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HomeMy WebLinkAboutMills, Don 88733C0cc��" ❑CAMA El DREDGE & FILL NY HH733 A B C D tj 11 G EN E RAL PERMIT Previous permit Date previous permit issued (New ❑Modification El Complete Reissue ❑Partial Reissue As authorized by the State of IIN��oTTrth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC 07 ft,)f'WV ❑Rules attached. General Perm, Rules available at the following link wwwdea.nc.gov/CAMArvles Applicant Name VI City 54Vn /�'S t302L� State AX ZIP Phone#✓C'2- Authorized Agent I U.IU Project Locavon(County); 6AJ,5L_OU,— Street Address/State Road/Lot #(s) Email Subdivision city 5 tn1 ZIP Affected �CW MEW [gPTA ❑ ES ❑ y14 PTS Adj. Wen Body ��411 T �V. 1 � tlnadman/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body U,l1I��` ORW: yesC� PNA: yes to Type of Project/Activity EP(/)ce /1N (?)tS;ING ((pIL'kX, DO( Cl/J( rA r 1 (scale: UT` ) Shnrelina lenaffi Iln' Access Length Pier (dock) length 1 r Fixed Platform(s) Floating Platform(s) i - 1 r v - _ _ - Lie - t!I Finger pier(s) Total Platform area"I t Groin length/H Bulkhead/ Riprap length--I- Avg distance offshore / Breakwater/Sill •� - i Max distance/ length � Basin, channel Cubic yards -- - ( — — -� Boat ramp - - Boathous datli 2 Beach But g - j Ir' Other 2 7t7- ` Q% S,AV observed: yes no Moratorium: n/a yes no Site Photos: yes no Ri—i— W.h.er eMxhnd. „— .... ' { { , - A building permit/zoning permit may be required by: Permit Conditions f ii: r', Lrl-"C (, (✓c�-',( ;c'i` _ /f tin iC.✓�Qa17 (�. i'i}I.;' L/-141'il ofu r s z r I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJ Agent or Applicant PRINT50 Name Signature "Please read w liance statement on back of permit•" Application Fee(s) eck oney Order ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Initial) Pernri[ cer's PRINTED Name 1` f t iignature Vi 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 terms1may 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 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 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 *❑CAMA ❑ DREDGE & FILL N9 88733 A B C D IS ERAL 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.gov/CAMArules Applicant Name _ Address City Phone # ( ) Email State ZIP Authorized Agent Project Location (County): _ Street Address/State Road/Lot City Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. WV. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: ) ,h—I nu I annth _ _ —•__._„._ v_.. V'T_T'—*---._ Access Length P-41 .L'`( Pier (dock) length Fixed Platform(s) Floating Platform(s) x s Finger pier(s) Total Platform area Groin length/q Bulkhead/Riprap length — -� Avg distance offshore Breakwater/Sill Max distance/length Basin, channel ".i I- _.__�- Cubic yards— j i 1 Boat ramp ' v Boathouse/ Boatlift V i v , Beach Bulldozing Other �v _-_f- ` rlI i SAV observed: yes no y Moratorium: n/a yes no Site Photos: yes ,. �;.+. 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 Signature "Please read compliance statement on back of permit -- Permit Officer's PRINTED Name Signature Application Feels) Check q/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 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 252-808-2808/1-888-4RCOA5T 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: Berne, 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 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit:WDot✓ Mitts -, Mailing Address: Phone Number: Email Address: I certify that I have authorized Yo/n (,v4LAy&5 - TAu2r-4,vv5 6 o✓illoclas c� Agent / Contractor T5 :L 5�/ ,/ to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: P44 ,aek >;rizi vc 10ac,K. c .v f"A_ Fr&7' P'f V-r at my property located at tt9 9,40o4 AvY-i S, AA15 60 IL1L ;-47��% in o.vSteviu� 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 enter on the aforementioned lands in connection with evalualing information related to this permit application. Property Owner Informatioi Signature t„ .b. X,(, I/s rL Print or Type Name Title 9 I 26 I Z RECEIVED Date OCT 05 2022 This certification is valid through DCM-MHD CITY 3 '�'z ADJACENT RIPARIAN PROPERTY OWNER STATEMENT 's ro adjacent to ��'-* /h i I herebyverify that I own property (Name of Property Owner) property located at on (ywaterbody) ss, Lot, Block, Road, etc.) r N.C. in w ao (CiVown and/or County) - -- — --- — -- — - osed atthe above - bed to me, as shown below, the develo The applicant has descripment prop locato . i have no objection to this proposal. _ I have ie�iions�o J�is prnP4s�l---- - DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must fill in description below or attach a site drawing) HaA MitaS Y,,v6AA44 WAIVER SECTION - groin must be set ilin s, bre Pkwater, boathouse, It, or y me. „`t,you -- understand that a pier, dock, moonng p 9 back a minimum distance of 15' from my area of riparian ads unless waived by wish to waPde the setback, you must initial the appropriate blank below.} I de wish to waive the 1 t. setback requirement (4 1 do not wish to waive the Dare 15, setback requirement. C' taielLip! rei ,nber � J Tz 7- lr�c Date RECEIVED OCT 05 2022 DCM-MHD CM, ADJACENT RIPARIAN PROPERT�tY OWNER STAT�E�dDIENT I herby certify that I own property adjacent to (Name of Property Owner) property located at v1 01/0-• - (Address, Lot, Block, Road, etc.) N.C. - in _ Sufiw-6dAtli & on - - pttyRP, (Waterbody) own and/or County) The applicant has described to me, as shown below, the development proposed --- location - I have no objection to. this proposal. _ _ I have obie�tiosUs9�bis�tmAs— DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in descrfption below or attach a site drawing) N0A m/1i-J ' -M'0A' ! WAIVER SECTION - — I understand that a pier, dock, mooring pilings, breakwatera boathouse, lift, or groin must be set back a minimum distance of 1.5' from my area of riparian aaess unless waived by me. (If you wish to waive the setback, you must initial the appropriate black below.) I do wish to waive the 15' setback requirement. I do not ,vish to waive the 16 setback requiremerL (Adjacent Property Owner Information) REC Dare 'Revised 6/1B/2012) OCT 05 2022 DCM-MHD CITY e. vgil �e� i N� Obt" w,, lyavk )ran senor 500� s10,� � V YrE /Awiiy, `j)'�y l�o{� yov l/�li. RECEIVED PF 24 62'2 DCM-MHD CITY ,FvFRy7'NAN6 Ugpt 6,!' t A� gijr4j+ iuoY PRid> Pon �rSfi�C Lr t S micro J2&lr Nw - y4- �o(Iff 1 beP� AV guVr�.v9�o%0 N L' RECEIVED OCT 2 4 "Ml DCM-MHD CITY NC Division of Coastal Management Cashier's Official Receipt . LW Received From: 7P Permit No.: I'L00 (nQ Applicant's Name: W • 06h �' I S Project Address: IN r'a'rotA AJe' 22425 A BC}D Date: 16 G EJ 20 Z 2- $ 206� Check No.: I<io O County: OV IS16W Please retain receipt for your records as proof of payment for permit issued. Signature of Agent or Applicant: Signature of Field Representative: Date: Date: b O 22