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HomeMy WebLinkAbout91301C - Bryan, Marie3oA,0ta"r",,N,1CAMA ❑ DREDGE & FILL N9 91301 A B & D GENERAL PERMIT Previous permit t Date previous permit issued - F` 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 /) % h, 11 o0 ❑ Rules attached. Q General Permit Rules available at the following link: www.deg nc gov/CAMArules Applicant Name nV 11 Ii Jtt tl /l Authorized Agent OCtlwS 4-San5 /hti -, a( Cun;}"rr+(It' un L� rr Address Project Location (County): GIAV( r1 City State i L ZIP r+ S 3 .< Street Address/State Road/Lot #(s) Sa Phone # (_) .leCI Email ( 11 .i Subdivision City ✓/, i O. h ZIP Affected ❑ CW NEW N PTA - ❑ ES ❑ PTS Adj. Wtr. Body I'V6 u' iC'� / A r II A,%-- (havman/unk) AEC(s): ❑OEA ❑ IHA ❑ uW [JOIMA ❑ PWS Closest Maj. Wtr. Body VO— ORW: yes/1 PNA: yes/0 X Type of Project/ Actjvity 166dJ wmJCv1 0 ,,1 }1 Lol (Scale: I / Shoreline LenethtF. j it o / Length Pier (dock) length- ~�—Access FixedPlatform(s)---- -i-I N_cW5—!— Floating Platform(s) —TI Finger pier(s) / .- r Total Platform area Groin le h _ _ nI ° 34. P# - --) (y_ �r 4 P� eulkhea Ri ra len h L.e / l— -' / x Avgdistanceoffshore 2 Y,.. ., tl Breakwater/Sill _ _ 1' 1 Max distance/length %� Basin, channel L y 1— Cubic / ards Boat ram w °S'S) 'v -�- — -- Boathouse/Boatlik) Beach Bulldozing h Other LJ r - 1 Ahf - Pi k V — SAV observed: yes �'� -- �- Moratorium: n/a yes G Site Photos: yes it,q't t - Riparian Waiver Attached: yes . no A building permit/zoning permit may be required by: Permit Conditions I TAR/PAM/NEUSE/BUFFER(clrcle 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 #/Money Order Signature / 7 Issuing Date Expiration Date ❑DREDGE & FILL GENERAL PERMIT New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue N9 91301 A B Q D Previous permit Date previous permit issued - 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 02H. 1160 ❑ Rules attached. K General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name V y6 Y Address % �% / n a �/� 7u �U s O �• City State A/ ZIP Phone#(Wr ) Email Authorized Agent n�* rl el 5 +5,,, nS A. ,11 < Project Location (County): L✓AVih Street Address/State Road/Lot #(s) �n "n i Subdivision City )� ZIP Affected ❑ CW EW PTA ❑ ES ❑ PTS Adj. W,f� A tr. Body /" / ) t V/ — man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑`PIMA ❑ PWS, Closest Maj. Wtc Body N 5 C / t 1 VC ORW:yes/no PNA: yes/0 X Type of Project/ Activity ' Lyrn�Cr-� tg h / iT �Ph� (Scale: I Shoreline Lengthirw, I b u Access Length— Pier(dock)length J�� Fixed Platform(s) --_.... -?— — - Floating Platform(s) ,_ Finger piers) / Total Platform area 1-- - Groin r� 4 �-114 _,, P P Breakwater/Sill length Avg distan/Rice offshore Max distance/length Basin, channel Cubic yards— / Boat ramp Boathouse/Boatlift Beach Bulldozing Other- L I` _ _-_ �_ IflL — ^ ' SAV observed: yes Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: #9!e) no — A building permit/zoning permit may be required by: f, 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 I r Agent or Applicant PRINTED Name Permit Officer's PRINTED Name �^ Signature "Please read compliance statement on back of permit" Signature / Application Feels) Check A/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: MARIE BRYAN Mailing Address: Phone Number: Email Address: 7675 TINY BRYAN ROAD HAVELOCK, NC 28532 252-422.4686 I certify that I have authorized DENNIS & SONS MARINE CONSTRUCTION, LLC , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: INSTALLATION OF APP. 180' OF WOODEN BULKHEAD at my property located at in CRAVEN County. '1675 TINY BRYAN ROAD HAVELOCK, NC 1 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: 4 4a& nature "Wi& 01• luml Print or Type Name HOMEOWNER Title ':"c-oa-,3 Date PFPF:IWPf-) -MAR ? .' This certification is valid through 12 / 31 / 2023 C)Givt•.twHD i ITi' N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM QERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: MARIE BRYAN Address of Property: 1675 TINY BRYAN ROAD HAVELOCK NC� aIV- Mailing Address of Owner: _1675 TINY BRYAN ROAD HAVELOCK, NC Owner's email: — BENITADEF_S@GMAIL..COM Owner's Phone#: _252-422-4686 _ Agent's Name: DENNIS & SONS MARINE CONSTRUCTION, LLC Agent Phone: 252-241-6962 Agent's Email: DSMCLLC@GMAIL.COM 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 nonry the AIA . urwsron or L.vasca) 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 some/all of the 15' setback Signature of Adjacent Riparian Property Owner Ri-epivpt) -OR- I do not wish to waive the 15' setback requirement (initial the blank) MAP 23 ; Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Pr A r.,� wnOooct ARPO's email: Jo9VRn7i1Pr71191( ;)y,,41,V DGM-rVIHU �_J T ,,y A&k)He ilc. Ar?lI ARPO's Phone#: 7D�—r{5�' rj02 Date: t l/31 Z L *waiver is valid for up to one year from ARPO's Signature" Revised May 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM CERTIFIED MAIL _RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: MRIZ1e T I"OJ Address of Property: _ Mailing Address of Owner: V+t vtL-out, 0C: Owner's email: Owner's Phone#: Agent's Name: DENNIS & SONS MARINE CONSTRUCTION, LLC Agent Phone: 252-241.6962 Agent's Email: DSMCLLC@GMAIL.COM ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom_portion to be completed by the Adjacent Properly_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 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.G. unnsion or toasrai 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 muss slgn the appropriate blank below.) I DO wish to waive some/all of the 15' setback Signature of Adjacent Riparian Property Owner ffla I do not wish to waive the 15' setback requirement (initial the blank) Signature ofAdjacer Typed/Printed nam Mailing Addres of de, ARPO's ema 4 Date: �5, ',2;'waiver is valid for up to one year from ARPO's Signature' fill U'GMr••nrirro.r �."i�. z-A5zV.,-2- T Revised May 2021