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Home My WebLink AboutClark, Josh 88701Cp1*W CUASrq',4&,,❑CAMA ❑ DREDGE & FILL N9 88701 A B c D y GENERAL PERMIT Previous permit 41 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 Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone # (_ ) Email Subdivision Affected ❑ CW AEC(s): ❑ OEA ORW: yes/no ❑EW ❑PTA ❑ IHA ❑ UW 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 I Avg distance offshc Breakwater/Sill _ Max distance/ len@ Basin, channel _ Cubic yards Boat ramp Boathouse/ Boatlif Beach Bulldozing_ Other SAV observed: Moratorium: n/; Site Photos: Riparian Waiver At A building permit/: Permit Conditions ❑ ES ❑ PTS ❑ SPIMA ❑ PWS City Adj. Wtr. Body Closest Maj. Wtr. Body nat/man/unk) (Scale: ) ❑ 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 Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 1-1 Tar - Pamlico River Basin Buffer Rules 1-1 Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 a*E COA9rq',&❑CAMA ❑ DREDGE & FILL N0 88701 A B C D MHO y = 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.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): ❑ IDEA ❑ 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 req�.. Permit Conditions (Scale•; ) u 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" Application Fee(s) Check #/Money Order Signature Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 1-1 Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover and Fender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 AGENT T; .,II BEATION cOR CAMA PERMIT� APPLICATION Larne of "'rlt'r'Y7nrRequesting 'rrirt:c Mailing Address.-w- Phone Number: Email Address: I certify that I have authorized x�Q Agin,,! ontractor to act on ray b haf, for the purpose of applying for and obtaining all ';AMA permits necessary for the to1€o` -in 3 r sea-4 °evef 'i£ann- erit': at my property i catedt at 9 011�Y / furthef`t1`?or certify that to gtan.,, and do in T-Fcl gnani p rfnission to ��ivisiot"? o i`"..<C�astal r�l inag ,'P� en sta , thy} o f``e'; =` i Of`i e >rm nd tr�P 'lr agents 3o enter on, the aforementionedis?3'ds in conrlection with e lIuarinq information related to this permit application Property Owner infori-nation., Pant or I y!.)tw'� Date E Ei ," .:"l, iiF..._.._t .:;3 cp n i.._ �r f r -r_✓. N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM CER_T_IEiED_.'VIAII RETURN RECEIPT RECiUESTED or -HAND .IVE--R-Y (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property: N04 t)aite('aoA ; )i. M tjtkj,,� L('A\A Ak 3,@S 5 7 Mailing Address of Ovvner: -�(Oqs /-6f,-,UC Or.VC4 N Ownees email*, li,� Owner's Phone#:" "i V Agent's Name. P-Ocle--� I Agent Phone,�L Agent's E m a i I 101 �56 -r 113 1 IL49 M 4-7 > .4 - I . t--,,IA ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION ,B ottom portion to be completed by the Ad[acent Property Owner) I hereby certify that t 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 1 00 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 CoastalI 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 contacted at (262) 808-2808. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION tunderstand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, Or groin must be set back a minimum distance of i5`rorn 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 siq the appropriate blank below.) I DO wish to `,Alaive some/ali of the 15'setback Signature of Adjacent Riparian Property Owner -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: ell Mailing Address of ARPO: I Ale. a C� ARPO's email ChMm�k&fit �;:tYARPO's Phone#: Date: 19�" �- �-__-waiver is valid for up to one year from ARPO's Signature* Revised July 2021 ti O i A, NAG 411A-IiN PRO jj [ ,t L V14 JAND CENT, ,, 's rnct n?; AGENT AL t ION F- � O PERMIT APPLICATION Narne of Property € swner FReq esting Perrnit Mailing Address: t. j i l' 4 v I 7 Phone Number: r'TlelilAddress: � �� € � it �� . & .. \j i certify that l have authorizedA t r geW J Contractor t0 act on my behalf, for ttile purposeof applying for and obtaining all CAMA permits nez,cessary for ihe 'li l l.l:? oroposecf f a t"tp t, rn is illy proper'l located al, t _ fZ -:1 1'�,._. •.,7:..1. .� ! u i 1 I furthernoore certify that I an-, aothonzed to granfl. and do in fact graint permi . ssl I on to Division of CoastalMainaraE'P`nen ta,, , the 11--o l Permit Officer and their agents to enter on the of orernentio'nea ,� nds fn r car#ro c t,ol F nriin ; veiltuatin g inforTn tton related to this perm. it application Property OwIner informa ion rr' — u, SNji x t AD,jA(, T RjpjA1 CERI !F-SENIL�,F) MAIRAjM L, RE por� (31 Owner a nz Addre,-_s :)f prol SSS 7 Jul Mailing, Adcir,�I SS of 0 NER'S CERTIFICATICON e wdMdLj@j cjppl,fIt,,g for' this to ril-C!, 10 00 v c oi "P:_!; Wi y , v -)roposlng ""Ule have YOU he'Vo 0hjcc,1jo4FjS j)W,?V 01D)OCtions (oviiis MQnagOment (,DCPI) in You musi noeh�, _'h(__, N.C. Coastal mailed 1,0 400 Comn2erce A vo 5q"omg;,�, 0 of this notice, Correspondence shoufd be S can a/so be �- nfactL'd -0 at (25,�,, 1108- 28op. vo res" PVC NMS7. DCM r(�pr<_,,s0?)tajivQ cortiflexi obiecly0j-) if You have beon rotified bv jjjj, ry pr, )0-,ied IN(, N Wolf) rlw5i be TM n ,tmtionne VIE ec. bvo_ r re(1003 Iok aDdy to 11L�Ipl'wMC,K Kppif 00 wiih to �;),Twlnfl ........ .. -OR- do n(A ,vj,,�jj �o Sig"@Wrc Oil' A<Jj,@o,)flt Rip,,.viar 'M 4av oft yanr` nil A"RPOI!, PPvisod July 202,1 N., DIVISION OF OANS AIL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTI 1CTI J l'V 2 FORIM C�E.F�TIFIEQ...MAIL, RETU,RN_REQEIPT R'=QUESTED or HAND DELIVERY "Top portion'to be completed by owner or their agent) nt) Nc?me "at i,operty-' owner �G�i�a.�✓ i �dh u� _ � _ . _µ Address of PrC3, pert Mailing Address of ,O.,.,wi`ier _ 4 £ � �d✓. ��LLi�i�. m � F i �° � 4' { �� k "V x! pia. Owners ., :sa"ae,`- pt _ iafl rr�k :..r 3�t(,;-„,._ ��` •�� , � ;:''�� e �`'�}� � � wag �� , . :� ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION r it arr ar igrt to be co c# b. e Art F a r 4 art r I hedre by certify that I caws propefty adiacr �5 C> he -ibo e r fe rz�nced oroperty , he: individual applying for this permit has : escribed to rne, as shown _ n the attso ird drawing, the development they are proposing. %1 �t t firon or £fir Irl tl':_f It ejasions £T ust ri31 I—:. 11..tjq I DO NOT- have obje ti ! s to 'I€' 'props _ ca . DO i'ls":ve objections to th s , s - . osai, If you have objections to what is being proposed, you must. notify the N, . Division of Crustal Management (DCA') in writing within 10 days of raceipt of this notice. Correspondence should be marled to 400 Commerce Ave., Morehead City, NC 28 ,37. 0CM representatives can also be contacted at (28) 80,5-280&, Mo response ,s considered the sa o as no objection it you have been notified by Certified Neil. WAIVER SECTION I enders nd ihaany ropose oie . ,iiccK, ."Y1(.>o ng rpflinq , boat ramp breZlk':v t(-r, z ,csthou e, I ft, or r lei tTa€t t I t back mininiz ni .Ifst" n e. of i fton my area of riparian %3cc ss �. mess ghee by r"le? }(tl"tIS does €iC?tpl�ly <Ci{�[)°--.�t�-'.,I••`t ads or .''tL'�i'ap €"£:�'"e �£ai:._, >i /€-J:,3'.P�35P" £�. ,a<ztktEr .`-1 setback, IC:I . }j:�t,l � '„�'i_(CYI tr1e' appropriateblank beialw.) // ft I 0 `vJish t{) WMVi,' :iC.`Mei :ll of the 19' 0tb,9c ^} �'2'9d i'".Ff G.i4 �.. . T:i rSf. .3.[eiMa Riparian r£!(Ji{'?..'etfjJf3 N:,S A`L�t do not `Trish ti3'1sav/e the 19' sE.`,fback "e„qj.t rC-?moerP ?'{'.6�' ?( is"?(: olank) Sioia=-Jrure o t"'Shcjac&fRiparian Pj'nrer.±v r0lypn-r Typed/Printed narne of ARPO: Mailing ddrn5 €; 03 Date:._lwliver ,s valid for tip to one year from :s RP 's Signature* i ?,�evised July 2021 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Harr, of Property Owner Requesting ting i- -l-mit � �? : � � �t � � t Mailing Address: 'I Phone Nurnber° Ernail Address: l certify that l have authorized to act on my behalf, for the purpuse of applying for and obtaining all C AMA permits necessary for the fo)Jl ` )1 nE"l pi' p{"se ,' r ' at my Propert y €x a �- I in _ -- �.�,...._.. .. ,x I"i ! f�tunthermore c�e:dif that l am Iti`"Ir,�nzeo to t rant, and do- in f<-)c rant permission to Division of c. oasa l Manaaem n., star"f. the Local Permit Offi.- r and their agents to enter on the aforementioned tat' ds it) .",oni"1 ?c i .n <vibl� evakiatinq information related to this permit applir-atiOn. Property Owner information: l� / E � f ! J '✓/ ./3 % !-� f fie' i I, �, � r 4 , � s ✓ � f 1"�. N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM -CERTIFIED-MAIL.: RETURN RECEIPT REQUESTED -or-HAN D-DELIVER-Y (Top portion to be completed by owner or their agent) Name of Property Owner Address of Property: + Mailing Address of Owner' �009 (�LALJ V 79 Ownees email:(i),11 Aq 60Owner's Phone*. — Agent's Name--4.5P� 0004z.S Agent Pho-neit- 1-7 61.1 Agent's Email— S'hloL�l-cl C�--f- to -mi"i q I , ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION 'Bottom portion to be completed by the Adjacent Propen Owm a t hereby certify that 1 own property adjacentlo the above referenced property. The individual applying fiorthis permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawino, with dimensions, must be orovided 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 contacted at (252) 808-2608. No response is considered the same as no objection if you have boon notified by Certified Mail. WAIVER SECTION -understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15'frorn. 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 mu�si n the appropriate blank below.) I DO wish to waive some/all of the 15'setbaclo Signature of Adiacent Riparian Property Owner -OP1- do not wish to waive the '. 5' setback requirement (initial the blank) Signature of ACIJ,acent Riparian Property Own h Typed/Printed name of ARPO: Mailing Address of ARPO* /zm I ARPO's em ail C- 4 k RPO's Phone4: Date:-22 4h;;-L-2X, *waiver is valid for up to one year from ARPO's Signature' Revised July 2021 N,C, DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION[WAIVER FORM -CERTIFIED-MAIL, RETURN RECEIPT REQUESTED ar-HAND-DELIVE-R-Y (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property: 40 Mailing Address of Owner: 85 Vq 11�-J A..,- 2- --El 9 11 111144-el6y�le . A-1 C;28,50 I Owner's email: Owner's Phone#: Agent's Name', 4514LG-1 OJZO(%�.--5: Agent Phone',- Z— Agent's Email_. q ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner 1 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, ! 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 to400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. 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, o, 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 sig the appropriate blank below.) I DO wish to waive some/all of the 15' setb;ack5:262&— Signature of Adjacent Riparian Pro rty Owner Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: -0 TypedlPrinted name of ARPO: Mailing Address of ARPO: ARPO's email: ARPO's Phone#: Date: *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 . . . ........ ........... 7r IJ CP, IVI I 1'w A7) � AA I ma "I NJ ^_ � s s i s 3$ AA*»sH i°y8 m in r v,