The URL can be used to link to this page

Home My WebLink AboutBailey, Jeff - 84260C°`°"'° L"JCAMA ❑DREDGE & FILL NU 84260 A B OD GENERAL PERMIT Previous permit Date previous permit issued �evv ❑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 H • 12,06 ❑ Rules attached. General Permit Rules available at the following link: wwwdeq nc goy/CAMArules Applicant Name `�. Authorized Agent / A1l' Address 2.'3/ /YQ'f /VQ L IL pis Project Location (County): /0 (N Culblaimm Il,I's�ate ZIP q .Ga Street Address/State Road/Lot #(sJ Phone # (_) Z .3 / Qreat d Email Subdivlsi o ^ . blak 6ailL 12 C� Gb. O City ZIP a?k6Z30 Affected ❑ CW 2W ❑i Ifl( 2ts ❑ PTS Adj. Wtc Body a an/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS . I'' / Closest Ma). Wtr. Body AV,64 "V ORW: yes too PNA: yela Type of Project/ Activity add awshniq CS%uAte. (Scale: f Shoreline Length _ Access Length / Pier (dock) length / Fixed Platform(s) Floating Platform(s) ringer piers) i Total Platform area Groin length/# /r Bulkhead/ Riprap length Avg distance offshore of Breakwater/Sill .-A Max distance/ length Basin, channel /s Cubic yards 4 Boat ramp l Boathousaldat 1 Beach Bulldozing a Other i SAV observed: yes Moratorium: n/a yes Site Photos: o Riparian Waiver Attached: no A building permit/zoning permit may he ;e by: Agent or Applicant PRINTED Name /• Permit fficer's PRINTED �Sign ure ••Please read compliance s a ement on back of permit•• Signet e 2� OD 17338 ��i/y�� Application Feels) Check#/Money Order Issu gDat�h e ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Initial) Date QCAMA ElDREDGE & FILL N9 84260 A B OD Previous permit GENERAL PERMIT Date previous permit issued *[v(Nlevv ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized byytthe State of N�ofrth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: / I SA NCAC V I 0 • 1 G.�� ❑ Rules attached. General Permit Rules available at the following link: www.dea.nc.gov/CAMArules Applicant Name / `�. Authorized Agent Address 2.31 r«-f Ale !,/LI A L/ � Project Location (County): f%N9'/0 L� C to /y4- zip 7_83530 Street Address/State Road/Lot #(s Phone#() Z.3/ C7r�Q Q pc - Email blake.6ailt /2 `c) ajvo. o Subdivision City ZIP_or�s3o Affected ❑ CW 2fW L P A 21S ❑ pTS Adj. Wen Body a an/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS , I /' ) Closest Maj. Wtr. Body _ I ZAJ 11 ORW: yes, too PNA: yeg@ Type of Project/ Activity _add hT�-eW Shoreline Length i Access Length Pier (dock) length / Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area Groin length/# /r Bulkhead/ Riprap length Avg distance offshore i1 Breakwater/Sill -A Max distance/ length Basin, channel Cubic yards .14 Boat ramp Boathous atf Beach Bulldozing ._ Other SAV observed: yes no Moratorium: n/a yes Site Photos: y o Riparian Waiver Attached: ( no A building permit/zoning �p7errn t ay be rt Permit Conditions Z i& I AM AWARE OF Agent or Applicant PRINTED Name by: L14 PRINTED (Scale: /C n ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Sign ture •*Please read compliance statement on back of permit'- �O /%3,V Application Feels) Ch /Money Order 91 Date ❑CAMA ❑ DREDGE & FILL N° 84260 A B c,,D Previous permit GENERAL 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 ' i / " ! ❑Rules attached. ❑' General Permit Rules available at the following link: www.deg.nc.gov/CAMArules Applicant Name Address City. , :::; 11 1 , State _ Phone # (_ ) Email Affected ❑CW ❑EW ❑PTA AEC(s): ❑ OEA ❑ IHA ❑ UW ORW: yes/no' PNA: yes/no, Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platforms) Floating Platform(s) Finger piers) Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore _ Breakwater/Sill Max distance/ length _ Basin, channel Boat ramp Boathouse/ Boatliftt 1 i 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 _ ZIP ❑ Es ❑ PTS ❑SPIMA ❑PWS Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City , Adj. Wtr. Body - (nat/man/unk) Closest Mal. 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 PRINTED Name Signature "Please read compliance statement on back of permit** Signature Application Feels) Check#/Money Order Issuing Date Expiration Date N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNYAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion ttoo be completed by owner or their agent) Name of Property Owner: dPTj��17s�1a i��n Address of Property: a31 CJK'af //G�c A y'// Mailing Address of /Owner: Owners email: Lt�dUiYd61rA1MtfnOre,y-4/O Owner's Phone#: 7-5z-33/ -/68y0 Agent's Name: /!//'/�j Agent Phone#: / 1 Agent's Email: �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 I DO NOT have objections to this proposal. I DO have objections to this proposa{. rt 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 Marl 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.) t DO wish to waive some/all of the 15' setback Sign tore of Adjacent Riparian Proper iNwner a � , I;do not+Nisff towalvA`the 15 setback requirement (initial the blank) 236�V q l6 -_5� 23 -z t(VpfYs i u�li � s ysor frtltn ARPO's Signature* .': Mo. ir' Revised May 2021 F p�� r* 3127/23, 9:43 AM Gmail - (no subject) 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 jA;� 80,-le Address of Property-. Z3 / �-eol /�'eGF- N•'�� /(O _ _ Mailing Address of Owner: ,G/+Mn/(�e,i! Owner's Phone#: ZSt- Owner's email: Gt+d/&117 -33�//-// Agent's Name: /V r'7 Agent Phone#: /ram/ Agent's Email. a 17 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 description or drawing with dimensions must be provided with this letter. �- I DO NOT have objections to this proposal. _ I DO have objections to this proposal. !f you have objections to what is being proposed, you must notily the N.C. Division or 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 nprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) 100 wish to waive some/all of the 15' setback Signaturo of 1' nan 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: ✓r' oak �/_ l J/ I n� n Mailing Address of ARPO: f rG� fL�! d� rr ARPO's email;jM4f%I u RPO's Phone#: Date: ;��T`waiver is valid for up to one year from ARPO's Signature' a^- Revised May 2021 212 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: �� 170 �e✓ Mailing Address. Il'A' 6 la 20- Phone Number: Z�Z- S31- g3 y 0 Email Address: Gt/D I�AcfO+�/✓�oA c�,Ma'lG0� 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: at my property located at in County. 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 Print or Type Name Title 1 I Date This certification is valid through 1 /