HomeMy WebLinkAboutHeath, Rendell - 88968Cdcour"r$&❑'CAMA ❑ DREDGE & FILL N9 88968 A B ;c D
GENERAL PERMIT Previous permit
Date previous permit issued
HNew ❑ 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 ❑ Rules attached. U General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # ( ' )
State ZIP )' ��i'�• i_
Authorized Agent I' H(,I(t -' ('CJ, Y-;f rtJC-1, C�vl
Project Location (County): .(I i'A (-l-('+
Street Address/State Road/Lot #(s) i - ! r, W `11,+'C 061 k I! -1{7-
"' ! ' r V- 1 Subdivision
City ZIP
Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj. Wtr. Body i'j/1(h'�l/T L-VcCY.. (,-(. /Inan/unk)
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes%noj PNA: yes/no
Type of Project/ Activity
Shoreline Length
_
Access Length
Pier (dock)length
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Total Platform area l
Groin length/N
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill !
�Maxdistance/length
Basin, channel
--J--
i;
—
�-
—
Boatramp. i
Boathouse/ Boatlift
Beach Bulldozing
Other
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: _
Permit Conditions
(Scale:( 0)
❑ 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
Signature "Please read compliance statementon back of permit** Signature
(Please Initial)
Application Fee(s) Check q/Money Order Issuing Date Expiration Date
tA(i=r" ❑CAMA El DREDGE & FILL N9 88968 A B `c'; D
a GENERAL PERMIT Date Previous permit
Date previous permit issued -
QNew []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 I ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gcv/CAMArules
Applicant Name
Address
City State J A ZIP
Phone # (_ )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)i
Subdivision
City
Affected ❑CW ❑-EW ❑PTA ❑ES ❑PTS Adj. Wtr. Body 1"{iy(( )i11-`t (1.,y�C Y{_ (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wit, Body ��J \" II�C' t (t k �� t'J (" y
ORW: yesr PNA: yes/no
Type of Project/ Activity
Chnralinn I anorh (` i
A ,;r I.l_H( , I
(Scale:' )
Access Length _, X
Pier (dock) length
'i
r
Fixed Platform(s) � ". Al f �
�
�
I
Floating Platform(s)
I
_i
Finger pier(s)
I
Total Platform area f;.' i' _ • rl�I'
Groin length/q
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards r
Boat ramp
I
i
i
��
—
—
Al
-
i(.
Boathouse/ Boatlitt
Beach Bulldozing .!
Other. I I I r 1 ll .�(•
.'. (_'f
ni
j'r
...
\,—_
C
_
\ f
t
- I
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes �no
f,
V
11
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�
I
ti
is
r.
,
r
A building permit/zoning permit may be required by: �.•'l y ( ( -t ! I I I Y�- �i
Permit Conditions r i,
I
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
Signature "Please read compliance statement on back of permit" Signature
Application Feels) Check k/Money Order Issuing Date
(Please Initial)
Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Rendell Heath
Mailing Address: 5920 Regal Crest Terrace
Chesterfield, Va 23832-7939
Phone Number: 804-839-7628
Email Address: rendell.j.heath@dominionenergy.com
I certify that I have authorized Harber Marine Construction
Agent/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Hogslat dock, boatlift, and framing
for future roof
at my property located at 186 White Oak Bluff Road Stella 28582
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 Owner Information:
-'�) Q Q k q .'z-eA "
Signature
Print or Type Name
VWn(?_T_
Title
Date
This certification is valid through J ir_ QPrFIV6_0
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MAY 0,5 ?r, ]
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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: Randall Heath
Address of Property: 186 White Oak Bluff Road Stella 28582
Melling Address of owner: 5920 Regal Crest Terrace Chesterfield, Va 23832-7939
Owner's email: r4nftI4na0lh4AM1n10nenGr9y' m Ownsea Phone#: 604-839-7628
Agent's Name: Harber Marine INC Agent Phonefk 262-424-0100
Agent's Email: Ieresacharbomontfacting.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom 1101110111 to ba completed by the Adlecgtil Property
I herebycertirythat l own properlyadjacent 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
riDO NOT have objections to This proposal ..,_ I DO have objections to this proposal
lave objections to what la he rig proposed, you must notiry fhe N.C. Olvlslon of Coastal
msnf (I)CM) In writing within 10 days of receipt of this notice. Correspondence should he
0400 Commerce Ave., Morehead City, NC 28557. DCMrepresentatives can also he contacted
808.2808. No response Is considered the same as no objection ifyou have been notified by
f mail.
WAIVER SECTION
I understand that any proposed pfer, dark, mooring pilings, boat ramp, breakwater, boathouse, lot, or
groin must be set back a minimum distance of 16' from my area of riparian access unless waived by me
(this does not apply to bulkheads or r(prep revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO w)sh to waive some/all of the 16'setback
Slggalvre olAdjacont niparlan Profieriy Owner
I do not wish to waive the 15'selback requirement (Initial the
Signature of Adjacent Riparian Property
'I P P(1, oc
L 11O Z23o
Is valid for up to one year from ARPO's Signabue
Revised July 2021
FCC-Ivc'C)
MAY 05 ?.vj
���••A+16•it� is l`r'';
4127/23, 2:33 PM
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