HomeMy WebLinkAbout88809C - Halyak, George#Rf4ew
❑CAMA ❑ DREDGE& FILL N9H8$09 A B C D
Previous permit
GENERAL PERMIT Date previous permit issued
❑ 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 r7fl. I I U c1111 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dec.nc.gov/CAMArules
1-t Applicant Name(a e O(W a)N(:J. Authorized Agent QI Vr r kAi h1ar,n
Address .>70 P I c, MCO LJf , YV Project Location (County): (-PAV � N/
CityJc ) ),eiState ,'`.1/..., ZIP 2°(, 51,7, Street Address/State Road/Lot#(S)S11) Ala yl+c;��pn �n VC.
Phone#(GS/•-)
Email Subdivision j-ltdC' EQzic'f
City Ai(L�l ;("n zip -Z?,S (VZ
Affected ❑ CW ❑ EW f PTA ❑ ES ❑ PTS Adj. Wtr. Body i3 @ c1C1 L U c. ( (nat(unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scalea' = JU)
Shnrplinp I pnoth i
Access Length
Pier (dock) length
Fixed Platform(s)
V�-
_.l
is
fi�
�_-
-C
_�
Floating Platform(s) '�-
-
-
�—
Finger pier(s)-
Total Platform area
Groin length/q
Bulkhead/Riprap length��--I,:
-
�F-
Avgdistanceoffshore
- -'
--
""
i
SA�
4
�{
�it-A
W-I
-
----.
-
—
Breakwater/Sill
—
�
I
—
Max distance/ length
Basin, channel
Cubic yards
i
�
I
-
-----__L.._---
�
---
--
-
Boat ramp
-
/
Boathouse/Boatlift
1
...
I
F I n
-
$
i
li
—
—
-'
Beach BulldozingF
Other
SAV observed: yes no
Moratorium: n/a
Site Photos: n9,-
RiparianWaiverAttached: (vest no
L �_'
A building permit/zoningpermit may be required by:
Permit Conditions A
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 Per,,mit Officer's PRINTED Nall _,�
I I
Signature **Please read compliance statementon backof permit"• Signature
Application Feels) Check#/Money Order Issuing Date Expiration Date
�a�° °"" ❑CAMA [IDREDGE & FILL
3GENERAL PERMIT
N° 88809
Previous permit
Date previous permit issued
❑flew ❑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 ' I I 1 C, `- ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name
Authorized Agen
Address
Project Location (County): ..
City
State
ZIP S .(r
Street Address/State Road/Lot#(s) •!�
Phone # (_)
Email
Subdivision
City ZIP
Affected ❑ CW
❑ EW ❑ PTA
❑ ES ❑ PTS
Adi. Wen Body (nat/man/unk)
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) x
Floating Platform(s)
Finger pier(s) 1�
Total Platform area �-<
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAY observed: yes no'
Moratorium: n/a yes no
Site Photos: yes no ! _ -
Riparian Waiver Attached: yes no
A building permit/zoning�Jsspermit may be required by:
Permit Conditions P1A
(Scale:l
EJ 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) • }�� i (: i
Agent or Applicant PRINTED Name Permit Officer's PRINTED Na '!r
Signature **Please read compliance statement on back of permit** Signature
Application Fee(s) Check #/Money Order Issuing Date Expiration Date
CAMA AGENT FORM.pdf
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit l;Z n X Gr \^- -4J L!t T Z Anil- i e,
Mailing Address'
Phone Number: _2 s1 -6 37 - 4 J-.7-,f
Email Address: G'L rlr<xr; txv,RaA'�!/?'/_ C4 ��._.
I certify that I have authorzed _�e�"�_I r va fT%rie _L.Lc
to art on my beholl. for [tie porpose of appiynig for and oblawin��gll al' CAMIA uerm,ts
necessary for the following proposed development
1 I t, T U
al my property located al --..
in --C&I .eJ-,L-_County
I furthermore certify that I am authorized to grant. and do ,n fact granl pe,nuss!on to
Drvisron of Coastal tiLanagemenf staff. the Loraf Pernut O!Bcer and !heir agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit apphcaflon.
Property Owner Intnrmalion:
Suinah�tre
Print ev ype Nn m-....... ...___�..._.
�, L,� rJ <- ✓t
li!le �—
Via_
This ramification is -•vabd through
LAMA Neighbor Form Morehead City-Brad.pdf
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION(WAIVER FORM
IIF IFD F.IAIL H ;Tl1RN RF[:FIaT RF:;11(_SI FC> [+r HANR OFt, ib'ER1'
(Top portion to be completed by owner or their agent)
Address of Property. �Z C? rn�/r tit ''.,: rp1/ 61
t.fa beq M1.JJrczs rl Ovme: .___. _._�'ydLl�,.
HC v/7/< -
Uwnrascmatt. .___��!ih[%•n��'iMyL C.vners Pnonca 2S_'2_:Zi__f oil $^
:e!7Ya S Npme __. Aynrl Ph;;neC
Ago,?, Emad
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
1091tom portion to bo Comnlelod by the Adlacent Property Owners
;t[,vetri r:4'ru(y lhatl QNn p[d!p0r(y'a[I)nrer1i 50 the :lbpVa fChYpnced prVFetty The rnd•r.dual tppiy'mglu[f.•:ii
pernvt has des<nheo :o me as S"Nu 01I the dlaChe--d d4Nrtr the rloWlopmr.nt thei air prof: si• i, A
Ce_nponn o`_dravdng ,•na, Mnnnsiuns,=us1 be oro.iee'f mlh t letter.
It you have objections to what is being proposed, you must notify the N.C. Division of Consw
Management (DCM) in writing within 10 days of receipt of this norMe. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. OCMreprosentafives can also be contacted
at (2521808.2808. No response is considered the same as no objection if you have been notified by
Certified Mall.
WAIVER SECTION
i understand that any ptupc•seJ pier, d,xk, moirt"g- pilings, boat ramp, breakwaler, tx mhouse fill. or
ilrom must t*- Sol back :: m:nmtuni distance` 0115' l:an my area or npaoan artu•ss unless waived by :ne
'Um C-es not apply to bukbeads or nprep revetfnentsl. ill you wish to wane the setback, you must sign
ibeaop:opnale buni. IMOO.i q
100 wish to va"o son•e ::?A M the 15'sobaci,
'&goahae of Aagacenl Ripitna 11 Caner
_UR' /
' do not'nish to waiVil mn 15' selhark rngui•emen! pndial the blank{ __....
Sgnatwe of Adjacent Riparian Property Owner. _. ..... .,_....
TypedlPrinted name of ARPO:.._eC\t" `fLr,'�j(tC!" Y l_ qq „-
((
Mailing Address of ARPO: fat I u_j r V, 'l l l t✓�a I i
ARPO's email: ) ; f'. �) �(' 11 ARPO's Ph' noe:
Date:—JL-Ly---Z-L-- 'waiver is valid for up to one year from ARPO's Signature'
Rcwsed May 2021
CU C 1� C [tii Av cc-� CKQ I • C6 11/ 1
CAMA Neighbor Form Morehead City-Brad.Ddf
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
QF$TIFIED A1AIL - RETURN RFCFIPT RFQU•f S�,.TED nr HAND DFL IVFR1'
(Top portion to be completed by owner or their agent)
Nanrt 01 ProC:tty ihw,er: rC 9 //I/
Address of Property: �L� O !"11AITe, i , o4l ,QR/ ✓F
Mai:nq Addresv aT Ownef-
y._ _.......... .... _.....__......... ..... _.. ....._____------ _.. .__......._...
Ow 1¢is ens v�K� G'M i11st GO~.r s Pnonea: 7 S'. - 6.32-17 2'T
M;ont'S Naino _ Agort Phase::
Agents iz ,atl
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
!Bottom portion to b0 completed by lho AdIneent Property Owners
t tMiretrj cyRi Ehat { Vwn prepCRy' adjaCenl!o tita:lbo•:e aytftara:eU prapl`rly. T!u: uvkvrtl.rai appfy�ng tar In 3
penrMl has desanhen :o me, as shov.-n on the aunched dmwirq the development !hey an: ptopnyrg. A
eeperinppn cr d•ar.mu, wia: Lmensiors ni st be nro.--Cod v!h film letter.
__ �I 00 P.OT has•e ObjaClnns 1a Ih•c prai'csN. _._..... _ ! DO !save ca)e.:!:nns m a,Cs proposal.
•. rvv ..., vw..uwn illmWr rs acing Pyou must yMust "Tory the N.G. DNiaiorl of Coastal
Management IDCM) in writing within 10 days OFMCcrPt of this notice. Correspondence should be
mailed to 400 Commerce Ave.. Morehead City, NC 28W. OCM roprosentalives ran also beconfacted
at 12M 6011-28011. No response is considered the same as no obj"fion it you have been noldied by
Cer iried Mail.
WAIVER SECTION
I undyrsla" that any proposed pier, dock, moonng palings, boat ramp, breakwater, baathouso, lift. ax
girl rvusl be, sal back a minimum U5tanC of 15' !rum my area of npanan access unless waived by nit
{this aces Pat apply to bulkheads or ripmp revelmenh) (if you wish to waive the setback, you most sign
tha appropriate blank bylaw.}
I DO wish t0 waive son-O�ail of the 15'setoack
S:goatudtacvnt R,poran party Owner
-Op.
i do not n.xh to warca Ina Li setback rOgairemrnt liai5al lha btaok). _ .,,,_ .
Signature of AMacent Riparian Properly Owner
TypedlPrimed name of ARPO: _-LcAla l a AA -lam/ f• I,l �7' _
Mailing Address of ARPO: 322``j I a 1.1 ja r� a(f, ICJ ft i (S�P,(MI I I I�/ �-
X-ARPO's email: 7 ef_ f�12_IC I.;: ARPO's Phones: I-L t� - �f 3.�� �) l 7'
oate: - j, —L,�-waiver is valid for up to one year from ARPO's Signature'
Revisod.day 2021
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