HomeMy WebLinkAbout84497C - Rink, Davidat0""t CAMA ❑DREDGE & FILL N° 84497 A B OC D
G E N E RAL PERMIT Previous permit
Date previous permit issued i
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:
r
15A NCAC �' (�/ / ❑ Rules attached. ," General Permit Rules available at the following link: wvnv deq.ncyov/CAMArules
Applicant Name .'.A V
Address Po &S ShN3 City t/Il����.DISLP^ State fJC ZIP 71?1�(11LT
1
Phone # (Zt2) 2�) b2(s7
Email 7VVI D) LJJ SS � (H'�'I( / CU
Affected ❑ CW EW M PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA IHA ❑ UW ❑ SPIMA ❑ PWS
ORW:,�O/no PNA: yespl�)
Authorized Agent
Project Location (County):
Street AddreWState Road/Lot #(s) � � + `�%(�N, 1
City C . L f ZIP rrJS•i<�
Adj. Ww.. Body Gartman funk)
Closest Maj. Ww.. Body -' y' I x, �W �
Type of Project/ Activity ��) i'% I �Q �! lC f t—;`. `✓ :�N r' �l r I f
Tit O,, (Scale:
Shoreline Length Z - . -. - t•
Access Length / - - ) 4. , z:. _ IN
Pier (dock) length i I'• i L i i r'`
Fixed Platform(s) i I _
F"
Floating Platform(s)�
Finger piers) LI' V lo' J•.- '�' ..-"'n v,
Total Platform area
Groin length/# 4 6i 1 + /
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel r I v
I i
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach BulldozingOther
J
SAV observed: - yes no
Moratorium: n/a yes no
Site Photos: yes no-
RiparianWaiverAttached: -yes. no
A building permit/zoning permit may be required by: 1 r Permit Conditions -
i. - ❑TAR/PAM/NEUSE/BUFFER(circle one)
�� fPJ 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) r,4_4 <"
I r) . li I !d L/
Agent or Applicant PRINTED Name
Signaturg ""Please read compliance statement on back of permit`"
N�a�
Application Feels) Check #/Money Order
Permit Officer's PRINTED Name--
5i1a� Ian �aa
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 El 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)
http://portal.ncdenr.org/web/cm/dcm-home
Washington District
943 Washington Square Mall Washington, NC 27899
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)
Revised 6/01/2021
4C—W4( ❑CAMA ❑ DREDGE & FILL N9 84497 A B �C` D
keA GENERAL PERMIT Previous permit
i Date previous permit issued
FT I 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 �� I ❑ Rules attached. ci General Permit Rules available at the following link: www ncgov/CAMArules
Applicant Name Authorized Agent .-
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (� )
Email Subdivision —
City .. ZIP
Affected ❑ CW DEW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mai. Wt, 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/ Ripmp length T
Avg distance offshore 1
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 required by:
Permit Conditions
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND RVAEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature '*Please read compliance statement on back of permit*N
Application Fee(s) Check Money Order
Sign I
a /a3 J?z
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:
0 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
252-808-2808/1-888-4RCOASTFax: 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://porta1.ncdenr.org/web/cm/dcm-home Revised 6/01/2021
Name of Property Owner Requesting Permit: � Q U 1 p + MI}dt I a NE P/ a!%4
Mailing Address: P, t7 . � 0X 00 u 3
@r.erat.A T-SIe lf4c PSSti4
Phone Number: Z S -L` — Ddl 1— 0 a V7
Email Address: A i cir ,. IL S S Erna . 1
I certify that I have authorized
Agent I 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 g �g So,� t3 'EM er - r4l e 9 C
in � ram\ County.
I furthermore certify that I 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
Sigrfature\ -I
tV , , i ( 1e\''ykY�hP IF1�
` Print or Type Name
Title
2022
pate
RECEIVED
This certification is valid through _I I A06 t 9 20ZZ
DCM-MHD TTY
CND Foe SM - mo)u6
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: O�A^,UPI c�'�1- MftFRI.{.CNE �I K
Address of Property: O S V2Q so- .f n M OR - 1 1 , (/� � e�G
Mailing Address of Owner O . V �`� J Q A3 Em ea&A -4[\C . I ll.. A3&-t!IC
Owner's email: Owners Phons#CZ 5-0 24 1- oZ,b7
Agent's Name: �,T Agent Phone/:
Agent's Email.
P si d ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Sou ^ci VpCBottoVm oorlion to be completed by the Adjacent PropeM Owner)
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.
1 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 H.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) 515-5400. No response is considered the same as no objection if you have been nodrred by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat romp. 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 npmp revelments). (If you wish to waive the setback, you must $ion
...z the appropriate blank below.)
1 Xt I DO wish to waive somefall of the 15' setback //�
Signature o'fOAL�/ddraaccee/nt 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:nr 1( p (N fiL C\ �[ /4R N P R
Mailing Address of ARPO: _ 1 0 17, o, RaiL t'/N-- 1+A/Lv&7, Vc- 2?S29
ARPO's email:[ 21 0/2 .co•ARPO's Phone#: q4-g1L/)0
Date: _ r'19-29" 'waiver Is valid for up to one year from ARPO's Signaturo•
Revised May 2021
RECEIVED
AUG 2 9 2022
0CM-#AHD Cif
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
t/
Name of Property Owner: D�tD q" 1 A h-Ru Fq k—
ertyv
Address of Prop: �C Co 5 nA �R t ' 1
Mailing Address of Owner. E6q,*MtA '�S1Pf��' a �
Ownersemail: 25Z
Agent's NameAgent Phoney:
Agent's Email:
P5o DR ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
$ o�^ (Bottom portion to be completed by the Adiace t Property Owner)
I hereby candy 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
100 NOT have objections to this proposal. _ I DO have objections to this proposal.
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 representaffves can also be contacted
at (252) 515-5400. No response is considered the same as no objection it you have 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
(in* does not apply to bulkheads or nprap revelment ). (If you wish to waive the setback, you must sign
me appropriate blank below.) L d
I DO wish to waive somelali of the 1S sstbac µd, j,� /�
Sign a of Adiaoenr Riparian Property Owner
'OR•
I3 I do not wish to waive the 15' setback requirement (initial the blank)
Signahim of Adjacent Riparian Property Owner:
TypedrPrtnted name of ARPO::
Mailing Address of ARPO: C o J n C
ARPO's email: ARPO's Phonep:(2 S z1 3S7-1—�3 t
Date: 1`-) —�S� .. Ivor is valid for up to one year from ARPO's Signature'
Revised May 2021
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