HomeMy WebLinkAboutDavis, Braxton 91116C❑DREDGE & FILL N9 91116 A B CC )D
GENERAL Previous permit
PERMIT _
3 Date previous permit issued
New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the S-taste of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
t1 15A NCAC U ' � �I I ❑ Rules attached. ❑ General Permit Rules available at the following link: w ..decimc.gov/CAMArules
Applicant Name r
r.
Address 1F)
I
City I �1 I ('�`�1�� State ZIP
Phone #
FmeilI l ll V i. V� �'' i f
Authorized Agent -
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ CW � EW LN PTA ❑ ES ❑ PTS Adj. Wtr. Body ( I ' I (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
.f
ORW: yes/no PNA:yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock)length
f
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area i-
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
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 re(
Permit Conditions � t).(.L.CJl
\(il r/Y-
P �,•
IT1
Agent or Applicant PRINTED Name
Signature **Plepse read compliance statement on back of permit**,
Application Feels) Check#/hone Order
❑ See additional notes/conditions on back
(Please Initial)
Officer's PRINTED Name
Signature 7
Is uing Date Expiration Date
❑DREDGE & FILL N9 91116 A B <c D
GENERAL Previous permit
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 ,' I ' i ' �•�! //, ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dec.nc.gov/CAMArules
Applicant Name
Address
City
Phone # Y )
Email
Authorized Agent
Project Location (County):
State ZIP Street Address/State Road/Lot#(s)
Subdivision
City
n
Affected ❑ CW IN EW LA PTA ❑ ES ❑ PTS Adj. Wtr. Body If I ( (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body i
��
ORW: yes/no PNA62/no
Type of Project/ Activity
— T (Scale )
Shoreline Length
Access Length
I—
g
Pier (dock) length �� 1� t I
Fixed Platform(s)
1
Floating Platform(s)
_✓ _ -iT
-_- L - - T-
ii
Finger piers) \ i
Total Platform area .,�- �! -- _ E�.1.� "�_ .-........ - (/,� j.:�C..F
Groin length/ff —� FiC4 -z' �_ _ ._ i !-j-I-t j.I. _'
7-31117
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill_-
___
Max distance/length -
Basin, channel � i y
Cubic yards
Boat ramp-
Boathouse/Boatlift r t,
Beach Bulldozing A-
b:
Other r—.,�,--+ T - -_...—
r
SAV observed: yes no
Moratorium: n/a yes no - -- {^- i:. - }-- - 1 ---F —
Site Photos: yes no ! -
RiparianWaiverAttached: yes no
A building permit/zoning permit may be required by: - 4
/ll�i ❑T PAM/NEUSE/BUFFER (circle one)
Permit Conditions Y
y ❑ Seelnote 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 Feels) Check ft/Mone� 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: 31 "Y-at j /A U I S
Address of Property: j O S—
I*,&b L 1•ry tic
Mailing Address of Owner: `sN-kt //
Owner's email: �rzX i-DAkoA440 (.co. \Owner's Phone#: (\ tter/
3 513 )3.)4
Agent's Name:
Agent's Email:
Agent Phone#: ) /,A
ADZIACENT-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.
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 rile N.U. uivisron or uoasrar
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.) 1 f a MIC5 — kFcev
I DO wish to waive some/all of the 15' setback W` Qom,
Signature of Adjacent
on
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
v
Typed/Printed name of ARPO:���c.��
Mailing Address of ARPO:
znz
ARPO's email: >'(\%Ve,. r�� 1 eltM4,' `JARPO's Phone#:
Date: I t 5 12 a Z- Z- *waiver is valid for up to one year from ARPO's Signature*
ems^) i'
Revised May 2021
JAN 31 2023
l I I i✓67 Dt;M-M U 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 completed by owner or their agent)
Name of Property Owner: /, �()A J1 5-
Address of Property: yas /�� t}I �v! �Tt f fvl r>( +fa D C q
Mailing Address of Owner: SA^ ft
�
1Q Owner's Phone#: 3
Owner's email: � 1'ru 7CTo+� )out�J' � "'"
Agent's Name: t'd Agent Phone#: Al1A
Agent's Email: P- ( A -
7ACENTRtPARIAN-PROPERTY-OWN
(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.
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 noury me rv.r.. urviawu ul w—,—
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 sinn
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature
HE
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner
n7l
t'1 civil
�I 1 �t '
Typed/Printed name of ARPO1: »c Q'- C 1 ry 4
Rx-
Mailing Address of ARPO: ll E C� ��c� 1 Uc �4i
ARPO's email:(?,V) �) -CrtakPO's Phone#: CM ': L
Date: J *waiver is valid for up to one year from ARPO's Signature*
Revised MalytZt�2fI F)�
Ut.:tYt-MIAU o 1 Y
4 2022