HomeMy WebLinkAbout85383D - JESSUP�0(OAST4, , ❑LAMA ❑ DREDGE & FILL� N9 85383 A B C D
y �'FF-1 Previous permit
3 :GENERAL PERMIT ���Date previous permi issu d
New ❑Modification ❑ Complete Reissrti Reissue / , . % /�
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission iVn area of en dnm tall concern pursuant to:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq,nc.Qov/CAMArules
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
(Scale:, 1
Shoreline Length
Access Length
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area _
Groin length/# _
Bulkhead/ Riprap lei
Avg distance offshor
Breakwater/Sill _
Max distance/ lengt
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing_
Other
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attz
A building permit/zoning permit may be required by:
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 Feels) Check #/Money Order
Signature
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 1-1 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 Pender 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: ?/' CJ �•S
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
l 73 ns a� �d
SU 4 C�y , Nc a --
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coM
s`'fate
Agent / Cbntractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at 1 / N7�i,�1 ion �h5) t 1 u�
in 041 County.
1 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:
r"I
Si nature
'i q
P int or Type Name
61 1,, or )0
Title HOUSE
? 1 2Z x„f_ 0
Date.,* _, . ,.i jive Construction
This certification i0 „a,I..
ll 11 Vuyl 1
ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT
I hereby certify that 1 own property adjacent to ' 'I Lf)Cl) I--(' 's
//�� / ►�S��n 9d (Name of Proper Owner)
property located at 1/.r7 � �t`fii�
/ ` 1 (Address, Lot, lock, oad, a c.
on � � LLB, L' -6 4 -SO r/1) , in , N.C.
(Waterbody) (ity/Town and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
i
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing.)
WAIVER SECTION
I understand that a pier, dock, mooring pillings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the
setback, you must initial the appropriate blank below.)
— �., ) I do wish to waive the 15'setback requirement.
I do not wish to waive the 15'setback requirement.
(Property Owner Information)
Signature � '
Telephone Number
4Dae
Property Owner Information)
tor
��J �k�?
Telepho a umber
7
Efate
i ADJACENT RIPARIAN PROPERTY OWNERS STATEMENT
i
I hereby certify that I own property adjacent to n (J es�2 's
A/tiO�47/7
�� ame of PropertyOwner)
property located at '
I 4� (Address, Lot, Block, Road,etc.)
in
N.C.on Nt-)'YK'J, C
(Waterbody) (Citynown and/or County)
The applicant has described to me, as shown below, the development proposed at the above
location.
have no objection to this proposal.
I have objections to this proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing.)
WAIVER SECTION
I understand that a pier, dock, mooring pillings, breakwater, boathouse, lift, or groin must be set back a
minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the
setback, you st initial the appropriate blank below.)
I do wish to waive the 15'setback requirement.
do not wish to waive the 15'setback requirement.
(Property Owner Information) (Adjacent Property Owner Information)
S1Wtdr§ Signature
(�
Print o pe me Print or Type Name
MarTli ''g Address
/State/Zip
l�-13�1
Te ep one Number
,19—�--��
Date
TI
Maiiln Address �
x
01)65tateMp
Telephone Number
Date
W,
Check
Date Rece/ved
Date De Ited
Check From Name
Neme o/ Permk Heide,
Vendor
Check number
mount
Permit NumberlComments
Receipt ar Refund/Reallocated
Calumnl
1/3/2023
Co1umn2
1/4/2023
C-1—nB
South Cape Maritime, LLC
Column<
Todd Turner/TOWB
Ca1umn5
Wells Fargo
Column6
1402
Column7
$ 400.00
Column6
GP #85828D
Cclumn6
KB rct. 17888
_
1/3/2023
1/4/2023
North End Builders NC LLC
Wa e & Gentilcove
Truist
1185
$ 200.00
GP #87580D
BH rot. 19898
1/3/2023
1/4/2023
Coastal Marine Construction
French
Wells Faro
24695
$ 200.00
GP #65840D
BH rot. 19897
1/3/2023
_
1/4/2023
Christopher Lovell
same
First Citizens Bank
113
$ 200.00
GP #85778D
PA rct. 18637
1/3/2023
1/4/2023
1 Timothy Baucom
same
Truist
1413
$ 200.00
GP #85779D
PA rct. 18638
1/3/2023
1/4/2023
Lighthouse Marine Construction Inc
Jessu
Coastal Bank and Trust
4508
$ 400.00
GP #85383D
JD rct. 18741