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HomeMy WebLinkAboutBickley, Wes 88645CA"'w"A.LICAMA C DREDGE & FILL N9 88645. A B C D GENERAL PERMIT Previous permit Date previous permit issued 21[oNew ❑Modification ❑Complete Reissue ❑Partial Reissue As authorized by the State Nort'h Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC 0 ' o ✓;J ❑ Rules attached. u General Permit Rules available at the following link: wwwdea.nc.eov/CAMArules Applicant NameI . \ Authorized Agent '. 1 Address f 9 R VlCla r V E, Project Location (County): City '•'� � s Z(A11 h State t� j. LP %_ 12 Street Address/State Road/Lot#(s).'C- Phone#(�Z)9 17— '7`>% -- Email / Subdivision City ZIP Affected ❑ CW OEW M F s ❑ PTS Adj. Wv. Body AEC(s): ❑ OEA ❑ IRA ❑ UW .� ❑ SPINA, ❑ PWS Closest Maj. WI, Body �.'(? �'% (� - � � ( �.. )) ORW. yes/bo PNA: yes/ Type of Project/ Activity (Scale Shoreline Length Access Length i —._ ,— {--t _ Pier (dock) length I�� Fixed Platform(s) !� K /� t, I �/,�;'•,.. l •�� fr ! l 'Y'; l I /may-'-� Floating Platform(s) Finger pier(s) {t _- _- ' I I , Total Platform area Groin length/k + T .__+ t Bulkheade length Avg distance offshore offshore Breakwater/Sill t Maxchit ce/length B Basin, channel Cubic yards Boat ramp I � I Boathou;`'e/Boatlik - Beach B ndozing Other SAV observed: yes no I" , ? ( Moratorium: n/a yes no Site Photos: yes( no. I - Riparian Waiver Attached: yes \ no; ,\ A building by / Oki XP� permt/zoni g permit ma'y. required A �'pI 1 _ TAR/PAM/NEUSE/BUFFER circle one ( ) Permit Conditions /fff�`�� �f' V �1� (s ��y I t�t. C� .- E [� o 1"i -�' n t' , A i P r "I ^ r) ! :.�� a �-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) IJ Agento Appli tPRINT DName Permit Officer's PRINTED Name Signature --Pie read compliance statement on back of permit* • r- Signature Application Feels) Check p/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: ElTar - 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 252-808-2808/1-888-4RCOASTFax: 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://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 .1�1,❑CAMA ❑ DREDGE & FILL N° 88645 A B C D a Previous permit GENERAL PERMIT Date previous permit issued New ❑ Modification Ll 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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deo.nc.eodCAMArules Applicant Name / Address City State ZIP Phone # (_ ) Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑ CW ❑ EW PrA El Es ❑ PTS Adj. War. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWs Ckuest Mal. Wa, Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: Access Length IN (clock) length Fixed Platform(s) ■■■■ ■ ■■■ ■ ■■ ■Pier ■■■ I 0 ME No ME Floating Platform(s) L IN ■®q.■ii ■■■■■■■ ■N ■■■■■■■■B■ MOLE , mommomommm■■■ MEIN ONIMMEMP�m MI 0 ...' �.■111110'..■..■■............ GMH �n :SCM A building permit/zoning permit may be required by: ^ ( ( ) 1 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 i Signature "Pleas read compliance statement on back of permit*' - Application Feels) Check p/Money Order Permit Officer's PRINTED Name 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: 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: Berrie, 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 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) Revised 6/01/2021 AGENT A THORIZATION FOR LAMA PERMIT APPLICATION Name of Property Owner Requesting Permit. y4i f + M/C//Z C L,6 elci t L- oc' Y Mailing Address: / w S1104�5 O.C. SAL TAX— 1347'� Phone Number: 8°� - `f6 �- I?Sri Email Address: cc/-f 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: Dock , 1-1,eT at my property located at y 98 tryoeE e Jf)c y_r.0 P�1>Y v; 2d1'iz In �/i Q TET 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 ender on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: • , f f / WES eltAiEnf fl 0;�� tit;S 1 Print or Type Name el-41 h-rY Title 4 1 9 I zZ Date This certification is valid through _—1 RECEIVED SEP 19 202'1 DCM-MHD CITY N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONJWAIVER FORM (TOP portion to be completed by owner or their agent) Name of Property Owner A*,4r s, riicyE(c.c 4le-rcc6,6FY dregs Of Property / 11P -r4'O'4,f OG� . Mailing Address of Owner, 5'�Vf7E Owners ernat/Jr`7�."`�fTLns9Y/Lyes, cch AAMYe Name; Owners Phone# ICJ- 96--T9I7 Agent's Email: Agent Phone#; AWACENT RIPARIAN PROPERTY 000001 WNER'S CERTIFICATION I Hereby oa� that I own r Permit Mu Poperty adjacent to the aboverefsreneed property. The individual applying for this dsecribed to me, as shown on the acts shadrin drawing, the development they are proposing, g II ---L. I DO NOT have objections to this Proposal.(.You 1 r)O have objections to th;s proposal. hws ob/KN� ........� ,_ . mated to lOQ (Conr MOrre Ave, t�Y, C Of (252) EO@.s@pd. No rasponseis fie. Certlned Mail. of th/s notl - -•- "'Nan or kroasta! DCMshotAid be reprwna ssyvan& bO a rro obfacdon NYou have boar notified by unda.stand that any WAWER SECTION groin must be y proposed Pier, dock, mooring pilings. boat ramp sat back a minimum distance of 15 from m a ' �akwam`, boathouse INt, or (his does not aPPN t4 bulktiseds or Y area of riparian access unless waived by Hie the appropriate blank below.) ripraP rsvetmenb). (H you wbh tq walva the setback, You muse 100 wish to waive sorWail of the 16 setbaci: ,OR, SVrutufeofAocantRoohonpn m,Owner do not wish to waive the 15' setbadt requirement (initial the blank) 1� Signature of Adjacent fypvyn Prapary>pwryr. -� TYPadt"r tad name of ARPO• _ I'l r `7T La i'"ring Address of ARPo:1F ARPO's small: Orbs: —y - 9 — a a -M w is valid for up to oms Ywttoen ARPo's Signature, RECEIVED SEP 19 2022 DCM-MHD CITY N.C. DIVISION OF COASTAL. MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIEDMAIL - REn]RN RECEIPT Fnl ESTED tx HANQQEUVERY (Top portiat to be completed by owner or their agent) Name of Property Owner. WES X 1'rICV '. - L L-�4 Zit L u y Address of Property; / 9d' J/y�it,E 0/4, S41, ,fie /rq7.fi n� ll 26r/ 2 Mai4np Address of Owner 74 7E owners emae: w h �o"EJSfl�l AYK�a C1 •-I 8oJ • 96 0 . final's Phonwf r7 r ' -genie Name: Qflsnfa Email: AgentPhons* (AD,IACENT RIPARIAN PROPERTY OWN_RII R=it>7�SD beeo CERTtFlCAT10N '1'.sated tba 1 herby certify that I awn Pro e p s sho the erty acem to F>errnit has oeecrtped to me, as shown on the above referenced prop. The indWiduel applying for this attached drawing, the devsiopment they are proposing. 100 NOT have objections to this . Proposal. I DO have objecdane to this proposal. l jrou have objeetlone to what is Manegsroom (DC !n baMp woloo"A you must nobly me N.C. �hl&fon of Coastal maned to 400 Comore A nA thln f0 days of n gW of this no>yp at (251) 808 280I Nc fee Ainsa �' NC 2dtt1. OCM should be Cartlflad Mall. considered Iris same o no,, � yfro Can � OMftcftd I urderatand that an Y proposatl Wx, dock, 1rtOOrin IWAMR BECTION groln must be set back a minimum distance of 15 mooring myngs' beet ramp. breakwater. boathouse, IIR, or (b'� tloes not aPWY m bulkheads or riPraP rovehnenb my area of rip access unless welved by me the approPriats blank below.) ) ( You wish to waive the setback, You Mu+t clan I Do wish to waive Some/all of the 15' setbacr, -OR. Signature of Adjacent Rlpeyyt properly Owner I do not wish to waive the 15 setback requirement (initial the blank) /I/, k +- Signature of Adjacent Riparian property Owner; 1 �-- TYPOWPrtnted name of AIlPO• Mailing Address of ARPo: S o 14 kt... , j1 ARPO'a amtdl: w/Y!/ Raet ARMS Ph0 Data. 9' 0 9 ' Z Z Ae Zepa&AQ 'MkW M tfapd for up to one Year from ARPO's Signature - RECEIVED SEP 19 2022 DCM-MHD CITY s RECEIVED SEP 19 2022 DCM-MHD CITY W-10, M 360 a� OA .,.. ,..,,.....,.. �. I,,, yam...,,,.., ,.,Y. ._._...•.. _ �_- � __ -__ . - - ■ +eni: r -r u C3 1 Co e } Planning 1 Landscape Architecture Landscape Architect Seal \\\ th Caro o \\•aoc\\\,\uul tl •, 'lltliilllli\\\ oc \\� G Firm Seal