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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 • I � 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 DCA&A4jf) 0, •; v C � ai (0 m y + O N U xZ C c d' w U N� L N 2 N 6 W N L /co V O m M®I® lvk:i) MAY 0,5 ?r, ] f(f 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 USPS.com®- USPS Trackinge Results USPS Tracking' Tracking Number: 70212720000080219913 Copy Add to Informed Delivery (https://informeddelivery.usps.com/) Latest Update FAQs j Remove X Your item was delivered to an individual at the address at 2:17 pm on April 27, 2023 in ABINGTON, PA 19001. 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