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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 ^' 9 l M ot7rGin po w N I Oil loe(�Q� �D�PS l I •9 l� 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 ?" C'' :22 u/i01 Zy- 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 ❑ Priority Mail Express@ ❑ Adult Signature Restricted Delivery Certified Mail® ❑ Registered MaIlTM ElRegistered Mail Restricted Certified Mail Restricted Delivery ❑ Collect on Delivery Delivery ❑ Return Receipt for ❑ Collect on Delivery Restricted Delivery El Insured Mail Merchandise El Signature ConfirmatlonTM ❑ Insured Mail Restricted Delivery ❑ Signature Confirmation Restricted (over $5nm Delivery Domestic Return Receipt