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HomeMy WebLinkAbout88907C - Titus, Rachel1*pj(OAS 1gl ❑CAMA ❑ DREDGE & FILL . 88907 A B C D 5 z GENERAL PERMIT Previous permit 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/CAMAruIes Applicant Name Address City State ZIP Phone # Email Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City ZIP Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity 1 L)E 4'4,6,rm��f.�fi� ,.. (Scale: ; ) 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 Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may required by �� ''` (=' f ' (`A� i �`' •' Permit Conditions' ❑ 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 Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Application Fee(s) Check #/Money Order Signature Issuing Date Expiration Date °F`°ASTA`� ❑CAMA ❑ DREDGE & NO FILL $g07 A B c D 9 GENERAL PERMIT Previous permit - 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.decnc.gov/CAMArules Applicant Name _ Address City Phone # ( ) Email State ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City P Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity f , `7 r' 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 Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions (Scale: ) ❑ 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 Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Rachel Bradley Titus/Shea Bradley -Farrell Mailing Address: 4004 Ellenita Avenue Tarzana. CA 91356 Phone Number: 818469-3006 Email Address: ti to scwi (a,Sm ai 1. com I certify that I have authorized WDDC. Inc/Andre Webb , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Excavation and re -placement of existing rocks for new seawall placement /dZ � j6oA/ALC k.,Iry rZ �D l !✓iNGJ �/� i✓.fGL at my property located at 608 Bronna Road Beaufort_ NC 28516 , in _ Carteret _ 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 Rachel Bradley Titus Print or Type Name owner Title 11_! 4 1 2022 Date This certification is valid through i I-1 1 2023 N.C. DMSION 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) Nam of Pmperty Owner CAL164 Address of Property: f�8 —go / -J Mailing Address of Owner: �00 y c u /`���'° l't�if/v� Z,A�� ,o '%,3s6 Owner% email: Owner's Phone#: e1g, W - T4 Agents Name: XArmetAok� Agent PWnet: Agent's Errmil: l��c.� �•+�, �. c��. ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION ottom rtion 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 - description or drawing,with dimensions must be pmvided with this letter. (� 1 DO NOT have objections to this proposal. I DO have objections to this proposal. ►t you gave objecbans to what is being Proposec& You must notify the N_C Division of Coastal M43nagement (DCAV in wrilting within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Mbrehead City, NC 28557_ DOIKr+eprese Mffves can also be contacted at (252) 808-2808. No response is cOnsidefed the same as no oNection ifyou have been notified by CeiW ed AitaiL WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse. K 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 I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Pririted name of ARPO: 1,k4 C V­3 JL"% S 61lt U&- - Mailing Address of ARPO: 3 5 Z� E v -b 1� r' hL ?,� 1 % �- rT jr 9 / ARPO's email: ���ic1�aG �� jam► %1 n��� _ iak� ARPO's Phone#: ��� �� Ci t Date: "waiver is valid for up to one year from ARPO s Signature' Revised May 2021 N.C. DMSION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER N071FlCAT10NlWANER FORM CERTIFIED MAIL •RETURN RECEIPT REQUESTED or HAND DELIVERY (fop portion to be Completed by owner or their agent) Name of Property Owner. -- Address of Propefty: Mailing Address of Owner. �0D �l•G�/�/�'° /4WNvF IZ Z°1" CIO 9/3sr6 Owner's email: Owners Pnone� &9- /0 ` Agent's Name: /�� 3 Agent Phonet. �s 2 -�4'5'4S- - 78 Agents Emit 1 �% .�. �• co,�. ADJACENT RIPARWN PROPERTY OWNER'S CERTIFICATION rtion to be cam by the A I hereby certify that I own property adjacent to the above referenced property. The individual appiyng for the permit has described to me, as shown on the attached drawing, the development they are proposing. A descxuption or drawing, with dimensions, must be mvvided with this letter. I DO NOT have objections to this proposal. 1 DO have objections to this proposal If you have , F *P cbons; to mat is being proposed you must natty the KQ Dhdsidn of Coastal Management (DCJM in writing wibVn 10 days of receipt of this notice. Camespondence should be rnoWto 400 Coamneme Ave, Morehead City, NC 28557. DCMrepnesentWhes can a tmbe eordacted at (252) 808-2808. No response is considered the same as no objechion #you have been naMied by Cert W*d MWL WAIVER SECTION I understand that any proposed pier, clock, mooring pilings, boat ramp, breakwater, boathouse. fife, 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 bum or riprap revetments). (If you wish to waive the setbedk, you must sign the appropriate blank below.) l DO wish to waive some/all of the 1 S setback S�ginadure of Agaaent Riparian Property Owner - OR-1 do not wish to waive the 16 setback requirement (initial the blank) G � Signature of Adjacent Riparian Property Owner 6�46 2� Z� TyMd1Printed name of ARPO: - �J i-- • '� r1RA (,Ap v�}�v Mailing Address of ARPO: ARPO's efrm-1_ ' ARPO's Phone* Dane: _ / 'waiver is valid for up to one year from ARPO's Signabne Revised May 2021 -IS