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HomeMy WebLinkAboutJamion, Aaron - 90096C❑DREDGE & FILL N9 90096 A B C D a 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: wwvdm.nc.gov/CAMAa­uIes Applicant Name App � � �'� ,n,. w� Authorized Agent t �• -�-+; �.�i -:I''� Address.- *` r•; •,. i:_ -:il 'i)c� Project Location (County): (.ne- City State ZIP i - o Street Address/State Road/Lot #(s) ?'i ` t .�I+t 'I It ,-( / - ^• Phone # (_ ) Email Subdivision Cry r•,•�,:.;a. ..;:., (. i. ... ZIP .(���...:.1 Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj. Wtr. Body :'.�OfYt�rS �. VLQ_e-(C (l c„�..:�( j(nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body e`S0, ;cif. --->9 u�: •... c,1 ORW: yesfia _i PNA: yes/no Type of Project/ Activity !� t (Scale:' :1 j y Shnralina lnnath /i)'i Access Length Pier (dock) length �'/ ' }' in - N _ _jl— _ 1— __ I I � i iI I Fixed Platform(s) ~ r Floating Platform(s) I I 1 - I �a'�- �i If- £ '�` k 17 2 `•_ � I •q Finger pier(s) Total Platform area�— Groin length/#\ Bulkhead/Riprap length Avg distance offshore Breakwater/Sill Max distance/length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift f Beach Bulldozing 4. � { f I j - t Other (—l'— Y ln,•YA )i. "" C I �j � � -- - I { - SAV observed: es no � '.Lka v Moratorium: n/a f yes no Site Photos: yes no- RiparianWaiverAttached: !yes no A building permit/zoning permit may be required by: Permit Conditions I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS TI Agent or Applicant PRINTED Name Signature **Please read compliance statement on back of permit** Application Feels) Check tt/Money Order Permit Officer's PRINTED Name Signature ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) 1� Issuing Date Expiration Date I�CAMA ❑ DREDGE & FILL N9 90096 A B (-.C., D a 1) GENERAL PERMIT Previous permit -- Date previous permit issued Q 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.gov/CAMArules Applicant Name Address City Phone # Email Authorized Agent •� Project Location (County): State ZIP ) -) <`. Street Address/State Road/Lot #(s) `' r. ` :%i l r'•_k. Affected ❑ON aEW .❑.PTA AEC(s): ❑ OEA ❑ IHA ❑ UW ORW: yes/no) PNA: yes/#o J Type of Project/ Activity Shoreline Length "y Access Length Pier (dock) length Y le Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length ..�' Basin, channel % Cubic yards Boat ramp Boathouse/Boatli (%.1 Beach Bulldozing " Other i SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: ;'yes no A building permit/zoning permit may Permit Conditions Subdivision City P-" , IF ❑ ES ❑ PTS Adj. Wtr. Body '(nt/man/unk) ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body (Scale: be required by: (� ❑ TAWPAM/NEUSE/BUFFER(circle one) 11 ❑ See note on back regarding River Basin rules •s r ` f ❑ 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 Permit Officer's PRINTED Name t Signature**Please read compliance statement on back of permit" Signature :� e <, yVl) Application Fee(s) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Aaron Jamion Mailing Address: 525 Advancement Ave, Apt 104 Phone Number: Durham, NC 27703 919-906-4289 Email Address: amj6135@alum.uncw.edu I certify that I have authorized Derek Smith Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: Dock, Boat lift, Pilings at my property located at 5204 Driftwood Lane, Morehead City 28557 in Carteret 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 Own r / Aaron uamison REGFIVED Print or Type Name MAY 41 AW Title DMU'HID (�,l"CY Dale This certification is valid through � / 2-9-1 Z1 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Aaron Jamison, Kimberly Jamison Address of Property: 5204 Driftwood Lane, Morehead City, NC 28557 Mailing Address of owner. 525 Advancement Ave, Apt 104, Durham NC 27703 Owner's email: amj6135@alumm.uncw.ed Agent's Name: Derek Smith Agent's Emaii: bbmc7l@hotmail.com Sccj�un SQ`tr� Ihereb permit Owner's Phone* 919-906-4289 Agent Phone#: 252-247-4428 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (10110m Dortlon to be completed by the Adjacent Property that I own property adjacent to the above referenced property. The individual applying for this scribed to me, as shown on the attached drawing, the development they are proposing. A Imwlno. with dimensinnn munl hn ......ndew .... 100 NOT have objections to this proposal. I DO have objections to this proposal. management (DCM) In writing within Sec-hon mailed to 400 Commerce Ave., Moreh at (252) 808-2808. No response is cor 2 Certified Mail, or receipt of this notice. Correspondence should be NC 28587. DCM representetives can also be contacted the same as no obJecdon if you have been nodfied by tas` I t v WAIVER SECTION 5%3n 1 ` Ct L- I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, IM or groin must be set back a minimum distance of I& 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 elan the appropriate blank below.) 100 wish to waive some/all of the 16 setback OR - Signature ofAdJacenf Riparian Property Owner MAY 01 10?3 1 do not wish to waive the 15' setback requirement (initial the blank) INS.. INS .. _ Signature of Adjacent Riparian Property O ei•�7 Sec1,un i_ 3 Typed/Printed name of ARPO: st7f/l 7� r, ry' Mailing Address of A/RPO: 0' ,,� ARPO's email: /y1Ryh7o/ b/9SS� `''A%P��,,((O's Phonlim. U- 0 1V I Dater 'waterer to valid for up to one year from ARPO's Signature* N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: Aaron Jamison, Kimberly Jamison Address of Property: 5204 Driftwood Lane, Morehead City, NC 28557 Mailing Address of Owner: 525 Advancement Ave, Apt 104, Durham NC 27703 Owner's email: amj6135@alumm.uncw.ed Owner's919-906-4289 Phone#: Agent's Name: Derek Smith Agent's Email. bbmc7l@hotmail.com ScA b n Itruc �m l�ai Agent Phone#: 252-247-4428 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Ownerl I hereby certify that I own property adjacent to the above referenced property. The Individual applying for this permit has Oescribed to me, as shown on the attached drawing, the development they are proposing. 8 descriDtiont r rimwinn wHh ,limnnci...... ........ .._ ___..:�_. -.-..� .._.. .. NOT have objections to this proposal. I DO have objections to this proposal. --y — ,r.a.. ✓Ivlaion or Gioasrw Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be Sec }1 un mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 808-2808. No response /s considered the same as no objection if you have been notified by Certified Mail, � tr,u 1 1%' A` t � WAIVER SECTION kfin I IV4<< 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 revebnents). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setbacj 'OR - Signature of Adjacent Rtparia Property Owner MAY 04 L lm-.IV o (;(7'Y I do not wish to waive the 15' setback requirement (initial the blank) fx Sec vn Signature of Adjacent Riparian Property Owner 3 �11 �� TypedlPrintedname ofARPO: tNIIGhR�� �pg I Mailing Address of ARPO: 52D(p {- W OOC� (yr_ `. ARPO's email: ARPO's Phone# Ji( Date: _ rj —1�_*waiver is valid for up to one year from ARPO's Signature` i' s ;` ,v�, � � is '_ �