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Home My WebLink AboutNause, Ronald - 91189C�&o`a"rw 'OCAMA ❑ DREDGE & FILL N9 91189 ____A B C D GENERAL PERMIT Previous permit t Date previous permit issued [.New []Modification ❑Complete Reissue ❑ Partial Reissue As authorized by the State e�oflN rth Carolina Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC J f �) ❑ Rules attached. t General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Address City State ZIP,- ' U _,Zr Phone # ( ) Authorized Project Location (County): Street Address/State Road/Lot #(s) Subdivision City ZIP 1, Affected \m cW `tl NEW ❑ PTA ❑ ES ❑ PTS Adj. Wtc Body IiJ (nat/man/unk) AEC(s): ❑ OEA ❑] IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtc Body ORW: yes/no PNA:Ves/no -� Type of Project/ Activity Access Length t., lu�'-[,i,""'r'^' Pier (dock) length (0, /y Fixed Platform(s) r/ Floating Platform(s) Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore _ Breakwater/Sill Max distance/ length _ Basin, channel SAV observed: Moratorium: n/a Site Photos: Riparian Waiver Attached: A building permit/zoning permit may be required by: ❑ 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 THATAPPLY 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" ,;--, �,�Z' j ( Application Feels) Check #/Money Order Signature Lj Issuing Date Expiration Date #[;qNew ❑CAMA [IDREDGE & FILL NI?91189 A B cD 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: 15A NCAC ❑ Rules attached. L 1 General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name _ Address City Phone # (_ ) Email State ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ` CW HEW PTA ❑ ❑ ES PTS Adj. Wtr. Body (nat/man/unk) AEC(s): g OEA ❑ IHA 'UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body i� ) ORW: yes/,hb j PNA: yes/no Type of Project/ Activity �. 0!in—:M mWiril I Malice Choreline Length Access Length i luill Pier (dock) length MEN NJ Fixed Platforni■EmigFloating Plafform(s) Finger pier(s) ■ r .1� ■■�■ ■ ■■'',.. Groin length/# Boathouse/ Boatlift . Bulldozing m ■ ■ ■ ■ ■■ ON I�;a I■i/wl ■11�■ NNE ■■■ � . :aBeach ON ■ • Other SAV " Site Riparian 11■� . � ■■■■■�■■■■■� q■ ■■■■�■■■ENE MEN ■■■�.� ..■Ca.■�...�C�•■■■ .. ....n.■®... -- ■ ■■ 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 PROIECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or Applicant PRINTED Name Signature "Please read compliance statement on back of permit•' Application Feels) Check N/Money Order Permit Officer's PRINTED Name Signature �I Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: /< C�l7 cL /I/ a06 e Mailing Address: Phone Number: Email Address: LI Cre57woaC( C'r Me -LA rXrr/�� 2e'S7� a�a gas a��ga I certify that I have authorized Je(1O�? aI 1, Gory Agent/ to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Cook W/ rh /0KA0 T�NeKct v.n d l>oa7 / !'% 670 47 o✓tra.0 6 at my property located at a 60 / 1/ in Cai7ef-e7' County. I 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: i ature Print or Type Name Title l 25-12023 Date This certification is valid through / 1, L)( H'W.•rvtMU QI-r> 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: /? 6r6Lf L 1114LO66 Address of Property: ?) X 6 0 md1 c,-e ck R12 Mailing Address of Owner: y1 s (_JrC5 voOci d r 4/Gr^'9011 1VC Owner's email: Agent's Name: OOCVOO 130/2 rGG Owner's Phone#: ar a 7dS al q 8 Agent Phone#: 96 A 7a 3 45'q9 Agent's Email: j2pv0n /jo/57er6P Gmgr'�.C6�1 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent 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. A I< 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 127 Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contacted at (910) 796-7215. 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 Signatu a of Adjacent Riparian Prop rty ner (ARPO) -O R- I do not wish to waive the 15' setback requirement (initial the blan Signature of Adjacent Riparian Property Owner: f✓ Typed/Printed name ofARPO:fy�L�� 1 / 1 t1i rn.. a Pl Mailing Address of ARPO:j� l 5� PO A)2 �t/✓P�i N i� �Iry ARPO's email: ARPO's Phone#: Date: -- ' )a 5 l' 'waiver is valid for up to one year from ARPO's Signature* Revised May 2021 N.C. DIVISION OF COASTAL MANAGEMENT l ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM 1 CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: /41741(f "Pt S(- Address of Property: 3\�.Gt7 +ill cl-eek 2) lVe-olr7` IVG Mailing Address of Owner: y/S C f-e5Two6L4 d r NeWlppr j I/C Owner's email: Agent's Name: Q%P ✓eri 136f5TcC Owner's Phone#: S 2,l9$ Agent Phone#:%a 3 34'1q Agent's Email: i�e.y6r1 •1301Stc-,' An 60'It .GoM 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 127 Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contacted at (910) 796-7215. 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' set bA l 1/D Sign e of Adjacent Riparian Property Owner (ARPO) -O R- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: 4 K-Q 22,,(I CL hl Y� � Typed/Printed name ofARPO:—/eb Mailing Address of ARPO: ARPO's email: ffl Date: 3 0 512 0 2-3 *waiver is valid for up to one year from ARPO's Signature* ,' / Revised May 2021 3/27/23, 8:59 AM Gmail - (no subject) l N V 0 i P MAR 76 0(,t)n nuriu ,CITY _ __ � ' a �__. _.._ _ --- r � __ F-------=---- ---__. _.__ __ ..