HomeMy WebLinkAboutOsorio, Fred 88465C94V Qbi~ Yet
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�`MR41 [}L{AMA El DREDGE & FILL N9 88465 A B O)D
ate? Previous permit .�
s�/GENERAL PERMIT Date previous permit issued
.. /
ew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by hi the State of North Carolina, Department of Environmental Quality and the Co ources Commission in an area of environmental concern pursuant to:
15A NCAC _- l i I . I I O O ❑ Rules attached. General Permit Rules available at the following link: wwwde .nc. ov/CAMArules
Applicant Name
City&IRIA S(X IWI114p- State 1�1- ZIP CiiP7 TU
Phone # (_)
Email
naftrrnanoer)c6' Cc1M
Affected NKCW DrW [ PTA [!(ES [JPTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yesy,Aey PN yes o
Type of Project/ Activity
Authorized Agent
Project Location (County):
Street Address/State Rgadl
City
Adi, Wtc Body MA I �/A AY fit. LA UX ,fj'. l r/! a an(unk)
Closest Maj. Wtr. Body I " wUij
/ (Scale: � s )
Shoreline Length . _ ,
Access Length _ {
Pier (dock)length
Fixed Platform(s)
� r
Floating Platforms)
Finger piers)
Total Platform area
>�
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
j '
Max distance/length/
}f.�
Basin, channel /
I
Cubic yards
Boat ramp �!
Boathouse/ BoatliB� s
Beach Bulldozing
Other
SAV observed: yesj_ f
Moratorium: n/a yesSite
Photos: yesRiparian Waiver Attached:
(.
yes ol�/�
A building perrrAYigning permit may by required by: '✓ CpN^nV{
Si ature ••Flease read compliance statement on back of permit --
Application Feels) Check #/ oney Order
I/ Vie
ae
WWI❑ TAR/PAM(NEUSBBUFFER(circle one)
l'(_� ❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Officer's
(Please
�caar'a [ AMA DREDGE & FILL N9 88465 A B COD
PreviGENERAL PERMIT Date prevus iousmit
i
s Date previous permit issued /
�lew ❑Modification []Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the urces Commission in an area of environmental concern pursuant to:
15A NCAC t) rl 14 ` 1 1 0 ❑ Rules attached. General Permit Rules available at the following link: www dea.nc.goy/CAMArules
Applicant
City;! aLJ(SdY)t/I f State I \/f/ ZIP 6i29'3 7-0
Phone # (_ )
Email
YNwixrrianoen� .cdn)
Affected EglcW �}gW L�JPrA ES ❑PFS
AEC(s): ��❑ ❑ OEA IH❑ ❑A uW SPIMA ElPWs
ORW: yes�6 yes o
Type of PrrJoojject/ Activity 34 'A 11270-
Shoreline Length,
Access Length _
Pier (clock) length
Fixed Platform(s).
Floating Platform(s)
Finger pier(s)
Total Platform area /
Groin length/p
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel �/
Cubic yards_,
Boat ramp
Boathouse/ Boatlift
(\\
Beach Bulldozing''
•��\JJ�I
other 101"
O
SAv observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
A building perl"Tning I
yes no,
yes no
yes
yes
nit may bq required by:
or Applicant PRINTED Name
Authorized Agent
Project Location (County):
Street Address/State fad/
City
-1. to I CVYt 0 W 1 cm - Its
(Scale: "C )
b C VIQaC%
IOct- TJ
TAR/PAMMEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
SigpatYl t1i�0 ture **Please read compliance statement on back of permit"
—1 /� M
U91Ys —� - I "I 1
Application Feels) heck p/ oney Order
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
252-808-2808/1-888-4RCOASTFax: 252-247-3330
(Serves: Carteret, Craven —south of the Neuse River, Onslow
Counties)
Elizabeth City District
4015. 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
fAdiumw ❑CAMA DREDGE & FILL
GENERAL PERMIT
[, New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
No 88465 A .B (?�p
Previous permit
Date previous permit issued /
As authorized by the State of North Carolina, Department of Environmental Quality and the Co9tantesources Commission in an area of environmental concern pursuant to:
I SA NCAC f 11 P } ❑ Rules attached. .rl General Permit Rules available at the folloodng link: w ..dea.nc.eoy/CAMArules
Applicant Name
City J-U
Phone #
Email _
hCLiiY
-10, 11 (-,e n C o--, C
LP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)AL
Subdivision
wv I City.
Affected acw ❑ EW FFFA MES ❑ pTS Ado Wtr. Body r'. (nat/mwVmk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Cbsest Maj. Wtc Body
ORW: yesXO PNA: yes/no 11
Type of Project/ Activity : lP, f (Y
(Scale:r"I S)
Shoreline Length
Access Length _
Pier (dock) length
Fined Platform(s).
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/p J
Bulkhead/ Riprap length_
Avg distance offshore 1/
Breakwater/Sill
Max distance/ length
Basin, channel f
Cubic yards i
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 perryl}j�oning permit may be required by ,— V s �-
iilf) TARIPAM/NEUSE/BUFFER(circle one)
Per rtCondlHo s ( f I} i -i f" ( —ti :>` ,. i i _ L ❑
gr t I L I L7 , (�Z9 r o4 r cl 7 See note on back regarding River Basin rules
Agent or Applicant PRINTED Name
AND REVIEWED
Permit Officer's PRINTED Name
❑ See additional notes/conditions on back
(Please Initial)
Si ature} ••Please read compliance statement on back of permit--
�. �,
Application Feels) ;� Check p/ oney Order
Signature
Issuing Date Expifation 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
a°"§WW4,&❑LAMA ❑ DREDGE & FILL N9 88465 A B C' D
a' Previous 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 Coastat 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.gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Affected ❑CW DEW ❑PTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length f
Basin, channel
Cubic yards I
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
❑ ES ❑ PTS
❑ SPIMA ❑ PWS
I �O
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body (nat/man/unk)
Closest Maj. Wtr. Body
(Scale: )
❑ 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 Feels) Check #/Money Order
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 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
GENERAL INFORMATION
LAND OWNER -MAILING ADDRESS
City
(For official use only)
Zi 66.e
LOCATION OF PROJECT: (Address, street name and/or directions to site; name of the adjacent watetbody J
DESCRIPTION OF PROJECT: (List an proposed construction and land disturbance.)
SIZE OF LOT/PARCEL: square feet _6 acres '
PROPOSED USE: Residential .,CSingleo-femgy ❑ Multi -family ❑) Commomial/Industrial ❑ Other ❑
COMPLETE EITHER (1) OR (4BELOW (Centact yourLocal Permit Officer f yen are not sum whichAECapplfes
myaurproperly):
(1) OCEAN HAZARD AECsi TOTAL FLOORAREA OF PROPOSED STRUCTURE:_ square feet (includes
air conditioned living space, parking elevated above ground level, non -conditioned space elevated above ground level but
excluding non-)oad-bearing attic space)
(2) COASTAL SHORE INE AECs: SIZE OF BUILDING FOOTPRINTAND OTHER IMPERVIOUS OR BUILT
UPON SURFACES: VMsquam feet (includes the area oftbe foundation of all buildings, driveways, covered decks,
Concrete or masonry patios, etc, that me within the applicable AEC. Attach you calculations with the pmjeot drawing.)
STATE STORMWATER MANAGEMENT PERMIT: Is due project located in an area subject to a Slam
StormwaterMoneg_emf", Permit issued by the NC Division of Energy, Mineral and Land Resources (DEMLR)7
YES NO NL
Ifyes, list The total built upon aea/impervious surface allowed for yew tat or parcel: square feet.
OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require Females other than the CAMA
minor development permit, including, but not limited to: Drinking Water Well, septic Tank (or other sanitary waste
treatment system), Building, Biectdcal, Plumbing, Heatlng and.Air Conditioning, Insulation and Energy Conservation, FIA
Certification, Sand Dune, Sediment Comml, Subdivision Approved. Mobile Home Park Approval, Highway Camection, and
others. Check with you Local Permit Officer far more information.
STATEMENT OF OWNERSHIP:
1, the undersigned, an applicant for a CAMA minor development pemhik being either the owner of property in an ABC or a
parson authorized to act as an agent forpurposes of applying for a CAMAminor development permit, certify that the person
listed as landowner on this application has a significant interest in the real property described therein This interest can be
described as; (check one) q / /c^�r� /r1
sn owner orreco ht , Title is vested in name F'��UY.1 r^ Aqf.G! I-/ l J �L, r1 [
sec Deed Book,��_ page in the County Registry of Deeds.
an owner by virtue of inheritance. Applicant is an heir to the estate of county.
probate was in
if other interest, such as written contract or lease, explain below or use a separate sheet & attach to this appdcmion.
NOTIFICATION OFADJACENT RIPARIAN PROPERTY OWNERS: Iafliem than have given
I furthermore catty that the following persons etc owners of prepertles adjoining thispmperty. 6
ACTUAL NOTICE to each Of them concerning my intent to develop this property and to apply for a CAMApermit
_ (Nome) ^ . " (Address" , _i. ..✓ Le,
(1)
(2)
(J)
(4)
ACKNOWLEDGEMENTS:
1, the undersigned, ackiowledge that the land owner is an= that the proposed development is planned for an nee which
may be susceptible to erosion andlorflooding• I acknowledge that the Local Permit Officer has explained tome the particu-
lar hazard problems associated with this lot. This explanation =a accompanied by recommendations concerning stabilize-
tion and goodproofing techniques.
I furthermore certify that I am authorized to grant, and do -in fact grant, permission to Division of Caeslel Management staff,
the Local Permit Olfreer and their agents to enter on line aformnontioned lode in comoctiun with evaluating Information i
related to this pannit application. /���
the day of/.fls1ry120 ZZ
This application Includes, general Information (7hisform), a site drawing as descrtberl on tire back ofthis application, the
ownership statement the Ocean Hazard"CHolice where necessary, a check for $100.00 made payable to the locally, and
any irforntarlon as may be provided orally by the applicant 07te details of the apphcallmt as described by rheresourees am
Incorporated widmut rafemnce in a"JI permit which maybe Ismed. Deviatlon from these details will constitute a violation of
anyperniii. Any persmr develophig in an AEC without permit is subject to civil, criminal and administmlrve acdon.
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Go07-74671-2,ZZ1
tv <t�CL'
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my/hS lt` property located at
in cU County.
.c:cYII-A
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.
- Title
1 1
Date
This certification is valid through / I
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to I— rG(t / snY t Is
(Name of Property Owner)
property located at i
Address, Lot, Block, Road, etc.)
on C % in OnSht A) da N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to #bis proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
(-7&q) 201-nC1 f
Telephone Number
Da�o4� n72
Date
ADJACENT RIPARIAN PROPERTY OWNER
STATEMENT FOR LAMA MINOR PERMITS
I hereby certify that I own property adjacent to TEk-t JC j 0-Yen s
/1 (Name of Property Owner)
property located at � W ( tC L! I d 1 )r"g S or i � .P ,
Address; Lot, Black, Road, etc.)
on GW in 0rlS'kl( .(_) ( / N.C.
(Waterbody) (Town and/or County)
He has described to me as shown in the attached application and project drawing(s), the development
he is proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Print or Type Name
Telephone Number
Date