Loading...
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