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Home My WebLink About88570C - Pivers Island HOA�QCAMA El DREDGE & FILL N9 88570 A B c D f3 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: 15A NCAC - ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP ✓. Street Address/State Road/Lot #(a) i Phone#(_) Email Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body ORW: yes/no PNA:yes/no `. Type of Project/ Activity Shoreline Length Access Length — - Pier(dock)length Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area Groin length/N tffi Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill s Max distance/ length Basin, channel Cubic yards Boat ramp 11 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 ❑ 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 or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** Signature Application Feels) Check fl/Money Order Issuing Date Expiration Date O`OU41 ❑CAMA ❑ DREDGE & FILL N9 88570 A B (c o 14 GENERAL PERMIT PreepSperm`` Date previous permit issued I-FINew []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: wwwdet nc.gov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot#(s) Phone#(_) / Email Subdivision City ZIP i 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 (Scale: )' Shnrplinp l>nmh Access Length OEM Ll IN ESOME Ennummal 1. 11 .■■■■■ . .® ■ l .. ■r�."l.0 mmummmm ME I MEN SEEM Finger pler(s) r IS C:NO ■oIME ■■■:a N� ■NN■■ ■�i ■ :■. '�■.a ■■ �■.. ■S■SS:. :SOON.:■®�.■■:■■■�:■S ■ ■ SOMME�i■■■■■■■■®■ ■a■■■■.i■■■ E lm:::::::■ !■':i mom Rim I:BI�LS S■■■■m ONE :■SS®S:I.■nim mom Elm H■5G:.'i9 :��[ N:0.011::■■■=OS■.■.l■. ■ MIME .■■ mom ■■ ■=mm■■■■■■i■■■ v■■■■■■■■m■ mom .■■■■■■.■■■■■■. ■■w■■■■ ::I M111 ��'.C:::::NNEN IS IS �. IS ■■ SSEISEN ■O■ ■O S■ ■ ME OEM- 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 PROIECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature *`Please read compliance statement on back of permit** Application Feels) Check ft/Money Order Signature Issuing Date —'Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �i rers T-S land Hoh Mailing Address: 3.25 Frc4i* 57 go 4,-&4 /KC, 285/1. Phone Number: ;2 52 —72b'— S Email Address: Soh t)& BwO r -- rm IjXlic. r om I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 'In 5411linj 0. E'Wei- 51is' at my property located at in (etr464 County. na Rl , teaAr- 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: Signature V r r— Print or Type Na e /%% t✓ poN e-4t itle Date GL L This certification is valid through I / RECEIVED JUN 0 5 2022 DCM-MHD CITY N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: I MrS .15/411d H0A Address of Property: s k e Mailing Address of Owner: p 3.75 rr"h4 51, Owner's email: c��hl1(c�,Heau-Z4fcgW&wner'sPhone#: Agent's Name: 30% r1 buf) rem Agent Phone#: 5AME Agent's Email: Sohn D b20.kTvrfVml}yN( e-m 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 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 the appropriate blank below.) I DO wish to waive some/all of the 15' setback Signat re o Adjacent Riparian Property Owner -OR- ,. /j I do not wish to waive the 15' setback requirement (initial the blank) Sq-4-z info Signature of Adjacent Riparian Property Owner: TypedlPrinted name of ARPO: Mailing Address of ARPO: ARPO's email, JVX3 /403 C& A�RPO's Phone#: ),I I%/ // MU cl0�k Date: %-3- 'waiver is valid for up to one year from ARPO's Signature' Reviseifftk D JUN 0 5 2022 DCM-MHD CITY Vl'dev s :5)eill RECEIVED JUN 0 5 ZOZZ DCM-MHD CITY 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: Ney s -L,5inv1a lym Address of Property: Mailing Address of Owner: 325 F(Uri f Sy. 6e,5, a-4c/ � N G 2L5ic Owner's email: �C,ho� Ve0.k Cm 25�2- J'SyE2 �' Agent's Name: J Ginn �,tni a n Agent Phone#: Agent's Email: SAlME 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 forthis 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 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 the appropriate blank below.) I DO wish to waive some/all of the 15' setback Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) K Signature of Adjacent Riparian Property owner: Typed/Printed name of ARPO:- ,�-ln 1 f Mailing Address ofARPO: ARPO's email: ARPO's Phone#: _� /J - S 7 ZrI2�) Date: % 99 *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 %.it R!V F..P li,J1.. 2 j 20?? DCM-MHD CITE'