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Home My WebLink AboutGould, Jamie 90038CMCAMA ❑ DREDGE & FILL N9 90038 A B! C�� D GENERAL PERMIT Previous permit Date previous permit issued 21nNew ❑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 - ❑ mules attached. ❑ General Permit Rules available at the following link: www.deq.nc goy/CAMArules Applicant Name Address City Phone # Email State AA ZIP Authorized Agent_�Z1L��- Project Location (County): i Street Address/State Road/Lot #(s)�) Subdivision City City /,', I ?;YS S"_? Affected ❑ CW ❑ E W ❑ PTA p ES ❑ PTS Adj. Wen Body „- an/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body \ ill➢nl C,.>''� ORW: yes/no ": PNA: yes/no Type of Project/ Activity Shoreline lenefh ' 10 (Scale:) I_ Access Length .- -- 7 r _ -- — — Pier (dock) length "" t — _ (1— J!— — ---` _— �— -- - Fixed Platform(s) . -� Floating Platform(s) I L IcI Finger pier(s) - Total Platform area I _ _{r i r _ __— Groin length/a .. - .. i Bulkhead/Riprap length l I 1 I Avg distance offshore f_ At Breakwater/Sill- - Maxdistance/length T ---- 'f�' Basin, channel Cubicyards( _. I .- s r sh j . - _ Boat ram P T .Y i Boathouse Boatlift Beach Bulldozing Other 4� lk lk 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 (c y+ ❑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 lnFAlFrXIM%FD_ Agent or Applicant PRINTED Name Permit Officer's PRINTED Name MAR 03 207i Signature**Please read compliance statement on back of permit-"rJ� �... Application Fee(s) Check b/Money Order Signature Issuing Date OC; M•MHLJ AT'/ Expiration Date 41UG A1AA ❑DREDGE & FILL N� 90038 A B'c) D ENERAL 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 (}_� }a ) (� `,� ❑ Rules attached. N-General Permit Rules available at the following link: www.deg.nc.gov/CAMArules Applicant Name �?(,t YUI 112 Authorized Agent C.L. -- t, :3->L.v'iWS Address <; Z I o { C. �) �-^)- Project Location (County):y City AI J2f(V (•.CI -fy State -AA ZIP Street Address/State Road/Lot#(s) Sc' Phone#(PZ) Email )tt MSC - Lk., -n.`C( C Oca OcL1 "oA\ Subdivision city blcyie-izipMal 5�y Affected ❑ eW MEW ❑ PTA gIES ❑ PTS l� Body e! i � � 6 n/unk) Ad' Wtr. Bo �✓ �i%^� �:+n.e, na ma AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body (J i dt-z- );'-,.t._G3" > ^•� U ORW: yes/too 1 PNA: yes�n� Type of Project/Activity -1>r 00CA -1 1"' 1!IC.i"(" CJ:o Shoreline Length %?% Access Length - Pier(dock)length Fixed Platform(s) Floating Platform(s) Finger piers) _, Total Platform area Groin length/i! I Bulkhead/ Riprap length Avg distance offshore--I- i i Breakwater/Sill- Maxdistance/length Basin, channel +" Cubic yards Boat ramp Boathouse/ Boatlift_�- Beach Bulldozing Other G .�'�i �i SAV observed: yes no" --- Moratorium: n/a yes noSite Photos: yes no Riparian Waiver Attached: , yes no A building permit/zoning permit may be required by: ! !: Permit Conditions' (scale:i ❑ 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) �lh.c� Agent or Applicant PRINTED Name Permit Officer's PR NTED Name _ MAR 03 Signature "Please read compliance statement on back of permit" / I , Signature Application Feels) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORI2ATiON FOR CAMA PEF2MIT APPEICATIOtV Name of Property Owner Requesting Permit ` 191?7 / (�V,:c L Mailing Address; j`, �� T Phone Piumbw: z:rnail Address: �, ! t certify that I have authorizedELI t,_ f%U i�u Y, 4entlContraaor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ��- t-1�.%lU at my property located at 5 t C' .� in r ��_Coanty. 1 furthermore certify that l air authorized to gran4 and do in fact grant ,oalmission to DivPsiOn of Coastal Management staff. the Local Permit Ofcw and their agents to enter on the aforementioned lands in connection witi) evaluating inibrrnaton related to this prirmit wlicaton. Property Owner Information: � 7 signature ' Print or Type Namo 7 itle _Z l -C, I zG;7 - Uate This certification is valld through �/ ! PFCFl%"=n MAR 03 Oi< 0CM-nn»tr (:i r, N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIOWWAIVER FORM CERTIFIED MAIL - HaTVRN RECEIPT REQUESTED or HAND D�61yFRY (Top portion to be completed by owner or their agent) Nance of Property Owner - ,+3 j iL' /e ; 2 c'e A. b Address of Property: r E3 L i )&R LC Ell 13 e i %y. Akr 7 Mailing Address of Owner. r Owner's email ide c - 'r 1-eO'wnee3Rhone#: �� 7Q 2j rtY}l s, Agents Name. a.-r _ F-' a+ r-a Agent Phone#:2 "Z 77A -7 % q C' 7 Y 5 Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Uottoan Portion to be completed by the Atli cent Property Owner) 1 hereby cartify that 1 own property adjacent to the above referenced property- The individual applying far this permit has described to me, as shown an the attached drawing, the development they are proposing. A lmdotion or drawl . h dimenjim& must be oraoided with this leltor. I DO NOT have objections to this proposal, i DO have abjections to this proposal. If you nave 00JOCUOns to what rs befit¢ proposed, you must notify the N.C. Division of Coastal Managemerlt (DCM) in Wr(ting within 10 days Of receipt of this notice. Correspondence should be mailed M400 Commerce Ave„ Morehead City, NC 26W. OCM representatives can also bo contacted at (252) 808-2808- No response is considered this Same as no objection If you have been notmed by Certified Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, Illt, of (groin must be set back a minimum distance of 15' from my area at riparian access unless wa'a+rad by me (this does raa apply to bulkheads or rlprap revetments). (If you wish to waive the setback, you MUILLsIfin the appropriate blank below.) I DO with to waive some/all of the 15, setback Vr 4 t SJ,7nallrre of djacent clan Pmperiy owner -OR- I do not wish to waive the 15' setback raqui: einent (initial site blank) Signature of Adjacent Riptulan Property OvinBr. 'A /w 1 t! t+y' t Typed/Printed name of ARPO: - %_ L L c <-5 tN7 �T . II ++ Mailing Address or A RPp: rl .J � i Z, ARPO's email: 2f Cj . r— t_ C . -Y• Cr: rJ1RPO's Phonem ys Date: G^F j.0 'waiver Is valid for up to one year from ARPO's Signature` t Revised May 2021 �f`l':�atr�ty MAR 0 3 202? 0CMI-MHU (CITY N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIVVAIVER FORM gERTIFIE12MAIL R T RN RE-cwryr REQUESTED r MAN DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: J rq ram'? r e- G.,L ( c1 Address of Property: Mailing Addrass of Owner. rtLt' '1 t}wnrrsemail: f''�% ' 6wrw's Phone#: - ` ,t] 3- CO t 2 ti AgentsNarne:. Y'1 F ' )� Agent's Email: Agent Phone#.' ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION Portion to be g2m,310ted by the AdIARmt PzQDOrtV Owner) I hereby certify that I own proporty adlaoent to the above referenced property. The individual applying for this permit has described to me, as shrmn on the attached drawmg, the development they are proposing. A fter. pt pn of dravvirm�, wish dimensions must be OrOvided with this )after. t I I � I DO NOT have objections to this proposal, 100 have objections to this propoyai, It you have objectlons to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) in writing within 10 days of nreelpt Of this notice. Correspondence should be mailed to 400 Commenco 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 beon notified by Certified Mail. WAIVER SECTION I understand that any proposed pier, dark, mooring pihnge, boat ramp, breakwater, boathouse, IIR, or groin must be set hack a minimum dbstance of 15' from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap re10etment3). (If you wish to waive the setback, you must scan the appropdato blank below.) r I W wish to waive somelall of the 15' setback X t ' -OR- S+Onaturo olAdjacerrRiparian Properly diww I do notwBh to waive the 15' &attack requirement (Initial the blank) 5ignature of Adjacent Riparian Property Owner: TypedlPrintad name of ARPO: x Mailing Address of ARPO: 'A a 1AL9br. U4j , , ARPO'semalt:x ; 4[;i W Yla". ARPO'SPhons#: Gate: )t `L - t o t-'2? 'waiver Is vend for up to one year from ARPO's Signaturea :5$7 Revised May 204*p('Fjif�d MAR 0,q OCki-ligH►a CITY 7 § z \ & - \ k¥ I ) � q mm mm mm�q � n � (, q X � PF(,r-W=V MAR n3Jt oc K4HD GEY