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Home My WebLink AboutDavies, John & Tiffany 90042C°"'"❑CAMA ❑ DREDGE & FILL N� 90042 A B c D Previous permit GENERAL 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: ISA NCAC 1 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name .t Authorized Agent Address City State ZIP Phone # (_ ) Email Project Location (County): Street Address/State Road/Lot #(s) Subdivision r{ . i City ZIP i". ti; C, Ad Wtr. Body ' ` ( !� /*'.x fnat/}nan/unk Affected ❑CW pEW PTA ❑ES ❑P75 h Y ,.,, ) i` AEC(s): ❑OEA ❑IHIA ❑UW SPIMA ❑PWS Closest Mal, Wm, 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/k - - Bulkhead/ Riprap length .. - Avg distance offshore f Breakwater/Sill Max distance/ length Basin, channel Cubic yards - G Boat ramp Boathouse/ Boatlift ? t 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:) =7D ) ❑ 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 Feels) Check#/Money Order Issuing Date Expiration Date ;CAMA ❑ DREDGE & FILL N° 90042 A B 6) D a I GENERAL PERMIT Previous permit Date previous permit issued _.---•" MNew ❑Modification [:]Complete Reissue ❑ Partial Reissue As authorized by the State of N�7orth,C�arolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC _ )'� ) Ll.�l/ ❑ Rules attached. n General Permit Rules available at the following link: www.deq.nc.goy/CAMArules P Applicant Name `'Y i Pvt, 1 )t'v,<' i Authorized Agent s- < Address Project Location (County): I r -- City State Al l_- ZIP l K C -f7) Street Address/State Road/Lot #(s) Phone # (_ ) Email :n ( ;v\ Subdivision City A]6'." IS ZIP I Affected ❑CW EW ®'PTA ❑ES ❑pTS Adj. Wtr. Body ��_";peel 4' (/.<_P. _ na-t/nan/unk) AEC s : OEA IHA UW SPIMA PWS l { ( O ❑ ❑ ❑ ❑ ❑ Closest Maj. Wtr. BodyJo ORW: yes[no PNA: yes%lSo / Type of Project/Activity .+:,✓'li:%-[ fv..,.%.��`:.:;a-.>_ l,af�: (Scale:I / p ) Shoreline Length Access Length— Pier(dock)length - _ Fixed Platform(s), Floating Platform(s) Finger pier(s) F Total Platform area Groin length/# - ---- Bulkhead/ Riprap length -"- --� — Avg distance offshore--- Breakwater/Sill i -' Max distance/length y '.., Basin, channel i v -- Cubic yards ! W - - Boat ramp Boathouse/ Boatlih 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 THATAPPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) i Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature '*Please read compliance statement on back of permit** Signature i Application Feels) Check fi/Money Order Issuing Date Expiration Date 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: Address of Property: r Mailing Address of Owner: Owners a ail: Owner's Phoned: Agent's Name: ' , i P bY I Agent's Email: Agent Phonelk_ - 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, Iha development they are proposing. A I DO NOT o�e 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 malled to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 515-5400. No response Is considered file same as no objection If you have beer] notified by Ceriifled Mail. WAIVER SECTION I undarstand 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 revelments). (If you wish to waive the setback, you must sicln the appropriate blank below.) 1 DO wish to waive some/all of the 15' setback�l. Signat" of Adjacent llipod , ropody 0rvner •OR - I do not wish to waive the 15' setback Signature of Adjacent Riparian Property Owner:_ Typed/Printed name of ARPO: Mailing Address of ARPO: the blank) -_ ARPO's emallvjeet L. 6" 1 A 11z'o I Wi n.. ARPO's Phone),9 If / Oat . r l> r��).3-"walvor Is valid for up to one year from ARPO's Signature* Revised May 2021 OIMWNWI7 iMM—NMIN c F, rn� a N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFfCATION/WAIVER FORM OERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY ntn.J by n inn, cr their oryonf� Top portion to b� V..,,,ML,..,., .., ,.w ._ _.... . _ _ _ Name of Property Owner: Address of Property: Mailing Address foff Owner: _.r G Owner's email: � I `ay;,(� `e/rnroC j net s Phone#: Agent's Name: UP 11 ES Agent Phone#:cam Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to bo completed by the Adiacent Property Owner) I hereby cottify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me, = shown or '"^ "h^^hM 'lr^ inn, 1hp rfPVP1nnmPnf thev are pr000sing. A I DO NOT have objections to this proposal. I DO have objections to this proposal. Tf you have objections to what Is being proposed, you must notify the N,C. Division of Coastal Management (RCM) 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) 515-5400. No response is considered Ilia same as no objection it 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 riprep revetments). (If you wish to waiv a setback, you must sign the appropriate blank below.) ,d I DO wish to waive some/all of the 15' setback $IQnawir) Blip?: I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: 7 edlPrinted name of ARPO: � I T I Mailing Address of ARPD: h C 2217 ARPO's email; Phone#: Date: y�'.? �_ _'waiver is valid for up to one year from ARPO's Signature` Revisod May 2021 M,