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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 r x k z by 1 I �I „ 1 r1 r4 L 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