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Home My WebLink AboutElkins, Chris - 91398C#E]New ❑CAMA ElDREDGE & FILL N9 91398 A B (9 D GENERAL PERMIT Previous permit —Date previous permit issued— []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. V1 General Permit Rules available at the following link: www.deq.nc.Roy/CAMAruIes Applicant Name City ' State ZIP Phone # (_ ) Email Affected ❑ CW ❑ EW El PTA ❑ ES ❑ PTs AEC(s): ❑IDEA ❑IHA ❑uW ❑SPIMA ❑PWS ORIN: yes/no PNA: yes/no Type of Project/ Activity Shoreline Authorized Agent Project Location (County): r Street Address/State Road/Lot #(s) — Subdivision City (,/ Adj. Wtr. Body Closest Mal. Wtr. Body (Scale: Access Length Pier (dock) length Fixed Platform(s) _ I- — ) h 1 - _ y7 _-_ Floating Platform(s)- Finger pler(s) Total Platform area Groin length/# Bulkhead/Riprap length -' --I Avg distance offshore - - Breakwater/Sill Max distance/ length —.* Basin, channel Cubic yards _ --— `� i' p _ •_ ( y z ' --- ✓ r' Boat ramp Boathouse/ Boatlift 8each Bulldo�/zli'g�'/h`.( () Oth�z�i4 � 2 71VIvN I{-j' SAV observed: yes no —j" Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attac hed: .yes no ;...� i �.. — :. T I — i.. r _j�W I— — / 1 I\ —j1 � fr,— — / F- —— 17 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 1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT Agent of A'pplicagfPRIN�TED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit'* Signature v Application Feels) Check#/Money Order Issuing Date (Please Initial) Expiration Date #FX!New OCAMA [IDREDGE& FILL N° 91398 A e C DGENERAL PERMIT Previous permit Date previous permit issued ❑ 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.deo.nc gov/CAMArules Applicant Name Address City t State ZIP ° Phone # (_ ) Email Authorized Agent_" - Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Y , Affected ❑ CW 0 EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body ", / , , IV (tdyman/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes*91 PNA: Yee)/no Type of Project/ Activity (Scale: /✓ ` i ) Shoreline Leneth Access Length Pier(dock) length — --- - )V �T, `� _ i Fixed Platform(s) I — t Floating Platform(s) I I V Finger piers) Total Platform area Groin length/# i Bulkhead/Riprap length I- - Avg distance offshore Breakwater/Sill ) -1- {— ❑ - .� it 1-� - -T- - -l-- --❑ Max distance/ length —111 - - -- - - — -j Basin, channel ! -}\- — - }— Cubic yards-- j Boat ramp ❑ r__.._ -❑❑ ___. Boathouse/ Boatlift -❑ 1— Beach Blid uozin Other X. (:{iv f-Y'Al Y SAV observed: yes no F- f- —� i — Moratorium: n/a yes no - �-- r— Site Photos: yes no -- - a / _ _ { __ - _ _ _ Riparian Waiver Attached: yes no _ - L✓ A building permit/zoning permit may be required by: • -i / i Permit Conditions _ ❑ TAR/PAM/NEUSE/BUFFER (circle one) d j j See note on back regarding River Basin rules i 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.,h Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** Signature 2.- 3 I l'_i Application Feels) Check #/Money Order Issuing bate Expir lion bate a A N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: t. f"S L I K14s Address of Property: Mailing Address of Owner. Snn-1 C I c cwt Owner's emailitaxLxejb.,«i.:.ls� RM�OwnersPhone#: rij�/' y/7 ��7/ Agent's Name: Agent's Email: Agent ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom Portion to be completed by the Adiacent Progertv 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. IL— 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 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 sfan the appropriate blank below.) I DO wish to waive sometall of the 15' setback Signature of Adjacent Riparian Property Owner Kola I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: i Typed/Printed name of ARPO: �l J rk SC / I Y\✓1 C. I v I I)d Mailing Address of ARPO:://'p' 0 B r �)k rLro / '' / (} ARPO's email: 4). Qy. ellMii, l+t,;d wbl ARPO's Phone#: l5 Z )2 `j-t�tjel Date: 4! �/ k 2 'waiver is valid for up to one year from ARPO's Signature' ((�� Revised JUl 20211V AP 1 0 '(I%'i ()Ghll-MHL) rvlTv N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Q,6-5 EI K Ivt5 Address of Property: Mailing Address of Owner: 5avA C- M"I • C&^ Owner's email: raf i, te) &0&y WoY kS Q 9 Owner's Phone#: —!III `/l -7 3 17 j Agent's Name: Agent's Email: Agent 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. 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 sometall of the 15' setback t t -OR- Signature of Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner. TypedlPrintedname ofARPO:-fra,�n,-I' r S�br�l Siww�.e.-i'bn Mailing Address of ARPO: .� s S 5Ieey tit. ? o to uses kr - ,V � ARPO'semail: 35rcmaR Pyakdo'cil` ARPO'sPhone#: In 62-4 cl/ Date: _•waiver is valid for up to one year from ARPO's Signature' Revised July 2021 9Ft:FjVt°[) APR 1 0 �07� oclo-►Vih1U wTy J wo pos+S APR i 0 i