HomeMy WebLinkAbout88475C - Harris, Robert3 -&�``°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.