The URL can be used to link to this page

Home My WebLink AboutPate, Willie - 91322CNCAMA ❑ DREDGE & FILL GENERAL PERMIT New []Modification [:]Complete Reissue ❑ Partial Reissue N° 91322 Previous permit Date previous permit issued A B U D 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 0 / 1.1 , i .'4/iU - ❑ Rules attached. ® General Permit Rules available at the following link: www.dea.nc goy/CAMArules Applicant Name W. jj, ( PofC Address ), V (+c — &1 +-1) R OA J City 1�1< <G,,,-,"State A/1. ZIP Phone #(r`JA) 3 t/ 7 WGI Authorized Agent Project Location (County): Street AddreWState Road/Lot #(s) Subdivision City Affected ❑ CW 0 EW 19 PTA ❑ ES ❑ PTS Adj. Wtr. Body (nadman/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/g) Type of Project/Activity ocIL' (ScaleaV 7 >) Ghnroline I onohh Access Length k.1 — 1 I — -- -- — Pier (dock) length _ I z� ± r5 J Fixed Platform (s) --- —L '' — Floating Platform(s) Finger pier(s) Total Platform areafli Groin length/Jt J_ __- Bulkhead/ Riprap length Avg distance offshore —--� t * • _. _._y_— rX Breakwater/Sill I I Max distance/ length Basin, channel Cubic yards~fI Boat ramp __. - - Fu 4 I r - - I- - L I �- ._— j - — Boathouse/ Boatlift- Beach Bulldozing i Other I I - -� 1 Cfff SAV observed: yes no Moratorium: n/a yes no I I T - - - t - 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 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 Officer's PRINTED Name Signature "Please read compliance statement on back of permit`• Signature I Application Feels) Check M/Money Order Issuing Date Expiration Date ❑CAMA ❑ DREDGE & FILL N° 91322 A B r._� 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 ❑ Rules attached. 0 General Permit Rules available at the following link: www.deq.nceov/CAMArules Applicant Name��' Address - 1/ I City i State iV ZIP Phone#O.i -2'(,I Email Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body I (nadmari/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body ORW:yes/no PNA: yes/no' Type of Project/ Activity (Scale: ) Chnrplinn I pnoth Access Length ._, Pier (dock) length 11 X fu 4— Fixed Platform(s) _ �-.- a -- -_ -_ ❑-. ! - ,r( 11�' — i i Floating Platform(s) - — _ Finger pier(s) Total Platform area Groin length/# Bulkhead/Riprap length Avg distance offshore - Breakwater/Sill -- Max distance/ length -- Basin, channel Cubicyards Boat ramp Boathouse/Boatlift Beach Bulldozing ------� - - j.. - - - — - ' — t -- --- ------ '—' — - Other v i-y,. i"— SAV observed: yes noI Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no --T -..-..— i _ A buildingermit/zonin p g permit may be required by: j 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) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" (` Sign ture IUD) �.cl(l,l�:'� Application Feels) Check#/Money Order Issuing Date Expiration Date — — _ , mm mz>� NM mammamm >* im „ _'._ cam # », _am«mm� � NY. # « - - - -�- - - -�- m § ® | | k § � // . \ de \ � t qq | ; | / ) - � Z }A [ / hg |■ ■ » 2� Name of Property Owner Requesting Pemsit 0l1 tl E Mailing Address: Phone Number: Email Address: I certify that I have authorized Nil Agent / con"ctor to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits fLon�'h necessary for the following proposed development: ANDit7.t/ar��JryPA/_ i�`/d�✓°a �n//6 at my property located at G L7 1�/�c i E/e/�FJ f� /` 0-'° �f ihf� �i/4aC c s/Uo/CES in GA2TC-A5 County. I furthermore certify that l 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: iZI SignatuOD Pnnt or lype N S 1 /3 / 29z7 Date fp Z This certification is valid through -S� 1 /3 1 N.C. DIVISION OF COASIA MAN CAT10NiyVAIVER FORM ADJACENT RIPARIAN PROPERTY OWNER N Y CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND O (Top portion to be completed by owner or their agent) Name of Property Owner. /vat le - Address of Property. 2zri Sdcf f1Q �✓j°�N �ppD !'NF Mailing Address of Owner. VJ `/� �y7 � %'�Dl Owners email: Owner's Phonedf: ,/ Agent Phone*: ZSZ ' 66S - y378 Agent's Name: f//LMgE �lE/43 Agent's Email l,.r•66e��1c ED ✓L'ti' c.p,M ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION OA (Bottom rm oortron to be completed by the Adia I hereby certify that I own ad' cent to the above referenced Property. The individual applying forthis permit has described to pro permit shown on the attached drawing, the development they are proposing. A rprter. I DO NOT have objections to this proposal. I DO have objections to this proposal. rf you have objections to what is being Proposed, you must F—ay - _. should be Management (DCAq in Writing within 10 days of receipt of this notice. Comespwrdence mailed to Io0 Commerce Ave., Alorehead City, NC 28557. DCM reP►eserrtatives can also be contacted at (252) 808.2808. No response is considered the same as no objection d you have been notified by Certified Altai/. WANER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, l'rtt, 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 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 15' setback Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: [� �U�Z6E /%il RS/-/ Mailing Address of ARPO: l Zoo -P/2/y( 7Z-'e-41,4k NC 274'02 ARPO's email: ARPO'sPhone#: 9/9- Vl- 379/ Date: SG/T - 7-0Z-7 "waiver is valid for up to one year from ARPO's Signature" fiA f jo- // i:o Revised May 2021 DIVIISM OF •MANAGEMENT oil Name of Property Owner. -1;�0% ze Address of Pfomrgr. 2 ZS 7-ow pw-" �40> Mailing Address of owner, S5-10 r X /� 5 /� ✓G Owner's email Owners Phunef: SZ- *7-'79D/ Agent'sName: 'A&12t '�L/C-4d Agent's Email: J%.ge"ela/c eD A✓L.4 • Agent toner- Zs-2 hy1 t!•.11 _,, L':.1 •-1L'1: a'_%i•n <1_j� iL.�- _ -- I hereby certify that I own property adjacent to the above reterenced Property. The individual appying for this permit has described to me, as shown on the attached drawing. the devebPrnent they are Pf01 o - 9 description or drawing with dirnensions must he provided•fith thief- i (YO-1 1 DO NOT have o4actions to this poposal. 1 DO have oblecbons to this proposal- ff you have onjecuons to wmw rs mm* proposeq you apim rww.s •••� ...� -------- -- ----- MWmgenrn+t (DCAQ it wrXny WkWn 10 days of rucayrt of this 1100 - Correspondence should � rnfllaedto 4W Conrrmrce Ave.. Monahead CA:y. NC 28 w. DCM fepresa of (254 808-2809. No response 1S oorulderedfM sane as no 0619cdon tfyou Raw been ffaflled by Carfffied Mdl WAIVER SECTION I understand that any proposed per, dock, wing pigs, boat ramp' breakwater. boathouse, Wit, 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 bujidwds or ripap revetments)- (Vyou wish to waive the setback you nym aim the appropriate Wank below.) i DO wish to waive Some/all of the 15' setback Signa(ure"RowWOittrtar -OR- I do not wish to waive the 15' setback regtdrement (nitial the blank) Signature of Adjacent Riparian property Owner. Type"nnted name of ARPO: CMG FNa 'Pf; C Y"V G LC Ski' �F•✓/�s.✓g r M"ingAddmssofARPO: 253o //tv4,7 SiP�Er Ci'�Y N� 27S/S ARPO'semail: a5A+ yoDlgz coy,,uIe;4 LARPO'sPhones: Date: Zb Z7� •waiver is valid for up to one year iron ARPO's SignaWW Revised May 2021