HomeMy WebLinkAbout88819C - Thompson, Cassandra�CAMA DREDGE &FILL Nu 88819 A c` D
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GENE L 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:
I SA NCAC / Tr: i 1900 ❑ Rules attached. fX General Permit Rules available at the following rink: www.dgq.mgav/Cen)eroIes
Applicant
City Y fy(B /-id%`7 eeCs-'taco _ r_ ZIP e L}25 19
Ph.
Email
Affected ❑CW -WW &PTA ❑ES ❑PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: ye no PNA:ye no
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
low -
Ad). Wtc Body
Closest Mal. Wtr. Body
Type of Project/ActivityD`OpOSP _m�J/14VO0,1 eXC9VO, fort 5-4�0
�
(Scale �/ _/O
Shoreline Length %rJ
Access Length
Pier (dock) lengthI V�
Fixed Platform(s) fir, 000'
Floating Platform(s) i V aA
Finger pier(s) -
J Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Boat ramp _
Boathouse/
Beach Build
Other
SAV observed: yes Ind
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: /
i
'11,01�'
❑ TAR/PAM/NEUSFJBUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Initial)
on back
,.1...... .. . . / _...
o"'114tA, LVICAMA DREDGE & FILL \T/�
(ofGENERAL PERMIT v
N° 88819
Previous permit
Date previous permit issued
A <�)D
ffNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State of .NortthCarolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC %�- l-- — O ❑ Rules attached. � General Permit Rules available at the following link: www.de .m.gov/CAMArules
Applicant Name
Address --A
City �/�'
Phone # (190
Email
Affected ❑CW
AEC(s): ❑ OFA
ORW: ye no
Authorized Agent
Project Location (County):
ZIP Street Address/State Road/La #(s)
r O_L Qj
Subdivision
PPTA
❑IHA ❑UW
PNA: ym no
Type of Project/ Activity
Shoreline Length 7n
Access Length
Pier (dock)lengt�
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)— / Z
Total Platform area
Groin length/ri
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
roc yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing _
Other
SAW observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building permit/zoninp 1
Permit Conditions
CRC
Name
❑ ES ❑ PTS
❑SPIMA ❑PWS
V
City
Adj. Wtr. Body
Closest Mal. Wtr. Body
L
Permit
f o0cose)
'f�, rTe�o n
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Initial)
Sign
atu
re
--Please read compliance statement on back of permit"_
SI =;W t •2iTlO
Application Feels) Check g/Money Order
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 iproperty 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
Washington District
400 Commerce Ave Morehead City, NC 28557 943 Washington Square Mall Washington, NC 27889
252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 252-946-6481
(Serves: Carteret, Craven —south of the Neuse River, Onslow Fax: 252-948-0478
Counties) (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico,
Tyrrell and Washington 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) ' ,
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
a`" `� ❑ CAMA ❑ DREDGE & FILL �� ' N9 88819 A Q' ) D
AAdXMI GENERAL PERMIT Dateppermit
° Date previous permit issued
FINew ❑ 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. [N General Permit Rules available at the following link: www.deo.nc.gm&6MArules
Applicant Name I
city r olr nra/ �/-
Phone #
Email
ZIP l�
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑CW ❑EW ePTA ❑ES ❑PTS Atli. Wtr. Body ) I (na0rto/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW SPIMA ❑ PWS Closest Mai. Wtr. Body I r-
ORW-. yes no PNA: yes/no
Type of Project/ Activity - k Co I/ X r f • !� Y
(scale:/
Shoreline Length - 1
No
IN
��
■_
awe
BlueGrain
■■
,
Total Platform area
leri
MEN
Avg distance offshore
FE
," distance/ length
Cubii c yards
■�
■q■■/A
IA■
■■■■MENNEN
■■■
111
or,
Boat ramp
Boathouse/ Boatlift
Reach Bulldozing■■
il
iioniim�
■■E11■■r■■!■■■■■11001
■■■■■■I
111.■■■■■_■_�I
®_■■N■■■■■■■OM■■_■I
Other
Imo.
ttw;r
I�■ ■■men
SAV observed: yes no ME
Moratorium: n/a yes no ■� �di1l■ ■■■■■�B■®■■■■■
Site Photos: yes no ■
■■■®■i■�■ii■aiw■■■■■■■�w��ra�;�n■■■ed: no
A building permit/zonling permit may be required by i
(� .. "'+,I -S
Agent or Appricant PRINTED Name
Signature "Please read compliance statement on back of permit'
r-
Application Feels) Check p/Money Order
REVIEWED
i U TAR/PAM/NEUSE/BUFFER (circle one)
y ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Permit Officer's PRINTED Name
Signaturf
,,/��
Issuing 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: Berrie, 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
,dttl N FICAMA ❑ DREDGE & FILL N9 88819 A B C D
a = GPrevious permit
GENERAL 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.dea.ncyov/CAMAtules
Applicant Name
City
Phone # ( )
Email
State
Project Location (County):
Street Address/St ue Road/Lot #(s)
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PrS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. W,. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:
GhnrPlinP I Pnath
Access Length
(dock) length
Fixed Platform(s)
III
■■
■Pier
■
■■■
■
■■
■
■
�../
■,.
No
NOW
ME
■
ENO
I1MM
MMMOM
Floating Platform(s)_:IN
o
:::�1:::■�■�g�■�■::
UME
Total Platform area
E
Groin length/#
■■■■
■■■■■■■■u■■■■Avg
■s■■r■■■■■■■■■
Bulkhead/ Riprap length
distance offshore
Max distance/ length
Basin, channel
Cubic yards
Boat ramp 7-■■■■N
Boathouse/ Boatlift
■■■■■■■■■■■r■■■■�■■■■■
■
■■■■III
■■
::::::II:::::II:n
:C
M
..■■
■■■■■■■■M.■■■MM■.■■.■...■■■■
....®..■■■■■■■■■��■■■......■■■■
:::
:■■■■GI��■■■HI■:■■■■■■:■■■
:
::::::No
■■
■■rcm�■■■■■CC.■■■■■■■■■■■
■■
■■■IIIin
M
ME
0■■■■■■■E.....:■■
son
:
■
■■
■■■■
■■■■■■■■
■■IMME
■■■■■■■■■■■■
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
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit'*
Permit Officer's PRINTED Name
Signature
Application Feels)
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
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELNERY
(Top portion to be comDleted by owner or their anent)
Name of Property Owner.
Address of Property;
Mailing Address of Owner:
m+ Ca r1
Owner's eaiL:CI5C Lvc�� t CV Owner•sPhone#:_��
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property 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_
I DO NOT have objections to this proposal. I DO have objections to this proposal.
ff 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) 808-2808. 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, Twat 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
-0R-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the dank) (0:—�__
Signature of Adjacent Riparian
Typed/Printed name of ARPO:
Mailing Address of ARPO: /(/tY (%i nUt" (, %)P'lr')y� G�� 5hp( f Vc �S/ 2
ARPO'semail: 02t 'j'Io(.k'(j�O's ho e#-.
r
Datez *waiver Is valid for up to one year from ARPO'g Signaturee
Revised May 2021
RECEIVED
OCI 21 /ij?Z
DCM-Mi°iL) CITY
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER 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:
Mailing Address of Owner:
101p b)e-��Lt{ Pou;+ 'NKS N L r}8 sl 1
Owner's email: l'tPrf( 01 la t0
Agent's Name:
Agent's Email:
Ph no e#: (a 3
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property 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.
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) 808-2808. 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, 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, , �/W1
Sigrj4Wo Adjacent Riparian Ptbp
-OR- V%"f
I do not wish to waive the 15' setback requirement (initial
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: �'ll( {
Mailing Address of ARPO:
r
ARPO's email: K hoer w lxrl ARPO's Phone#: tP al3 I Am( "?ECEIVF(
Date: I C is •waiver is valid for up to one year from ARPO's Signature* CC, 21
Revised May 2021
DCM-MHID CITY
DCM MP-1
LICATION
Major Development
(last revised 12/27/06)
Permit
North Carolina DIVISION OF COASTAL MANAGEMENT
1. PrimaryApplicant/ Landowner Information
Bu i ess Name
Project Name (if applicable)
m 1: First `Name
U � ir1(
MI
q
ame
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed
Mailing Address 1
0 lP �" I n ur
Po Box
Cig.,��
((YY//
State
��
ZIP
a4 n
rntry n
In`� (�
Phone No.
O'a 5-0 (Q�ext.
FAX No.
- -
Street Address (d different from above)
City
State
ZIP
Email
2 Agent/Contractor Information
Business Name
Agentf Contractor 1: First Name
MI
Last Name
Agent/ Contractor First Name
MI
Last Name
Mailing Address
o s-� A h
PO Box
city
/
/YBw o r 1
State
G
ZIP
n JT O
Phone No. 1
/d - J
ZW ext.
Phone No. 2
- - ext.
FAX No.
Contractor #
Street Address Cif different from above)
City
State
ZIP
Email
<Form continues on back>
Q�' 1
- r1i tit f'Y
Form DCM MP-1 (Page 2 of 2)
APPLICATION for
Major Development Permit
3. Project Location
my (can be uRiple)
Sr rest (
I (fir
State Rd. #
1[,' OC.
Subdivision Name
State
Zip
Phone No.
Lot No.(s) (ff many, attach additional page with list)
X Jip)- �1Q3 ext.
I I ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
A02ve-/30
c. Is the wale body identified in (b) above, natural or manmade?
d. Name Me closest major water body to the proposed project site.
Natural Manmade Unknown
✓E So
eo J
e. Is proposed work within city limits or planning jurisdiction?
f. If app icable, list the planning jurisdiction or city limit the proposed
Yes '®
work falls within.
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
0/
c. Size of individual lot(s) •�
d. Approximate elevation of tract above NH W (normal high water) or
r✓/J'�,/Q/
NWL (normal water level)
Of manyfot size; pfease attach additional page with a fist)
NHW o WL I f
e. Vegetation on tract
oV
f. Man-made features and uses now on tract
.
Do
i
g. Identify and describe the existing land uses adjacent to the proposed project site.
h. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
(Attach zoning compliance certificate, if applicable)
h
RcrSef Low )
Yes No A
j. Is the proposed activity part of an urban waterfront redevelopment proposal? Yes '90
k. Has a professional archaeological assessment been done for the tract? If yes, attach a copy. Yes No
If yes, by whom?
1. Is the proposed project located in a National Registered Historic District or does it Involve a Yes No N
National Register listed or eligible property?
<Form continues on next page>
m. () Are there wetlands on the site?
Yes
Are there coastal wetlands on the site? Yes No 01 ,- `4 1
`if4.•
252-808-2808 uet
Form DCM MP-1 (Page 3 of 3)
APPLICATION for
Major Development Permit
(III) If yes to either (i) or (it) above, has a delineation been conducted? Yes TI
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
//A
o. Describe existing drinking water supply source.
p. Describe existing storm w er management or treatment systems.
t chL 4 ►' one i G reek,
& Activities and Impacts
a. Will the project be for commercial, public, o private se? Commercial Public/Government
Private/Community
b. Give a brief description of purpose, use, and dairy operations of the project when complete.
-To 4.0telli-/4nl� 10111141 Prrv64CI OWIeT� V� E�rj
c. Describe the proposed construction thethodology, types of construction equipment to be used during cogj�traction, the numb/err of each type
of equipment and where it is to be stored. ,t *r'!:%'�t I �O ✓ Je �'%A roe 67n3'b roalon
i
d. List all development activities you propose.
�
e. Are the proposed activities maintenance of an existing project new work, or bath?
f. What is the approximate total disturbed lard result rom the proposed project? S a p�� or Acres
g. Will the proposed project encroach on any public easement public accessway or other area Yes NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters o the state.
btr-tl f d/S G(JG.s are
I. Will wastewater or stornwater be discharged into a wetland? Yes Uo NA
If yes, will this discharged water be of the same salinity as the receiving water? Yes No NA
j. Is there any mitigation proposed? Yes o NA
If yes, attach a mitigation proposal.
<Form continues on back>
6. Additional Information
in addition to this completed application form, (MP4) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) - (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to property prepare the required items below
Form DCM MP-1 (Page 4 of 4)
APPLICATION for
Major Development Permit
a.
A project narrative.
b.
An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
c.
A site or location map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site-
d.
A copy of the deed (with state application only) or other instrument under which the applicant claims title to the affected properties.
e.
The appropriate application fee. Check or money order made payable to DENR.
f.
A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name (V.tr 0W[rS Phone No. Ci lq •�-1a—Cj 7-2
Address \p8 V�Y%AYka e_orsr, 4- YES NL ��SIa
Name Te.(4 kpticr, ci Phone No.
Address I IR q- Ay IDt7f V t '�, �11. �ILS !d (_ d-� � �— --,&p • ) I
Name Phone No.
Address
g.
A list of previous state or federal permits issued for work on the project tract. Include permit numbers, pernittee, and issuing dates.
h.
Signed consultant or agent authorization form, if applicable.
I.
Wetland delineation, if necessary. AO
j.
A signed AEC hazard notice for projects in oceanfront an inlet areas. (Must be signed by property owner)
44
ILA statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10). if necessary. If the prof involves expenditure of
public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Aet.A/
1 7. C&Mcation and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies
to enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in thi pplication is hful to the best of my knowledge.
Date J �'U '�ii/ Print Name
Signature
tZ
Please indicate application attachments pertaining to your proposed project.
DCM MP-2 Excavation and Fill Information DCM MP-5 Bridges and Culverts
DCM MP-3 Upland Development
DCM MP-4 Structures Information
RECEIVED
M 21
DCM-MHD Gj—, y
252-308 280E -. 1-888-4RCOAST wwwnccoastalmanagemenl. net
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Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Access
Other
Channel
(NLW or
Canal
Boat Basin
Boat Ramp
Rock Groin
Rock
Breakwater
(excluding
shoreline
NWL
stabilization
Length
20 I
"path
0
Avg. Existing
/
NA
NA
Depth
J
Rnal Project
/
NA
NA
Depth
1. IXCAVAT/ON This section not applicable
a. Amount of material to be /excavated from below NHW or NWL in b. Type
roofr�' a/tonal to be excavated.
cubic yards. �/ .sk vT
c. 0) Does the area to be excavated include coastal wetlands/marsh d. High -ground excavation in cubic yards.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
CW SAV SB
WL one
(ii) Describe the purpos of the excavatiop in t ese areas:
yesSe/ ,�ccrsS.�,�Y
2. DISPOSAL OFMAVATED MATERIAL This section notappikable
a. Location of disposal area. b. Dimensions of disposal area.
Sdkr P1ti Ad shl/,-c- Pad, 28s7Z 20OXWO
c. Q) Do you claim title to disposal area? d. (i) Wi I a disposal area be available for future maintenance?
Yes ® NA es No NA
(if) If no, attach a letter granting permission from the owner. (li) If yes, where?
e. (I) Does the disposal area include any coastal wetlands/marsh f. (i) Does the disposal include any area in the water?
(CW), submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide the Yes NA
r
number of square feet affected. Q) If yes, how muo, water area is affected?
CW SAV SB IVIA
WIL ZIE0
(if) Describe the purpose of disposal in these areas:
3. SHORELINESTABIL/ZAT/ON This section not applicable
(Ndevelopment is a wood groin, use MP-4 - Structures)
a. Tvoe of
Bulkhead Riprap Breakwater/Sill Other:
c. Average distance waterward of NHW or NWL:
b. Length:
Width:
d. Maximum distance waterward of NHW or NWL:
Form DCM MP-2 (Excavation and Fill, Page 2 of 2)
e. Type of stabilization material:
g. Number of square feet of fill to be placed below water level.
Bulkhead backfili _ Riprap _
Breakwater/Sill Other
i. Source of fill material.
f. (1) Has there been shoreline erosion during preceding 12 months?
Yes No NA
(ti) If yes, state amount of erosion and source of erosion amount
information.
K. Type of fill material.
4. OTHER FILL AC77VITIES X This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? Yes No NA b.
If yes,
(ii) Amount of material to be placed in the water
(III) Dimensions of fill area
(iv) Purpose of fill
a. How will excavated or fill material be kept on site and erosion b.
contr
vc.:1/a1iect 5c1hl rie
c. 0) Will navigational aids be required as a result of the project? d.
Yeso NA
(Ii) If yes, explain what type and how they will be implemented.
cent am
Appli
(f) Will fill material be placed in coastal wetlands/marsh (CW),
submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WQ? If any boxes are checked, provide the
number of square feet affected.
CW SAV SB
Wl None
(ii) Describe the purpose of the fill in these areas:
What type of construction equipment will be used (e.g., dragline,
backhoe, or hydraulic dredge)?
(I) Will wetland
be crossed in transporting equipment to project
site? Yes W NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
^f`r ti'"'
DC 1/i-M h,1
10/24/22,'3:21 PM
Gmail - RE: 106 Chestnut Court
Gmail Cassandra Thompson<cassandrathompsonl96@gmail.com>
RE: 106 Chestnut Court
3 messages
Connell, Brad <brad.connell@ncdenr.gov> Mon, Oct 24, 2022 at 8:48 AM
To:"cassandrathompson196@gmail.com"<cassandrathompson196@gmail.com>
Cc: "Guthrie, Kara U <Kara.Guthrie@ncdenr.gov>
Ms. Thompson,
Please submit the $200 permit fee payable to the NCDEQ to our office in order to process the request....
Peace be with you,
&Wwa
Brad Connell
Environmental Specialist II
NC Division of Coastal Management
400 Commerce Avenue
Morehead City, NC 28557
http://portal.nedenr.org/web/cm/dem-home
(252)204-4427
Brad.Connell@ncdenr.gov
RECEIVED
. � E
-� OGT 2 5 Z129
NOcit Fi (FFJI.INf> QQ> DCM-MHD CITY
Oepa�tmeM of Envirmromlai Duality
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
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