HomeMy WebLinkAbout86392A - Hall, David & ChristietAOIOMT41 ❑CAMA ❑ DREDGE & FILL L N° 86392 A B C D
a �s= GENERAL PERMIT Date 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.dgg.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # O
Email
State ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
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/#
,Bulkhead/ftiprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
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
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body (nat/man/unk)
Closest Maj. Wtr. Body
(Scale: ' )
❑ 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 Fee(s) Check #/Money Order
Permit Officer's PRINTED Name
Signature j
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:
F-1 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 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
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date S' « —
Name of Property Owner Applying for Permit:
bal.-4 i U
Mailing Address:
I"Ito FU
I certify that I have authorized (agent) C I�fi'jG to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity) 161-F+
at (my property located at) 1,7 4P gl`,`D�
This certification is valid thru (date) ' — 10— -a"
OS60;�,,W D �"e
Property Owner Signature
6-1-22
Date
to 0 3 1W
o cm-
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i
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 bGtt/i U /7 ,� I
Address of Property. 117 & 0/1; O4 (1))
Mailing Address of Owner. %�
Owner's email: 111d Owner's Phone#: I I'% sl) - lJ17-5 - 59 0L
Agent's Name: toyd ea / ' a,-i lu Agent Phone#.,--�� k -33 k&v
Agent's Email: L�Il1 Fig / �r i /1d�/1'1G�y' lJl�
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom portion to be compered by the Adjacent Property Owner)
1 hereby cer ify 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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is t►ting proposed you must notify the ALG. Division of Coastal
Management (OCM) in wyning within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S_ Grfftin St, Ste. 300, Elizabeth City, NC, 27909. DCU representatives can also be
contacted at (252) 264-3901. No response is considered the same as no objection if you have been
notified by Certified Mail.
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 16 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 Sion
the appropriate blank below.)
I DO wish to waive somelall of the 15 setback
Signature of Adjacent Rparm
X-OR-
1 do not wish to waive the 15 setback requirement (initial the blank)
RECEIVED .
APR182011
Signature of Adjacent Riparian Property Owner
Type"Arrted name of ARPO: n C I V l s E C
Mailing Address of ARPO:
ARPO's email: ARPO's Phone#:
Date: -waiver is valid for up to one year from ARPO's SW=tuife-
Lov cl&7 Revised July 2021
r--'1 A` 4L,, 19 L CIOX0
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
Article Addressed to:
Biod IN Z ji�l��•l:4 �uy�
r
IIIIIIII IIII IIII II III III III II III I III I
9590 9402 4582 8278 8025 43
?. Article Number (Transfer from service label)
❑ Agent
—❑ Addresse
Date of Qpliver
D. Is delivery address different from item 1? ❑ Yes
If YES, enter delivery address below: ❑ No
3. Service Type
0 Priority Mail Express®
❑ Adult Signature
❑ Registered Mail-
❑ Adult Signature Restricted Delivery ❑ Registered Mail Restrict
❑ Certified Mal® _�
eliver,
❑ Certified Mail Restricted Deriver,
eturn Receipt for
❑ Collect on Delivery
Merchandise
❑ Collect on Delivery Restricted Delivery
Signature Confirmation'
❑ Insured Mail
0 Signature Confirmation
❑ Insured Mail Restricted Delivery
Restricted Delivery
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Currituck County GIS Data Viewer
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Currituck County GIS
Phone: (252) 232-2034
E-mail: gis@currituckcountync.gov
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Currituck County
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