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Home My WebLink About88741C - Chamblee, Neil❑CAMA ❑ DREDGE & FILL 3 GENERAL PERMIT [New ❑ Modification []Complete Reissue ❑ Partial Reissue I? 88741 Previous permit Date previous permit issued A BiCJD 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: ISA NCAC V 1) I ,�-(X ❑ Rules attached. 0 General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Ne i 4 T L Address �)nnr� br City t]rc.c \n State /�%�� ZIP Phone # (_) '- ) wk Email r bkee 6t, r', r✓`ti, lone Affected ❑CW ❑EW ❑PTA ❑ES ❑PTs AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes no PNA: yes/no Type of Project/ Activity fhn line Inn h Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City ZIP Adj. Wtr. Body (nat/man/unk) Closest Mal. Wtr. Body '1'111 (Sca1e:1I"7 ,, ) ' Access Length --, Pier(dock)length -'- —j -. —L i---' - — ---- — Fixed Platforms ! '- �_—_- �- -- _— i Floating Platform(s) i * —L_ _ .... . ..... Finger pier(s) Total Platform area Groin length/# --------- Bulkhead/Riprap length Avg distance offshore Breakwater/Sill — Max distance length /— / ~ I Baslri)channel 3% 7 7 Cubic yards 1-l3 X 1X u( FIX _.'__. ---1 — -- Boatramp Boathouse/ Boatlift Beach Bulldozing T- — - - Other r— t SAV observed: yes end 'tiX--" i -- -- -" Moratorium: n/a yes no — Site Photos: yes no ! t _I�__.- - ._ - - �— Riparian Waiver Attached: (yes no -.' _.. L_._ I 1 L_ ._ - A building permit/zoning permit maybe required by: A } ,� n �"X- �-{-.(f u--J) Permit Conditions' % SPbi�t 51��,11 is E. Olucg0( en,rd, ❑ 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) i0 1,,.: . Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature --please read compliance statement on'back of permit*• Signet re Application Feels) Check #/Money Order Issuing Date Expiration Date �o+�`°"'"❑CAMA ❑ DREDGE & FILL 11 GENERAL PERMIT N° 88741 Previous permit Date previous permit issued A B;C'D fi 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 ' ' I I ❑ Rules attached. V General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name s 1.,) r i'_- Authorized Agent �1 , i- -) Address Project Location (County): 1 �` City State PJ i_. ZIP " Y`7 1 Street Address/State Road/Lot #(s) Phone # (_ ) Email - Subdivision City..� y :, �1� ZIP'�� ` Affected ❑CW MEW ❑X PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat�ain/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ORW: yesOniol PNA: yes(no Type of Project/ Activity cr.,..en..., i.......k 1. ..I I" (Scale: (°. ! c Access Length _ - Pier (dock) length Fixed Platform(s)- -_- Floating Platform(s) Finger piers) / L_ Total Platform area - Groin length/71 i __t__. —� —�—-- __ _'I -- -- i .�.._. Bulkhead/Riprap length / --�f- +-- ( _. •s--_.... 1__..__._ _ Avg distance offshore Breakwater/Sill Maxdis[ance/length t �,,�.,1, y yards - ,'\�+ r C cC ii - _. Boat ramp p Boathouse/Boatlift I Beach Bulldozing Other .I i —T._ ___ SAV observed: yes n Moratorium: n/a yes no Site Photos: yes no- Riparian Waiver Attached: ('yes- no :1. c • -- - - — A buildingq y I - permit/zoning per may be required b Permit Conditions'k b(L �.ac(rtl" f') ❑ TAR tPAM/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 PROJECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature -*Please read compliance statement on back of permit•• 7 S�ignat e _ Application Fee(s) Check p/Money Order Issuing Date Expiration Date 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: Address of Property: Mailing Address of Owner: S4 yr. nd:tL�C1.,a�It8lr�o 'ec to �.5� 723 9�8 -7 wner's email: Owner's Phone#: -nko=QlMlc 6r5u+/ Agent's Name: �� Agent Phone#: Zs2 •29� L.'�- -5 Agent's Email:.s.)P'iQQf7 M 1 L1LJ Gs,4iL. L'e7lvl 241 4 �� ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion 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. A I 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 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 r Sign o Adjacent Po arian Property Owner -OR- 1 do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: /l9 �n�Qi'ide, Mailing Address of ARPO: T it / 13ee ky i� OY1P %e7 "1 eIM I C '" G ARPO'sem il: 3iik^LE t/(W-COPIL ARPO'sPhone#: 252-531- ,v Date: *waiver is valid for up to one year from ARPO's Signature* Revised May 4gMEIVED DEC 0 5 ZD?? DCM-MHD CITy N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be Name of Property Owner: Address of Property: 1 f I pleted by owner or their agent) c WkwALic-e V Mailing Address of Owner: SH nee_ own is ail: S Owner's Phone#: ' %23' 98g'7 Agent's Name: t1i M C10—i&& 5 Agent Phone#: VZ 24n G92_5 / 2. G4.55 Agent's Email: SU2F.Bi'In I 4:a GfavL Gnik" ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Owner) I hereby certify that 1 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 description or drawing with dimensions must be provided with this letter. al� I 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 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' setb�dk � �r `� r Signa re of Adjacent Ripa an Prope Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owne (�T✓�.�� l Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: 4kRPO's Phone#: Date: I2^'?, — 2_2 *waiver is valid for up to one year from ARPO's Signature* Revised MayRECEIVED DEC ® 5 2022 DMA MHD CITY b 6 4 r C. 4,( - cJL l c-7 Pbi)D prjpL� �cxoD Drivc NPs DEC a 5 2022 DCM-MHD CITY