HomeMy WebLinkAbout85831D - JW BROOKS HOA&FICAMA ❑ DREDGE & FILL NO 85831 A B C D
a Previous permit
-GENERAL PERMITa� Date previous permit issued
[—]New [:]Modification [:]Complete Reissue P rtial 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.dgq.nc.Yov/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' f
Fixed Platform(s)'`
Floating Platform(s) ! t`
Finger pier(s)
Total Platform area `
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length i
1'
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes n
Moratorium: n/a yes no
Site Photos: yes no '
Riparian Waiver Attached: yes no
A buildingg p y q y permit/zoning permit may be required b
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
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:
1-1 Tar - Pamlico River Basin Buffer Rules
1-1 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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NX. DlMION bfF COASTAL MANACEMM
ADJACENT MPARIAM PROPERTY OWNER NOTIFiCATIONMAWER FORM
CERT, FIED t+ AIL , 8ggRN.RECEIPT' REQUIGSTED or HAND. DEUVERY
(Top portion'ko be c ompfeted by gamer or their agtrtit)
Nameot:PropertyOwner: r ` �-- ='t-'� 1�G t- i`,'�i 1 ,1ddkc, `)/ft
Address of Propsrty: 10 S �j late
• jVI s ` �_IIXI I
Owner'semalii)`ief .CG' tawneePhonet,
Agent s Nartir;: I.'t �tp �r9 f3 )cn�: Aunt Phone#:
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Ag6'RYSrll: ,[' `C
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7-1
ADJACENT RIPA3;;U►1►1'PROPE f OWNER'S CER'iIMA— 6N
(8o torri aerrtionlo 'be C mikt d by the A¢ t+roResrty Owner)
i hemby,certifythst I ovrn pcopeit - adOreniita the 0017c Mkti&SMd propezty' _ The individual applying for Ws
permit has: described tO cno, as ShtY.Vn• Cn tfi� attsched dr 3Wng, the d*VC4 iment' lhey pmP�
A eticaet ng-
des�or drawirirt. with dim6nsior4t* must tie promrid d %ith Na.t r.,
..I ®t1 W>T hav objectionssi0 thirS 1. t Dd havfr vbjddaons i tlli , prLs 5 1;
IT you Iwo otr�ect�arrs Ito what 1s,bdng pwpM6d, ,yoa.rntW n6uty via maaii't►islott Q:F C*asf�J
t►d wagetrrenf PCM in-lvritir 9, wifh.ln 10 dap -cfrdceipt of this nothm Cvrraspwdeace, should be
Rrar7`e{ffb �iDlivo.k7(7;.�fisitr•�tior�,,l�i'C'28��'i.DiClJlropT'�ca»a15a�COitta�dl�
(01p) T9&721$L No res'panse hr cdrlsii�eroaf:it�a s,�rrte �s .ntr oh}etatr if yori:hav*.beerr ratified
Certi'J%d Ilifai ,
WAIVER SEM014
1,r�dder tit# tiia8�rtiy.proposeil p€er. do&, n>t iron ongs. bmg ramp, breakwater.,baathmsp, or grvih
rreust be Set -4ACk a-ftftlrnlrm distancd'of 1F irom .rnyWesof dPatkmA un *m WgvM day me (this
riot ai pZy to:bujjcfte2ft or rjprap;evetments). (If. y vrisl4 tD'Waiv4P.11 a S0Ib.4ck.; you crust sign the
appcaptiat� b&aril< �retm�.)
I DO Wish to waives somelaff of tics 1 n sea wk
-OR �ignetrrs vf�d�cend t�r�iort Pnv�er#ir 4Wfrer
r do not wish to waive the le setback ragwei'tMM (id dal the Mini;)
Sig Sture .of Adjacidni Riparian P rty o3 mer
T C31Parirdert frame Of-ARPt]_ _ •. ,. '� W I j ] . '� ? ' ` P + ✓`` ! �)
Mailin Address of RP
9
ARPO:s etnati;.C'`cr.� 'ARPWs koneg- -z-� -' z'� so
is valid#jor. twine uP. year firotn AFtRO s Signature
)C
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER'NOTIFICATION/WAIVER FORM
CERTIFIED MAIL '-.RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top. portion to be completed by owner or their agent)
Name of Property,. Owner: 12 r✓Y'' 'l k, JAW 6 r"66 k-S 7 t v A—
Address of Property; /V C 9. S`U f
'D
Mailing Address of Owner g S vV .(t 2r ,�'�" 1. y.) �� .Rvo
Owners email: -}fie pn'en h r►•, k� Owner's Phone#:
Agent's Name: ; nt. Phone#: % 1: Lt� o�-QCt
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom.00itlon to be completed by the Adjacent Property Owner)
I hereby certify that I own prbperty:adjacent to the above referenced property: The individual applying far this
p+ermit:has described to me, as shown•on-the attached drawing,. the development they ar ''proposing.
A descrip/lion or drawing with dimensions must be provided with this letter.
y . I DO. NOT have objections to this proposal. t DO have objections to this proposal,
If you have objections to what !s being proposed, you ,must rro!!fy .the .N.C; Division of Coastal
Management (t)CM) in, writing. within .10 'days of receipt of this notice:. Correspondence. should be
mailed; to 727 Card/na! Drive EXT, Wllmingfon, NC 28405 DCMrepmsenfailves can also be contectedat
(910) 79&7215. No response is considered the same -as no objection if you have been nafiffied.by
Certiffed Mail.
WAIVER SECTION
I understand that any proposed pier, dock,,moonng 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.somelall of the IV setback
Signature of Adjacent Riparian Property Owner
-OR:
I do not wish to waive the IV setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address ofARPO: r
ARPO's email: ARPO's Phone#:
i
..bate• 6 ��/�'a-- ..
• 'waiver IsValid for up to one year from ARPO's Signature*
Revised May 2021
i
N:C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHO RIZATl03+! FjQNN!
-Name Of Property 0W.ner Applyin for Permit:
"►II fitig AddrLsti_
i- _
(certify that I have auth6rized (agent) l Pam►. In:. i �r `t �0
to act on'rn
behalf, .%.r the purpose Of20ptying for and obta.06, 9411. CANIA'Perinits ttccc,sarg. to
Install or construct (act F.ity) >vr � ¢ .
f >
At Ony. property iamied at : + —
r[.
9
This certiTcafian is;acid thru (datej
Property, Owner s' . �turr
D1te
Date Received
Date Deuoslted
Check From Name)
Name W Permh Nolder
Vendor
Check number
Check
amount
Pemdt Number/Comments
Retain or Relund/Reallocated
Column!
Column4
Column3
Ca1umn4
Column6
Column6
Column?
Column9
W-9
1/12/2023
Grice Construction
Beam Properties, RLLP
Truist
20814
$ 400.00
GP #87576D
BB Mt. 19859
1/12/2023
Sound Side Marine Construction LLC
Reitzel
First Citizens Bank
183
$ 200.00
GP #87575D .
BB Mt. 19860
1/1212023
Pippin Marine Construction LLC
JW Brooks HOA
Wells Faro
6174
1 $ 200.00
1 GP #85831 D
KB rct. 18956
1/1212023
John McClure
Vandenberg
United Bank
2046
$ 200.00
tGP #85865D
BB rot. 19853
1/12/2023
John McClure
Mark Davidson Etals
United Bank
2065
$ 200.00
GP #85716D
Bb rct. 19857
1/12/2023
John McClure
Moore
United Bank
2050
$ 200.00
1 GP #87432D
BB rct. 19856
1/12/2023
McPherson Marine Services
Wri ht
First Citizens Bank
r7Anl
$ 200.00
I GP #85867D
PA rct. 186"