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
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_
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l
/
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J
♦
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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)
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Floating Platform(s)
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Finger pler(s)
®�
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■■
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■
s
Total Platform area
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■�i■r�■■■�■�
��■ice=�ii
Groin length/#
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■
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
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ISO
Ither
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inn
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yes 0
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or
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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)