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Home My WebLink AboutNguyen, Calvin - 84255Cf10S0vrR I LAMA ❑ DREDGE & FILL — D $' Nn R4ZSS A e OD 1 GENERAL PERMIT Previous permit Date previous permit issued�_� Eq<ew ❑Modification El Complete Reissue El Partial Reissue As authorized b the State of Nonrth^Carolina, Department or Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: ISA NCAC V� 14C./� Rules attached. A�rGeneml Permit Rules available at the following rink: www,de nc ov AMAn i Applicant Name City State — mc�,__-__ ZIP Phone # (-7/4 % I —iliZ Email Affected Q(W XEW Lo<A urXS pTS AEC(s): ❑OEA ❑INA ❑UW ❑SSPIMA ❑PWS ORW: YeED, PNAi!ano Type of Project/ Activity. Q/ l(oV 2 {i'nn. F•.r �/P!s �.R v 2 , 'O ; � r 1 Shoreline k fgth IVU Access length �• Pier (dock) length j��zed Plafform(s) IZOX IO r �'�OdCic nli�td Floating Platform(s) Finger pler(s)'3Y 24I Total Platform area Groin length/R .� Bulkhead/Riprap length 0� Avg distance offshore Breakwater/Sill /r Max distance/length o ' Basin,channell Cubic yards Boat ramp Boathous RoatllR IA f< Beach Bulldozing �+ Other_ SAV observed: yes no Moratorium: n/a yes �y Site Photos: yes Cn9i�JCr, Riparian Waiver Attached:yes A building Peroritfigning permit may be required Permit Conditiom—net' MUA L Authorized Agent Project Location (County): Street Add ress/StaSaA sd/Lot#,(j� 7 $ Subdivision___ City ZIP Ad!. Win Body. U / a an/unk) Closest Mal. Wo, Body .Li W cJ s•+N aWNtnar uCAL (Scale::Y ?5) - TAR/PAM/NELISE/BUFFER (circle one) See note on back regarding River Basin rules n "toRr4l,k%RCAMA ❑ DREDGE & FILL N9 84255 A B OD GENERAL PERMIT Previous permit / ,,��// Date previous permit issued UvNew ❑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 V� • 1200 ❑ Rules attached. Z�General Permit Rules available at the following link: www.deo.nc.eoy/CAMAru1es Applicant Name S IV I f I 1 �1 Address ' 1 (I Q CityState ZIP Phone # (910 7VI Email Affected OW AEC(s): ❑OEA ORW: yes' JEDr Type of ,ZE'W TA ❑IHA ❑UW PNAOn. Shoreline Lelrgth / `✓(/' Access Length Pier (dock) length jixedPlatforms) ZO)(Ifn Floating Platform(s) Finger pier(s)-3X 2-d0 3X2 1/ Total Platform area Groin length/H �t Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill .' Max distance/length /' Basin, channel i Cubic yards / Boat ramp Boathous Boatlik '� Ip IL �ng Beach Bulldozing i Other SAVobserved: yes no Moratorium: n/a yes Site Photos: yes Riparian Waiver Attached: yes A building permit/zpning permit may be required Permit Conditions LiP_P— f"14A-1 Authorized Agent Project Location (County): Street Address/Stat�B ad/Lot#(s Subdivision �.- City ZIP rJY'GJ O�Es ❑ PTS Adj. Wtr. Body 1 ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body /. !&VJ(2 1bCie- �31[2/ QDATLI l°r 1 I� APPLY TO P- V V I � 3 �i9 Na+nM acac Applicant PRINTED Name Permit Signature `•Please read compliance statement on back of permit - Application Feels) Check Money Or er /D (Scale:, ?5'/ ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Date ❑CAMA ❑ DREDGE & FILL N9 84255 A B C D GENERAL PERMIT Previous 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq nc gov/CAMArules Applicant Name _ Address City Phone # (_ ) Email State ZIP Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑-ON _ ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNAt yes/no Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger piers) Total Platform area I' Groin length/q Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift 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 (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 Agent or Applicant PRINTED Name Permit Officer's PRINTED Name (Please Initial) Signature **Please read compliance statement on back of permit** Signature Application Feels) Check tt/Money Order Issuing Date Expiraton Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: CA I/ nI u Yew Mailing Address: ! i3 �,g 11fl m�n rc(� yoo••,, I( Phone Number: R jj� - 7V1- %Z 81., Email Address: I certify that I have authorized 41c Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 120o-5 7kitY 9-/ate. ele . at my property located at , in O/US)d 4). 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: igrya ure C/41VIK, Nyu✓eN . Print or Type Ivarne Title Date This certification is valid through I Mc. DIVISION �.•crc� arit�,7 niF1t4. • � -[ tRg� fv�LElpT f2Et3t}Tsw4J rort-iti NCt i7- (Yop portion to be compEeted b Butner of theft a0ent) Narrre of Properly ovnef Address- of Propsrty: email: Owns . _.- .... Owner.a. Phono#., .h V4 Marna: AgentPhpoefA1-9 L11- ADJACENT RIPARIAN PROPERTY OWNER'S CEl?TIF#4` aiILE#d Bottom n:t bd.ao I o Ad a en, r rt } r nilY the'! own Peoperty ad ascent deacrbsd to tne, as.shown on DO ,NOT have objections to thls proposal. The individual app#ying ford is ttae davaleipttient.they are proll*ng, A 00 have ob ectlona to this proposal roust notify dhe Mc::g%iwision n consta r thfa arodbo, t<o+waspondence showid be Mropreaentadva0caneiaabeaortf t€d rao €sbJeo00 1P you fraVe b6en rawftrFed by WAIVER SECTION iersiand that any proposes# pier, dock, moonno pilings, bemusat snip, breakwater, t3oad ouse; kit; or i oes beset back a rrlln#m am �Visfance vt 15, iron) my area of sipartan ai seas webs waived by me stops not aPOY to bulkheads or ripral., raystmsriis}, {## Yau. Wish to waive the setback; you gpga appropriate blAnk ttsl6w) *100 100 wish to waive some/ail of the 151 satback Sign aiutb of iyid�acgnt Rfirarlan laio^grty p # db not wlfi1 to.vmivs the I& 'setback requlraniont {initial the blank)__ Qnsturle of Adjacent Riparian Property t3wner. _.. ' TY 000finted raeme of ARPCit T T +��#anlnar:ro .� ,� _ _�j v MPC$'s email, �__ :ArPO'aPhono#: v7o �f Z vva#vcr is valid for up td one Year from ARPo'b Signature*. Ravised july=l y Y I lY Y S rU CC rU Fx(ra Sery cas & Raes (hs.k Gox, ah/ /ae $r area 1 I p ❑R r rra. .oars rori s_ p ❑aemm aecant ferKyravc; Aosbnark O ❑cen;r.� Mmi Resvime• Ccuvay : _ O ❑namv sv�or„ra nenmrw-LI;-Ffil— Mere C3 �PLI Al'. $IynpWre R¢sln[IeO U.'Wery S _YV,r!rr osta9a —`-- Ir 1,11, d'ru rI Tot al Posia9e.1d Fces ---"— II:}a/13f 2�j?: }0 i- rV. O $ iV.i on nr�ra �loca_ M1 Sireef anti AAt�, a1�2. i�r�arer...PL4ce. - - City, S fa, ZIYiA S/ SENFI�Q, OOMPLETE THIS SECTION • complete items 1,2td 3. A Signature ■ Print your name and address on the reverse C �7 so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B. R ad by (Printed Name) C. l or on t ;front If space permits. 1. Article A(klfessad to: " e D. Is delivery eddress different from item Mr, t�Qucj 4� s C zy m If YES, enter delivery address below: Hanover Pk terry, Nc mlt-6623 11111IIIIIIIIilllllllll111111IIIIIII11111IN 9590 9402 7769 2152 1011 40 2. Article Number (l7ensler rmm sarv/ce /abet) 7020 1290 0000 2824 82 uPS Fom3$ly .020-0 -0013 - •re ❑ Prloriry Mevi Express® 0 Adufi Sign�at Razfdded Dilly Delivery Re9letered Malls ❑ p Cedi9ed Malls Reeggistered Mail Restricted Delhery ❑ Cer99ed Mall Restricted Del ❑ collect on Del Ne ❑ signature Cord'ematlonv, ❑ Collect on Deliver Resided Delivery ee ❑ R"bi tc ed Delivery 7 Irrwred Mail I Insured Mail Restoctod Delivery (aver $500) Domestic Return Receipt F q4 I Via'Z-V) p ! : ;K m F... ` __. c. I 15' from property -6UL - Cf.V2 4EC : NE NET ANDS UNE '-'aS BY GENE YOU WOODS LINE LOT 19 32 ?G 84 '1004r' IdCAMA ❑ DREDGE & FILL V9 84583 A B' /C) D IN) GENERAL PERMIT Previous permit✓ C 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 m an area of environmental concern pursuant to: I SA NCAC CIAA Rules attached. ^General Permit Rules available at the following Imk: vnvwdep.nc.gov/CAntdn les Applicant Name L/T", Address )i'*4 RI City >V&a fe Phone # Email r� Srate OW ZIP Affected i CW PW 71PTAS rPTS AEC(s): OEA _ IMA _ UW '� SPIMA C PWS ORW: Yes/Jro J PN,115MVen Type of Project/ Activity Shoreline Lengths Access Length j Pier ldock) length Fixed Platforms) Floating Platform(s) ,::f Finger piers) Total Platform area _!!')Zn Groin length/h Bulkhead/ Riprap length/ Avg distance offshore Breakwater/Sill / Max distance/length / Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldo Other= SAV observed: yes [n Moratorium: n/a yes no Site Photos- yes no Riparian Waiver Artacl, yes o A building permit/zoning permit mayWrequired by: Permit Conditions O AAP LZ:rj-W --a mill IZi f.--fflzA. ,-t-- 2 n 411 I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJ N :,I . A ent or I¢ant PRINTED Na Signature "Please read compliance statek,nt on back of permit., Application Feels)Check .ores Order Authonzed Agent twkil A141WE Project Locadon (County): (9ilid DLJ Street Address State Road/Lot 9(S) 6 Subdivision Gty N. Adj. Won Body. I-,M --m l(-Nr ' an/unk) Closest Mal. Wtr. Body N J3�uticx VD REVIEWED COMPLIAF Permit er' PRINTED Signature i Issuing Date (Scale#:� ) / d \I I TAR/PAM/NEUSEBUFFER (circle oney ❑ See note on back regarding River Basin rules See additional notes/cogdihons on back (Please Initial ton Date