HomeMy WebLinkAboutBarritt, Ronny 88571C❑CAMA ❑ DREDGE & FILL N9 88571 A B c D
y GENERAL PERMIT Previous permit
J 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 #(s)
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 Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity )
(Scale:" )
is 6
Shoreline Length
._..........
j k
Access Length
Pier (dock) length _
i �,..
_..
--r- r
..... - = -
i
Fixed Platform(s) ? ;" ? V
Floating Platforms)r. ' 1] 1 , 1 -
Al
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 Bulldozing
Other
t
SAV observed: yes no �4.
Moratorium: n/a yes no
Site Photos: yes no —
Riparian Waiver Attached: yes no;';. I I f `, t'
-
A buildingpermit/zoning zonin � �f '1{ f' e � 3`,:{,�l � .6 „_..- ,' J�r� i~
p / g permit may be required by t TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
/ 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" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date
o1°1`°"`r4,c❑CAMA ❑ DREDGE & FILL Na 88571 A g, C D
,
y = 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 #(s)
Phone # (_ )
Email
Subdivision
City
P
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:; )
-
-
—
Access Length
Pier (dock) length
Fixed Platform(s)
__
._.—.._.._.
1:.
I
'
^•
I
a
'
Floating Platform(s)
Finger pier(s)
_
--r
-
-
.
- -
--
—
-
- -
-
i
�
Total Platform area
-
Groin length/#
-
-
-
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin,
,•
?
;""`
_
_
i
channel
Cubic
yardsf
j
c)
Boat ramp
Boathouse/ Boatlift
I
Beach Bulldozing-
_ ... _
...._--
t
Other
i
',r
�'••
SAV observed: yes no
-
-
----
-
-
-
Moratorium: n/a yes no
Site Photos: no
_
77
_
--
-
!
yes
4�.,.
�.n�
Riparian Waiver Attached: yes no
t
_
,�,.
A nunaing permit/zoning permit may oe requirea Dy:
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
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date
AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION
R�
Name of Property Owner Requesting Permit: J
Mailing Address: Al
Phone Number:
Email Address:
I certify that I have authorized
q/��
Agent f 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
in jk-t County.
Alc. ��-;7Z�
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:
ignature
Print or Type Name
/V -iFx
�ritle
/
l._ 4 t �
Date
This certification is valid through A9
�I
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTy OWNER NOTIFICATION (MINOR PERMIT)
G RTIFlf=n MAIL RETURN RECEIPT REQUESTED or HANd D�RELY
D$ e
To'Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I any applying for a LAMA Minot permit to
z"® _h-- -
on my property at
in
M
County; which is adjacent to your property � .A, copy of the application and protect
drawing is attached/enclosed for your review.
If you have no objections to the proposed activtty; please mark the appropriate statement below and return to me as soon
as possible, If no comments are received within 10 days ofrewipt of this notice, it will be considered that you have no
eom ments or objections regarding this project,
If you have objections or comments, please mark the appropriate statement below and send your correspondence to: (LOCAL PERMIT OFMCER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, Zll' CODE)
If you have any questions about the project, please do not hesitate to contactme at my address/number listed below, or
contact {LOCAL 1?ERM[T OIi FICER) at (PRONE NUMMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Owner's Name c��5-�'
Telephone Number
Address �f
�� Cary %) c(' ZiP,�
_ 'have uo able Lion to the project described in This correspondence,
have objection(s) to the, project described in this correspondence.
Adjacent Tian Siguatwe
h.
Print or Type Name
Address
City
Date
717- /SY6
Telephone Number
Mate
Zip
Revised July 2021
101, N
. . . . . . . . . . .
/f I
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CF.RTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
� ate
Name of Adjacent ION7
ty Owner�//4C
Address rA f
t *
City, Stat6 zip
To Whom It May Concern: T
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at '16-1 :5
In
in t �� County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to ine as soon
as possible, 'If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If yon have any questions about the project, please do not hesitate to contactme at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (.PHONE NUMBER), or by email at: (LPO EMAIL),
Sincerely,
Property Owner's Dame Telephone Number
Ad e4 Civ �zolpo� 1" stag Svc. zip 22,5-7D
I have no objection to the project described in this correspondence,
I have objections) to the project described in this correspondence, "
djacent Riparian Signature Date T
Print or Type Name Telephone Number
Address
City
State
Zip
0
Revised July 2021
m NO
-
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