HomeMy WebLinkAbout85811D - HODGE❑CAMA ❑ DREDGE & FILL �� N9 85811 A B C D
GENERAL PERMIT Previous ermit
/ J �J�J Date previous permit issued
New ❑ Modification ❑ Complete Reissue artial 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 1 i 1 4 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.dgq.nc.gov/CAMArules
Applicant Name
Address
City v10 .
Phone # (A
Email
IN State r C 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 ��'�n' v ✓ t �-�^ ' \ '7t r,� VY, f /y, U.-)
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
Moratorium: n/a yes
Site Photos: yes
Riparian Waiver Attached: yes
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 PRINJfD Na Permit Officer's PRINTED Name
�� kW
Signature "Please read compliance statement on back of permit" Signature
Application Fee(s)
Check #/Money Order 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:
Tar - Pamlico River Basin Buffer Rules 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
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Clyde w Hodge
Mailing Address:
104 Glenhaven Drive
Chapel Hill NC 27516
Phone Number: (919) 414 -1416
i
Email Address: rehodge628@gmail.com
certify that I have authorized Southern NC Marine
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
Pier Reconfiguration as shown in permit drawing
at my property located at 1312 Carolina Blvd Topsail Beach NC 28445
in Pender County.
I furthermore certify that I am authorized to grant, and do in fact grant perm) ission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connectiop with evaluating information related to this
permit application.
Property Owner Information:
//' Au"
gighAlurk
Print or Type Name
Title
/ 'Z j / 2,ZJz2
Date
This certification is valid through / /
i
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERYI
(Top portion to be completed by owner or their agent)
I
Name of Property Owner: Clyde Hodge
I
Address of Property: 1312 Carolina Blvd. Topsail Beach NC 28445
Mailing Address of Owner: 104 Glenhaven Dr chapel Hill NC 27510
Owner's email: rehodge268Qgmaii.com Owner's Phone#: (919) 414-1416
Agent's Name: Southern NC Marine
Agent's Email:
Agent Phone#: (910) 512 - 7647 il
ADJACENT 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.
J�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 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at (910) 796-7218. 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, �Iift, 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 sinl
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
&99--
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Andrew Edwards Truttee
Mailing Address of ARPO: 1025 E Ball Road STE 100 Anaheim CA 92805
ARPO's email: ace hex+ron.GOM ARPO's Phone#: 1 1 `4 5'17— 661154
Date: �2'r`(I2a2z *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
1310 Carolina Blvd
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: Clyde Hodge
Address of Property: 1312 Carolina Blvd. Topsail Beach NC 28445
Mailing Address of Owner: 104 Glenhaven Dr Chapel Hill NC 27510
Owner's email: rehodge268@gmail.com Owner's Phone#: (919) 414-1416
Agent's Name: Southern NC Marine
Agent's Email: SouthernNCmarine@gmail.com
Agent Phone#: (910) 512 - 7647
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adiacent Prone
rtv 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.
v 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 127 Cardinal Drive Ext., Wilmington, NC 28405-3845. DCM representatives can also be
contacted at (910) 796-7215. 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
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: _. stllf&L
Typed/Printed name of ARPO: Sylvia J Matthews
Mailing Address of ARPO: 4003 Wade Steadman Road Wade NC 28395
.0
ARPO's email: �Qnu + aP ryl�GF/vw� ARPO's Phone#: 9/d - G Z y -O
Date: / a-/3- 22 *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
i
1316 Carolina Blvd
40"
----HGdge dock--- - 15'setback
i
bulkheadi
13.4"
161
12 x 12' Lift
26' Boat
15'setback
Date R-el-d
Dete Deposited
Check From Neme
Name ofPermft Nokler
Vend-
Check number
Check
mount
Permit Number/C—ants
Recel t or RerundlReellmated
Columnf
Column2
Cdumn7
Column4
Column5
Columns
Column7
CclumnS
Column9
1/17/2023
1/18/2023
Brandon Grimes Money Order
Bauwens
Wells Fargo
19-088347:
$ 400.00
GP #85812D
JD rct. 19955
1/17/2023
1/18/2023
Logan Marine, LLC
Martin
Truist
8211
$ 600.00
GP #85875D
JD rct. 18746
1/17/2023
1/18/2023
Southern NC Marine, LLC
Hodge
First Bank
1584
$ 200.00
GP #85811 D
JD rct. 19953
1/17/2023
1/18/2023
1 Delta Dock and Boat Lift
Collier
First Citizens Bank
1 9477
$ 200.00
GP #85868D
KG for JD rct. 18876