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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 . 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