HomeMy WebLinkAboutHardee, Leon - 88986C❑CAMA ❑ DREDGE & FILL No 88986 A B( C 'D
GENERAL PERMIT Previous Date previouspermitpermit Iedt "4 ' ' ,•f,
❑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:
15A NCAC () _J' i i ' ' ( !" fi • 12 i7 ❑ Rules attached. H General Permit Rules available at the following link: www.deQ.nc.gov/CAMAruIes
Applicant Name
r
Address =--1..A"hy7 T rI V 1^v°. (.Y
Clry C State N C. ZIP
Phone # (_)CI"5 Z.
Email
Affected ❑%' CW ❑ EW ❑ PTA ❑ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS
ORW: yes/no PNA: yesA.
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)I I .
Floating Platform(s)
Finger pier(s) 1 � ' i. ` 7"`[
Total Platform area
Groin length/p
r Bulkhead/Riprap length
Avg distance offshore _
Breakwater/Sill
Max distance/ length _
Basin, channel
r _
Authorized Agent C=dy'Orr
Project Location (County): i
Street Address/State Road/Lot #(s)
Subdivision
City ZIP
Adj. Wen. Body (nat/man/unk)
Closest Maj. Wtr. Body
(Scale: )
1
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed:
yesno
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
❑ 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 Initial)
.I(1 `-7N){'[r",C
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature**Please read compliance statement on back of permit** Signature
Application Feels) Check q/Money Order Issuing Date Expiration Date
d't°"",&❑'CAMA ❑ DREDGE & FILL N° 88986 A B C D
a Previous permit I I In
GENERAL PERMIT Date previous permit issued i
❑ 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 I < < ❑ Rules attached. X❑ General Permit Rules available at the following link: wwwc1eq.nc goy/CAMArules
Applicant Name Authorized Agent C 1'1l 14� w i
Address
City
Phone # O
Email
Project Location (County): l
ZIP Street Address/State Road/Lot #(s)
Subdivision
City
Affected 0 CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body % l
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length `!
Pier (dock) length
Fixed Plafform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin.length/q
r Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length ` f
Basin, channel
Cubic yards '
Boat ramp
Boathouse/ Boatlift i
l- l
(Scale: )
Beach Bulldozing ` !
Other _ I
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 be required by: 1 r' 1 c
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ 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 Initial) I , }
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit" Signature
Application Feels) Check q/Money Order Issuing Date Expiration bate
CAMA ❑ DREDGE & FILL N9 91113 A B 46)D
®GENERAL PERMIT Previous permit
Date previous permit issued
VNew ❑Modification ❑Complete Reissue ❑Partial Reissue
As authorized/ �by� t�he State ofNorthCaroollina�). Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC I r• �1_O b� _hU.t� ❑ Rules attached. )� General Permit Rules available at the following link: www dm r&ZoyJcAMAnml
Applicant N�a�m�e'3.� 1 _sad' I I J. Authorized Agent �
Address iJ��-- Project Location (Counry)City r
phone p_ Sctyate _ ZIP _eJ /1%(1.Q Szreet, _ Addrews_tate RoadlLos
Phone [I e�t1Pa'i
Email Subd{v�i/storn.
\�\,,,�_�,C,, City 1.i-t—ty/17.1 LP
Affected CW EW �TA
ES ❑pTS Adj. Wit. Body t/m imk)
AEC(s): I.W. .E: W ❑SPIMA ❑PWS Closest Maj. Won Body
ORW: (Ono PNA:yes/t®
Floating Platform(s) '
Total Platform area
I
ulkhe Rip
Pipraplength
Avg distance offshore
Breakwater ill �
Max distance/ length
Basin, channel
Cubic yards "
Boat ramp �atilt
Boathouse/
Beach Bulldozing
Other YhIsag
SAV observed:
Moratorium: n)a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning F
4
❑ TAR/PAM/NEUSE/BUFFER(circle one)
❑ See additional notes/conditions on back
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Leon Ffcvhe 4,1 y
Mailing Address: 16 2 � ( O'00n
Phone Number: ZCj Z- —L(�, e4e,e 2
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all
necessary for the following proposed development:
at my property located at
in 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:
j w"
Title
X S 13 �l Z-°Z3
Dale
This certification is valid through
ZISS,
(2$'2��tiia-3D�(p
to?( �
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONWAIVER FORM
CERTIFIED MAIL _RETURN RECEIPT REQUESTED or_IJAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner
Address of Property
HARDEE LEON R ETUX KAREN S
1608 EMERALD DRIVE. EMERALD ISLE NC
Mailing Address of Owner 1523 COTTON FARM LANE, GREENVILLE NC 27858
Owners email
leonhardee@ao com 252-413-8982
Owner's Phone#
Agent's Name William A Dortch
Agent's Email: _, William dorteh@davey com
Agent Phone# 910-452-0001
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacent Property Owner)
I hereby certify that I own property adjacent to the above referenced property The indrwdual 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
NOT have objections to this proposal __ I DO have objections to this proposal
If you have objections to what is being proposed, you must notrry the N.c. mvision or coastai
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 127Cardinal Drive EXT, Wilmington, NC 28405. DCM representatives can also be contactedat
(910) 796.7215. No response is considered the same as no objection it you have been notified by
Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lit 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 15setback
NIA
_ __ _----____-.`. _ _-...._.____._..�
Srgnalure o/Adjacent Riparian Property On
wo
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner
Z-� �lc�- �L� %• f
Typed/Printed name of ARPO: _______ _rr^h w•�Jwl /� r �O�c.- J Z`, , ,�k j�
Mailing Address of ARPO: j0 )to Vah J�,-J �&So4
ARPO's email: _ tw.���U (}10.40d cARPO's Phone#: 2$ 2
Date: j- 9.13 waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
RFC; ZIX/s:t7
Ijr ; �1 1t' ",, , , :I I ',
Ai "U, , W lf&" 10 day' of 'Well -1 ,a;, -j"l GlleU r rt; ll ',Gould be
avail 4 to !?7 A lral Dnve EXT Wilo iorgon, NG MM5 0CM mpt. s,r.. (a!lves-: an also be coftbg0,jii at
17101 796?215 No f 5ponse 15 Considered !.no saute as no OP31 _ wn 0 you h"e beet, aoWod b)
!. eawled M:ml.
WAVER &CnON
..a J f4 wo MM Rf,Yip'ng paggS ] -ry..aC'; aw Wil70r b.a�hoUYe sl_ �t �fOm
. Oe Sal Onk 15 hCn�my ar ra of �ipau'arS a e53 �'71e 53 tvarvPd by r.�e ;11'i
•r.5 e app y 10 bu"Bds of MMO Neva. vie "' W M'In to wwo 00 Nl an yow must Mn ;ne
: mrovow [sane bn ,4v -
. wa 4 1 w+! 7 i.. }� setCack
VA
K
3_ A& A<t1G A; uR"; , kA z 6-Pit-id _.?,S
d. a: 1NM%t, S%k2 C s 2r,,rr�11 l� 3fi9 �d4
1
Fox ua ti nun lea* h-I— Ali>il's S-gn'vteud 3
i
inK J i
J