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Home My WebLink AboutLong, John 84667C0 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 i n i BG46599-ZyZ "°° '`° lo .c SNVId 3115 6u o Z958Z 71V'P�Y3fJ M3PI adoa lzoIOro aro 41b4 4a3M w\w s NhK3a 9Nu3aaa 093M z n ' rw S3210HS 11ONN 3NId '3A18U A1101801 6Z L 30N301S321 ONO NHOf '15N0) z1aholzo O U I J Z ? K W a o d a o z s � o � h d Y O O � W U O M O O d X_ � e x a a N d O N 3 N a z � N V U z U. z �z r z oov m ofJ m o Z 090 ? Sm0 O�Z z Q W �Z X� �a w VI 0 ryR Q.Z z_ w Y U 0 LL V U O Z c a Wo m Z s o 0 m X W W O < �n o a 3 w z? rc a w i a a o a � a