HomeMy WebLinkAbout89613A - Dietrichprevious pernnit
ENERA
PERMIT Dace previous permit issued
New ❑ Modification ❑ Complete Reissue __ Partial Reissue
As authorized bytheState of North Carolina, Department of Environmental Quality and the Coastal Resources Communion in an area of rumionmennl concern pursuant to:
I SA NCAC _, r)"�. • �t-'ll ____,,._, _,___ `_i Rules attached, X. General Permit Rules available at the foilovnng link: wvnv deq.nc. ov UMArules
Applicant Name
Address l
City
Phone # r
Emailr,.
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y�,14-State-,—ZIP
Authorized Agent F!' VSYi+ ( r' sa;..n f,
Project Location (County):
Street Address!State Road/Lot #(s)
6" . n r
Subdivision
City.,
Affected �CW ElEW NPTA ��FS _�PTS Adl.Wtr.Body,��LtN �`Z-m. -Co clne� E�6)tanfunk)
AEC(s): EIOEA E]IHA E]UW JSPIMA _fPWS Closes Maj. Wn, Bodyys�.j.L_1rL•j y—" r 4.4V0_
ORW: ye no) PNAQyes o
Floating Platforms)
Total Platform area
Groin length(ii
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill ___
Max distance/length
Basin, channel
Cubic yards _.....
____
BeaMmp Eu
SAV observed: es no
Moratorium: n%a'' yes no
Site Photos. �3@ f no t♦ s
Riparian Waiver Attached: yen n�
A building permit/mining Permit may be required by:
Permit Conditions 1 *51) NrMV.
Signature "Please read compliance statement on back of permit
•a
Application Feels) Check a/Money Order
Issuing
V
❑ TAWPAN NEUSE)BUFFER (circle one)
[; See note on back regrading River Basin rules
❑ See additional notes/conditions an back.
a"cour" )4CAMA ❑ DREDGE & FILL p ' N9 89615 Q B C D
�" Previous permit
fff GENERAL PERMIT Date previous permit issued
XNew ❑Modification ❑Complete Reissue El 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
H • I W ❑ Rules attached. X General Permit Rules available at the following link: www den nc gov/CAMArules
Applicant Name /ryy //�� t_� 1 1
Address 1 a G) rV�Q.@' K-C)
City �f State W p C. ZIP 23
qqq
Phone #
Email �CLA bVi+r'(b "6a: L . coVK
Affected XCW ❑ EW PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: ye no PNP4ao
rype of Project/ Activity l't Y%6 IA & a x 121 y %7
Authorized Agent gQb4ee+ r'K(I4zA f =
Project Location (County): Qarel
Street Address/State Road/Lot#(s) 10 21 C�Vt ly—
toi- %; PSI eick I Sceho-vt L1
Subdivision M a,4- h 1 t 5 Pd I YN-
I
city MLWi'fYCCJ PQiYvi- ZIP ,}9�
Adj. Wtr. Body
Closest Maj. Wtr. Body
Access Length
Pier (dock) length Ntc�o
Fixed Platform(s)
Floating Platform(s)
in er ier s ' tk4ft5iVVI Ve/
Total Platform area
Groin length/N
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
B"WwM
B oatli
ra_1Oave 12112
D 1elo
W
Y%J
Y>di ex 5jtvLq .v
w�Pfev
i
SAV observed: 40 noa-.�—
Moratorium: n a yes no
Site Photos: Ye no
Riparian Waiver Attached: yes no 117
IAM
gent Applicant PRINTED Name
APPLY TO THIS
Signature**Please read compliance statement on back of permit** Signatt
tad U)n Ma)I:M -k2535
Application Feels) Check H/Money Order Issuing
PRINTED
If
WfdiA
I C3�r�
-TUVA C e� 't
V1
V
TARIPAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
❑CAMA ❑ DREDGE & FILL N9 89615 A`a B C D
GENERAL PERMIT Date Previous
3 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. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name �{{ DI f- "�'^V ! f. �'s.. Authorized Agent
Address ' i Project Location (County): V)Y'{A'-t'
I (.. City State ZIP €�/�i.(i� Street Address/State Road/Lot #(s) ,r�.I b "J,, f,1'c'7f4
Phone # I—)
Email "] i', O'L Lf V I +-c . „•"A I'Lr i. C 6 VY( Subdivision
city Pa ri. 1 ZIP -
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: ye!(no� PNA: yes/no
t Type of Project/ Activity (II x
i11I lV"vY /JJA YY, t.r,
i ) .1A7 .'. (A .! YI i
0„al
a /...o'., . 1
Long
lengthShoreline
Access Length
Pier (dock) w
Fixed Platform(s) -t'
e6. _
r
I
l
1
-
-
6
i
r
-
F
-�--
f
Floating Platform(s)
-
1
14
rf I�
Finger pler(s) I� Y. jeS
t( F'Xvt
>< >41
rv�/y J 1 W1
i
,I
tt
Total Platf�or area �
_
I
{
Groin len
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'
II
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Bulkhead/ Riprap length
R p
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r
i
r
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-
Avgdistanceoffshore
7-
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-r--
p-
-F
-
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--
--,-
Breakwater/Sill
Max distance/length
Basin, channel
-
---
-
I
Cubic Yards
, j
_.
yw
f
)I
i.
,
')
i
latije Y4(," 1 rA I
v Boat romp
-
--
--
k
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01
_
-
_
Boathouse/Boatlift�a
t
BeachBulldozltt Y"vt6V :- l� (%
g
Other. VIOLA VIOLA-Cv V,/.(}
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M
_
_
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i _
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_ _
_
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SAV observed: yes noth
----
_
_
-
Moratorium: n/a yes no
Site Photos: yes no
x
-
--
-
-4
8
-�
Riparian Waiver Attached: yes no.�
A building permit/zoning permit may be required by:
Permit Conditions
rd
T.VI ❑TAR/PAM/NEUSE/BUFFER(circle one)
{%'}!��°gt ❑ 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)
Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Fee(s) Check #/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: ?,:—I cC,Y-%
Mailing Address:
Phone Number:
Email Address:
I certify that I have authorized
I 0 Z.1 Yt--Q-- k- ""
210+`1
S F0t brt i-e @ 9rylck�tl ww
/ Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: N—)
)n PUU'SOSat my property located at
in I)OL-V�e, 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. R _ _
Property0 rinformation:�
� APR 0 4 2023
( 7
Signature D C f 0! E mE C
g j c"-v\ D t C+K i s -4
Print or Type Name
O�wNe,�
Title
a1 1 '
Date
This certification is valid through
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORK
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
RECEIVED
APR 0 4 2023
(Top portion to be completed by owner or their agent) DCM-EC
Name of Property Owner: U\ C,; V k U)
Address of Property: 1i C--VOULA � �2K4-
Mailing Address of Owner.
Owners email: Chyy�oAi C1' Owner's Phone#: 1r)3 ' h�) - glib 5
Agent's Name: c aGvv L 4 i4 y ii Agent Phone#: jT Z- ` 2-11 l - t0 3
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. A
description or drawing with dimensions must be provided with this letter.
/ 100 NOT have objections to this proposal. _ i Do ;rave objections to this proposal.
Y you have objections to what is being proposed, you must natty me mu. urwsron or c oasrar
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 Certified Mail.
WAIVER SECTION (Choose one one
t 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 ipraLrevetmens). (if you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive somelail 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:
TypedlPrintod name of ARPO:
Mailing Address ofARPO: [0a5 _L cee-�-_Qc�
ARPO's email: -1 tWg lmjmA,7 ARPO's Phone#: 41W-3,a yff
Date: ,_1h7/,264) `waiver is valid for op to one year from ARPO's Signature'
i� Revised August 2022
N.C. DIVISION OF COASTAL MANAGEMENT RECEIVED
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION(WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY APR 0 4 2023
(Top portion to be completed by owner or their agent) (� y
Name of Property Owner:_ CL 1Gt_V LLJ 1 VN CIVI-EC
Address of Property: ll21 C- e&Q., _ vz1 K-r-[Tl 4-\r CLw. - t "L.
Mailing Address of Owner.
Owner's email: ! 0.) vi @ oiy✓lckA.CeOwner's Phone#: olSa - `1B L- eLSi3
Agent's Name: Agent Phone#:
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adiacent 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. A
description or drawing, with dimensions must be provided with this letter.
✓ I DO NOT have objections to this proposal. 1 DO have objections to this proposal.
tr you nave objections to what Is being proposed, you must notify the N.C. Division of Coastal
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
malted to 401 S. GrMn 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
notdfed by Certified Mail.
WAIVER SECTION (Choose only one
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
gran 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 15' setback
-OR-Signature of Adjacent Riparian Property Owner
100 NOT wish to waive the 15' setback requirement (initial the blank) __ J
Signature of Adjacent Riparian Property Ownet�)-Y,(aa
Typed/Printed name of ARPO: L hcU-y `e.S S(Av\c' Cy
Mailing Address of ARPO: I 0 4- CCY Y Lk CL1 t iTM 1r
ARPO's email: SGY d' c911v w 1`lrlb @ � ARPO' hone#: �i � C60 - cl4 ok
Date: 1 30 23 —*waiver is valid for up to one year from ARPO's Signature'
Revised August 2022
MIDGETTS WATERFRONT CONSTRUCTION
334 HARBINGER RIDGE RD. HARBINGER N.C. 27941
252-202-7033
EXTEND
CATWALK
EXISTING
DECK
SET NEW PILINGS 12 FT OUT
RESET LIFT
EXISTING LIFT
ECE-1VED
APR 0 4 2023
DCM-EC
ELECTRICAL BY OWNER
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