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Home My WebLink AboutMcClellan, Aimee 88458C(09r"N❑CAMA ❑ DREDGE & FILL . GENERAL PERMIT NO 88458 A Previous 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: ISA NCAC ❑ Rules attached. ErGeneral Permit Rules available at the following link: www.deti.nc.gov(CAMArules Applicant Name _ Address City Phone # (_ ) I(.( 1 t Authorized Agent ( 11, W IllX (. ) Project Location (County): �1 State ZIP ! "', 1 - � ( Street Address/State Road/Lot Email Subdivision City ! ZIP Affected ❑ CW ❑ EW ❑ PTA QES ❑ PTS Adj. Wtr. Body 1 � !' � ! V (nat%man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body , ORW: yes/ho PNA: yes/no Type of Project/ Activity (Scale: ) Access Length �J.— — I I r .. �.. — _, L� Pier (dock) length -- Fixed Platform(s) � Floating Platform(s)� l I _ i J. j I Finger pier(s) — _ I lr, Total Platform area i Groin length/# Bulkhead/ Riprap length --� �— — ----- -- ln!. — Avg distance offshore - Breakwater/Sill I I Max distance/length Basin, channel Cubic yards. Boatramp Boathouse/Boatlift tBeach Bulldozing I Other— SAV observed: yes no __ j T Moratorium: n/a yes Site Photos: yes nor -�1 - - - I- RiparianWaiverAttached: yes no A building permit/zoning permit may be. required 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 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 ❑CAMA ❑ DREDGE & FILL N9 88458 A B C D GENERAL PERMIT Previous 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.deci.nagov/CAMArules Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # (_ ) Email l i 1 Subdivision City ZIP Affected ❑[W DEW ❑ PTA D'f s ❑ pTS Adj. Won Body (nat/man/unk) AEC(s): ❑ OFA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Won Body ORW: yes/ho PNA: yes/no Type of Project/ Activity (Scale: Shoreline Leneth Access Length Pier (dock) length Fixed Platformis) 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: Moratorium: n/a Site Photos: Riparian Waiver Attached: A building permit/zoning permit may be required by: ❑TAWPAM/NEUSE/BUFFER (circle one) Permit Conditions ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back 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 K _ S1 n G Z S AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number; r7 ' rf Email Address; A) rn e.P.v rn r r /ZL� n rnn; nm I certify that I have authorized Agent! 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 in --Ln,�Ihw _County. r 6, 5eg Waa: 141 I furthermore 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 the aforementioned lands in connection with evaluating information related to this permit application. Property owner Information: ht Z.2A, Signature /e� ,� �t Ln e i1! f _._ _t� 1j c1 n Print or Type Name C� wn er rare g t U IJL_ Date This certification is valid through r`J 41 i - - • . • ` - ih�11.11q•L/t JL9atzUU 91 i3e RrAz t3•i.•IR-113•I lrr r►1sBlXeNi� , (Top portion to be completed by owner or their agent) A a Hems of Property Owner: ! i n �� tV I C `n:13�� .� 11? At kV Addrees of O~ Lt l"n t ;l.tom owneesemalc (rneeys7i�, LglYO owrWaPhono., �M -5Aq-b&17 Agard'sName:� ndf Morino' n,5iru(,hbgA.r,rPha,e�_9�6-0 V7-94t15 Agent'sEmaii:_�nnP.Hmarinecore51ruc�'nn 4ma;1.rt.Am •i i!'.II •!. \!..1 ..Il.'... iL. fI. .LLI Jl`: `. at •J.11. •• • ., pffi��MMTM Or YOU "" obJectlons to what is befrtg Aroposed, You must tlrt N. pf MWOOMmertt (DW In wd my whMA 10 days of reo W or this nodca. Coneepondenee ahoaid be maM•d to 4W Commerce Ave., AtoreAeed CW NC 2ttW- DM cM allo be on, to p le at (252) SOO.2M. No response is conshbred die same as no oNjece m NYou have Near no~ by CefttlNd Alalf. WAIVER SECTION .. ..a. W, bog MrM, breakwaW, boathotise, OR, or 1 DO wish to waive some/am of the 15, setback -0R Signature of AdfsCertt Rtperien Prnpeer �r{Own 1 do not wish to waive the 15 setback MQuiremertt (Ir*M the blank) �' — Y signature of Adjacent Riparian Prope�rt^y owner: C . IY�T h TypedtPnnW nerve of ARPO 5G M k c 1 6. 5 4: t 1 k 1b� Ni Mang Addnes of ARPO: Qt %bra i s Sec. s9 B d Q ��e.,.t� AJC Zg3e j ARPO • emag: _ Lt N f,,J 0S-1 ✓�o/ raARPO's Ph*not: 9/0 - 52? ^ ZZ r aa: ^- +wstver Is vaAd for up to one yea► from ARPO's SigrwftW Revised July 2021 DIVISION OF •.. ,.•. * • aO i 6 -A a (Top portion to be completed by owner or their agent) Name of Property Owner: A l j?) e't m e (�, e Q n Address of Property: Mailing Address of Owner: irh to Owner's email: _Q t m @CV tn'z� J`YOi r &ne s Phone#:'lI 7 Agent's Name: � P�fi r [ �] ��D� i G L Agent phone#:. L) - l',11 r r3� Agent's Email: I hereby certify that I own property adjacent to the above referenced property. The individual applying for this C3 permit has described to me, as shown on the attached drawing, the development they are proposing. 6 description or d wJag tyitlL4J=nstons must be provided with this latter. D R i DO NOT have objections to this proposal. I DO have objections to this proposal. fr you nave objections to what Is being proposed, you must notify the N.C. mislon of Goastat Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC 28557. DCU representatives can also be contacted of (252) 808.2808. No response Is considered the some as no objection If you have been noti fed by CertMed Mail. WAIVER SECTION i understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or 1:, a gran must be set back a minimum distance of 15' from my area of riparian access unless waived by me 11 (this does not apply to bulkheads or riprap revetments). (if you wish to waive the setback, you m n t the appropriate blank below.) D I DO wish to waive some/all of the 15, setback _OR_ Sign reofAdjacentRp an ropartyOwner I do not wish to waive the i 5' setback requirement (initial the blank) k Signature of Adjacent Riparian Property Owner_ ti✓ Typed/Printed name of ARPO: ki�b� Mailing Address of ARPo: % .2 JC ARPO's email: ARPO's Phone#: Ly . - s x S z � Date: 9 - i > ?` 2 1 *waiver Is valid for up to one year from ARPO's Signature* Revised July 2021