HomeMy WebLinkAboutEdmundson, Wells 91171C#r]Nevv
❑`CAMA [IDREDGE& FILL N9 91171 A B ;c D
Previermit
GENERAL PERMIT Date uspouspDate previous permit issued
❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Statg 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.deg.nc.goy/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot#(s)
Phone # ( )
Email
Subdivision
City ZIP
Affected CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. 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/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAY 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:
❑ 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 PROJECTAND 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 #/Money Order
Signature _
Issuing Date Expiration Date
#MNevv
❑CAMA ❑ DREDGE & FILL N9 91171 A B ItD
GENERAL PERMIT Previous permit
Date previous permit issued ❑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 I i ' ' I ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nc gcv/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Affected /M CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PINS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:)
CFnrolino I unm6
Access Length
Iloilo
I
Pier (dock) length
Fixed Platform(s)
_�
Floating Platform(s)
�:
■■p�
■i
Ifs
1■■�■
milli
�HJ■
■
■
Finger pler(s)
Total Platform .
■-,�..
..���.
_
■
Groin length/#
■�1�
C:�IC
gill
■■■■�
■■■■■■■■
_�
■wwt�
■�
■■■N
Bulkhead/ Riprap length■/
Avg distance offshore
FE
■
Max distance/ length
Basin, channel
ml�
Cubicyards
rim
�.■■■t■�..�.
�■
...
..■■iiM.■
�i�0■■■i■ain
SAV observed; Site Photos: yes no
���i■���;
■NN�1■HN■■■■■�_��
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 THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) A' ! f 14, 2
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date
Application Feels) Check #/Money Order
Styron, Heather M.
From:
Hall, Wayne P
Sent:
Thursday, March 9, 2023 2:49 PM
To:
Styron, Heather M.
Cc.
Mahoney, Richard
Subject:
FW: [External] 210 Oakleaf Dr
Attachments:
Scan.pdf
-----Original Message -----
From: Ashley Brooks <abrooksl@ec.rr.com>
Sent: Sunday, February 26, 2023 1:46 PM
To: Hall, Wayne P <Wayne.Hall@ncdenr.gov>
Subject: [External] 210 Oakleaf Dr
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious
email as an attachment to Report Spam.<mailto:report.spam@nc.gov>
Hey Wayne
Could you please forward this to the new IRKS Field rep?
Not sure who it is since Brad .Thanks for your help- -Ashley Brooks Shoreline Marine
252-646-3212
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: (�ELt S EDMt4nJ PSo tJ
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
F40 9 Pk5'5' -(5J= k o42SE1 u F e T—
RA-L.FIC44 /JG aIle1 5
q(R 60 1750
pGbu(Ido�o v-i oa. coM
A-514 6RODIUS
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: UDG!'� �ldlOt
at my property located at 2(o !%
in C/7!O rz. County.
S
I 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.
Property Owner Information:
Signature
C
We4b �jWtavt6(Sovt
Print or Type Name
0UNVA
Title
St NBd l 2022
Date
This certification is valid through 69 1 ?d I �y3
Ile
Q
71
�
V4
zn.
>
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Wr1Ls G4.>AAuNO50/1
/+I Address of Property: D pO/q-KtL•�� c%i2 Ql�r7 2?512-- �/�
Mailing Address of Owner: �� l PK7`j-Aj9� �%�EiU�r �2'TL �� 276el 'S
Owner's email: PC, I t4
Agent's Name: 'TSF'fGr� rjr?OD(LS
Agent's Email:
Owner's Phone#: {I t QI D 123�
Agent Phone#: 262— 4,,4(P 321-z-
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. I DO have objections to this proposal.
If you have objections to what Is being proposed, you must notify the N.C. Division of Coastai
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 Mall.
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 riprap revetments). (If you wish to waive the setback, you must scan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback / t /�
t �AS tY I INFiC/
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
r--� Signature of Adjacent Riparian Property Owner: �AS 'TIy1A/
TypedlPrinted name of ARPO: C 11rii, t r l IA�y
Mailing Address of ARPO: 212 C74kJr.wr� DfiiV,(- PiHc V410)( Sl (t$ -24 S I Z
ARPO'',s 1emall: C 6�1AVU�J vwnl • Cow\ ARPO's Phone#: Qlq' 7t0 • 601
Iy Date: VV` I �_ 20 2 ?,'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONfWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: wrILS OPMu101)5010
Address of Property: �p�d� pflA n�`L����e ��
Mailing Address of Owner: 0 10 ! PK7�T M&JeSE!'uE «
Owner's email: Pr, -bq
Agent's Name: !TrJ� (Gr �j�IOD/c5
Agent's Email:
Owner's Phone#: q)'T IW D (%.30
Agent Phone#: ZSZ &44, 32i-z-
0 9ti4ct/ / . CvAii
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I herebycertify that I own property adjacentto the above referenced property. The individual applying forthis
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. 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
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 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 revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback
Signatur of \ fAdjacenYr rparian 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: kwr+ 31,tVxA
Mailing Address of ARPO: Z O s OG1t.�t 4-DNA-
ARPO's email:
Date:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature'
Revised July 2021