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Home My WebLink About88572C - Fleming, Theresa``OASTAe c❑CAMA ❑ DREDGE & FILL N9 88572 A B C D y 1 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 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: Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Groin length/# Bulkhead/ Riprap length Avg distance offshore V-14 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: ❑ 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 > 4 ' �' IPermit Officer's PRINTED Name d , Signature "Please read compliance statement on back of permit" Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date 1*°``°"R41 ❑ CAMA ❑ DREDGE & FILL N°- 88572 A -B C D z = GPrevious permit GENERAL 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 _ Address City Phone # ( ) Email State ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City P 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 Shoreline Length _ Access Length Pier (dock) length _ Fixed Platform(s) _ rioanng riarrormts) 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 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 (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 1 Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Signature, Application Feels) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: \ I P 6 Mailing Address: Phone Number: Email Address: 4 a-- U,• -Nv gl:'Mi;:� j)j5L3VV?7j-- IJ L, 2 !C 5 73 :.")_9 �L — 3L I certify that I have authorizeda 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: s—EftL--�P( (— at my property located at in County. 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: Print or Type Name o ONE Titl e ! Date This certification is valid through / l AJD C, Ack— :"u �A I � ?G geWYM �Q41TYr DIVISION OF ,COASTAL,,.MANAGEMaNT CERT - RETURN RECEIPT ROUE X 1 hereby certify that I Own property adjacent to Owner) I roperty located at. (Name of Property . (Address, Lot, Block, Road, etc.) a'n ° In ��' "T Al�1�'��-%�. . N.C. _~n (Waterbody) (City/Town and/or County) Agent's Name #: �� _.. ��ti Mailing Address: ";a,�• � Agenes phone He/She has described to me as.shown.below the deve�apment he/she !s proposing at that location, a�d I have no objections to the proposal. � . -------------------------- =-------- ------------ _. ---- ._.-.---------------------------------- DESCRIPTION AND/OR DRAWING OF PROPOSED DEwVELOPMENT (Individual proposing develdpritent must fill in descriplivn below or attach a site drawing) f e If you have objections to what Is -being proposed, youmustrtotilythe Division of CoastalManagoment ('0 A' •il? Wrltingr within -10. days of receipt of this notice. Contact information for DCM offices is av ilab/e at htto://'www.r?ccoastalmanaaemLint.di tfweb/cmistaff listinn orbv calling 1-888.4RCQAS1 Is considered the aame.as no (Pope her son) n pint or Type Name Malling Address /l/G �'•�O colstate.TLip ,E-,L�l0V- /�-�fiit �o�z92.3�9,9 � Telephone Number//=mail Address ' ed by Certified Mall. i Owner - ormation) .j :f L3 .D'iyaw Walling Address ctty�s�tare/zlp qq Telephone Number/mail Address 2 '! Date' OYL, s (Revised: Aug. 2c been DIVISION Or.COASTAL,MANAGEMi5NT ED MAIL - Rgq ESTED x I hereby certify that !'Own property adjacent to i �i property located at. /4 (Name of Property Owner) (Address, Lot, Block, Read, etc.) 06 _ � JOy+�h in 60-I r f�' 'T 'l li� N.C. (Waterbody) (CityiTown and/or County) A'g8nt's Name #: L24Mailing Address:,I4j;Z 44 7%;S R> Aoerit's phon?5�-� He/She has described to me as -shown .below the development he/she is proposing, at That Location, Ad I have no objections to the proposal. --r---- ---- ------ ----------------- -------------------------------------------------------------- DESCRIPTION AND/OR pRAWIN( OF PROPOSED DEVELOPMENT (Individual proposing devefopriment Must fill In description below or attach a site drawing) jrp u have objections to what labeirig proposed, youmttstnotlfy the Division of Coastal Ma ni atgement N) • 'n writing within • 10. days of re• ce/pt of thi# notice. Contact lnformaf/on for D�t:M offices is Fabie ath[�ioJlwww.rtccaastalmenhp$ment riet/weblemistaffdistino orby calling 1-888-4RCQASr asponse Is considered the same -as no oblection It t4du hav' a 'hoon .7-no .,a -:,_ _. - (P�ope er inf si17 nature Pdnt or Type Name Mailing Address a � •��. G7�si 2 r9L 34/9 % Number/ DO . Corr 11-uKal 1+ ry Uw er Info ation) s S a We i Print or Type Name ac6 Mailing A dress city�sta eizip Te/ephone Number/�rnallAddress RE'r,EIVED, ,Date JUL 1. 9 2022 .l (Revised: Aug. 2-%4 if