HomeMy WebLinkAbout88808C - Naranja, Anthonya00mr" CAMA DREDGE & FILL No 88808 A B C D
❑❑ l GENERAL PERMIT Previous permit
fDate previous permit issued
,V]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 11 ❑ Rules attached.❑ General Permit Rules available at the following link: www.deq.nc.Roy/CAMAruIes
Applicant Name
City
Phone # (_ )
Email
Affected ❑CW
AEC(s): ❑ OEA
ORW: yes/no
State !�l ZIP
❑EW PTA
El IRA ❑UW
PNA: yes/rid.
Type of Project/ Activity
Shoreline l roo h
Authorized Agent
Project Location (County): _ \
Street Address/State Road/Lot #(s)
Subdivision
City
❑ ES ❑ PTS Adj. Wtr. Body
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
P
(Scale:
Access Length
I
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)i
j-
—
I
_.
1
I
nr
Finger pier(s) ,.7i
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill--
Max distance/length -"
tBasin, channel
Cubic yards
Boat ramp
�-
-(
---t-
- ----I-
J
-
I
k
;
V-
-`
-
-
--
-
-
II
Boathouse/Boatlik )
Beach BulldozingV
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--
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_
t'.)
jf_'�I
Other
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_
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_
j
_
_
_
y
_
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no G)
Riparian Waiver Attached: Yes. no
I
`.
_
A building permit/zoning permit may be required by: _
Permit Conditions
Y _I_� lam: in t ❑TAR/PAM/NEUSE/BUFFER(circle one)
ilif
n J t) 61 i lh 11, I, I ❑ See note on back regarding River Basin rules
�o ❑ See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THATAPPLYTO THIS PROIECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Permit Officer's PRINTED Name
Signature ,
Issuing Date Expiration Date
or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit••
Vo 7
Application Feels) Check #/Money Order
❑DREDGE & FILL
GENERAL PERMIT
New ❑Modification ❑Complete Reissue ❑ Partial Reissue
N° 88808
Previous permit
Date previous permit issued
A B C .D
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.deq.nc.goy/CAMAruIes
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (� )
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body - i - i (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PAS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no 11
Type of Project/ Activity li /i 1
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/A
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
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
I `n/
(Scale: 1 )
TAR/PAM/NEUSE/BUFFER(circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AMAWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROIECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or'Applicant PRINTED Name Permit Officer's PRINTED Name
Signature -*Please read compliance statement on back of permit^ Signature
Application Fee(s) Check q/Money Order Issuing Date/ Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: AITNDfd � P,IA(tjqkA:54
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
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Fra2Gsi ,J G
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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 990 SOt44-M- �,d yir 10..,E . r/' �/�. -7
in 2&M16°i' County.
/ furthermore certify that l 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 Owner Information:
nature
Print or Type Name
f)wAIX
Title
Date
This certification is valid through L/ E _/
RF-70PfVEr)
DCt4li-h93-M 0"I Y
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or BAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. MA144n 4
Address of Property
SErt( t i L, IZ
QC/
Mailing Address of Owner.
Y
`T %� Iy jC4JQ,1t/G j t
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Owner's small: (,Mgf" 4wil Owners Phone# !(�- �
Agent's Name: S l 8C "6 i)(14(/nC t4l- uCi1dJ Agent Phone#-.
Agent'sEmail: __6wc-
Scc ii u n I ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
haft in i,:i,l (Bottom oortlon to be compItUd by the Adjacent Proaarh+ Q-wm@rt
'5r"- 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.
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
See --ion mailed to 400 Commerce Ave., Morehead City, NC 28657. DCM representatfvaa can also be contooted
at (252) 808-2808. No response is considered the same as no obJecdon if you have been notified by
7-Certified Mail,
N `a` ' 1%14� l " WAIVER SECTION
•%9n I -,a<< i understand that any proposed pler, dock, mooring pilings, boat ramp, breakwater, boathouse, Ilk or
groin must be set beck a minimum distance of 15 from my area of riparian some unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback; you M211 el
the appropriate blank below.)
I DO wish to waive somelall of the 16 setback
-OR-
Signature Of Adjacent Riparian Property Owner
I do not wish to waive the 15'setback requirement (Initial the blank)
SfC�1 Signature of Adjacent Riparian Property Owner. ✓✓'��"C r
vn
3 Typed/Printed name of ARPO: Ja l ,
Meiling Address or ARPO: Z���f' �r't'f i�_S �JC� /c i� /LI,IJ 4 l�� %
ARPO's small: (�� L-v! ;,P�/J H�ay. ARPO's Phone#; Zs Z SD iyi7
Oats: / lz y%z o v - 'waiver is valid for up to one year from ARPO's Signature`
RECEIVED JIZ .W.. "..y svM'
OCT 2.4 ?..022
DCM-MHD CITY
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN MEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. _ A4Vl3,>0q hl►1 'vk
Address of Property: ^��j S(50164� dcZ- NLk�r,yG 2.9)5?b
Mailing Address of Owner. _47-3 tv %(GL/AIC W, WAc Alpg- K/�87-
Owners email: NAgvj- u Chi Owners Phonek qlC�),;? /(a- 4�q'
Agents Name: E &-1S It'lOAk ('nNS7�u�nd-� Agent Phone#: L;n:) -'Cr9ess--
Agents Email: 6604i�I(e LHSt qcL um
Scc� u n i ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
ivrc in +,at (Bottom Portion to be completed by the Adlecent PLgggMQvmerl
s ru I hereby certify that 1 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.
desc-do lon or drawing with dimensions must be IlEgvdded with this teher.
100 NOT have objections to this proposal. I DO have objections to this proposal.
you nave o .
. Division or Coastal
Msnagement (DCAQ in writing within 10 days of receipt of this notice. Correspondence should be
See-41 .. mailed to 400 Commerce Ave., Morehead City, NC 28W. DCAf repnssentativas can also be contacted
at (252) 808-2808. No response is considered the same as no objection if you have been notified by
Certified Mall.
t cRu' %tilt " WAIVER SECTION
n9n I VAL f- I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, I ft, or
groin must be set back a minimum distance of IS from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap rave"ordsy4 (at�rou wish ststsetback; you muar
the appropriate blank below.)
I DO wish to waive some/all of the 15 setback
Owner
lz
i do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
S2c{vvn
3 Typed/Printed name of ARPO: John Holmbergi J POA Johnson FK61N Trust
Mailing Address of ARPO• Sea Gate Dr, New ort NC 28750
ARPO's ®mall: john.t.holmberg@gmail.com ARPO's Phone#: 252-678-5775
Date: 10/24/22 *waiver is valid for up to one year from ARPO's Signature*
RECEivr
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