HomeMy WebLinkAbout86881A-Rich❑DREDGE & FILL N9 86881 B C D
GENERAL PERMIT Previous permit
Date previous permit issued
Alew ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the Stat of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCACI 2= ❑ Rules attached. General Permit Rules available at the following link: www.deo.nc.gov/CAMArules
ZIP 2%5.7
Project Location (County): .1)
Street Address/State Road/Lot #(s)
Phone#(")_�Z�5 Z., a4ila
Email r ti Gr arc 04, lAo- —,�905 „ At1 / e.�./t� Subdivision O
City ZIP Z, s l S 9
Affected ❑ CW
PTA
❑ ES
❑ PTS Adj. Wtr. Body K ¢ C,_na JUST _ S ev as=1_ Qnna-7tpan/unk)
AEC(s): EEA
El MA UW
❑ SPIMA
ElPWS Closest Maj. Wtr. Body rC a 0.rt %
ORW: ye no
PNA: ye no
Type of Project Activity
c3,1)15 p rc'i, J(
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area C 5(a
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse Boatli 3 7L- �3
Beach Bulldozing —
Other
SAV observedj,--�`\ yes no
Moratorium: \nLa_1 yes no
Site Photos: no
Riparian Waiver Attached: es no
A building permit/zoning permit may be re
Permit Conditions
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X
A
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❑ 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.
Ap Age }�or licant-PRINT D N� J Permit Officer's PRINTED Name
g Z�l^rYidt��f G�
Sig�nrJe -'Please read compliance statement on bed of permit** . S� atur
Application Feels) Check H/Money Order Issuing Date
(Please
Expiration Date
❑DREDGE & FILL N9 86881 B C D
GENPrevious permit ERAL PERMIT Date previous permit issued
❑New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the
'jStat 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.nagov/CAMAruI%
Applicant Name J r_\ - /1 `e , , h ' n - r (;? , c. Is,
Address 305 /�f /Jc , V I
City State ZIP .2 %
Phone # ( :)
Email i .tc . y1 . a,V " 1 GK"v-�-44 n �. <
Authorized Agent 0_ in { 0. C i 4
Project Location (County): r'
Street Address/State Road/Lot#(s)
Subdivision
City
ZIP 's '
Affected ❑ CW ❑EW [2]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
Type of Project/ Activity = i e.
y a Id (Scale: )
Shoreline Length
Access Length
Pier (dock) length 9J
v
.fI
��
'�
Fixed Platform(s) J(o pC/t-F
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n
_�r
-
--�
�_
•
�__
c
_I--_
-...
-)
Floating
I
I
-
Finerier s
-
I-
4
Total Platform area
Groin length/q
-
Bulkhead/ Riprap length
--
-
--
--
-
-
—
T
-
:
-
-
--
-
-
Avg distance offshore
--
I
Breakwater/Sill
�_
Max distance/ lengthBasin,
channel
Cubic yards
Boat ramp
, _
-
�-
-
��
-
-
_
'�
I
' r
r a
a--
Boathouse/Boatlift
Beach Bulldozing
Z
o
Other
SAV observed: yes no7-
Moratorium: n/a yes no
1
Site Photos:
Riparian Waiver Attached:
A building permit/zoning permit may be required by: Z o v � n 1' N `• 4� �i'r�.c-
PermitConditions
❑ TARJPAM/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
Agent or Applicant PRINTED Name
Signature *'Please read compliance statement on back of permit"
Application Feels) Check tJ/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date
Expiration Date
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11,
a>'arw ROANOKE UND
Remove red area,, ' ""n" `
„ leaving 150 sq ft
NP i Step up off end of
i LI RAP current dock
N12'0T35`4Y `'�" _x
6c'(71E) (green arrow)
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EIVED
FEB 1 6 2023
Name of Property Owner Requesting Permit: DC�1iµ�
Mailing Address:hz''j�
"S y1�lp C Cc arn�cS l�
Phone Number: q _ gL
Email Address:
I certify that I have authorized , V �Cj— Vy -
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �(7� l it p C
at my Property located at L
in f—t County-
1 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:
Signatu-rree
149;031\ tL \GC{
Print or Type Name
Title
oZl ( l ZoZ3
Date
This certification is valid through l
'� Revised Mar 2016
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or NAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Prot
Mailing Address
Owner's email:
Agent's Name: INLe 1 Li%( 1'l flG Agent Phone#:
Agent's
ADJACENT RIPARIAN PROPERTY OWNER'S CER T IFICATION
(Bottom oortlon to be completed by the Adiacent PMRM1y Owner)
I hereby certify that I own property adjacent 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
F�Ple+—)10,1b armw7 i1-Ytpctccunz �ioflt�{
have objections to this proposal. I DO have objections to this proposal.
n you nave objections to what is being proposed, you must notify the M.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 27909, DCM representatives can also be
contacted at (252) 264-3901. No response is considered the same as no objection if you have been
notified by Cued Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, 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 16' setback 2 d
-OR- lure of Adjacent panan Properly Owner
I do not wish to waive the 15' setback requirement (initial the blank)
signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: W
Mailing Address of yA�RPO;
ARPO's a ail: 11 tr! n ARPO's Phone#: LS 2
Date: *waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
175,1
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION)WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
Mailing Address of Owner., k�fr� Nc.-"
Owner's email: I"I Ctlr icisal es, rZfkt� Owner's Phone#
Mal
Agent's Name: (i } � t�l Olt Agent Phone#: S 9' 9 W - 36 a
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER's CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I own property adjacent 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. 8
.. �. ...... .v.... ............... ... 4c-IVY,V6V WIUI 1111b 1011G!.
11ine�)('t^ } GCS fC�'S W '� �1'C(�d Ct.2:rlj iatk,-
_ I DO N T have obj ctions o this propo 1. 1 DO have objections to this proposal.
OV'6
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal artm> a
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be , tIf �` j
mailed to 401 S. Gri#in St., Ste. 200, Elizabeth City, NC, 27909. DCM representatives can also be
contacted at (252) 264-3901. No response is considered the same as no objection if you have been
notified by Certified Mail. } t r7+ t
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of i5' 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
-OR-
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank) &2Ly
Signature of Adjacent Riparian Property Owner: �..a ak {%4<1) r l
Typed/Printed name of ARPO: l�e%ecc� C2n� /✓` lc�)ae-1yC loL 1
Mailing Address of ARP0:1265— 10u1 i S io7'l IC_t) 0-4 AfP o L Fm/l/ 51 V Z
ARPO's email: AfrkM /A V d�a"Hi 5i CJrv. ARPO's Phone#:
�/
Date: / *waiver is valid for up to one year from ARPO's Signature`
Revised May 2021
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