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Home My WebLink AboutWoodcraft Home Builders, LLC 91125C`°"S", ❑CAMA ❑ DREDGE & FILL N9 91125 A B C D 'O B yGENERAL 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 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 (Scale: ) 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 ❑ 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" Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date o1*F COASr41 ❑CAMA ❑ DREDGE & FILL N9 91125 A B C D GENERAL PERMIT Previous 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 ❑ 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 P 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" Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR LAMA PERMIT APPW_p �TIQN Name of Property Owner Requesting Permit. Mailing Address: f Phone Number: f Email Address: I certify that I have authorized Agent : Contractor to act on my behalf, for the purpose of applying for and obtaining all LAMA permits necessary for the following proposed development: e /z at my property located at County. I furthermore certify t1jut I arra 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 Information: 4 . ignature J 0- Print or Type Name Tive Date A*Celv�u This certificat'01" is valid through L Y s'Cr- -)) 13 0 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPAPJAN PROPERTY OWNER NOTIFICATION[WAP4ER FORM �ERTiFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Address of Propert},: -LL - - 21-L, L Lk — fVlailing Address of Owner: Owner's emall:okz&��yyr�il Owner's Phone#: C-0 � k-Li Agent's Name: L-cn Agent Agent's grail: % by" ADjACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION Owner 1 hereby rcertify that I own property adjaceritto 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 DO NOT have objections to this proposal. ______ I DO have objections to this proposal. y 141030 of this notice. Correspondence should be M ®CM representatives can also be contacted a 72-7w! no objection If you have been nofffied by Certified Mail, WAIVER SECTION mn 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 riparlan access unless waived by me ,this does not apply to bulkheads or riprap revetments). (if you wish to waive tyre setback, you glgg slam the appropriate blank below.) i DO wish 10 waive some/all 01 "the 15'setback -OR- Signature of Adjacent Riparian Pr party Owner do not wish to waive the 151 setback requirement (initial the blank) se C i, j' n Signature of Adjacent Riparian Property Owner: 3 yped/Printed name of ARPO: Mailing Address of ARPO: ARPO's email; RPO's Phone#-, Date: AJ, �41 waiver is valid for up to one year from ARPO's Signature* TI P -!� i 6, )��- -k-1 A,4-,., -,n-- � JAN 2 ','1 oc"Pfij �rry N.C. DMSION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL R RRN RECE121 &QUJ5M or HANQ D, LIVERY (Top portion to be completed by owner or their agent) 1 Name of Property Ownen __-- ( I ewd Address of Property: ffo Mailing Address of Omer ��t R►� 11 �-� W d �- -7 s � Owner's small: 2,U1-Lp2(- p 3 "-mA� owner's Phonef#: 9 (c, Agent's Names: t1 ice- � Agent Phone* R3 2, - `�1 a� r 3 a 3- Agen?a Email: _ !�JYY�C 4! � � 1�lYit1.. 1r I (�,�(✓) ; �+CC'1r U r"1 PIcour._ In; �%-,� ADJACENT RIPARIAN PROPERTY OWNER'S CLrR1 FICATION c t 1 hereby earthy that I own property adjscerrt t:o thb above retereenced property. The Individual applying for this permit has deae f Me, 83 614110 n on the attached drawing, then development they are proposing. A rJ.S#,rvinfi_ h DO NOT have objections to this proposal. __ .s 100 have objections to thl$ proposal. MBrrsp 9"t (DrCMj M w14" �t�i� In 14 oaf -- - _ --------�_..... days apt of Oft modes. Comrapondence should be mallad 400 Comet emo Ave., Aimed City, NC 28T. DCU nitpn aw s can also bs o*nboW �' . at (26?) 2808 No rospon" is corgi tha s*fflo apr no o4 f"Oon tf y ou Marra bran r►odflid by Carolled all. �' tc,u �, t ,- WAIV'ER SECTION I �r c� I unders d that any propoaed pier, dock., mooring PlIngs, basic ramp. bmakwx*. boa>tth , ak or groin mu be set back a minimum distance of 15 from my area of rlperfen arcs unless wahrad by me (this do not apply to bulkheads or riprep ravatrywtta). (if you wish to waive the setback, you the apprp He blank below.) 100 wisili to waive Borne/all of the is setback .OR, &Onature ofA4%c*nt Riped rr P Ow» I do not sh to waive the 15, setback requirement (initial the blank) Sic {, en Signature Typed/Pr Meiling A ARPO's i Date; P Adjacent Riparian Propwty ; ed nttame of ARPO, of ARPO: /" 6 ARMs Mwr,: 4/ 'wetter li MW slow tip t O Or* year from Ales in8tuft` r`}.,, 4^-,q t : if �eirroti'ifbJ of y 21 -90 A 2 I Z K3 wm.mlib ofy