HomeMy WebLinkAbout84667C - Long, John0 1*°``°"`r"e&>6CAMA ElDREDGE & FILL i
-gotGENERAL PERMIT
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N9 84667 A B0 D
Previous permit
Date previous permit issued
As authorized by the State
tee oft1North rCaa oliinn(aDepartment of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC V T t'1 — 1 �%"� " ❑ Rules attached. FV General Permit Rules available at the following link: vvww.deq.nc.gov/CAMArules
Type of Project/ Activity
Shoreline Length JEW
Access Length
Pier (dock) length
Fixed Platform(s) `f _
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse5ng
'
Beach B
Other
l
SAV observed: yes
Moratorium: n/a yes
Site Photos: �11e
Riparian Waiver Attached: /�iesl no
A building
Permit Coi
C'�A'J___ J0 I OF
OJ
❑ 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 S AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLI"CE STATEMENT. (Pled Initial)
or Applicant PRINTED Name Permit
`Please,rgad compliance statement on back of permit** Signatur, ` — w
Fee(s) Check #/Money Order Issuin Date Exp' ation Da
0 1*°``°"`r"e&>6CAMA ElDREDGE & FILL i
-gotGENERAL PERMIT
New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
N9 84667 A B0 D
Previous permit
Date previous permit issued
As authorized by the State
tee oft1North rCaa oliinn(aDepartment of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC V T t'1 — 1 �%"� " ❑ Rules attached. FV General Permit Rules available at the following link: vvww.deq.nc.gov/CAMArules
Type of Project/ Activity
Shoreline Length JEW
Access Length
Pier (dock) length
Fixed Platform(s) `f _
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse5ng
'
Beach B
Other
l
SAV observed: yes
Moratorium: n/a yes
Site Photos: �11e
Riparian Waiver Attached: /�iesl no
A building
Permit Coi
C'�A'J___ J0 I OF
OJ
❑ 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 S AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLI"CE STATEMENT. (Pled Initial)
or Applicant PRINTED Name Permit
`Please,rgad compliance statement on back of permit** Signatur, ` — w
Fee(s) Check #/Money Order Issuin Date Exp' ation Da
+�`°"'" �CAMA ❑DREDGE & FILL �1 /- N° 84667 A, � D
3 GENERAL Previous permit
PERMIT Date previous permitissued
[] New ❑ Modification []Complete Reissue ❑ Partial Reissue
As authorized by the Sqta�te of North tCr�[oh Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC V i — 1 ❑ Rules attached. General Permit Rules available at the following link: wwwdeq nc goy/CAMArules
Applicant Nam2 Authorized Agent 71 /1 eie
Addr1�n Project Location (County):
CityKState ZIP Street Address/State Road/Lot #(s)
Phon) �,
Email r' Subdivision
City
Shoreline Length C.",J
Access Length
Pier (dock) length
Fixed Platform(s) `c
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/if
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp L
Boathouse 8 at'
Beach B ng
Other
l
SAV
observed: yes
Moratorium: n/a yes
Site Photos: �y��'�J
Riparian Waiver Attached: "V nC.=o
A building permit/zoni g p mit may be required by:
Permit Conditions. A1K1 7T"' e__exi
TO THIS
Permit
� y Web N44
1
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Initial)
Signp(ure --Please ad compliance statement on back of permit" lQk�
Ap�lirllce on Fees) Check it/Money Order
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J°N^J 601V6
Mailing Address: 6763 6L,rSs jZcoi;,
/j it olIou6N NG 27Z78
Phone Number: '?1L 7V0, 07S6
Email Address:
I certify that I have authorized Alloy Ak&�
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 5' - 6 X ZO jlltonr, 6
%Jdlc y x Y , j �xf9 Da_l� rio' �OLv�+,v,u GotbNaJ Z ,P
at my property located at 4x# / Z % Co$Z occ r fink le,%4.0 5pge(� f
in CA,e7-&f'�c7" 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 evaluating information related to this
permit application.
Property Owner Information:
MI i
r
PWnt •
Title
Date
This certification is valid through
� avo—
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. ON 6
Address of Property: /Zq G�/3Loc� /�•^� �� So./!�-� /✓c
6lingAddress ofOwner.. 1001 GvFSt Z-0,> p1ec-5 W-ecFusiv /ILC 27Z78
Owner's email: Owner's Phone#: '(9 '7y0 OZS6
Agent's Name: /e4/p2G Gjf/ Agent Phone#:
Agent's Email: peaololc, e
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owner)
1 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. A
101 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Afanagement (DCAI) in writing within 10 days of receipt of this notice. Correspondence should he
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at (252) 808-2808. No response is considered the same as no objection if you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback &W� )� /�C
Signature of Adjacent Rijpanan Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO: j�A✓r d 2,8a -AA
Mailing Address ofARPO: 19j LoAtoLt i�t ORJ70,C
ARPO'semail: OACML a67ncc,-'0ARPO'sPhone#: -73aS-
Date: 3 - ( 9 J g- 'waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUEST En or HAND DEL_ I� VER-(
(Top portion to be completed by owner or their agent)
Name of Property Owner: T°Ntj �oNb
Address of Property: / Z9
Mailing Address of Owner. 1/2 2� �v�� �� FEZ/ log 4 vu o —
Iri
Owner's email:
Owner's Phone#: /%9 790 - 4 Z56
Agent's Name: HN17l A41316 Agent Phone#: ZS Z -O� 5 '/J
Agent's Email:
c
, Garr-+
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom portion to be completed by the Adiacent Pr2W Owner)
7�5
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. A
description or drawing with dimensions must be provided with this letter.
G 229 DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to what Is being proposed, you in rM . the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted
at (252) 808-2808, No response is considered the same as no objection it you have been notrlfed by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, fdt, or
groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me
(this does not apply to bulkheads or dprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
TypedfPrinted name of ARPO: lrA fii
Mailing Address of ARPO: Q 7 L Q k2 /� DQ ` G
ARPO's email: /i L / J %Ie %f*11'-"-'ARP's Phone#: 2'5 Zi Lf
Date: O 3 Ll d 2 "L Z'waiver is valid for up to one year from ARPO s Signature'
Revised May 2021
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