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Home My WebLink About88685C - Felton, Andy�oiCOASiq� ❑CAMA ❑ DREDGE & FILL N ) 88685 A B C D -Ni GENERAL PERMIT Previous permit y 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: I SA 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 r� Permit Conditions (Scale / ) •f ❑ 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" pp Application Fee(s) Check #/Money Order Permit Officer's PRINTED Name Signature Issuing Date Expiration Date pO*F COAST41 ❑CAMA ❑ DREDGE & FILL NIA 88685 A B C D 2 = GENERAL PERMIT Previous permit 0 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: I SA 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/ Activityt1 (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 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 i ❑ 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 Signature **Please read compliance statement on back of permit** Application Feels) Check #/Money Order Permit Officer's PRINTED Name Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA _PERMIT APPLICATION Name of Property Owner Requesting Permit: Andy ;e iron Mailing Address: tio4 Adam s S+ . ij [, ?_? b o ti Phone Number: 9 ► 4 - 12- S-z -J. 0 Email Address: I certify that I have authorized &Air "b 6 , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: mcw Sc'-, J. ll A o<<c ld,Co01fo iooa� �i�� t C�6�-E-��-,� dec.L/ at my property located at ! I I Ce d ael Rd, 'Pin e- k.,o r ove c gS+ in C Ark,4- County. I furthermore certify that I am authorized to grant, and do in fact grant pennission 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 Ahdv � (i%.. Pn i or Type Name It - Date This certification is valid through 7 1 l` I Z°Z 7 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED, MAIL • RETURN RECEIRT r?VERY (Top portion to be completed by owner or their agent) Name of Property Owner. Z4 Address of Property: L 67,d/1 7tv-11), 71jvF /4ytt-t 51,jotzz- Mailing Address of Owner. fit' A y v,1- S <F2 �FMC 6-/ 6 k , N c Z 76z1S Owner's email: an ca, Owner's PhoneB '7/'q - yZ % - S Z 2v Agent's Name: -kv D,-dir �i�i�/S� Agent Phoned Agent's Email: ,(NC&dJ do ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION B('`ottom Portion to be completed by the Adiacent 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 wfth 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 (DCAO) in writing within 10 days of receipt of this nonce. Correspondence should be mailed to 400 Commerce Ave., Ai! webead City, NC 28557. DCM representatives can also be corrected at (252) 808-2808. No response is considered the same as no objection if you have been notified by Certified Allan. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, left, 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 sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback . �% "t /] i -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: Ste- a e u • <- o H. Mailing Address of ARPO: 1 o 9 � r� r- �' a - , r41c `ice' A 5 �►� ARPO's email: owl ��maTe & I ARPO's Phone#: 9'1 p LY ! - 366 9 Date: g S ' 2--0 7 waiver is valid for up to one year from ARPO's Signature* Revised May 2021 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: 0AIC/I AyrllQ0 Address of Property: l / I irCJZId A?g,,k ' AAh- 4 ryctJ All- a-frS Mailing Address of Owner. 4�04/ 4017A11-S S7l4-41 "I& ill/C/!, N ( Z760S' Owner's email: -, dv Pt��o,» �//� (a �; n�ni �. &,Cwner's Phone#: `�/4 - ya 7- S Z ZV Agent's Name: /"'� YAgent Phone#: Agent's Email: k-)e4 dV/C e �1✓h4�� C-0 ,- ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent 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 cordach d at (252) 808-2808. No response Is considered the some as no objection N you have been no~ by Certified Mafl. 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 setback Signal of Adjacent Riparian Property Owner I do not wish to waive the 16 setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: la rv..rs 4 • 7 0 Lin Mailing Addressof ARPO: //3 iPdeie Lily-4, 2/1/P ro// CLy`i INC '�`4 ARPO's email: JT`yt$nt4)9'®:r4u;1•/0'UL ARPO's Phone#: T/q- a7JL -70(/ Date: F 1 Z 12 Z 'waiver is valid for up to one year from ARPO's Signature* Revised May 2021