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Home My WebLink About88479C - Barkentin, TashaL�IGAMA i 7 DREDGE & FILL N9 88479 A 130D GEI�lERAL PERMIT Previous permit 1 Date previous permit issued (� lew ❑Modification [_]Complete Reissue ❑ Partial Reissue As authorized by the L5t[__a►►[__e of NonhrCyaro�lina, Department of Environmental Quality and the Coastal sources Commission in an area of environmental concern pursuant to: 15A NCAC 4 l �.tx� ❑ Rules attached. General Permit Rules available at the follovdng fink: yomft.ac.2o-vJCAMArul Applicant Name f er ,ter Dr Address Ida, SC f City. State h%_ ZIP Phone # (_ ) Mad - CxM Affected C�KW EgW POTA ES ❑PTS AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS ORW: yeftrhe/ PNA: veYlnd Type of Project/ Activity Shoreline Length 196 J ' Access Length .i Pier (dock) length Fixed Platform(s)/, ..... C_ Floating PI Finger pier Total Platfc Groin leng Bulkhead/ Avg distan, Breakwate Max distar Basin, chat Cubic yard Boat ramp Boathouse Beach Bull Other_ SAV obsen Moratorlu Site Photo Riparian 'A A building Permit Cm Authorized Agent C�INt—I �sA—rUl/, �Qy(z Project Location (County) ! A1 S I urj Street Address/State Road/Lot #(s) Subdivision City_ ZIP_ Adj. Wtr. Body 4N Closest Maj. Win Body K-63 KkkR� ^f n (ScaleKTP) \� ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additionol notes/conditions on back ��`°"'" CAMA ❑DREDGE & FILL N° 88479 A BOC D I GENERAL PERMIT Previous permit �� Date previous permit issued _ New ❑Modification []Complete Reissue ❑ Partial Reissue As authorized ^by �the State of�N]orth Carolina, Department of Environmental Quality and the Coastal sources Commission in an area of environmental concern pursuant to: 15A NCAC J��-Jc 1 (ems ❑ Rules attached. General Permit Rules available at the following link: www.deq nc gov/CAMArules Applicant Name G Authorized Agent z� y Address ll '' Project Location (County): OIIS IQr" City N State L ZIP Street Address/State Road/Lot#(s) Phone # (_ ) Email Subdivision Affected N'EW AEC(s): ❑ OEA ORW: veA-. / LVftw Nff A ❑IHA ❑UW Type of Project/ Activity PNA: • CO(y) Es ❑ PTs ❑SPIMA ❑PWS City Adj. Wtr. Body Closest Maj. Wtr. Body Shoreline Length �1 Access Length i Pier (dock) length Fixed Plattorm(s) 20 Floating Platforms) Finger pler(s) Total Platform area Groin length/# Bulkhead/ Riprap lengtap Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse Boatli Beach Bulldozing Other SAV observed: no/�y�,tc�� Moratorium: n/a yes 0 (�f►Y! \.1��L/// I Site Photos: yes Y�i Riparian Waiver Attached: '�yy'y no f� A building permit/zoning perm'iI Aay be�req—`uired by: v Permit Conditions 2 (Jl,l/��p' ((U�-' 1 lOK LAPr 6 1v'O0 �"v- 12— I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIA Agent or Applicant PRINTED Name Perm!, fficer's PRINTEI Signature --Please read compliance statement on back of permit" Si 9ture 1#7400 1 2 Zv Application Feels) Check# oney Order Iss ing Dae P m R/ ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ElSee additional notes/conditions on back (Please Initial) itd N, 14 O� l` h TV r• a � r AGENT AUTHORIZATtON FOR CAti�A PER�rtIT APPLICATION Name of Property Owner Requesting Permit: _ _I j I%f ULE J� Mailing Address: Phone Number: Email Address: I certify that I have authorized C Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: G at my property located at 1 in 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: Signature Print or Type Name ( 11e r Title �! / i o -I- Date This certification is valid through I I 7 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DE (VERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Property: Mailing Address of Owner: Owner's email: i/ ' P q nXtLf 'Owner's Phone#: t Agent's Name:Cil t jiffl�e(�u17`5r�t.(Gf((ylAgentPhonG#:� Agent's Email: )?Ji ei �fY>ra r l t7 P. C1 1),S i i r if � ' n n (4 mn I I -, ., ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom twrtion to ba sample v ha A ant PryMi QXner) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this t•, Q` permit has described to me, as shown on the attached drawing, the development they are proposing. A wins Y+th dimensions. myt be orovided with tJgtter. I DO NOT have objections to this ProPosal. I DO have objections to this proposal. M you have obJacttons to what's being proposed, you musf natNy tho N.C. Dfviston of Coasts! Management (DCMJ In wrhtng withtn f 0 days of receipt of this nodca. Correspondence ahcutd be matfa d to 400 Conemerca 4ve., Morehead tatty, NC 28557. DGAf raprosantattves can also be contacted at (252) 808 2808. Pro response is oonsldered the same as no obJeotion H you have been notified by Certhied Ma!!. WAIVER SECTION t n,\\ 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 �t1 ,� (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you m at n dY 6 t Ly the appropriate blank below.) } I DO wish to waive some/all of the 15' setback -OR- Signature of Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) d--^ t k Ct1 Signature of Adjacent Riparian TypedlPdnted name of ARPO: Mailing Address of ARPO's Phone#: Data: �---.��- .�®°waivar le valid for up to one year from ARPD'a Signature" a�S3u Revised July 2021 Voo- #6/60 RECEIVED NOV L 8 2022 DCM-MMD CITY