HomeMy WebLinkAboutRoss, John - 90070CfA ONOMu 21CAMA ❑ DREDGE & FILL No 90070 A B C D
GENERAL PERMIT Previous permit
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:
15A NCAC ( 1 ❑ Rules attached. E General Permit Rules available at the following link: www deq nc gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Affected El CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no i
Type of Project/ Activity
Shoreline Length
Access Length -
Pier(dock)length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
;Bulkhead/ Riprap length �4('
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
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:
(Scale:i q 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 B/Money Order Issuing Date
(Please Initial)
Expiration Date
�a aur4
� ❑CAMA ❑DREDGE &FILL N° 90070 A B i Ci D
1 1 GENERAL PERMIT Previous permit
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. vN General Permit Rules available at the following link: wwvvdeq.nc.gov/CAMAnuIes
Applicant Name
Address
City l i State Aa C ZIP i •-
Phone # (2 S4) 2 30
Email 1j oc %. I Ii-)(C L,
Affected CW �d EW 0 PTA P ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length.
Access Length _
Pier (dock) length
Fixed Platform(s).
Floatm Platform(s) NDY7•, I ylrl
(r Y `12,
�
Finger piers)
Total Platform area
Groin length/#
Bulkhead/Riprap length r)
Avg distance offshore
Breakwater/Sill ..
Max distance/ length -.--
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: Yes no , - r� VrJt�. wi
Moratorium: n/a es no ) ! Site Photos: yes no
Riparian Waiver Attached: ,yes no
A building permit/zoning permit may be required by:
Permit Conditions
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
City ,' ZIP
-
Adj. Wtr, Body TJ
Closest Maj. Wtr. Body i CsC
_(nat/man/unk;
(Scale: )
❑ 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)_
Agent or Applicant PRINTED Name Permit Officers PRINTED Name
Signature **Please read compli ce statement on back of permit" Signature
Application Feels) Check #/Money Order Issuing Date Expiration ate
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: 4 `as s
Mailing Address: j/ L 5 k4 ,1/,
yr/e Z 5 3
Phone Number: Z5 Z / zz ' -
Email Address: J Coss --(5i GJ
I certify that I have authorized t4 (4•, 61?
A ,nt/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 Zo/ 34 ?e. A,/ 014")1.1 lil// zs'S!Z
in i. r.� 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:
1(�--
i natu
tS
Print or Type Name
C/ Gj o'er
Title
e I / Z / n- 3
Date
This certification is valid through / /
N.C. DIVISION Of COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER pionncATIMWANER FORII
IFIFD MAI
FrT
(Top portion to be =misted by owner or their awn
Name of Properly o'sVflef (;)4, •
Address Of Prep.* _rue° Z iv5/z
Addriell of Owner:_ILL:LilitiLik,L12:1_, (41/44., C Z 5/Z.
Ownerli esvoil: rt eln co-- Owners Phone. 3'°""/Zgr
Agent's Nam Litezier p7•r-1:4-c Aqem Promo- ZCZ. - 7 z 7-5Stf
Agent s Email holdivria&l&libiAegetrei4e04"
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Morn io to ac P
I hereby certify that I own property adjacent to the above referenced property Tne indrviduai Replaying for Om
permit has described to me, as shown on the attached drawing the development they are propneing
DO NOT have objections to this proposal I DO have obsidians to the proposal
if you hey* objections to what is being proposed, you must notify the Pt of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 400 Commerce Ava,Morehead city,NC 21557.DCM representatives can also be contacted
at(252) 800-2808. No response is considered the same as no objection if you have been notified by
Certified Mall.
WAIVER SECTIO
I understand that any proposer, pier, dock, mooring piing', boat , D akwatar, boathouse, aft„or
groin must be set back a minimum dtstanca of 15 1rpm my ripen. access unless waved by rne
(this does not apply to bulkheads or nprap revet ts) (If y to iv*the asaback, you 'Mat sain
the appropriate blank below )
DO wish lo wan,*some/all of the 15'setback
Signet of Ad n it Prom*0114111f
OR-
I do not wish to waive the 15' setback requirement(initial the blionki
Signature of Adjacent Riparian Property Owner
Typed/Printed name of ARPO: 1414,//ite4c,
C'
ZE 1.44 Lt 2CP•ak. Z 245/Zw•
Malting Address of ARPO' L 3 / /0. .v
ARPO's sma • € ARPO's PhoneS: //7- 8 a- ystf5
Data: 'waiver la valid for up to one year tram ARPO's Signature'
%mod July 2021
\ \ • •
201 Bayview Blvd
Dock Plan
12'-6"
I
0 0 Calculations
32'-0"
A—7x40=280 sq ft
B—6x14=84 sq ft
C-6x32=192 sq ft
a • •
26'-0' Total—556 sq ft
Allowed
70ft x 8=560 sq ft
4 m "O
19'-0"
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t. 12-6" II
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