HomeMy WebLinkAboutMcCloud, Hanna 84240C14"Ce"ru ❑�' CAMA ❑ DREDGE & FILL
. GENERAL PERMIT
No 84240
Previous permit
Date previous permit issued
A B C D
❑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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.det.nc.gov/CAMArules
Applicant Name
Address
City State
Phone # ( )
Email
ZIP
Authorized Agent i t `• (�--->' ' '� i i �i�)(
Project Location (County):
Street Address/State Road/Lot #(s)
I•.
Subdivision
City - ZIP
Affected ❑CW FEW ❑.PTA ❑`I€s ❑pT5 Adj. Wtr. Body 'i /.__(a,aman/unk)
AEC(s): ❑OEA ❑IHA ❑-�nuW ❑❑ SPIMA PWS Closest Mal. Wtc Body
ORW: yes/no' PNA'vesAo
Type of Project/ Activity
-
Access Length
I
Pier (dock) length
Fixed Platform(s)si�
a
Floating Platform(s)
I
Finger pier(s)
Total Platform area
Groin length/17 •"
.
-•-��
a
-�
_
-'
_
�'
-
Bulkhead/ Riprap length
- ..I
I
I
Avgdistance offshore
Breakwater/Sill
t
-
Max
Basmalchann Ilength
Cubic yards
Boat ramp
rT
T ...
—
i1
—
r
i
_
I
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no_
Moratorium: n/a yes no --�
Site Photos: yes no
Riparian Waiver Attached: yes no.-
-
I
e
-
�-
•:--
-.- -
n
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" 5Ow
Application Feels) Check N/Mone+✓'y,Order
Signature
Issuing Date Expiration Date
�"°"'"�❑CAMA El DREDGE & FILL N9 84240 A B C D
3 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:
I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _ A h I d
Address
City
Phone # ( )
Email
ut onze Agent
Project Location (County): -
State ZIP Street Address/State Road/Lot #(s)
Affected ❑CW ❑EW ❑PTA
AEC(s): ❑OEA ❑IHA ❑UW
ORW: yes/no PNA: yes/ho
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/p
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
fuhir vad<
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
ES ❑ PTs
❑SPIMA ❑PWS
Subdivision
City
Adj. Wtr. Body (nat/man/unk)
Closest Maj. Wtr. Body
(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"
Application Feels) Check It/Money Order
Signature
Issuing Date
Expiration Date
��
`, fi.�
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: P- D'`.G�- �r Cy "'� �,,-�///
Address of Property: l r YLJ- �`�
Mailing Address of Owner A1.60 r ! w11�
Owner's email: CS L't`✓ie' . 5' �� 2E{• LW+ner's Phone#:
Agent'sName: 14561 ( 2 / �' � " Agent Phone#: �/ o -- �7-.3tJ -'S 5�
Agent's Email: A- l✓-Iet r-tneC & /7i i'1 Lt-I (7')L,
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
descrl ion or drawina. with dimensions must be provided with this letter.
3r
I DO NOT have objections to this proposal, 100 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
malted to 400 Commerce Ave., Morehead Clty, 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 notifled by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse. lift, or
groin must beset back a minimum distance of 15' tram my area of riparian cc un as waived by me
(this does not apply to bulkheads or riprap revetments). (If you wish to w e setb ck, you must sign
the appropriate blank below.) /
I DO wish to weiv som /all of the 15' setback
�Lir tr bG /�•
SignaS�Adjace t eipa ran Property Owner
-OR_
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: �
Typed/Printed name of ARPO: - JjyKCc-4't//'I fj-, j �1 rc1
L t T
Mailing Address of ARPO: �c-C14 )-e � �' a LA., U
ARPO's email: ARPO's Phone#: 416 - �� 1J5-- 2-0 ] 2—
Date: _2,./ _(O _�*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
N.C. DIVISION OF COASTAL MANAOEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTITIQIONf AA "M
Rx.l�l(24i1L IikSYlF3GifGG!['['ZJ3Pw4t�1.E
(op pol,tio to he Completed by owner or their agent)
Name otPraW'iiY(hv+xrr:�fL:1.141.-_
MAhnq Address of Droner'I�- 3 31..y.�
_J 6
,,rr� nA
t..?2 %. ;:_<� Aannl Pbonaa:-' ,s.=" .-' .
Apart a Name // f 0 r?i
fgtlM's E'mnt+: _.
AWAGENT RIPARIAN PROPERTY OWNER'S CBR7IrICAVON
[ggttom rigrjjon to o dmQlo(sd w live Aa4aaonl:PisNz4!11t:9=dttl�C?
8rni(oWv} re ortY ad'ntknl to thm obove rtdotenra4propertY.7ho indivxhaat mlipiY�lku this
f bamby f P P 1 roposrrW
permit has s edesdr7xW to ma, as shnwn on tare attached drawing, N,o dovclntanent the Y')M pA
g .g?;<1S?d_9r?w._nt1,9.»ith dimenc, r .`}.tbuS09 2r0A'ZLWMAWM.
100 NOT b0ve obOdiens to this Proposal. _ 1 Do have ObJecrlons to Iris pfOuosal,
7r you have objections to what Is being proposed, you nmai nyttfy the tf C. Dfrlstoir o �Goasyat
Management (OCM) in writing within 10 days of receipt of this notice, Corraspondance Should bn
mattatives can also
contacted
at j1� f80-2808, No response commerce Ave,, sconsidermhoad City, the samNC se as no objection if you have beert be
by
Certified Mail.
WAIVER SECTION
i understand that any prOPosed Pier, dock, owwring Pilings, boat ramp, bmakwntnr. boathnu5e, lift, Of
groin must be set back a mlydmuni distance of I5` from my area of riparian aceesa untoss walvr'ti by rno
(this does not_RPply to bulkheads or nprep revetments). (it you wish to waive the setback, you tYtV313if1n_
the RPP(oprim a blank below.)
✓ i
100 wish to waive somoiall of the 15' sotbank�
Sygrtature of Adjacent Riparian PropOdy Own(V
_OR -
I do not wish to waive the 15' soiback requirement (initial the blank)„_
Signature of Adj cent RiparianProperty Owner
TypedlPdnted name of ARPO
Malling Address of ARPO: 1z,� f',uv,!1 �_ ''' � L r?c'.,L4�' r c v`ir� t" ek - r ',
ARPO a ear811: 1 -P/•i 3 cc 112 ZY-1 ,,'f ARPO's PhoneN:
Date: r '` �- -i ; waiver Is valid for up to one year (role ARPO's Sloinuufa'
RovilliGNI Add 20 f
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k z by
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AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit !�� kn' -htC dt,
Mailing Address: 16 /it &- f /'2 -
Phone Number:
Email Address:
I certify that I have authorized
Agent / contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:i r
at my property located at
in f*Vs "ti County.
a at
I furthermore certify that 1 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.
Property Owner Information:
r Signature
110WAIA Ir'L r(.�-.per
Print or Type Name
GYdt/ei'7t
Title
Ddf (77, z3
Date
This certification is valid through