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HomeMy WebLinkAboutHarris, Robert 88475C3 -&�``°AMN,kN AMA ❑ DREDGE & FILL M) 884/5 A B G D � 3 l GENERAL PERMIT Previous permit Date previous permit issued r Lj jew ❑ Modification []Complete Reissue []Partial Reissue ' As authorized b((yt�the State of North Carolina, Department of Environmental Quality and the Coast Resources Commission in an area of environmental concern pursuant to: 15A NCAC `- t I / ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name c- Address City " Phone Email Affected F'CW L4EW [�RTA ES ❑ PTS Adi. Wtr. Body AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPINA ❑ PWS Closest Maj. Wtr. Body_ OR . yes/ o PNA: io Type of Project/ Activity Shoreline Length Access Length Pier(dock)length Fixed Platform(s) .% Floating Platform(s) Finger pier(s) Total Platform area Groin length/N Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length 1-1 Basin, channel Cubic yards Boat ramp Boathouse/ oatlift1�J1C(3 Beach Bulldozing _ Other SAV observed: yes Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: yes o A building permit/zoniinggpperrmit may �die, required Permit Conditions b ! f a / I AM AWARE OF Agent or Application Feels) Y RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE PRINTED Name (Scale: M ) ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) ad compliance statement on back of permit" Signat re dr //%4-Lz- '.�?h/Z3 heck k oney Order IssuAg D to Expfratidn Date `°"S'4( &MDREDGE &FILL cNQ 88475 A B (D D GENERAL PERMIT Previous permit Date previous permit issued � �— N ew ❑ Modification ❑ Complete Reissue [—]Partial Reissue As authorized by the State of North Carolina, Department of Environmental Quality and the Coast Resources Commission in an area of environmental concern pursuant to: I SA NCAC 1 � - 12 ❑ Rules attached. Gen `-' eral Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Address Authorized Agent r i` t+ LJ Project Location (County): Street Address/State Road/Lot #(s) Subdivision � City N t Affected [q<W' �W L>TA ES ❑ PTS Adj. Wtr. Body [ na an/unk) AEC(s): 1-1OEA ❑ IHA ❑ UW ❑ SPIMA 11 PWS Closest Maj. Wtr. Body ORVIees/ o PNA Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore ,O Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse oatlift Beach Bulldozing Other i 9) SAV observed: yes Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: yes ) A building permit/zoning permit may be required y: Permit Conditions ( OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO Agent or Applicant PRINTED Name F0110VJ'0d v1 f U0 6- AND REVIEWED COMPLIANCE Permit OAer's PRINTED Na (Scale: Y' ) 0 one) U See note on DacK regaraing Kiver basin rules ❑ See additional notes/conditions on back VIENT., (Please Initial) /._L, _/l Signature "Please read compliance statement on back of permit" S ig re 4D, ZS 0-3 Application Feels) Check # oney Order DI Exptratidn Date 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: Robert Harris Address of Property:T 9 Osprey Drive, NTB Mailing Address of Owner: 13 N. Point Drive, Colts Neck, NJ 07722 Owner's email: robe rt(cDharrisrealty.net Owner's Phone#: 732-207-0576 Agent's Name: Josh Barber/PFL Construction Agent's Email: pflmarine@gmail.com Agent Phone#: 910-330-5569 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) 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. X3v I 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 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 if you have been notified by Certified Mail. WAIVER SECTION 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 Signature of Adjacent Riparian Property Owner -OR- h, C XI do not wish to waive the 15' setback requirement (initial the blank) �,,I�f Signature of Adjacent Riparian Property Owner TypediPrinted name of ARPO: J c` gp q � t Fi- JIF I"t0L j i4c, Mailing Address of ARPO: q (q Kw,t Fl CKI->�,% �'i ;) CiC�Bi�'� 1 (-tE IU L � 95 4(0 ARPO's email: iDS�Oh4 Ct�ic�QV+' IU06 ARPO's Phone#:' Ito "91� -?? j Date: 10 - I(' Z;� *waiver is valid for up to one year from ARPO's Signature* Revised May 2021 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Ar��t,, L ct-r'j Mailing Address: A3 N �` �'� �r1, �� ��.� •�_ Phone Number: '73 2 % aS `7l0 Email Address: ��-� rr. S (���y „ �• e I certify that I have authorized- 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 � V k -t- can at my property located at in aS\C;)w County. 1 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: Signature Print or Type Name Title 1� /1./Z072;Z Date This certification is valid through 1 I Tracking Number: 70201290000028249024 (-0 Copy �k* Add to Informed Delivery Latest Update Your item was delivered to an individual at the address at 4:16 pm on October 8, 20.22 in WILLIAMSBURG, VA 23188. ■ 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. Article Addressed to: ,(.)—I W V11 le"' vd 1 Court W iW 1 Gl7Y1Sbi1i, VA �a 1 O Delivered Delivered, Left with Individual WILLIAi SBURi_�. %/A 23188 October- 8. 20 2, 4:16 pn-i See All Tracking History A. Signature v � ❑ Agent X ❑ Addressee B. Received by (Printed Name) C. Date of Delivery —Y— cam. D. Is delivery address different from item 1? ❑ Yes If YES, enter delivery address below: ❑ No II IIII If IIII IIII I IIIII' II II II II II i I III 3. Service Type dult Signature ❑ Priority Mail Express® ❑ Registered MailT" �'IIIII _Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9402 5069 9092 5271 87 Certified Mail® Certified Mail Restricted Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise ignature Confirmation"' 9 nr+i,�to Kh imhor ffrnncfar frnm .ganiica lahal) Insured Mail ignature Confirmation 7020 1290 0000 2824 9024 nsured Mail Restricted Delivery Restricted Delivery _ 'over $500) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt JRi. �.y._.<. �...... 0.