HomeMy WebLinkAbout84541C - Malone, Shannonx,�❑CAMA [I DREDGE & FILL N9 84541 A B G' D
JmtGENERAL PERMIT Date Previouspermit--
Date previous permit issued
F71Nevv ❑ 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. F General Permit Rules available at the following link: wwwdea nc eov/CAMArules
Applicant Name
Address
City State
Iii
ZIP
)i Z-
Phone#(_)
Email
Affected ❑ CW ❑ EW
❑ PTA
[J ES
❑ PTs
AEC(s): ❑OEA ❑IRA
❑UW
SPIMA
❑PWS
ORW: yes/no PNA: yes/rO
Type of Project/ Activity.
r.
Shoreline Length
I
Access Length-�-
Pier (dock)length
Fixed Platform(s)
-
~
J
Floating Platform s -
_
Finger pier(s)
Total Platform area lm'T
Groin length/#
'Bulkhead/ Riprap length "-k✓i
distance offshore
Breakwater/Sill ®`
Max distance/ length,-'
Basin, channel.' -
Cubic yards, --
Boat ramp
Boathouse/ Boatllf[
Beach Bulldozing /
Other
Authorized Agent /� '7 _A�(Ai�t��E'�
Project Location (County): ! ✓� I c 11 ('P%r
Street Address/State Road/Lot #(s) i
7III' I✓
Subdivision
City "%Y_ l'`<.i i� ZIP aL61�
Adj. Wen Body IU I, A �,.I � �� /'� Wyi - I (nat/maq/unk)
Closest Maj. Wtr. Body
l'F> f. I 1
(Scale: )
SMoratorium: n/a yes no'
AV observed: yes no f ! 1 4 Riparian Waiver Attached: yes no,f T Site Photos:
Y 1 Y —, ,
A building permit/zoning permit may be required by:
{a✓i?!�❑TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
l i " I
❑ 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)T_
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
i l
Signature**Please read compliance statement on back of permit** Sigh�ture s
Application Feels) Check#/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:
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.ncden r,org/web/cm/dcm-home Revised 6/01/2021
�AicOASrAC 51CAMA ❑ DREDGE & FILL N9 84541 A B C D
GENERAL PERMIT Previous permit
s 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 - Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot#(s)
Phone # (_)
r'
Email Subdivision
City
Affected 0 CW ❑ E W ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body _
ORW: yes/no PNA: yes/no
Type of Project/ Activity
ZIP
(nat/man/unk)
(Scale: )
Access Length-
--
Pier (dock)length
L
PT
_
_
Fixed Platform(s)
Floating Platform(s) .
Finger pier(s) ..
�.—
_
_T—
j
t
i.
11
Y
Lr
I',r
Total Platform area 1'1f )1:�
Groin l '
Bulkhead/tRia len h ? -✓1
P P gt
Avg distance offshore -
I
i—
—
- -
--
—
I
`—
I
i
Breakwater/Sill!-"
t
,I
Max distance/ length-f`,-
i
(.
Basin, channel-
Cubic ards_—
Boat ramp
Boathouse/ Boatlift+17
E
-
t
Beach Bulldozing
Other.--
L
__
I
__
SAV observed: yes no
Moratorium: n/a yes no -`--r
--
_
I
Site Photos: yes no -+
—
—
—;—
-'-
—
Rioarian Waiver Attached: ves no_
A building permit/zoning permit may be required by:
Permit Conditions
CRC RULES AND CONDITIONS THAT APPLY TO TF
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of perm
h
Application Feels) Check N/Money Order
„�❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Permit Officer's PRINTED Name
Si at r /ir ?` I I / m X` --
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 El 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 Management 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
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit,A- ID ug
Mailing Address: ��5 U 2 "r-Y `. vu
Phone Number:
Email Address: COP
e
I certify that I have authorized L�r `G2�e� i t�rS nsZv v! cry
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMApermits
necessary for the following proposed development: t> � c� Ac-k
at my property located at ) 0
n
in l a 1Q_ _v_i 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:
Ilk-
-Tv��(�
��J _ Signature
mot/ �9i✓;w,J/L�a L��.�
Print or Type Name
Title
Date
This certification is valid through
f: .�
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner ka >_.9 a J I o x�v
Address of Property:
Mailing Address of Owner. --11-=
v
Owner's email;23S",&,e t,.--o, 6— Owner's Phone#: L V -5 iu '3 I
Agent's Name: Carteret Marine Services
Agent's Email: info@carteretmahne.com
Agent Phone#:252 631-9435
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify that I own property adjacentto 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.
xI DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposea, you must norny me mt.. urvisron or wasrar
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 Mall.
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 -7 pl p �% _ ,,,{
Signature of Adjacent -Riparian Property Owner
-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:
Mailing Address
__ofA0 nlRPO: I S&X6 Vl1. 1E�d1�-7 Ale y?� (,
ARPO's emall:D/c0.dYd�Wc�rt a ( ARPO's Phone#: 2 ZZ Z
Date: f7I 0't 2ULz *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
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