HomeMy WebLinkAbout88969C - McCarty, Mike+° OMTA, ❑CAMA ❑ DREDGE & FILL N° 88969 A B ' C D
Previous permit
3 GENERAL PERMIT Date previous permit issued'
0 New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by thel State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC r� ) _�-C\0 ❑ Rules attached. EJ General Permit Rules available at the following link: www.d .n . ov CAMArules
Applicant Name !'kJ' �ACC}C.iVAMLIY16 .Yoh CVI
Address - '-0(4\w( I-CJ U�Y1I\1f'.
City ;-iY Vt'r,"" - N State C ZIP 1-P, A-4
Phone #
Email . -t <' 1 n hOr.'•C c7w-,,
Affected ❑CW ,M PTA ❑ES ❑PTs
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS
ORW: yes/no PNA: yes not
Type of Project/ Activity
Shoreline Length I i-•� -f"
Access Length
Pier (dock) length !
Fixed Platform(s)
Floating Platform(s) "
Finger
Total Platform area
Groin length/q
Bulkhead/Riprap length !�
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
Cubic yards
Boat ramp
BoQIIA
>� I
Boathouse/l
Beach Bulldozing
Other 12r)', n/c C�
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no IV'
Riparian Waiver Attached: ;yes no
A building permit/zoning permit maybe required by:
Permit
Authorized Agent
Project Location (County): l . (AY"c'.V C;'
Street Address/State Road/Lot #(s) c A.- �A {-
Subdivision is
City y,%'.dC;1`Y' VIC.L104—
Adj. Wtr. Body V )I 1 P na Iman/unk)
Closest Maj. Wtr. Body l%V 1l 4 ''c l_,- !t I`/ �. y�._I s! f V
(Scale:N- S )
MEN
ENE
ME
ME
MEMO
Elm
is
,` 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.
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
(Please Initial)
Signature**Please read compliance statement on back of permit** _� I
Application Feels) Check q/Money Order
Signature
Issuing Date
Expiration Date
°"°""�❑CAMA ❑ DREDGE & FILL N° 88969 A VC D
3 GENERAL PERMIT DatePreviouspousp
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: www.deq.nc.goy/CAMArules
Applicant Name _
Address
City
Phone #
Email
Affected ❑ CW
AEC(s): ❑OEA
ORW: yes/,no,
_State C. ZIP
D'EW PTA
❑IHA ❑UW
PNA: yes/no
Type of Project/ Activity
Chnmlino I unoth I i 't^
Authorized Agent
Project Location (County):
Street Address/State Road/Lot#(s)
Subdivision
City
❑ ES ❑ PTS Adj. Wtr. Body I t (nat/man/unk)
❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
(Scale:r,� I. 1
Access Length
Pier (dock) length
Fixed Platform(s)
-
—
.'-_
-
-
i
—
-
-
Floating Platform(s)
Finger pier(s)
Total Platform area !
Groin length/q�i
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill /
Max distance/ length
Basin, channel
Cubicyards
Boat ramp
Boathouse/IBoatlift % i >.
Beach Bulldozing
Other Sri
I.
-.}
—
i -
i
!
i
li-------
t
.
I
_
L
SAV observed: yes no -
Moratorium: n/a yes no
Site Photos: yes no - I'.
Riparian Waiver Attached: ,yes no
r
-
FA
-
_t
_
.
';
_-
i
—
_,'
-
I_�-�,__
—
—'i
_
'},
: i
. it
A building
permit/zoning permit may be required by- '.i
Permit Conditions
I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STJ
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
1 I
Signature **Please read compliance statement on back of permit** Signature
ApOlication Fee(s) Check M/Money Order Issuing Date
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
i 7
Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at I
in N.Clt County.
► ►a
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:
/-c
'� Date
'This certification is valid through
RSC IFIVI[y
MAY 0 5 2023
DCM- YHD CITY
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
Name of Property Owner:
Address of Property:
Mailing Addrebs it ner:
Iitf�lM
Owner's emailh milAh!
Agent's Name:
Agent
Agent's Email: RF0e,1VljD
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owner) MAY 0 5 2023
I hereby certify that I own property adjacent to the above referenced property. The individual applying f �
permit has described to me, as shown on the attached drawing, the development they are proposing. _
040 CITY
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.
it you nave oplecnons 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 400 Commerce Ave., Morehead City, NC 28557, DCM representatives can also be contacted
at (252) 515-5400. No response is considered the some 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 /
Signature of Adjacent RlpanalkEi#erty Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO::� xx l/'1 `Q� "wr-,'�°�t1,, r�f�� 1s1 ' ,Z- I �/'-�C �/� � � A �
Mailing Addre—sss�off ARPO: G J� - 1 LitrJ l/t/1�-ci 1 u,/� kyle-0 tl'��,1CJiI` A --7� 06
ARPO's email: t —Co � ARPO's Phoneft: 6I t ' CJ Jp'7`�f1
Date: f - 4 , Z --5 "waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
Cl3`1 ep-lkzl V3 Q J v>
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
Address of Property:
Mailing Ad nr�jss32%ft
� (� 7
Ownersemai(_b,' � �orY. ,. - lal� ��d GZQ�
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adtacent 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 ord(awinq. with dimensions must be orovided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you ha4e 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 400 Commerce Ave., Morehead City, NC 20557. DCM representatives can also be contacted
at (252) 515-5400. No response Is considered the same as no objection if you have been notified by
Certified Mall.
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.)
100 wish to waive some/all of the 15' setback
-OR-
Signature ofAdjacent Ri rian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
"waiver Is valid for up to one year from ARPO's Signature*
RI=CEIVED
MAY 0 6 2021
Revised May 2021
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