HomeMy WebLinkAbout88426C - Williams, JoelDREDGE & FILL
NQ 88426 A BSo
ALPERMIT
QiR
Previous permit
Date previous permit issuedModification
❑ Complete Reissue ❑ Partial Reissue
As authorized thte State of North Carolina, Department of Environmental Quality and the
Co tai Resources Commission
in an area of environmental concern pursuant to:
,by
15A NCAC L ' H . I Zoo ❑ Rules attached.
General Permit Rules available at the following link: rdeo nc eo 1CArvtAmles
Applicant Name
Authorized Agent
( `` L,
Address
Project Location (County):
City SuiteZJ . C_P L1�-L_
Street Address/State Road/Lot
'�'n
Phone # � '-` L�
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Email .�, n y V� (}-r-A con
Subdivision
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Q, ,r1SSX*ANACMS. u5j'k-AL6J Q 11 A ' C6M
City
ZIP
AAffectedCW EW PTA ES ❑PTS
AdWtr. Bo
j� dY
na an/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
Closest Maj.Wtr.Body
ORW: y no PNA: yes nn
,,.,, r�
Type of Project/ Activity D�er --ir P\C'A— y� �
Shoreline Length 1 V M
Access Length I , r
Pier (dock) length.A1C lD "Y
Fixed Platform(s) ItnV i
Floating Platform(s)
Finger pler(s)
Total Platform area
Groin length/R ./
Bulkhead/Riprap length
Avg distance offshore --/
Breakwater/Sill
Max distance/ length/
Basin, channel
Cubicyards
Boat ramp J-�
Boathouse/Boatlift
Beach Bulldozing `
Other riu��{p��
SAY observed: yes cf7 �y
Moratoriumn/a yes CRar
Site Photos: yes
Riparian Waiver Attached: yes <9�r..
A building permit/zoning permit may be required by: T
(Sca(e:W` )
I (�Jj/1"ARMAM)NEUSE/BUFFER (circle one)
`W❑' See note on back regarding River Basin rules
❑ See additional notes/conditions on back
r AM AWSRP nc MTIRFS.CRC RULES AND CONDMONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Pleaselnihal) C" i —5
Agent or Apoi icant PRINTED Name
••Please read compliance statement on back of permit'• Signature
7) jz?s R)12� ka )aa'
n Feetsl eckg oney Order issuing Elate I!Xpirbtiod Date
❑DREDGE & FILL N9 88426 AA B D
a GENERAL Previous permit
PERMIT
� Date previous permit issued
lew ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized bythe
{State of North Carolina, Department of Environmental Quality and the Co tal Resources Commission in an area of environmental concern pursuant to:
Cya
15A NCAC ' ' ` • I ZC)� ❑ Rules attached. General Permit Rules available at the following link: v deq.nc.gov/CAMArules
Applicant Name __�.
me
Address "5 n
City L-( li
Phone # "9_1
Email pp.
C )nsS\S
Affected �CW
AEC(s): �-(❑ OEA
ORW: vef/aol
State I V _ ZIP
W'EW dTA
❑IHA ❑UW
Type of Project/ Activity
Shoreline
PNA:
Access Length � (
Pier (dock) length 4-Xio i
Fixed Platform(s) —I lA `'X 1_
Floating Platform(s) /'
Finger pier(s)
Total Platform area
Groin length/N 001
Bulkhead/Riprap length /
Avg distance offshore
Breakwater/Sill
Max distance/ length, --
Basin, channel
Cubicyards _
Boat ramp t�
Boathouse/ Boatlift
Beach Bulldozing
_-
Other
SAV observed: yes �
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes r�
A building permit/zoning permit may be required `by: — J
Permit Conditions lsj S (,tl_A�CYIC]'ri7� C�
M ES ❑ PTS
❑SPIMA ❑PWS
I AM AWARE OF
Agent or Applicant PRINTED Name
Authorized Agent ___U
Project Location (County):
Street Address/State Road)
City
Adj. Wtr. Body I� U JL ) J \ _i`Vv-e% nat anjunk)
Closest Mal. Wtr. Body
�" 14r
(Scale:W5 )
lt\\ w
AWPAM/NEUSE/BUFFER (circle one)
ElSee note on back regarding River Basin rules
ElSee additional notes/conditions on back
(Please Initial)
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) eckk oney Order Issuing Efate Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: L�j j h, S. _
Mailing Address:
Phone Number:
Email Address:
%306 L IV"'t S'Y.
2 l I- r7 Lf — A '/ y / —
7
U L, C 0
I certify that I have authorized it R Yr Al m on S
Agent I 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 , / C ? v� r c ; c✓� J h+'�+ ✓` T v r:
in (J h Sl D% County.
l 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:
J Signature
Print or Type Name
�i C') h V
Title
06 l 00 I '20.�zL
Date
This certification is valid through 0 C 10C 1 2 (43
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: �J
Owner's email: Owner's Phone#: 11 q 7 7 q Z
Agent's Name: Cl1 r i s S> m r» L*+-.S Agent Phone#: lO g33'
Agent's Email: C A v r s
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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.
I DO NOT have objections to this proposal. —X— I DO have objections to this proposal.
If you have objections to what is being proposed, you must nonry me Mt.. urvision or L.odsrdi
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127 Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contacted at
(910) 796-7215. 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 (ARPO)
-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: /\ Lt S ) e- l I iyY, wuu iri
Mailing Address of ARPO: Z 3 1 A i ✓� rS i d e 0,r
ARPO's email:
ARPO's Phone#:
Date: 02 Z- *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 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: V OY l W, M,', m s
Address of Property: Z 3 5 R) ✓ p Y s-r b
Mailing Address of Owner:
Owner's email:
Owner's Phone#: q 1 7 27 "l ZKq )
Agent's Name: Agent Phone#: 500 733- 4310
Agent's Email:
b%s rn -
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.
i,/— 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 127 Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contacted at
(910) 796-7215. 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 (ARPO)
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) U✓
Signature of Adjacent Riparian Property Owner: 6�
Typed/Printed name of ARPO: G:/ // r C hc� 5-d
Mailing Address of ARPO: 7 .77 CIL-
ARPO's email:
ARPO's Phone#:
Date: *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
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