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HomeMy WebLinkAboutRegister, Croft - 91185C❑DREDGE & FILL N9 91185 A B Lib �ENERAL PERMIT Previous permit Date previous permit issued ❑New ❑Modification K 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 15A NCAC 00 ❑ Rules attached. /General Permit Rules available at the following link: www.deci.nc.goy/CAMArules Applicant Name Address City I State ZIPS - Phone # (_ ) Email Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) City Affected CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): �` OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body ORW: yes/rib // PNA: yes/no Type of Project/ Activity (Scale: ) Shoreline Leneth Access Length Pier (dock) length Fixed Platiorm(s))jA.�-., r i �' 'a i _ - -_ e- l / '{ J ♦ V f 66 '` ) �_ --- •� !1 I - _ i - - I Floating Platform(s) t Finger pler(s) Total Platform area Groin length/# Bulkhead/ Ri ra length Avg distance offshore Breakwater/Sill— 1 I Maxdistance/length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift - --� - T- _ Beach Bulldozing Other I F— SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no I I 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 PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature '*Please read compliance statement on back of permit" Application Feels) Signature Order Issuing Date Expiration Date (Ourtr, CAMA ❑ DREDGE & FILL NO 91185 ._, A B GENERAL PERMIT Previous permit <'r[ Date previous permit issued ❑New ❑Modification K 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: r 15A NCAC ❑ Rules attached. General Permit Rules available at the following link: www.deamc.gov/CAMArules Applicant Name _ Address City Phone # (_ ) Email ZIP Affected CW ❑ EW ❑ PTA ❑ ES ❑ PTS AEC(s): OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/no PNA: yes/no Type of Project/ Activity Ch—inu I—n h Authorized Project Location (County): Street Address/State Road/Lot #(s) Subdivision City ZIP Adj. Wtr. Body Closest Mal. Wtr. Body (Scale: ) Access Length Pier (dock) length Fixed Platform(s) :�iOO Floating Platform(s) ;iiI,�KUK:;�■ ;N■ Finger pler(s) Total Platform area OtherCNN INN .® .. ■ .:. .......:■■.:■ n ;; ■a■■:::..■;.■■�: I 0 0 "' n/a yes no Site Riparian Photos: to ■� ■� ■■B■■■ ■� ■■N■■■■■■:■■■■ ■■E■■E■■■■■■■■■■■■ :■M■Moratorium: ■■:' : ■■■■ :.■:MEMMMMMEME O%■ A building permit/zoning permit may be required by: Permit Conditions i ❑ 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. 0�,{ Agent or Applicant PRINTED Name i ;'� Permit Officer's PRINTED Name (Please Initial) Signature '*Please read compliance statement on back of Application Fee(s) Signature Check p/Money Order Issuing Date Expiration Date r. —, , -. „5, .. *r ..*, ran ILAMA ❑ DREDGE & FILL, GENERAL PERMIT rA.. B (E p NY 88811 Previous permit Date previous permit issued 11111101 MNew El Modification El Complete Reissue ❑Partial R I ss ue As authorized by the State of Northj Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC it ^f /--�C-! ❑ Rules attached. General Permit Rules available at the following link: )bww.dea nt gov/CAMArules Applicant City r t p!'K J Sttate i ZIP - - Phone Email Affected �:�J CW ... EW , PTA : &is / ❑ PTS AEC(s): ❑oEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes/do /` PNA: yes/no - n Type of Project/ Activity fu:, Shoreline l enoth Authorized Agent +.11 .. Project Location (County): Street Address/State Road/Lot#(s) Subdivision i / i Lht ^ {� City ZIP Adj. Wtr. Body I t (i( {'?) c?C I {- >" Fo. (nar%man/unk) Closest Maj. Wtr. Body %! ii"✓ t ('`. i V t Access Length Fixed Platform(s) ®�■_■■�r�.n�i��i■ni■n Floating Platform(s) �■ ■■n.n■ii■ Finger pler(s) ®� i■■��i ■■ r�■n n■n ■ s Total Platform area �� �■ ■�i■r�■■■�■� ��■ice=�ii Groin length/# ®�■�n�� ■ fin. Bulkhead/ Riprap length Avg distance offshore ■ ■� Max distance/ length lasin, channel Cubicyards Toat ramp :..tlift i■■L� Q � ■nn.�■■n■H■■■■1Ti !ea Bulldozingch ®■■■■■■n■■■■ ISO Ither ■■n■■ n� ■n■■■�i■■■■■.■■■n■ inn ■H yes 0 k ' ■�■ii �i n■■�i�ii■■�ii■®.■■■■.■.i �n■■n�s�I ll or a■■■ A omiamg permit/zoning permit may be required by: n VL,f r 0 Permit Conditions Tf PRINTED Name TAR/PAM(NCLTSJOUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back AND REVIEWED COMPLIANCE STATEMENT. (Pleas Permit Officer's PRINTED -Name 17,41: re -'Pile read compliance statement on back of permit"* nnhroHnn oeel.l _. .. CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Name of Property Owner: C `Q le Address of Property: 20 2 f l� (Lot or Street #,'Bare Agent's Name #: Agent's phone #: ?.f2 728 72 2 r �� ✓c gy1t /ac k /V en - or Road, City & County) Mailing Address: qu Is%�yy� Rf r~ w 4,rf iK 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 have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at or by calling l-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. M� I do not wish to waive the 15' setback requirement. (Prop Ow r Inform n Signatur ro le A cG l sT Print or Type Name 20Z A-uCaSf� / C T Mailing Address t 4,IQJ0C,k, IV C Z $S�3 z City/StatelZip �0 23,V Telephone Number/Email Address 1p ,3f-22 Date (Riparian Property yowner Information) Signature Print or Type Name 2,04 ! LCgtuS%CnUr4- Mailing Addres µatlrlcrJy nlr 2-9S3Z City/State2ip 252-444- 2-4�1 Telephone Number/Email Address l o --3! - Z2- Date (Revised Aug. 2014) CERTIFIED MAIL • RETURN RECEIPT REQUESTED DIVISION OF COASTAL MANAGEMENT T RIPARIAN PROPERTY OWNER NOTIFICATIONMIAIVER FORM Name of Nroperty Owner: Address of Property: M7 Lws � a '5 �e r_ (Lot or Street #, Street or Road, City & County) �ad. V( 2eJ732 Agent's Name* Kl D�L� MailingAddress: �s`ti^ J ;1' Agent's phone #: — ^�2 72 ,? Z `i- 4 2 96�— �' f N6 2—L 6 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 areproposing. A description or drawing, with dimensions must be provided with this letter. / t/ I have no objections to this proposal. I have objections to this proposal. If you have objections to what is being proposed, you must notify the Division of Coastal Management (DCM) in writing within 10 days of receipt of this notice. Contact information for DCM offices is available at Ior by calling 1-888-4RCOAST. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that a pier, dock, mooring pilings, boat ramp, breakwater, boathouse, or lift must be set back a minimum distance of 15' from my area of riparian access unless waived by me. (If you wish to waive the setback, you must initial the appropriate blank below.) I do wish to waive the 15' setback requirement. I do not wish to waive the 15' setback requirement. (Pro Ow r Informat n §�—aturll /� Cr`vP1 t of i5fG�" Print or Type Name Mailing Address yv a City/State2ip r09 z3g 9�y� Telephone Number/Email Address /o Ag, kz Date (Riparian Property Owner Information) Signature 206ut V M°(--PvQ, S� Print or Type Name y v ZOE) /fit -Cit t STri- CnU-fL Mailing Address 11 "y6,—fock N6- City/State/Zip 262.- G 7 ( - /(0� Telephone Number/Email Address Date 01 W LL (Revised Aug. 2014)