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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