HomeMy WebLinkAboutMejia, Andrew 88476C[/AMA ❑ DREDGE & FILL N9 98476 A BQ D
GENERAL PERMIT Previous permit
� Date previous permit issued
WNew []Modification []Complete Reissue [-]Partial Reissue
As authorizedbythe State of ^North Carolina, Department of Environmental Quality and the Coasta esources Commission in an area of environmental concern pursuant to:
15A NCAC \it� �� l��✓ ❑Rules attached. General Permit Rules available at the following link: www.dea.nc,gov/CAMArules
Applicant Name
s�Address
City
Phone # ((411-1
Email M0 X�
Affected ❑ CW
AEC(s): ❑ OU
�L Authorized Agent�rC,
C_ Project Location (County): _ I nc---) b
ZIP Street Address/State Road/Lot #(s)— M--U
Subdivision
City ZIP
V EW I t/I PTA FLh ES ❑ PTS Adj. Wtr. Body NIQW I(Ay eA ' nad an/unk)
Type of Project/ Activity
UW
❑ SPIMA
❑ PWS
Closest Mal. Wtr. Body
(Scale:
Shoreline Length
Access Length
Pier(clock)length
Fixed Platforms) '2 6 x (rU \
Floating Platform(s) .�
Finger pier(s) I--
Total Platform area e
Groin length/ft
Bulkhead/ Riprap length•
Avg distance offshore
Breakwater/Sill .�
Max distance/ lengtwl-,
Basin, channel
Cubic yards f
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other 11,
SAV observed: yes
Moratorium: n/a yes �t
Site Photos: es
Riparian Waiver Attached: ye no
A building permit/zoning permi may be required
Permit Conditions
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I
Oil
loe(�Q� �D�PS
l I
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V� O •
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCESTATEMENT. (Please Initial)
f'Z_ �!z'e /�
Agent or p i am Perm' Officer's Pf INTED
S' re ease read compliance statement on back of permit" Signature
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Application Fee(s) _- eck #/_qhney Order Iss ing l5ate Expiratio Date
I
'aOF COAfTgT cDREDGE &FILL A B� DNCAMA e
GENERAL PERM 1 T Previous permit
2 Date previous permit issued
'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:
15A NCAC `' � ��/ ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name LL Authorized Agent f �— Urls _rU LLY1
Address
1y�.� �11�c'
City 61 l" S J Ft �Ite. (ice ZIP
Phone # (:
Email �
Project Location (County): (� 0
Street Address/State Road/Lot #(s)1 1 I.
Subdivision
City ZIP
Affected ❑ CW EW PTA C] ES ❑ PTS Adj. Wtr. Body 'KI/I ,b"V l ' na an/unk)
AEC(s): ❑ OEA ❑ IHA UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body KJ
ORW: yeq PNA: yel
Type of Project/ Activity
i
Shoreline Length /
Access Length 1- I 7'^
Pier (dock) length � � � � 1 ✓ q O� I //
Fixed Platform(s) '� cx< pU I I Ca J o
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/tt
Bulkhead/ Ripraplength'r
Avg distance offshore
Breakwater/Sill
Max distance/ lengtifl-
Basin, channel
Cubic yards Z'
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other .11
SAV observed: yes
Moratorium: n/a yes
Site Photos:
Riparian Waiver Attached: yeT/ no
A building permit/zoning permit` kay be required by:
Permit Conditions _'_Q a4 & { �y'A
' tvi/oad LP Vl a -Owtil I
1/14
(iq aeas pet
I AM AWARE OF STATUTES. CRC RULESAND CONDITIONS THAT APPLY TO THIS PROJECT AND RFVIFWFD
Agent or Applicant PRINTED Name
Si
nature "Please read compliance statement on back of permit"
YY 2W.
rr� - C c'' Q
Application Fee(s) - eck #/ ney Order
(Scale:t"-9
❑ TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
MENT. (Please Initial)
Permni Officer`s PfjlNT
(\
Sjggn�ature
#1j0127-- 3�da�2
Iss ing bate ExpiratioK Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Andrew Mejia
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized Josh Barber/PFL Construction
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Dock and mooring poles
at my property located at 179 Hall Point Road, Sneads Ferry, NC 28460
in Onslow
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:
SignatWe
fiholretj a.
Print or Type N e
A��
Title
Date
This certification is valid through
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: Andrew Mejia
Address of Property: 179 Hall Point Road, Sneads Ferry, NC 28460
Mailing Address of Owner: 179 Hall Point Road, Sneads Ferry, NC 28460
Owner's email: mejia.andrew@yahoo.com Owner's Phone#: 910-376-5691
Agent's Name: Josh Barber/PFL Construction Agent Phone#: 910-330-5569
Agent's Email: pflmarine@gmail.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
►f 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
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 y wi waive the setback, you must sign
the appropriate blank below.) _ //%
I DO wish to waive some/all of the 15' setbacks e/
Signdture of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO: v-OC
Mailing Address of ARPO: 1--7 t�l
ARPO's email: ARPO's Phone#:
aSa- (19
Dater � �` - bkOa *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
Tracking Number:
70201290000028252895
Copy �k* Add to Informed Delivery
Latest Update
Your item was picked up at the post office at 11:14 alit
on October 17, 2022 in JACKSONVILLE, NO 26546.
■ 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 sDace ❑armits
1. Article Addressed to:
."' 11�Ch1 a f C--toj-SM
11 l (110cdSon - i ► al l
JoLcKson Sri 1,16 NC 2 5q(0 (o
II1IIII1IIIIIIIIIII11111111111IIIIII 1111111111
9590 9402 5069 9092 5271 94
I- Article Number frransfer from service label)
020 1290 0000 2825 2895
I'S Form J81 1, July 2015 PSN 7530-02-000-9053
A.
Delivered
Delivered, Individual Picked Up at Past Office
JACKSONVILLE, NG 216546
October 17., 2022, 11: t4 an
See All Tracking History
Ct �
by (Printed Name) C1—iff"FH4
D. Is delivery address different from item 1?
If YES, enter delivery address below: ❑ No
�,. oulAdultdult Signature ice type
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❑ Adult Signature Restricted Delivery
Certified Mail®
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Certified Mail Restricted Delivery
❑ Collect on Delivery
Delivery
❑ Return Receipt for
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El Insured Mail
Merchandise
El Signature ConfirmatlonTM
❑ Insured Mail Restricted Delivery
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(over $5nm
Delivery
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