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