HomeMy WebLinkAbout88458C - McClellan, Aimee(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