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HomeMy WebLinkAboutMuse, Greg 88789C(° DCAK4A El DREDGE & FILL N9 88789 GENERAL PERMIT Previous permit Date previous permitissued ❑ New ❑ Modification X Complete Reissue ❑ Partial Reissue As authorized by the S%tale o Noridt Carding, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC O / �� / ""� ❑ Rules attached. 0 General Permit Rules available a[ the folkrwing link www.deq.nc.gov/CAMArules Applicant Address_ City Phone # Email ZIP Authorized Agent Vr') ( 4 ,Z Project Location (County): Street Address/State Road/Lot #(s) c Subdivision City ZIP Affected ❑ c1N __NEW J�rvA ❑ ES ❑ PTS Adj. Wtr. Body ---T 4 c-_- If , ({l�(� SOman/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mai. Wtr. Body ! i/'�AAa ORW: y PNA: yes Type of Project/ Activity Access Length Pier (dock) length rr Fixed Platform(s) m i -}_._ _ ' i �..--— --.- L Floating Platform(s) i Finger pier(s)' Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel _J.... Cubic yards Boat ramp Boathouse/ Boatiift!� ix Beach Bulldozing V Other SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no -, Riparian Waiver Attached: yes no i -�- i I -�-- __. _._ �_. _- '. i '— i ' 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 I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signs ure "Please read compliance statement on back of permit'• Application Feels) Check # Money Order Signature Issuing 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 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 o:� °"'" ❑CAMA ❑ DREDGE & FILL N9 88789 A B C C 3 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.gcv/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): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS Closest Maj. Wtr. Body OWN: yes/no PNA: yes/no Type of Project/ Activity (Scale: ) Ch,Ainp I pnvth Access Length Pier (dock) length Fixed Platform(s) IF Floating Plafform(s)44 Finger pier(s) Total Platform area - f � I Groin length/# Bulkhead/ Riprap length Avg distance offshore I ) Breakwater/Sill " Max distance/ length - Basin, channel .i Cubic yards I Boat ramp 1 Boathouse/Boatlift '� I Beach Bulldozing Other I SAV observed: yes no - i I i i I I i Moratorium: n/a yes no Site Photos: yes no I 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 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) Signature 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: 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 Manaeement 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: Bertle, 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 AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 6-r 4 t 0 v u sc- Mailing Address: i P l02 % Y Id cf 0 -nn i Ar) (o ",S Lan p . Phone Number: �C15�_r�_fl1n'f7A,r/7,7f� u Email Address: 0ornrn I certify that I have authorized to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: &ZA1 &d7 k ham at my property located at _ iQ 1-'? MQ a rxi W&(L !� Lan L &961 K56A in 0,yayerlCounty. 1 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: 1�, I / Y lLty-o . Signature Print or Type Name Title 9 ,�o Date This certification is valid through / / 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 Address of Property: MMailing Address of Owner: l�et1, V AIlse. 0— k LArre:I Corr Owner's email: v e VX : ,@tom Owner's Agent's Name: Agent's Email: Agent Phone#: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) a5�-Le-7o.u-1- 5 I hereby certifythat I own property adjacent to the above referenced property. The individual applying forthis permit has described to me, as shown on the attached drawing, the development they are proposing. A I DO NOT have objections to this proposal. I DO have objections to this proposal. it you have objections to what is nemg proposedt, you must nonty me Nx. uiwsron 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) 808-280& 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, 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 riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback CAA.'R CDW Signature of Adjacent((,, Riparian Property lrOwner -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: ��I/ GI�VO Cowes Mailing Address ofARPO:ud�Y' �tMad Q/vL goyet LA Nka I era, gG / 656 Z ARPO's email: ��(,TPA ARPO's Phone#: 4-62- 7!� - 3978 Date:7�22- *waiver is valid for up to one year from ARPO's Signature* TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS Revised May 2021 i CAMA / 0DREDGE a FILL ' GENERAL PERMIT NQ 80093 A ,c B ,, D LNew ❑Modification �iCompleteReissue OPartial Reissue Previous permit # As authorized by the State of North Carolina, D t of Environmental epof Date previous permit issued and the Coastal Resources Commission in an area of environmental concernpursuant envI Quality to I SA NCAC L, Applicant Name :`-.h •. a #+€ r L€Rulesattached. ( ) Address Project Location: County r _ _.- .ram - 'vr r ' Street Address/ State Road/ Lot #(s) - ;. 1 ✓" CityState L ZlP.,, _ram Phone # crF-" =- -- --- --------- - — -_.. ry_ E-Mail Subdivision Authorized Agent> --o —._---.... -- - -- ---- — City_____-- Affected `Gw ..''SEW ,.-�k�..PTA !yes uPTs -- ZIP Phone# ( )---.-----__,._...,_ FtHHF GIH �twA River Basin-rX,�tr..:..~`.. a--t----- 0 Pws: -': Adj. Wtr, Body—L_�i ; ORW: yes /. no i Pryq yes 1 no. t - ` t .-- -. Closest Maj. Wtr. Body r �; °,C r, e; I , TYpe of Pri ject/Acti A.., '•`r Pier (dalej length _ f (Scale I I Fixed Plattorm(s) A Floating Platforms} Finger pter(s),— ...-...._ a _ _ t+Yiy r�ff t xft .._ r _. Groin length i - -- F: -*tt.+'i .} 1 Sk9 .J`�'.+^.. t r number Bulkhead! Riprap length.....-.-, avg distance offshore- '- UNIX distance offshore Baffin. channel _ - 7 111 . cubic yards_ j ; tr t Beach Bulldozing, Other _.:w---',---� y -- Shoreline Length e—, t J_. -. I SAM not sure yes no ) i"* k Y`�M• i .� _- r ... Moratorinm: n a 5 y 1 Photos: Waiver Attached: yes r nor -_ .. i - it 5 + A building permit may be required by: i . f E-' See note on back regarding River Basin rules. (Note Local Planning jurisdietlon} > ' fd -7 -i. afes/t Special Conditions`, }; r, 1. ..-•^. t! < C ! €Jt t_.•C' n 'y lfs ?i+'1 ...• rZ p.. r .gentorApplicamprit"dName Sign re,. **Please read compliance t tememoniackofpermit*s' — Application Foals)— —. Check# =. PqrrnitCqcqr4 Printed Name,: -r. --_�.... Signanue r t ...-....� ... t D `ay_ Expifatcon Date CERTIFIED MAIL! RETURN RECEIPT REQUESTED DIVISION OF`COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM Name of Property Owner: //1� �' t � �7V' V (2 - Address of Property: LO % Gi f'K� f +'Fd (Lot or Street #, Street or Road, City 8 Cou Agent's Name #: Agent's phone #: Mailing Address: 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 drawing3he development they are proposing. A description or drau+inc. with dimensions, must,be provided with this letter. ,,L--wA ?ravtete-0 ot I have no objections to this proposal. 0 1 have objections to this proposal, t/youhave objections to what is befngproposed, you must notify the Divisloa of Coastal Managemont (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 127 Cardinal Drive Ext., 1471mington, NC, 28405.3845. DCM representatives can also be contacted at (910) 796-7215. No response is WAIVER SECTION I understand that a pier; dock, mooring pilings, breakwater, boathouse, lift, or groin must be set Lack : minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) i do wish to waive the 16 setback'requirement. I do not wish to waive the 15' setback requirement. Owner Information) Print or Type Name (CO QonlQw /Plcoa,�lil Mailing Address nl i t) ALrn NOagscva CitylStatelz% 0:�)-rc Lego—ef-�78" Telephone Number —l_o-os_-oaf Date (Adjacent Property Owner information) Signurhre S fi d rd 0 -_i' C(B^X P t J1 ti %Rt¢ C- Print oriype Plame ifd ryt�. a r, 1NotrCP L rYa A 1AVtW Ze ,7 /✓C 28562 14allmg Address Citfglstat icy 2 S Z- -933 S2- 9.33 a �7 IS Telephone Number o c� 2 d 2z Date Revised 611"012