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Home My WebLink AboutToth, James 88662Co LN CAMA ❑ DREDGE & FILL N9 88662 A B C D �oiCOASIgr tir 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 Address City State ZIP Phone # (_ ) Email Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) 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 (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 1 A building permit/zoning permit may be required by: y ❑ TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions C: ❑ 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" I w w _ Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date q``OAST"`c❑CAMA ❑ DREDGE & FILL N9 88662 A B ,c. y Previous permit GENERAL 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 _ 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) 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 requirea Dy: 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 Feels) Check #/Money Order Issuing Date Expiration Date Name of Property Owner Requesting Permit: ` 01"rs and ALb-SSA ZOIL Mailing Address: !/ 3 "d- gvwj . pove Anvil narr s Nc ZK / I Phone Number: Email Address: ffvtl� tj ®6Ma t / .f�Ny I certify that I have authorized Ax d re- Webb Agoft I Carte to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: R,MASI AL#/A *Od I" PT - at my property located at /13 Cabe& I?rxd . t�xgggPs . tVt 2S5`�� in Carhfrel: County. I furthernxwe certify that I am authorized to grant, and do In fact grant pemission to Dmston of Coastal Management staff, the Local Permit olfker and their agerft to enter on the aforementioned lands in connection with evafuaft inkmudon rimed to this pem* appiksVion. . .: o��Nr:R Tfeo DOW Z.?This certification is valid Uuough � ------ N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REClUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner. J/ >�GGi S-s'� /a i 4 Address of Property: // FQ�/1 __ o�OJ tin 6 K� ace- Sti l Mailing Address of Owner. Snri+N pt /��°✓� Owner's email: 3-4-vA /Y69 c �.Ms, 1 • ew"Owners Phone#: 9/ % Z 7 Agent's Name: /dam Fg� Agent PhoneW ZSZ -64s " Y�T78 Agent's Email: 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 perrnit has described to me, as shown on the attached drawing, the development they are proposing. A 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. Ofvfsfon 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 28567. OCM representatives can also be contacted at (252) E08-2808. No response Is considered the same as no objection #you have been nolifted by Certified WAIVER SECTION I understatd that any proposed pier, dock, moork)g pikVs, boat ramp, breakwater, boathouse, Oft, 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 6prap 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- Signal �o1fAl4acce�4POKWKProperly Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner. Typed/Printed name of ARPO: _ --I o., Arg�✓e�.1 Mailing Address of ARPO: (-�D'-� �aw,S IZ1+ . ARPO's email: G1r &J-, Phone#: Q (I -q'— " S 22 0 Date: �S/b! 2 �.-- *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 NOTIFICATIO WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REgUESTEQ or BAND DELIVERY (TOP Portion tO be oompieted by owner or their agent) Name of Property Owner: J amp& and AP brA M ne Address of Property. _1 l 3 j2edA A. /Q'n Alt. 1�%t kiln/ 1 5 i�t; riK', u C ai�L2 Mailing Address of owner 17w ee knol1 Shoa!S "VC 2 12 owners email; , fh Mo am i . fN owners phoned: 914 �71 2NC T Agent's Name: —AAd-!T AVA Age Ph.0- 2 S"?.taGG -Ll i Agent's Email• kt/ & C CIng i .EOM I hereby certify that I own property adjaeent to the above nftenced property- The individual applying for this perm has described to me, as shown on the al.tadmd drawing, the development they are proposing. A 629MOrl or drawino- with dhner►siorls must bft provided with ft lefter. _ I DO NOT hm objections to this proposal. I DO have objections to this proposal_ If you have O*Kt1bm to what is bebg Proposad y� must the N.G DlWsion of Could Atantptnrei►t (OCM) in wrttbpg widrJn i0 days of r+ec&W of U* noom Coil aWcadwKe should be me" tb 400 Conwnerue Ave., Mbnftad Cttp, NC 28M. DCM repreesarrtaYws can Ow be contacted at (25;4 808-2W8 No response is conskhwed the some as no objection N you haw bow notltfed by Csr~ AfAIL WAIVER SECTION I understand that any proposed pier, dock. mooring plus. boat ramp, breakwater, boathouse. lit, or groin must be set back a minimum distance of 15' hon my area of riparian access, unless waived by me (this does not apply to bulkheads or riprap revetrnuft). (if you wish to wawa the setbadk, you mug skin the appropriate blank below.) f f- r I DO wish to waive somelorof the IV setback Acoamt Property Ow�r -OR- fir' 5 1 do not wish to waive the )V setback rsM*ment (mitial the blank) Signature of Adjawt Riparian Property Owner: Typed/Pdnted name of ARPO• r I st r h uJL 6 )e- hfirp w I az- Meffing Address of ARPO: (*0'4 - Roej, /7AA021/ ,sl& ANC a& -1 z ARPO's small: ARPO's Phonet g%1'd;32, *walwr Is valid for up to ono your from ARPO's Sigratw Revised May 2021 I- A= P P8 I z = rn 0 chi rl NO 8 WAig (8� WE e � � 4 N jQ yz F U O C A SEAWALL — — — — :7R ZCA A s 9A FM AG BB DxAM M5 6N & C6N51. Ate mm W3 OLD AITM ROM NEW NMI, NC 28562 252-665-018 TOTH RESIDENCE 113 CEDAR ROAD, PINE KNOLL SHORES n_t SITE PLANS i � t �- mgo- w rr