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HomeMy WebLinkAboutPruden, William 88658C®kattnAsr, LAMA El DREDGE & FILL I A B D PERMIT M I T Previous permit R GENERAL Date previous permit issued ffi)�qew ❑ Modification [:]Complete Reissue [] Partial Reissue As authorized by the State of o .1 Car lin ent of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 1 SA NCAC _ .... _ ❑Rules attached. eneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules Authorized Agent Project Location (Courfty): Street Address/State Road/Lot #(s) Affected L.__� CW tAl PTA ❑ ES ❑ PTS Adi. Wtr. Body la (n an ik) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body Via: --th ORW: ye PNA: yes t� Type of Project/ Activity �_. (Scale 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 atko' Moratorium: n/a yes Site Photos: Riparian Waiver Attached: yes Ji A building permit/zoning permit may be required b L7 Permit Conditions _ _.... _. [] TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back I AM AWARE OF S'[ATYTERC RULES AND CONDITIONS THAT �APPLY TO THIS PROJECT AND REVIEWED CQ PLIANSE STATEMENT. (Pleas Initial) Agent or(AppIiNnf PRINTED N 1 Permit Officer's PRINT Sig tore "Pleasead con is ce re'IK ent on back of permit** � S" i a re � � Application Fee(s) Check it/Money Order ISSLIfngJate Expira on t7 e I� p�OFCUAST41 CAMA ElDREDGE & FILL iV O 88658 A B c) D h J. = GENERAL PERMIT Previous permit Date previous permit issued New ❑ Modification [—]Complete Reissue ❑ Partial Reissue As authorized by the State of No th Carf lin ent of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC t t '� ❑ Rules attached. eneral Permit Rules available at the following link: www.deq.nc.gov/CAMArules Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Affected ❑ CW W PTA ❑ ES ❑ PTS Adj. Wtr. Body (n an/ k) AEC(s): ❑ OEA ������ "````❑����'''"' IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body`s C� ORW: yell 74� 4 4 n PNA: yes' Type of Project/ Activity L-)_ ? "ii Ck (Scale 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 t Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes y Moratorium: n/a yes _ (� Site Photos: Riparian Waiver Attached: yes A building permit/zoning permit may be required by: oil l S? l -o Permit Conditions A ,/ I 'A�`- -�1 ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AM AWARE OF SWATYTES; f RC RULES AND COVDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED C,QMPLIAN E STATEMENT. (Pleas Initial) Agent or(Applica,nt PRINTED Name Permit Officer's PRINTER N'me Sig' ture **Pleas ad compliance statement on back of permit* iU :f7 Application Fee(s) Check #/Money Order Sila re l, Issu I fng' late Expira on Date �c 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: ` �,�:, ►�s t�; ��, c•�.rt. 0 e= ;,cy�r�. ill_ Address of Property: 14na SL, s fic, i Mailing Address of Owner: r .: _, A1.ra Owner's email: Phone#: Agent's Name: Agent's Email: Agent Phone#: 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. VI 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 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' setbac Sign ure of � jacent Riparian Property Owddr -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: _ ,,-10r,!,J V. Mailing Address of ARPO: L� ?,� G 'C-Oa(' Lo 'C . 9S� � ARPO's email: C�(;Lt��i.J (h�1 ++ ARPO's Phone#: � - q��� R F i Date: r7- r,: *waiver is valid for up to one year from ARPO's Signature* Revised Mar 2no e 0. �� �.`LAO 0a ��`rf � PR�k� � Jooccaspd) fj�xry RECEIVED JUL 25 202? DCM-MHD CITY ® - C.*mplete items 1, 2 and- 3 ■;.Rrintyobr.name-and,; ddres� on the reverse so that, we can return th " card to you. ® Attach this card to theack of the mailpiece, or on the front if space permits. 1. Article Addressed to: � r• A. Signature �; ��1' ` X caJ - 60 ❑ Agent .�i� El Addressee ' B. Received by (Printed ame) C Date of Delivery D. Is d ' ery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No ld I� 3. Service Type ❑ Priority Mail Express@ ❑ Adult Signature ❑ Registered MailTM ❑ Adult Signature Restricted Delivery ❑ Restricted Mail Restricted ❑ Certified Mail@ Delivery 9590 9402 7237 1284 2804 22 ❑ Certified Mail Restricted Delivery ❑ Signature Confirmation TM ❑ Collect on Delivery ❑ Signature Confirmation 2. Ai ❑ Collect on Delivery Restricted Delivery Restricted Delivery 7021 2720 0000 7989 6248 ;trictedDelivery PS Form 3811, July 2020 PSN 7530-02-000-9053 Domestic Return Receipt o Complete items 1, 2, and 3. M Print your name and address on the reverse so that we can return the card to you. M Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: t-- c D. Is deliveryaddress different from If YES, enter delivery address b I I I I i II 3. Service Type Signature0 Adult Signature 0 Adult Restricted Delivery El Certified Ma 9590 9402 7237 1284 2802 17 ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery AI,, L v /Tronofor f, ,, man �o ��tion ❑ Collect on Delivery Restricted Delivery 7021 2720 0000 7989 6255 tricted Delivery , -- W .-j i/ ❑ Agent 71 ❑ Addressee Date of Delivery —�� 1? ❑ Yes XNo ❑ Priority Mail Expresso ❑ Registered Mail" ❑ Registered Mail Restricted Delivery ❑ Signature ConfirmationTI ❑ Signature Confirmation Restricted Delivery Domestic Return Receipt PS Form 3811, July 2020 PSN 7530-02-000-9053 USPS TRACKING # I L 9590 9402 7237 1284 2804 22 United States Postal Service United States Postal Service f First -Class Mail Postage & Fees Paid USPS Permit No. G-10 Sender: Please -print your name, address, and ZIP+4® in this box* Cr 'I a O�F 14 Ou ,11IId1111 1,1,,,i1111111,11,11„111111111,I,ili,III !,Ili!!pli First -Class Mail Postage & Fees Paid USPS Permit No. G-10 ° Sender: Please print your name, address, and ZIP+40 in this box° cry"_:j e n o f fU. 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