HomeMy WebLinkAbout88736C - Smith, MarkL_ICAMA [_ DREDGE & FILL N° 88736 A B C D
1@11 GENERAL PERMIT Previous permit i
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 fT'7I
15A NCAC J F � ' I 0D ❑ Rules attached. 1Z General Permit Rules available at the following link: www.dm.nc.gcv/CAMA"Ies
Applicant Name /bi 17 f"!
Address *11 _T /VI's
city c)n �J ) stains rD Ali ZIP 7
Phone #(�) jL3� jto L14
Email r,;? 4
Authonzed Agent .
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ��/'t VIA ZIP
Affected ❑CW
®EW
2M
❑ES
❑PTS
Adj. Wtr Body r, ! y,.J 17 (nat/man/unk)
AEC(s): ❑ OEA
❑ IHA
Elm
❑ spmm
❑ PINS
Closest Maj. Wtr. Body , j,, i t ' ✓f f
Type of Project/Activity (UN,'(CU(1 1A NeA) 04 L'I i r,,t()�47l
(Scale N1S
Shoreline Length I i i
Access Length
Pier (clock) length x
pf' //�
) Y 3c
Fined Platform(s)
nt
Floating Platform(s)
k
fi _
Finger piers)
i
',',,
I
Total Platform area
Groin length/p
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sillr-
--
h,(t.
}
-
1---
C+-
I --
Maxdistance/length
Basin, channel
Cubic yards /
i
�
'--
i
--
Boat mmp
1
Boathouse/goatlitt-
- �
Beach Bulldozing
Other / (
l
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 _
❑ 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
Bsui g D e Expiration Date
Application Feels) Check JI/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 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
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
3&0CMr'1 ❑CAMA ElDREDGE &FILL N9 88736 A B C D
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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deo.nc.gov/CAMArules
Applicant Name
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/manjunk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length,
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platforml
Finger pier(s)_
Total Platform are
Groin length/# _
Bulkhead/ Riprap
Avg distance offst
Breakwater/Sill _
Max distance/ len
Basin, channel_
Cubic yards
Boat ramp _
Boathouse/ Boatl
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
(Scale: j
❑ 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
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
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: IMAg'rc
Mailing Address: f7 �o�, ✓� i(T� d
Phone Number: Z , z _ -7 L}- C�
Email Address: mar k r- (V core sv d
- `/Cas't GaM
I certify that 1 have authorizedna,� Ci1nS ic 1 y !L
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 1-7
in Ccr i If'-+ County
I furthermore certify that , 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 Owneridormation:
6Z `'Signature0OUL fig) rrI4
Print or Type Name
rrle
2-z , Z2
Date
9001A J zp�'
?1IOUV�
This certification is valid through -l-1 0 :�k 1 a .3
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETt IRN per m T EQUESTED or HAND DELIVERY
slop portion to be completed by owner or their
Name of Property Omer.
Address of Prop",: _ i �t 1 CrV(pyjUdll tl Q ! , V
Mailing Address of Owner
Owners emall i t G if C =iu.�` C//M s11 Phoner. 1 �7✓� L/
Agents Name: 1 Q KX lSi 6lgant Phonalr:___2J () ' d 1 t " L4 d O
Agent'a Email_
ADJACENT RIPARIAN PROPERTY OWNERS C&MRCATION
i$tlttom oortfon to be cAmort.: •� aim - -
xMV
1 hereby CerWY that I own property adjacent to the above referenced property. The individual applying for this
permit has bed to roe. es shown on the attached drawing, the development they are proposing. g
t be
I DO NOT nave objections to this OmPosel. I DO have objections to this proposal.
Mana arrrsM•• MMI a prolmss% 1W MW nodgr dw N G. Dlvfalon of Coaataf
M"Mir to 400 (DIM In nW/1W 101ftt 10 days of reosW of ob aadca CWTWpondmtoe &Nxdd be
matted o 400 o No M ONVIlwdCMA KC=W. DWylproswttadwa can afao be oo &z%d
Cartrflad 0174Mailn bt oonaffd eed dosa w"no aNeodon Ifyou haw bean no~ by
WAIVER SECTION
I understand that any proposed ptar, dock• mooring p®itiM boat ramp, bmdosatar, boathouse, IIR, or
groin must be set bed* a mtrdrnu n distance of 1S hom my area of riparian aoaaa Unises watered b (this does not apply to bulkheads or riprap ravamen tta). (if you wish to walva tha tatbadK y Stow
the appropriate blank below.) you b///
100 wish to waive some/all of the 15, sulk
OR Srgrradua ofAdfecent Rparin pfppa+ty owner
I do not wish to waive the 15, satbsd* requi imartt rmitial the blank) I
Signature of Adjacent Riparian property Owner.
TYPadfPrInted nuns of ARPO:
MatlinoAddry of AtaAO: Iy Wi It S 2A I l a .,- j�)�' 7fk=Cjav
ARPtYesmili.Rd rK6A PhorlM. 25-SA--7Z55/59
Dam: q -,.? a - Ra+ laailtar is VWW for UP to anal Year frem ARPO'a Signatun-
■ Complete items 1, 2, and 3.
■ Print your name and address on the reverse
so that we can return the card to you.
■ Attach this card to the back of the mailpiece,
or on the front if space permits.
1. Article Addressed lo:
Mt^Ila�ti,N.n us+ Loyy�,„� uJ
2cc) 15OO rim' Rd. S k %tom
41ak $ylol[- I L IO05d3-) 890
X 4,1W �1gyrf^ 'O❑ A
/ Addreaeea
B. Aqbeived by ffnteq Name) I C. Date of Delivery
D. Is delivery addiess afferent from item 17 U Yes
It YES, enter delivery address below., ❑ No
3. Service Type
❑ Priority Mail Uprei
Fiegi
st
II
I IIIIII
IIII
III
I III
II II
III
I I
III
I I I III
I I
I I I III
LJ Adult Restricled Delivery
Mall Restricted
❑ Replillry
ed Maure
9590 9402 5576 9274 8620 63
0 Cenllied Mail Restncted Delivery
❑ RMeturn Ro �pl for
❑ Collect on Deevery
^ Collect on Delivery Restricted Delivery
O signature Confi tlon°
9 Anblu Numlw /linr,eye. fmm ^^-•"^'^""
7020 1290 0000 7 9 4 6 0 7 51
Inwred Mal
reared Mail Resvieled Delivery
0 Signature Confinnar,on
Restricted Delivery
I (over ssdd)
PS Form 3811, July 2015 PSN 7530-02-000-9053
Domestic Return Ren jA
N.C. DMSION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONM(ANER FORM
cEftT1FiED MAIL • RE(URN pFrrypT REQUESTED or NAND DELNERY
(Tap portion to be completed by owner or their agent)
Name of Property Owner. I _. r J �. G
i
Address of Property --mowjhn vr11 F" i
Making Address of Omer. Da 28
p , /
OwheYsemail:+fi���u✓y2��ln�s3�� " C Yo1
{ — riar s Phona#:
AgenYsName:_c�ur 1��,kS IVITY,a �vJd� �>
Agent Phone}l: : z 5 — 7�{ 7 — ti�ad
Agent's F..mail:
ADJACI;_Mr RIPARIAN PROPERTY OWNER'S C8 MOCATION
° a
reby
Perm 1'n cartify
propertyadiacentto the above referenced roe The Individual applying for this
tuetl to m°• as shown on the attached drawing• the development they epsing•
ded 8
100
NOT have ob)ectioRy to Oft PropcSe6 I DO have objections to this proposaL
If you have obJt° via to wh0t is pnpgp �y mr�sf nay N G Ohdsian o6 Gloaafal
Mertagemertt (DCAP /n �rte R*&n 10 days ofrtzafptal'Phlshow meltedb4000ommar�eAva,fdorodro°dQy,NC 65T,Dta3mp �alao
09100 MaH. 8 No resportseiswusldarad Stasameaa rto objadtart dy°° have been rt°tlfied 8y
Certified Merl.
1 understand that any WAIMSECTION
groin must be sett a minimrun dice off 1S from m MMIX bceakweter• boathouse. Ikt. or
(ft does not apply to bulkheads or ripnap revetments . You P ads unle� watved by me
the appropriate blank below.) } (Y Ash Ive the srotback; you must clan
I DO wish to waive some/a11 of the 16 setback /^\
-OR-
I do not wish to waive the 15' sett ck reqwranient (ini>ial
Signature of Adjacent Riparian Properly Owner.
TYPodiPrintednam®ofARPO: �1' I, �'I
MaillnpAddress AR : ` 1 Jd VI. C. z
_� .S_ Sni�rnl k'.i
ARPO's ARPO's Phon* _
Date' ir: tm(id for up to one year from ARpO o 1 netura3 g
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