HomeMy WebLinkAboutAshby, C. Stephen 88873CCAMA ❑ DREDGE & FILL N9 88873 A B D
GENERAL PERMIT Previous permit
a Date previous permit issued- ...__
0 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: wvm.deq.nagov/CAMArules
Applicant Name _
Address
City
Phone # (.)
Email
Affected ❑CW
AEC(s): ❑OEA
ORW: yes/no
State
❑EW ❑PTA
❑IHA ❑UW
PNA:_yes/no
Type of Project/ Activity
Shoreline teneth
❑ ES ❑ PTS
❑SPIMA ❑PWS
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ', ZIP
Adj. Wtr. Body 2 (nat/man/unk)
Closest Mal. Wen Body
„' 1
Access Length
Pier (dock) length
Fixed Platform(s)
mom
11:1E11�:
....
0
1
■.;;�■.■.:;.:�::::
Floating Platform(s)
Finger pler(s)
Total Platform area
Groinlength/#_ —[I—
Bulkhead/ Riprap length
Avg distance offshore
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift_
rn
In
ENNE
ON
0
A building permit/zoning permit may be required by:
Permit Conditions l
I
r
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) Check N/Money Order
Signature /
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:
nTar - Pamlico River Basin Buffer Rules n 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
252-808-2808/1-888-4RCOASTFax: 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
❑CAMA ❑ DREDGE & FILL N9 88873 A B `c D
Jao Previous permit
. GENERAL PERMIT Date previous permit issued --. _-
❑New ❑Modification El 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www deq.nc eov/CAMAvIes
Applicant Name
Address
City State
Phone # (_ )
Email
ZIP
Project Location (County):
Street Address/State Road/Lot #(s)
City ZIP %
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Win Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Win Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:' - )
Chnrnlinc I cnath
Access Length
Pier (dock) length
Fixed Platform(s)
-__'
._..—
I—
Floating Platform(s)
!
Finger pier(s)
Total Platform area
Groin length/g
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
(
---
—4r
f
-
—
;
I
�.�
-
--
•.
---
SAV observed: yes no —
Moratorium: n/a yes no
Site Photos: yes no -
Riparian Waiver Attached: yesno
—17
1
-
;
--
--
—
A building permit/zoning permit may be required by:
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 Feels) Check tt/Money Order
Signa)ure
1
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:
nTar - Pamlico River Basin Buffer Rules n 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: Bartle, 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 Pander Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 6/01/2021
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: C'AA��
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized Doug Watkins / Edgewater Marine Construction
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMAA permits
necessary for the following proposed development.
at my property located at
in 64_t�---County,
l 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.
Title
1ZIC!�rl/ 2Z
Date
This certification is valid through
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONiWAIVER FORM
CERTIFIED_MAIL RETURN RECEIPT RECUESTED or.HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner..
Address of Propery t-A_
Mailing Address of Owner Mew
PLU
Owners ema �1dt{1�t i l3" 1. Owners Phone#=lI�i,�G11 �1ICE
Agent's Name Doug Watkins _ Agent Phone# 919-369-0776
Agents Era, p2L ed ewaterrllarin-enc.Cotml -
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 snown on the attached drawing. tie development they are proposing A
descn tion or drawing, with. dirnens_gns must be provCed wit- thSs letter
_ i DO NOT navy oolecticns ro this prcoasai -_, — f)O rase ''jotections to ,his proposal.
If you have objections to what is being proposed, you nwst notify the N C Division of Coastal
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 prongs boat ramp breakwater, boathouse, on, or groin
must be set back a minimum distance of 15' from my area of ricanar access unless waived by me (this
does not apply to bulkheads or pia revetments .It i o'LL w sr IL wao e ,tie setback you must sign the
approprate blank oeiow
1 DO wish to waive sume7all Ci Chb `': Setr)aCK
S;ynar.. E rttC/a c ;iar; f-.;er+� Owner
.OR_
do not vr'isr to waive the 15' sercacK reps rement wriva 1`e Darr;-.._..-.
._._.--------_--- ----- -- _.._ -- ---(-- to
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO: _J_ —
Mailing Address of ARPO: -, 1:711_�_f- /.�
ARPO'semail: 3An+tsrlk�?ba?tueRPO's Phone*_ t.��'
Date: P-'L�'!3._��__'waiver is valid for up to one year from ARPO's Signature'
Rewsed May 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL __RETURN RECEIPT REQUESTED cr HAND DELIVERY
(Top orttio�n to be completed by owner or their agent)
Name of Property Owner C-_✓�EQ6uDK— — —
Address of Property_ I,e____
Mailing Address, of Owner �Ri L!l��j,4�—
�« q
Owner s amailN�U�13_� `�('R_R� wner's Phcne# Ci�
Agent's Name: Doug Watkins `J Agent Phone# __-919-369-0776
Agent's Email: Doug@edgewatermarinenc.com
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
I DO NOT have objections to this proposal ____ 1 DO have objections to this proposal.
N you have obilections to w/rat 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 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 the; any proposed pier, dock, mooring pilings: boa: ramp breakwater, boathouse lift, or groin
must be set back a nunlmum distarce of 15 from my area of riparian access unless waived by me (this
does not apply to o0kneaos cr riprap revetments? lif you wis t waive the setb k. you must sign the
appropriate oiank below';
I DO wish to waive sornelall of the I S' setback
of Adjacent
am
I do not -Nish, !c rake Ehw � -'.A'_k requ,reinenl fmn raj the
Signature or Adjacent Riparian Property Owner
TypediPrinted name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
`waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
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