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Home My WebLink About88617C - Pecheles, Joseph°F`°"Sr4, It, �cOCAMA ❑ DREDGE & FILL Nd 88617 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 z. a Shoreline Length Access Length Pier (dock) length I ,f M Fixed Platform(s) "yJ Floating Platform(s) 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 F1 i t Moratorium: n/a yes no f Site Photos: yes no t— j Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions• TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules ❑ See additional notes/conditions on back 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" . Application Fee(s) Check #/Money Order Signature Issuing Date Expiration Date 1*°�(OAS rA,& ❑ CAMA ❑ DREDGE & FILL N9 88617 A B C D y-Ni GENERAL PERMIT Previous permit Date previous permit issued F-INew ❑ 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.decnc.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 (Scaler.` ) Shoreline Length Access Length r _. ._ ._ ..__ _ — - - — — { j Pier (dock) length — i Fixed Platform(s) Floating Platform(s) 3 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: Moratorium: n/a yes yes no. no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: _ Permit Conditions V ±-LIE13-:11'Ji" ti�- i TAR/PAM/NEUSE/BUFFER (circle one) 1-1 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" Application Fee(s) Check #/Money Order Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: J-01-2G(_7r� i -, Cc-U I4c IItZ7 Mailing Address: Ogt)Z'` IiP�i ( iJoyczi r2R-1'J Phone Number: (1_61Z) Z-11-1A91 Email Address: r-C_CVAc1i �.c,Ov-A, I certify that I have authorized r-J ' Cuw*;� i 9-U& i I Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: \11►-►`/L i720i.-Y-F+EA-Zr7 at my property located at L+43pr7':]E-iLCr��yJJyOS j2p-1v'r✓ in CgA�G:It-� 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: Signature Print or Type Name 0 Vim% t-j E: Z- Title I j I Z vZv Date This certification is valid through I_ ( I ZD1-3 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: osEPrf e7 pECf- l � Address of Property: �S ��1`I'r1�Dp(��i otz-1 V E l icpo i✓Gp_,__3 Mailing Address of Owner: _?AIDE A4 -AODVE Owner'semail ��Q�eCh��es` C1M(AII Owner's OvPhone#: �ZF72�'L(��gq�Co —, Agent's Name: JA�00 +11 1ii/ Agent Phone#: C�5z) U7 t' IT'JO Agent's Email: deC1�sY1CIvG °` �M�A�g,MQ I I �C ON/1 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. A description�or drawing with dimensions must be provided with this letter. " 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION 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 -OR- I do not wish to waive the 15' setback requirement (initial the blank) C J"l c Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO/: QOIJ.A� VJ VkK1x_ l/ Mailing Address of ARPO: �l �� r 1� 1✓/�WOd�Gj_ 0,1 ARPO's email: Date: ARPO's Phone#: /✓ 1 -�i� 1' ) l "lrl waiver is valid for up to one year from ARPO's Signature* Revised July 2021 4-4-1 E 0— O 4— O O Y LEQ CO 4-1 N M O � + U X X M LO — O pp x M „p_ 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::PAPAS 5 A!6 Q24ftV Owner's email: \ k7*k6, f-1f4 a O&VAJ l•f-V is Phone#: Agent's Name:Agent Phone#: Agent's Email ��k�("�'�Mi�� I �• �/►� ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certi�draw5ina, n property adjacent to the above referenced property. The individual applying for this permit has do me, as shown on the attached drawing, the development they are proposing. A description with dimensions, must be provided with this letter. V 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 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION 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 —� -OR- Signature of cdjEcent Riparian Prope y Owner I do not wish to waive the 15' setback requirement (initial the blank) .,, Signature of Adjacent Riparian Property �r k- erty Owner: - - O / Typed/Printed name of ARPO: ,rd f-P-AAiJ Y-E1 * UM .I ?- Mailing Address of ARPO: q-go i 1?9- t JTWw 129- E ARPO's email:JA-IDAG Py-ellu 1IauJ ARPO's Phone#: (2f2 ZZ�i� 1 It Date: *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 >, o Q 0 —t Q ca U 4' C9 N 4-J O M 4- N x x M — X N N 4" LO x m LO O o