HomeMy WebLinkAboutDennis, William 88877Cjpapi COAf4, FCAMA ❑ DREDGE & FILL S 88877 A .B c D
GENERAL PERMIT Previous permit
y
❑New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued
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/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email
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
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"
Application Fee(s) Check #/Money Order
Signature,
Issuing Date Expiration Date
`°AS'", ❑CAIMA ❑ DREDGE & FILL ggg%% A B c D
GENERAL PERMIT Previous permit
z 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State ZIP
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
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
Signature "Please read compliance statement on back of permit"
-:'
Application Fee(s) Check #/Money Order
Permit Officer's PRINTED Name
Signature # j
Issuing Date Expiratiorn Date
cWXCAMA ❑ DREDGE & FILL Na 88602 A B C�'�
9GENERAL PERMIT Date previous permitrissu d �Z-
F�New []Modification A'Gomplete Reissue ❑ Partial Reissue
As authorized by the S o Carolina, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant to:
I SA NCAC 5 ! R t t�i ,/(� ❑ Rules attached. ,.General Permit Rules auahable at the f0owing link: b-y dea nc gq - L%
Applicant Name �• � �
Authorized Agent
Address
en
!r11 V10
Project Location (County): -
city _
_ sit.
ZIP
Street AddroalState RoadlLot #(s)
Phone #94 -
f
Email �
__�
SubdMslon --
City ZIP
AffectWd W
r ES ❑ PTS
Ad(. Wtr. Body (na-t/fna8nk)
y
AEC(s): ❑OEA
,,tPTA
IHA UW
❑ ❑
SPIMA PWS
❑ ❑
Closest Maj. Wtr. Body __� `9 V�.►a►
ORW: yesn.
PNA: yest i
Type of Project/ Activity
Shoreline Length
Access Length `�
Pier (dock{ length
FixedPlatform(s) It
1
Floating Platform(s)
Total Platform area
Groin length/ff A.
Bulkhead) Riprap Iengt
1 !
Avg distance offshore' (
Breakwater/Slil I i .. i i - I
Max distance/ length -
Basin, channel
Cubic yards
Boat ramp I i. _ I_
Boathouse/jot t
♦. _...� ..L _. _ _ .� j-y
Beach Build
Other. _ i i t
1
ii
i
SAV observed: yes n
Moratorium; n/a yes no
t
Site Photos: yes nn
Riparian Waiver Attached: yes
A building permit/zoning permit may be required by: _ S`/ «
TAR/PAM/NEUSF./BUFFER (circle one)
Permit Conditions _T _
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 ini}/q 1) l J
Agent or Ilca t PRIPermit Officer's PRINTED ffib
SI ur P ease read mpllance statement on back of mite' Signa re ,
A piication Feels) Check d/Money Order Ise ng Da e E plratio. Date
oFConsr1 'r f> W 8602 A B - D
U� [ CAMA El DREDGE& IL.L. /- ,,
GENERAL PERMIT Date Previous permit
Date previous permit issued � �
❑New (❑Modification'Complete Reissue Partial Reissue
As authorized by the St a of ot•tji Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC _ K a °' ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _ \1
Address
Phone #
t
Email
Affected —JAW ",NtkW VTA
AEC(s): ❑ OEA ❑ IHA ❑ UW
ORW: yesno PNA: yes/"
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)—
Floating Platforms)i`m _
Y d
Finger pier(s)
Authorized Agent
_
Project Location (County):
ZIP
Street Address/State Road/1_ot #(s),
Subdivision _
City _ .... ZIP
ES ❑ PTS
Adj. Wtr. Body _ _._. - r f �(nat/,arrnk)
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body 9
o
f AC
Total Platform area
Groin length/H _,_m,-._..-______
Bulkhead/ Riprap lengtl _
Avg distance offshore'_._-_ —��
Breakwater/Sill
Max distance/ length
! p
Basin, channel
Cubic yards
Boat ramp_
Boathouse/ o5
Beach Build g
Other 7712
SAV observed: yes n
Moratorium: n/a yes ` no
Site Photos: yes no
Riparian Waiver Attached: yes
A building permit/zoning permit maybe required by:
Permit Conditions _ _ —
[)e - � , , '4 ---
3
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
\(oesrrr ( A B D
CAMA DREDGE & FILL �.-)
Previous Permit ......_.. -...-- ............. --. _.
GENERAL N E RAC,PERMIT Qate previous permit issued _... _..
t.: P P
$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 NCA4 _....... _! _.. ...._.t. V =�t - ---- ------ [ .....� Rules attached. 4AGenaral Permit Rules available at the following link: www,,tle,- .rq_tcgoJCAMArules
Applicant Nance _--__2_ ; a 4 :� j.�... __ Authorized Agent _ ......
Address._ l..j-.«
( {... C `3L`� 4
�. (S t
—' ,u.__
(`
yiP_
Project Location
Street Address/State Road/Lot #(s) ---
City, (*1�,� �' State,
r l
,. 1/--.
_
f.
Phone #
,..
Email ... _ . _.............
....... ..... .. _
Subdivision
City...
Affectedti•1
d.t
AEC(s): 0 OEA
f1 PTA
❑ UW
IHA
u.. E5 �... [PTS
USPIMA C � PWS
Adj. Wtr. Body ! t =.
Closest Mai. WvBody_---_-,.i�
ORW: yeso•�
PNA: ye no '}
type of Project/ Activity
Shoreline
Access length -..... __
Pier(dock)length
fixed Platinrrn s
Floating PI rtform(sj
Flitter picr(s)�_�'��� �
Total Platform area _
Groin length/8
Bulkhead/ Riprap length __- _ ((• -, /'
Avg, distance offshore __ _ !
..J
Breakwater/'ill .._..__.
Max distance/ length . "
Basin, channel . .......
Cribicyards ---------
Boat ramp v ! f
% r
ltnaUious Boat it✓�__j•-.
Beach Bu c o n>
�j
Other
SAV observed: yes
Moratorium: n/e Yes
Site Photos: yes
Riparian Waiver Attached: yes
A building permit/toning permit
Per rrpit Conditions 1?��
I . e l 0
no'
no
no
required
� r
(Scale o`( )
,JUN 05 ZOV,
_o mH
-1
1_. 1 TAWPAMINEUSr/BUFFER (circle one)
[ , See note on back regarding River Basin rules
See additional notes/conditions on back
t AM AWARE OF STATUTES, CRC RULES AND CONRITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMP NCE STATEMENT.
........ .--_ ....._._._.___.__
Agent rA " h nt ' t 7 EO Nam""' Permit Officer's,,,D Name
itt 'P asereadcornplu cc statement on back of per nr " Sig it it
- t
Ahlflir.ltinn Fennel Check it/Monov Order Issu it; DAt. — l
initial).,,
Dale
�wxsr4 /'CAMA ElDREDGE & FILL. W 8��642 A a D
'4 GENERAL PERMIT Previous permit
Date previous permit issued
New El 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:
i SA NCAC _....._.._Q.� �__......_ —. ❑Rules attached. General Permit Rules available at the following Unk: •d�� n585riL�AL�AL&i
Applicant Name _ _ _ _ Authorized Agent
Address �,._ _S,�S,�E,"`'-u4 —_._ Project Location (County):
City _'' _ State 'LIP _ Street Address/State RoadfLot #(s)
Phone # ar�..._
Email _/ "_. ..._.__ Subdivision
City .._........._......_.. .._ ziP
O x _�anlunk)
Affected
TA OPTS Adj. Wtr. Body _.
AEC(s): F1 E] IHA El UW SPIMA �� PWS Closest Mai. Wtr.
ORW: yes n PNA: ye na
Type of Project/ Activity
-----___._ (Scale' }
Shoreline Length ,
Access Length-_,_• +r _
Pier (dock) length
Fixed Platforms) _t�J� '\
�•� 1 `Sl
Floating Platforms) i'C
_._.. _..__._..__ ``''��,•t /vim.
Fingerpier(s)�t
lotai Platform area
---•- - 1 C` � roc"
Groin length/R�_._..
Bulkhead/ Riprap length''
Avg distance offshore 44-1
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards � �'" "� � � � �. GA
Boat ramp
r
Boathous Boat i
Beach B. o n . t r
other.._ __ ��.�__
SAV observed: yes A
j
Moratorium: n/a yes no lC
Site Photos: yes no
Riparian Waiver Attached: yes no _
A building permit/roninp permit m e required by: t C� _fl
e., _j-• (r_` n TAR/PAMINFUSE/BUFFER (circle one)
Per it Conditions _ .. f?� t _.._ .y_._ . ` ).`. e.. .__, t.. � �(,t. ...
41tz,
U See note on back regarding River Basin rules
� -•- - G� -4.- 4»i - ee additional notes/conditions on back
n._.5
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPt NCE STATEMENT. (Pl7t Inittalt
Agent U nt TED Nam s Permit Officer's P D Name
5' at `P ase read cornph ce statunent on back of per ii ' • Signal re
A lication Feels) Check q/Momy Order tssu ig D, t . Expira n Date
QEcoasrt CAMA n DREDGE & FILL �� 84642 A B DD
A GPrevious permit
� ENERAL PERMIT Date previous permit issued
ew []Modification U 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 6 �2 H JRules attached. General Permit Rules available at the following link: www.deg.nc.gov/CAMArule;
Applicant Name t A ' I I r lon C � Authorized Agent
Address �' Project Location(County):
City State ZIP Street Address/State Road/Lot #(s)
Q 1Z
Phone # �)
Email /" Subdivision
City __. ZIP
w
Affected (COY W , TA PTS Adj. Wtc Body t Ian/unk)
AEC(s): t "FI OEA a IHA 0 UW SPIMA U PWS Closest Maj. Wtc Body _.j10 A__._.._.
ORW: yes PNA: ye na
Type of Project/ Activity
(Scale
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(! L
Floating Platform(s) i4__
Finger pier(s)ISJ
Total Platform area
Groin length/g
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill t ' t `)
Max distance/ length
Basin, channel <F /'
Cubic yards r '"✓ Boat ramp / A t
Boathous Boat i
s
Beach Bu o n � �
Other t
SAV observed: yes no
Moratorium: n/a yes no !'
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zonin permit in,
e required by:
Pen iit Conditions _ If EITAR/PAM/NEUSE/BUFFER (circle one)
( r See note on back regarding River Basin rules
— _ See additional notes/conditions on back f -q�,
OF STATUTES, CRC RULES
THIS PROJECT AND
Agent s>:1KiTph ntT)RINTEO Name Permit Officer's 3AjNUD Name
S' act a **Please read compliance statement on back of per i '* Signa re "
Ab lication Fee(s) Check It/Money Order Issu ig D
Initial)
Date
POO —
� 00380
15
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT_ REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: W.T r CrL�S{rd 1>_nn]S
Address of Property: IS5 Inty-acoasb2{' 'Wye e_o�Oor w a'66lk
Mailing Address of Owner: 3WE AS AIovE
Owner's email: U!SMCU.CCe_D&7 tr F)IL- C001 Owner's Phone#: d5R_a9 i_ 109(002
Agent's Name: DENNIS & SONS MARINE CONSTRUCTION, LLC
Agent Phone: 252-241-6962
Agent's Email: DSMCLLC@GMAIL.COM
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bo_ttom portion to be_com Ip eted by theAdjacent 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.
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) 808-2808. 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
-0 R-
I do not wish to waive the 15' setback requirement (initial the blank) PH3 RIECEEVE
Signature of Adjacent Riparian Property Owner: ,CA,+-� MAR ?r
TypedlPrinted name of ARPO: I Q3 n, e,V, C.5 S er' r M•MHO ,'ITY
Mailing Address of ARPO:
ARPO's email:f`%4� S"5tA �"'U` `" ARPO's Phone#: �(�— i �8 3 i02
Date: I ! t7 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
CERTIFIED MAIL - RETURN RECEIPT REQUESTED
DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
Name of Property Owner: [ ,fq z-)fa1 T)UL f -(�2
Address of Property: I V ) 1t JI1 t.t.t tt )U �t c_t t k) k -)t t
(Lot or Street #, Street or Road, City & County)
Agent's Name #: Mailing Address:
Agent's phone #:
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.
I have no objections to this proposal. I have objections to this proposal.
If you have objections to what is being proposed, you must notify the Division of Coastal Management
(DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is
available at or by calling 1-888-4RCOAST.
No response is considered the same as no objection if you have been notified by Certified Mail.
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift 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. REC E IVE
I do not wish to waive the 15' setback requirement.
AP�operty Owner Information)
'gnc ure
0rU6fPd iD,
Print dr Type Name
i 1r-� �nb-arnas-{a tY
Mailing Address
City/State2ip
ap,5a- au l - toq&3
Telephone Number/ Email Address
... .....'__-
Date
(Rip rian Property Owner Informa ion�� CITY
Knature r Ntmqt-l
r G,'e a�
Print or Tye Nq me
Mailing Address
City/Stat ip
AC9- b71 - -r & e
Telephone Number/ Email'Address
Date
3-3-aC-;\
(Revised Aug. 2014)