance offshore % Breakwater/Sill - I -_-_-- - - - Max distance/length- Basin, channel T - Cubicyards Boat ramp Boathouse/ Boatlift -' - -i-- •- Beach Bulldozing Other 1 ' IL t- -- -- —It.-s -.•' - J-- -- -- j SAV observed: yes no?' Moratorium: n/a ye no / J I Site Photos: yes no Rioarian Waiver Attached: ves no -� A building permit/zoning permit may be required by: Permit Conditions ❑ 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. (Please Initial) " Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature --Please read compliance statement on back of permit" L{ Signa ureI I f ET Ki I -),) �. I I I Application Fee(s) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting/Permit: g/C/h4EG -5, PD�� Mailing Address: Z �/3/VLCI Uer-- AI &LEM t Z'Zy1%Z ��G Phone Number: '/�/— Email Address: I certify that I have authorized Noe Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at SZ 1Z- go 2Lie, S001L)b Q%/v in L8M961` c County. I 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: Signatdf6 Print or Type Name Title b / Ze / L. Date This certification is valid through N.C. DIVISION OF COASTAL, MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM (TOP portion to be comploted by owner or their agent) Nmmn of Properly o wtor. Aridlnss of Property.lr`.ui_kX1,�ai Mnillnp Addrnaa of Owner: Ownnt°ts omwll: �. _ _ _ Owner's Phona#: Allent'N Nanin: Agont'N Email: Agent ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (80om pardon to be completed by the Adjacent Property Owner) I hereby eenity that I own property adjacent to the above referenced property. The individual applying for this pannit has described to me, as shown on the attached drawing, the development they are proposing. A 100 NOT have objections to this proposal. I DO have objections to this proposal. K 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 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 tho appropriate blank below.) I DO wish to waive some/all of the 15' setback .qR. Signature of Adjacent Riparian Property Owner i do not wish to waive the 15' setback requirement (initial the blank). A Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Melling Address of ARPO: 5210 Bogue Sound Dr. Emerald Isle NC 28594 ARPO's groan: ARPO's Phone#: Date: 07112/2022 'waiver is valid for up to one year from ARPO's Signature* Revised May 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REgILESTED or HAND DELIVERY (Top portion to be Completed by owner or their agent) Name of Property Owner,tLM &OA sz�)CL* Address of Property: 5M'Qxxpa S�sGxPto\c <p W Mailing Address of Owner: �4 W Owner's email:. Owner's Phone#: Agent's Name: EL D MV S&A�\nrS Agent Phone#: Agent's Email: (mil \ICt�•vYl_Otym ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom Portion to be completed by the Adisced 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. "J._ I DO NOT have objections to this proposal. I DO have objections to this proposal. It you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in writing within f0 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC 28557. DCMrepresentadves can also be contacted at (252) 808-2808. No response Is considered the same as no objection M you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed pler, 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 slop the appropriate blank below.) I DO wish to waive some/all of the 15' se"I,, -OR- Signature of rtan Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner. Typed/Printed name of ARPO:�� Mailing Address of ARPQ�Few t(" 31 C 67 �Q� � r Date: 2 \ °�_*waiver is valid for up to one year from ARPO's Signature` Revised May 2021 5 nS� �1,'3'kF' 1 •,� �� .dk t m � y 1 @ kal� nb .y AY Y Y Al 51 A. . ] t x� `Y �t b ➢ � t J 14i �� z "t r it, '{Q{��i �, i ➢ >{ � I S � S � g }I r , lr � 113 •'x�� H $ a9 a tMIA �9E � it � 4 Ea >E ^}fir fk� ttf 4 4,11 ejE N oc�2 r a �SgYLjvF4sG>ik'4.; '2�_hivmu{�iR�W2FTMr'�aY- \vt.�MMt-.re�e • - � -.� � ••: x. •Y.k i Eaj m� F'S6