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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� ^'� Email .�, n y V� (}-r-A con Subdivision j� 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 --------- --- ------ OV