HomeMy WebLinkAboutFernandez, Charlie 88693C0 1°``°"Sr'1 ❑CAMA [IDREDGE & FILL N9 88693 A B C D
GENERAL PERMIT Previous permit
2 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
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 J
(Scale: )
Shoreline Length 6y It
Access Length o _ yt t
Pier (dock) length_ W __
Fixed Platform(s)
V
Floating Platform(s) I
� r
Finger pier(s)... ... .... ......
Total Platform area\
f:
K—T
Groin length/#
Bulkhead/ Riprap length
—
--
Avg distance offshore!
Breakwater/Sill
Max distance/ length
w,
Basin, channel
Cubic yards%
_
Boat ramp_.__
Boathouse/ Boatlift
j
Beach Bulldozing
€
Other
I-
i
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 required by:
Permit Conditions
❑ TAR/PAM/NEUSE/SUFFER (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
Signature "Please read compliance statement on back of permit"
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date
1*°FCOASrAl&❑CAMA ❑ DREDGE & FILL NO 88693 A B C D
0
y = GENERAL PERMIT Dater 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
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
..t..
SAV observed: yes no , ! E
A w
Moratorium: n/a yes no i
Site Photos: yes no i __
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
❑ TAR/PAM/NEUSE/6UFFER (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 Fee(s) Check #Application Fee(s) Check #/Money Order
Permit Officer's PRINTED Name
t
Signature %/ t
Issuing Date Expiration Date
C5-
Styron, Heather M.
From: Shoreline Marine <shorelinemarinel @gmail.com>
Sent: Tuesday, June 7, 2022 6:57 AM
To: Styron, Heather M.
Subject: [External] 405 Steep Point Road
Attachments: Cama Dock Forms 6-6-2022 Fernandez.pdf
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an
attachment to Report Spam.<maiIto: report.spam@nc.ov>
Ashley Brooks
Shoreline Marine Construction
Newport, NC
252-646-3212
NC Marine Contractor License
#62746
it
in CX County.
/ furthermore certify that / 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.
Print or Type Narre
'Title
q ig
[Date
This certification is valid through
_., _�..
3
i county.
N.C. DIVISION OF COASTAL MANAGEMENT
'JJ,JJCATI0NNVAIVER FORM
(Top portion to be completed by owner or their agent)
Name of Property owner', C4(YKL,
Address of Property',
Mailing Address of Owner
A,-
numprc erriajlio Owner's Phone#:
Agent's Name:: Agent Phone#��50 1
- 322-
411
Agent's Email-, — - I— f — A--.
hors' -e- —C,
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, 6
e provided with this letter.
I Do NOT have objections to this proposal. _ I DO have objections to this proposal.
in d, notify the N.C. Division ot uoasrai
Propo Yo'_
eipt of this notice. Correspondence should be
ft 10 day 5 'of rooelpt
e ob, ��t wh I s
C 10 s
M n DC in C 8557
a gement M) rc ri r he d Cit N 2 5 i DCM representatives can also be contacted
'ed to 40 Comrne e A Mo e 'a Y'
0 �e same lection if you have been notified by
ta d t) me as no ob,
0 r sponsei co �i ere
25 08-28 8. N 0 s n- d
Certified Mail.
WAIVER SECTION � lift, or
'ing pilings, boat ramp, breakwater, boathouse
understand that any proposed pier, dock, mo0i
groin must be set back a minimum distance of 15` from my area of riparian access unless waived by me
(this doer, not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you "u ilig-t!
the appropriate blank below.) A
I t)O wish to waive some/all of the 15' st
I do not wish to waive the 15' Setback requirement ()naiai 1 F im U10111r,"
� Signature of Adjacent Riparian Property Owner:
Milling Address of ARPO:
Date: -Lb
ARPO's Phone#: `Z Z-
-waiver is valid for up to one year from ARPUs Signature
Revi,sed July 2021
(Top portion to be completed by owner or their agent)
Name of Property Owner: �e4� 6,,
!�
Address of Property: E) � COLO
Mailing Address of Owner: .54
Owner's email: d&, (,,e i 1144 2/0J 112J i - Owner's Phone#:
- V —liq �_J
Agent's Name:Jst
Agent's Email',
Agent Phone#: 0,5-7- �� - 3?-J2 —
7.
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.
— rCoastal
fTou have —objections to what is 6_e�?_TP d� —,jn,—sno Je N.C.N D a
0 u t notify
t *4 C' 'Vision of Co s 'I
ropose Y i Cor d should be
e 0 s be
Management (DCM) in writing within 10 hays
of receipt
elpt f t notice. respon ence s t d
5 1) pre ativ a 0
mailed to 400 Commerce Ave., Morehead City, N 2 5, 7 M representatives t es can ISO b Contacted
'Ity the same
- C objection
It you have
Y
at (252) 808-2808. No response is considered he easno b n ha 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.)
1 DO wish to waive some/all of the 15'setba k
S n ure o AdJ c nt R ria,
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
417 IM
Mailing Address of ARPO: lj�_t�
ARPO's email'. ARPO's Phone#:
Date: r) *waiver is valid for up to one year from ARPO's Signature*
T_ Revised July 2021
in C,14erF,,J2WT'---�County,
I furthermore certify that I ar.n authoriZed to grant, and do in fact grant permission to
Division of Coastal Management staff, t/7e Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaltiating information related to tl,,is
permit application,
Sianatore
TL t.�, 4
e,
Prin,t or Type Narre,
Title
Date
-17-
"his certification is valid through �r
101-
.. .. ... . ... . . .....
Na I
. .........
5
... . ............
Name of Property Owner Requesting Permit:
MEH��*�
Phone Number:
W4 �5-7� 3-76e"t
certify that I have authorized - -----
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
H
runty.
Mailing Address of Owner'.j. Owner's Phone_
w
t�+�rner s emar .
Agents Narne: _ ,` 1?0? 5 Agent Phone#. �
Agent's Email. r"
r
I hereby certify that I ors 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. �
ascriution or dravvin . with dimensions. must be prov3de�i with this letter.
i DO NOT have objections. to this proposal. I Cho have objections to this proposal.
R • s•
•ose yo"
a led ou must notify the N.C. Division ot c;oasraiin writing w hlo City NC 28557DCM representatives can also be contacted
day eipt of this notice.
y
to 400
d d he rne as no objection it you have been notified by
at 252�
s` dresponse is con
WAIVER ;TIC
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 your wish to waive the setback:. you KDMALliM
the appropriate blank below.) A ,
I DO wish to waive some#alj of the 15` s�
ME
i do not wish to waive the 15' setback requirement iionwal U,%:� UICITii\f
ignatu€e of AdJacent Riparian Property Owner:
Typed/Printed name of A Pt ;
ARP 's eanailo _._.._..._
Date: 0 ILLL
a
aPO=s Phones: r °` Fes.-
,waiver is valid for up to one year frorn ARP07s Signature*
Revised Jury 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:
Address of Property:
Mailing Address of Owner:
Owner's email: (.,e Owner's Phone*
-7
Agent's Name: le ro Agent Phone#: 7-
Agent's Ernail: f rto
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
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 tarovided with this letter.
T; I DO have objections to this proposal.
I DO NOT have objections to this proposal.
#_ you ha%W objections to what is being proposed, you must notify the N.C. Division of Coastal
Managernent (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) 908-2808. 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, of
groin must be set back a minimum distance of 1 6from 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 .90
the appropriate blank below.)
I DO wish to waive somelail of the 15'setba k
n ure 0 Adj c rat R rian
_OP1_
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner
zmmm���
Date: i _7 0
J0
,L65-1 A0,1,fM,) q:;0_[D
ARPO's Phone#*
r frowi IRPO' s Sianaturel
Revised July 2021