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Home My WebLink About85807D - BENSON,`°ASr"1&c❑CAMA El DREDGE & FILL C 7/3—N� 85807 A B C D y GENERAL PERMIT Previous permit (� �� J Date previous Tironmentall it issued New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue � r I As authorized b the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commissiod in an area a concern ursuant to: Y P tYP 15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Address City State ZIP Phone # (_ ) Email Affected ❑ CW ❑ EW AEC(s): ❑ IDEA ❑ IHA ❑ PTA ❑ ES ❑ PTS ❑ UW ❑ SPIMA ❑ PWS Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City C ZIP Adj. Wtr. Body (nat/man/unk) Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no' Type of Project/ Activity (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: Moratorium: n/a Site Photos: Riparian Waiver Attache( A building permit/zoning I ....... ... -1 .... ..,y.....,.,. ..7. 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 ame Permit Officer's PRINTED Name Gri C( Signature "Please read Onpliance statement on back of permit" Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 1-1 Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover and Fender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting. Permit: ge& °e. Mailing Address: 17707 Leel�6jd untie L1l.iAgi, aC. ',29S96 Phone Number: S- a 8 9- 6909 Email Address: !-t3Uk!� WV'Vt (? Yet I certify that I have authorized 4al �oj,(ernaam WJ9 OAW MALL .Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: it w4 j ,JJ 0 at my property located at 133 &f1A ape. ,�" ge-AcA Aj, in pen h"-� County. I furthermore certify that 1 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: vt 't a°. �VYL&bll_ Signature Joh v L. Schson . Print or Type Name Title 11 1 09 1 ad .o- Date This certification is valid through I-11 3 j 1 )CU 3 RECEIveD NOV- 2 9 2022 ®CM WILMINGT'ON, NO o jvL'\' y / 'RECEIVED NOT 8 2022 DCM WILMINGTON, NC 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: .133 eY Mailing Address of Owner: P-70et 6 w—rAeW I-11 - hL&b� n, 4 )-78�- 3 Owner's email: , f 60� 58+� wner's Phone#: obi a1' 028� Agent's Name: Agent Phone#: g4fl 3 f, -? P- (c-9 Agent's Email: 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. 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 127 Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contacted at (910) 796-7215. 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' setbac /L.A,.- ov 14 Signa a of Adja nt Riparian Property Owner -OR- RECEIVED I do not wish to waive the 15' setback requirement (initial the blank) NOV 2 8 2022 Signature of Adjacent Riparian Property Owner: I DCM WILMING'YON, NC Typed/Printed name of ARPO: iOq & L - ,f k q I I J A, - Mailing Address of ARPO: ( bl 1-V V 14 rK 67'fi Uiay 1e+'. �kffit(a� �c�)v/��e/Oy �y0 Y5 ARPO's email:ARPO s Phone#: Date: % ZY *waiver is valid for up to one year from ARPO's Signature* Revised May 2021 b 'I bed! 1A lanwo '51 to khocau a'i.Oq�� tq,*"-I�,'I ",o MCM)SO FISTANI) Oro V, 0110b leV., Wn 16 Mr.— nrq :wy h) 4avarMew omqh u. vzcKklay on 0SCRIS W w: TO Wonsw WMA vu 4mus 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. ct rr, (2e r'� 7 ��.1 !✓ ` 11� G `�� G� Owner's email:Ji'ln bob' hey 5 wnG er's`Phone#: (o `7D� Agent's Name: 6 ��r f�? fe•., Agent Phone#: ;[ 3�-1 02 � Agents Email: 13�� ' 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 description or drawing. with dimensions, must be provided with this letter. Y' 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 127 Cardinal Drive EXT, Wilmington, NC 28405 DCM representatives can also be contacted at (910) 796-7215. 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 Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: V ZVVCVC 1 Mailing Address of ARPO: e (0 ARPO's email: ARPO's Phone#: N�,2 &Z27 Date: 1 U0 ✓ 71 *waiver is valid for up to one year from ARPO's Signature* 2021 S' NOV 18 ';129. DCM WILMINGTON, NC Om RataaWtl Dab Chock From (Name) Name of Permit Holder Vendor Cheek number Check amount Permit Numbs ICommoms Races t or Refund/Rea6ocated cahw l Cohamt Column3 Columne Cdumn6 Cokum6 Cok-7 Column8 Column 1117r2M A%W Menne Canty LLC 8— R t FM Cio — Bank 1170D 00D.00 GP a88607D JD rtt 17871 F