HomeMy WebLinkAboutMuniz, Juan - 91184CLLAMA ❑ DREDGE & FILL N9 91184 A s () D
Previous permit
GENERAL PERMIT
J� 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc goy/CAMAruks
Applicant Name
Address
City
Phone # (_ )
Email
Affected ❑cW
AEC(s): ❑OEA
ORW: yes/no
Type of Project/ Activity
Shoreline Length
Authorized
Project Location (County):'
State ZIP Street Address/State Road/Lot#(s)
EW ❑PTA
IHA ❑uW
PNA: yes/no
❑ES ❑PTS
❑SPIMA ❑PWS
Subdivision
City ZIP
Adj. Wtr. Body
Closest Maj. Wtr. Body
Access Length
Pier dock length-
Fixed Platform(s)
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Floating Platform s
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Finger piers)
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Total Platform area /� G}
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Groin length/q '
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Bulkhead/ Riprap length --• --�—
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Avg distance offshore
Breakwater/Sill--
Max distance/ length
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Basin, channel—
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Cubicyards
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Boat ramp
Boathouse/ Boatlift
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Beach Bulldozing
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Other
SAV observed: yes no ,
Moratorium: n/a yes no
Site Photos: yes no{{
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Riparian Waiver Attached: yes noJ.�!
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A building permit/zoning permit maybe require"d by:
Permit Conditions „V ! { _ ❑ TAR/PAM/NEUSE/BUFFER(circle one)
1 r ` % L% - I <i(A o 10 ( ,yl.l to V A' � 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
Signature`*Please read compli, ce statement on backof permit"
Permit Officer's PRINTED Name
Signatu
Issuing Dlite I Expiration Date
Application Feels) Check Jt/Money Order
°``°"'uc❑CAMA El DREDGE & FILL N° 91184 A B C D
3
GENERAL PERMIT Previous permit
3 � 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 ❑ Rules attached. ly General Permit Rules available at the following link: wwwdeq nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_)
Email
Authorized Agent
Project Location (County):
ZIP Street Address/State Road/Lot #(s)
Subdivision
City
Affected ❑ cW EW d PTA ❑ ES ❑ PTS Adj. Wtr. Body (I ( t ' ( I (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ URN ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body F. ,
ORW: yes/no PNA: yes/no
Type of Project/ Activity 1
(Staley/:
Chnrnlim I tooth
Access Length
Pier (dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
I
i
—_
Total Platform area
Groin length/itQL
Bulkhead/Riprap length
Avg distance offshore
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Breakwater/Sill
Max distance/ lengthAN
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Basin, channel
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
1
_
Y_
Other
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
_
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I "
Rioarian Waiver Attached: ves no
A building permit/zoning permit may be required by: .-�� z__'
(� TAWPAM/NEUSE/BUFFER (circle one)
Permit Conditions
r� E] See note on back regarding River Basin rules
See additional notes/conditions on back
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLYTO THIS PROIECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit'• Signature
Application Fee(s) Check#/Money Order Issuing Date
Expiration Date
Styron Heather M.
From: Anthony Ng <fish-ng@suddenlink.net>
Sent: Tuesday, April 4, 2023 8:53 AM
To: Anthony; Styron, Heather M.
Subject: [External] CAMA permit 109 Commander Circle, New Bern
Attachments: Doc - Apr 4, 2023 - 8-49 AM.pdf
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.eov>
Good morning Heather!
Hope you are doing well. Here is the application for CAMA permit.
Please let me know if you need anything else.
Thanks,
Anthony Ng
252-717-0615
Sent from my Whone
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J-ac /-t1 A IVIJAJfZ-
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized 1&9r %,OA)V /VG
Age)WI Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits Q
necessary for the following proposed development: A1,111—%r/� +f/r�7
at my property located at
in Cy�i JCS/✓ County.
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I furthermore certify that 1 am , ,r:_ ,.: to grant, and do in fact grant permission to
Division of Coastal Manageur ,;i s`.ci . the Local Permit Officer and their agents to enter
on the aforementioned lands hi co:rnection with evaluating information related to this
permit application.
Property Owner Information:
--� Signature}�/f /1
/�/ 'd/ Z-
Print or Type Name
-
Title
Date
This certification is valid through � / 1�
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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 complettUed7 by owner or their agent)
Name of Property Owner: ' l , "' ��//
Address of Property'.
Mailing Address of Owner"c �
r y Own
Phone#:
Owner's email.
Agent's Name: L� Agent Phone#: �,',
Agent's Email:
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.
v� 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 ,0 days of receipt of this notice. Correspondence should be
mailedto400CommerceAve.,Moreticl-City. NC28557. DCM representatives can also be contacted
at (252) 515-5400. No response is : au i ?c r d 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' setpk � /2�(� t,
rgnature of djacent Ripa n Properly 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:0�M
;t vr�c1e\fur, NCI J %t N �- akSla�
Mailing Address of ARPO: , `- —\ _ C � , I , f ^! Q
ARPO's email: �>> �`� 7_) A0_'lQyA "C A PO's Phone#: � H T7S Dto �v
Date: 1621,322 -waiver is valid for up to one year from ARPO's Signature"
Revised May 2021
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOT�ITICAFn �IOANDADE R ERRM
(Top portion to be completed by owner or their agent)
Name of Property Owner: n f Q
/UC�G+)�l-�L�j1%
Address of Property: / 0� � /
-Nailing Address ofOwner:
`
Owner's
Agent's N
Agent's Email:
Agent Phone#: 0dg — / &Azv"
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom ortion 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 descri lion or drawing.
to me, as shown on the
ons must bettached ovided wi h this lettethe evelopment they are proposing. A
I DO NOT have objections to this proposal. 1 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) 515-5400. 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
ign the
s
ian access unless waived by
must be set back a minimum distance of 15' from my area of rip argn me (this
does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must s
appropriate blank below.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) _ z--
Signature of Adjacent Riparian Property Owner: "
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Typed/Printed name of ARPO: IlR �S�)11
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Mailing Address of ARPO: � S �''� (�
ARPO's email: 1 1 tI p t oiSkl
S�1ApE� tf ARPO's hone#: OI5 Z (33 7 (iJ
RFCFd!l�LZ
,VAR 2 9 2023
DCM-MHJ) CITY
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Date: 3 1 -1 ) a _S "waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
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