HomeMy WebLinkAbout88674C - Kelly, StevenpeeFCe�r4�&❑CAMA ❑ DREDGE & FILL `� -? 6'/ A B C D
GENERAL PERMIT -ffii
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
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)
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
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be rE
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 Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date
;o1*oOAS41N❑CAMA ❑ DREDGE & FILL N9 88674 A B C D
ti 2 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
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).
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
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be re
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
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit"
1
Application Fee(s) Check #/Money Order
Signature
Issuing Date
Expiration Date
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM
CERTIFIED MAIL RETt1RN REr'I reeTr-n U A i ,
(TOP portion to be completed by owner or their agent)
Name of Property owner. Steven & Denise Kelly
Address of Property; 204 Outrigger Rd New Bem, NC 28562
Mailing Address of owner; 204 Outrigger Rd New Dom, NC 28562
Owner's eme11: Owner's Phone#r: 918-505-7240
Agent's Name: Coastal Boat Lift Repair, LLC Aaent Phonet252-63.5-8494
AgenNs Ernst _ astalboatftepair.c om
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Mod=_ portion to be r:errnplded by the A remM Property Owner)
t hereby certify that I own property adjacent to the above referenced property. The individual applying forthis
pemilt has described to me, as shown on the attached drawho. the development they are propoeing. A
desert tlon or dmwkm. with dimensions. mist be provided with this lefts'.
DO NOT have objections to this proposal. I DO have objections to this proposal.
N you have otifeedfons to what is behng proposed you must notify the N.C. Dhrraron of Coastal
Aerrt (DC� 6+ N'►Nlrg whtlri►r fa cloys erf receipt erf trhllr notice. Cerrnsporrdrrncer should be
msfladto 400 Corrrrrwrm Aws., Morehead City, NC 28667. DCNnpresentoltwscan Nsobe Contacted
at (M SM29K No response is consfdiered the same as no objection Myou haws been noWed by
Ce r1~ M1&
I undersiand that any proposed pier, dock, mooring pi0ngs, boat ram, breakwater, boathouse, hit, or
groin must be set back a Mnimum distance of 15' from my area of riparian access unless waived by me
(tins does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you MUgLdM
the appropriate blank below.)
1 DO wish to waive some/all of the 15- setback
Phope►ty Owner
-ORsomfire * Ro~ -
I do not wish to waive the I setback requirement (Initial the blank)
signature of Adjacent Riparian Property Owner
TjrpedlPrtnted name 0r ARPO: "5-5,8 -) LiL
Maftg Address of ARPO: D $ _ t9(! V &64- U
ARPO's email; 6r&d P—X&aq - XRPO mmelr:
Date: is valid for up to one year from ARPO's Signature
ReNsed J* 2021
l r UP pOrcuxr w ws kxrnprWUU uy krwrrrx in uwx UWWIL)
Name of Property owner Steven & Denise Kelly
address of Property: 204 Outrigger Rd New Bem, NC 2M _
MaWn Address of owner: 204 Outrigger Rd Now Bem, NC 28562
Owners am*. Owner's Phone#: 916-SM7240
Aoenfe Name: Coastal Boat lift Repair LLC Agent Phone* 252-835-8494
AgenVa Email inb@coaftboatftWair.com
ADJACENT RIPARIAN pRoPERTY OWNER`8 CERT F"TION
1 hrtasby certyy that 1 own property ad 6"M to fbe above m%Mnaad property. The lndMdual appal g for this
Wn* has described to me, aS ft" On the attacdled drawlrv, the development they are proposing, g
tfor► or drawing wHh d4nensions must pba wish ttds letter.
1 DO NOT have objections to this proposal 1 DO have objections to this proposal.
!f y+tw have otacttona to what As beft (PM an wrMV WWn 10 proA�L Yw f the N.C. Divlstorl of Coitst e
nmN9dt*4WCoalnwrrAAw,Mo>'gio of mcefpt of D ffiftMr nodpreo . Corraapondlrrresshonfd ed
nti2li,2) aOlf-� No �Y. NC 38bb7. DCY�s cart also beco►Nactad
St (254 1-2 @ !s comiddmW the same as no objeWon t/you here been #NOW by
WAIM SECTION
I understand that any proposed trier, dock, moofiny PI&W, boat ramp, breakwater, boathouse, M or
groftr mrfst beset balk a minimum distance of I F from my area of dpWan Boom unless waived by me
(this does not apply to buNdreads or r(prap revetments). (if you wish to waive the setback, you must slon
the appropriate blank below.)
I DO Wish to waive somafaU of the I& setback() _ Ali
I do notwish to waive the I& setback requirement (initial the blank)
Signature ofAdjao M Riparian Property Owner.
7ypedfiMrisd name of ARPO: c/1� ►'►£ c a f� �U� e—
MmNkV lI
Address cAltPo• r. Rj
ARPC's amaN:i'lksrris 3cz3 Et ARPO's Phoee#:
Dabs: /S— JJ��_ c "Wahw is valM for up to one yearfratt ARK" SignaR W
Revfsed My 2021
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feci the this kv the addressfie, )", must not use. Copy, disclose, or take any action based on this me"age Or anV
initxmatkm herela. N ytw have receivrad this message In error, please advise the sender imrw0fately by reply omar!
a,x1 doote this message. Thank you for yourCooperallon.
AGENT AI,�TIiORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit Steven & Denise Kelly
Mailing Address: 204 Outrigger Rd
Phone Number -
New Bern, NC 28562
916.505-7240
Email Address: dlkelly926@yahoo.com
I certify that I have authorized Coastal Boat Lift Repair, LLC
Agent 1 Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Replacement of vinyl bulkhead (aprox 127tt) across property.
at my property Dated at 204 Outrigger Rd K�
in Craven County.
1 funhemxwe certify, that 1 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 Me aforementioned lands in connection with evaluating information related to this
permit application
Property Ownor trtlonnetion:
s4.tu-