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Home My WebLink About88770C - Price, MasonQ3o ❑CAMA ❑ DREDGE & FILL N° 88770 A B C D GENERAL PERMIT Previous permit 3 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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.den.nc.goy/CAMArules Applicant Name .0 _ Address City State ZIP Phone # (_ ) Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) i' Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA O ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑uW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ORW: yes/lit) PNA: ves/n,. Type of Project/ Activity Chnralinc I nnoth Access Length Pier dock length FixedPlatform(s) - - rr) - } - - x -, ✓_ O -- I, I ls. ... Floating Platform(s) .------ Fingerpier(s) 1 _.,- Total Platform area --'- -- Groin length/tt --❑----- - I =- 4=V -- I - - - - - - - Bulkhead/Riprap length r Avg distance offshore /) Breakwater/Sill Max distance/length '-"" - ❑ - Basin, channel Cubic yards - Boat ramp - -> Boathouse/Boatlift 1 t. Beach Bulldozing T _7 Other SAV observed: yes no ❑ - Moratorium: n/a yes no Site Photos: yes no, RiparianWaiverAttached: yes '--- -- j - - --: --- A building permit/zoning permit may be required by: t Permit Conditions I I )D C7 V1/ (1 i/.l: v! ��/1 .h..(1 ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back recardina River Basin rules ❑ See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit"* o Z3 Application Fee(s) Check p/Money Order Signag ure Issuing Date Expiration Date &°0m",-❑CAMA ❑ DREDGE & FILL GENERAL PERMIT New []Modification []Complete Reissue ❑ Partial Reissue N° 88770 A B Previous permit Date previous permit issued C D 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.dec.nc.yov/CAMArules Address City State ZIP Phone # (_ ) Email Affected ❑CW AEC(s): ❑OEA ORW: yes/no ❑EW ❑PTA ❑IHA ❑UW PNA: yes/no Type of Project/ Activity CFnrnll..e L.....r6 ES ❑ Pfs SPIMA ❑PWS Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Adj. Wtr. Body Closest Mai. Wtr. Body r� r (Scale: - Access Length - - - -� L/- — — -t Pier (dock) length _. r- Fixed Platform(s) F — — - ' l — Floating Platform(s) . _ 1-, t � 1- — 1� -- i. Fingerpier(s) - Total Platform area + /... / Riprap length I Avg distance offshore Breakwater/Sill --_-- —{-�— - .1 _ � 1 Max distance/ length Basin, channel Cubic ards- — _ Boat ramp Boathouse/ Boatlift Beach Bulldozing .--- ---- Other ._. _...._. ! I I SAV observed: yes no Moratorium: n/a yes f no - �} 4- '^ { Site Photos: yes no I Riparian Waiver Attached: ves no_ - A building permit/zoning permit may be required by: Permit Conditionsr- 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 RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant PRINTED Name Signature **Please read compliance statement on back of permit" Application Fee(s) Check N/ oney Order Permit Officer's PRINT7Name Signature I/ t Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: lY]Gfmb P(1l G Mailing Address: Phone Number: Email Address: I certify that I have authorized S &A 670 jW/ a COP 4 0/1 . 6 o& jovq Gin /Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: )641:614I at my property located at in (4r e/?i 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: �inAS011 J P�i� e Print or Type Name 62G✓l) e/1 Title iI l 5 JO) D ate This certification is valid through I 1 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: W)a kvn�r % _P Address of Property: 100t5 SVxQ420,rrl S�- Mailing Address of Owner LakAY-y1 f2r1ct CC' rvt),p Owner'sPhone* CVY1'a}YUL{.'IuVM . CAIY'1 Agent Phone#: Owner's email: Agent's Name: Agent's Email: kc. Pt Gt'7 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION �V 182022 (Bottom portion to be completed by the Adiacent Property Owner) QC/ "q`&ijyl� I hereby certify that I own property adjacent to the above referenced property. The individual applying for this C/ry 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. XI 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) 515-5400. 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 revetme ). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' Riparian Property Owner S"R I do not wish to waive the 15lsetback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Pyx ((, ,p Lc u ^\S Mailing Address of ARPO: ARPO'sema11il:'2wtSp\nr154agQno_+ ARPO'sPhone#: JSa--531 -91DN Dater I t l *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 NOTIFICATIONIWAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DFLIVERY (Top portion to be completed by owner or their agent) Name. of Property Owner Address of Property __ 0 Ma,l;ng Address of Owner Owner's email G41/ C JDwner's Phone# _A2� Agent's Name Agent Phoneft- --� mot/ 1�yji-1-1 1 Agent's Email ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) 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 descr tion or drawm with dimensions must be provided with this letter 1 DO NOT have objectrons 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) 515-5400. 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 gran 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 nprap revetments) (If you wish to waive the setback, you most sign the appropriate blank below ) I DO wish to waive some/alt of the 15' setback Signature of Adjacent Riparian Property Owner r R. I do not wish to waive the 15' setback requirement (initial the blank) 97D 1 - 13gnature of Adjacent Riparian Property Owner (4' • 1 f i l%i �' Typed/Printed name of ARPO: / •� I:�� 2 '�_t�InJi ,' LL�- Mailing Address of ARPO: l •� ____. —_� _,��__.F_�L—% �171 iilL ARPO's email: 1. ARPO's Phone#:^7 iJ-1ii r;w oate: i ! 6 ' •% -waiver is valid for up to one year from ARPO's Signature' Revised May 2021 RECENgD N0V 1 g Z0,1 DCM-MMD CITY