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
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__.
_._ �_.
_-
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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