HomeMy WebLinkAboutWetherbee, Mark 84235CN\°jCOA r41 ❑ CAMA ❑ DREDGE & FILL N9 84235 A B C D
0
2 = GENERAL PERMIT Previous
Date previoussouspermit
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 ❑ 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 nc
Moratorium: n/a yes nc
Site Photos: yes nc
Riparian Waiver Attached: yes nc
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)
Signature
Check #/Money Order Issuing Date
Expiration Date
;` AST4, c❑ CAMA ❑ DREDGE & FILL N° 84235 A B C D
y = GENERAL PERMIT Previous permit
J 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 ❑ 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
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/NELISE/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" Signature
Application Feels) Check #/Money Order Issuing Date Expiration Date
Name of Property Owner Requesting Permit: AAie-v, Wen4cgi5ja
Mailing Address: _Izz) i3�rprQ. L"w L&ja
2 01 - 323-* n4-
Phone Number:
Email Address: -MAL9S.6�C--1 "t- &Orr, (2&-!L . Cc_M
I certify that I have authorized CS Scott, Inc
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all LAMA permits
necessary for the following proposed development: UjA-L-V-W" + ?&C-14
C%
at my property located at 1Z3 (Iv 64 AN G, AIV to
in 6 N5LL-)L',j County,
/ furthermore certify that I 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 I or=Uon:
4:77,470
Signature
W) E T I
Print or Type Name
Title
i Z-3
Date
RECIFFIVE-13
This certification is valid through I t 12JAN 17 2023
nc'411AWHO cII'y
..o.. l _- .j. .
I hereby certify that I own property adjacent to
property located at
on
(Wa
Initial The applicant has described to me, as shown below, the development proposed at the above
Here on location,
one of IA-Y — I have no objection to this proposal.
these I have objections to this proposal.
lines
DESCRIPTION AND/OR DRAWING OF (PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
�til � T� 1 �� � X 12 I�� 1�i ►�- �'- ►`'1
Initial
Here on
one of
these
lines
W IW� VER 199119N
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set back a minimum distance of 15' from my area of dparlan access unless waived by
me. (If you wish to waive the setback, you must initial the appropriate blank below.)
J45_ I do wish to waive the 1 b' setback requirement.
I do not wish to waive the 1 b' setback requirement,
Mailing Address Z%53`'I
'-IUdg71-r. - rJ G
C' 'Istaleli
Telephone Number/email address �k'�• 4u``
l - /2 - Zc7Z-3
Date
*Valid for one calendar year after signature*
Owner Information)
Print or Type Name /
i/9 eeU'r hoj�Q 1 /�
llttelff Address -i /K 1
�1 ,� C
pity/teip s�
Telephone N" her/email address
Date*
(Revised AU9JR If r/ Z023
I hereby certify that I own property adjacent to MAiLle- WO -*-Eggg- is
(Name of Prope Owner)
property located at 12.3 13e.Ak �LLMAJ t-4- W15brd rCe'Z.8a-Tell
'3 eAP, (Address, Lot, Block, Road, gic.) N. C.
on I _, in PvP...7L-r / 6h6LZ)L.%J
(Waterbody) (Cltyffovi n and/or County)
Initial The applicant has described to me, as shown below, the development proposed at the above
Herof e on I have no objection, to this proposal.
:)ne
these I have objections to this proposal.
lines
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT
(individual proposing development must fill in description below or attach a site drawing)
Initial
Here on
one of
these
lines
41
L
WAIVER SECTION
I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin
must be set hack 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 1 S' setback requirement -
I do not wish to waive the 15' setback requirement.
(Pro erty JDwner Irft9irmation) (A ecent Prope wner Information)
Si ature arl lure
Print or Type , Name Print or Typ�
13 'Pame
J L
iw 4)19C 2V ew-,-2 /,A/
Mailing Address A Malit AJdre
C4 ,;s. citylstatelzip
207-37-1-fJ54 MAL9Ma'rI4e1Wt-CC1A1'L 610 7 -J�? --14'&/,
-
Telephone Number/ email address TeYie"PhVig Nurnber'i eiit addross
- - - JL- ZOZ-S 7�z, IV r 1-1
Date DatP
(Revised Aqp?T4) 2023
*Valid for one calendar year after signature*
rx,io-m. Ho c'rry
Drawing Prepared By: C3 Scott, Inc.
Date: 1 /10/23
Scale: 1 ": 20'
Y
J • Bear
Hollow
Property Address
123 Bear Hollow Lane
Hubert, NC 28539
Property Owner:
Mark Wetherbee
Proposed work:
-Option 1- Construct a new
4'x50' sure step dock with
an 8'x12' platform leaving
the piles up on the
walkway
-Option 2- Construct a new
4'x50' treated lumber dock
with an 8'x12' platform
leaving the piles up on the
walkway
Q
129 Bear ro
Hollow Lane JAN I `::' U-23