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HomeMy WebLinkAbout89659A - SchlarpCAMA D DREDGE & FILL N9 89659 (3) 8 C 19 Prw4ous permit GENERAL PERMIT Date previous permit 6vJQd INNew DI'lodification []Complete Reissue E] Partial Reissue As &sdwdmd by oft StUe of Nont CavMw Deww," 01 E%VIIWIW Qky and It. C.1.1 R� cw"*n W An � Of wmr*vnwyW � Pu� 1& 17,00 f-] Wn atticied. N Cw4nd Pem* RLkS w&Ubk X " "OwiV W*- Type of Project/ finger max ckstanw/ lemoth S&SK COX Yards Boat "MP Scads BuWo Odw 6 SAV Obwvtd, Yes AV moratod.m, Azo ) y— S; e Photos P"MA cordolom xv R*w UlBntln (CMB*Y): � Ad&mwWSz*e Ro" I XiU Ile (Scale. Altiixfr " - --------- - E]Sft note on bad reprckng kKw Basin rules ElSee a&ftlwal wWbwN&tJwu an back Mn, �-Ne� WM-PrAncv =wwt w bwA Of p&m*-- OD 456 5/L� V, <-I 7 -4v AP*'.'Ow fe*(S) Owd OINIOney order MOON! Ug" ExPleon Date &§1WT41NCAMA El DREDGE & FILL w14New GENERAL PERMIT ❑ Modification ❑ Complete Reissue ❑ Partial Reissue NU 89659 Previous permit 1 `` Date previous permit issued ® B C 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 �1 - 1100 ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.ncgov/CAMArules Applicant Name \ CkaXA) (1',A kClt"A Address' ` 150 ft ,1'C�,t City C9 fX�li1Y-O State _ hill zip Al 1p zi lif Phone # (ZL7) G 61- 4 m Email Authorized Agent Project Location (County): Street Address/State Road/Lot Subdivision ^ 1 t [ City k4e4F�i'//O'1',t -fj ZIP 21T4q Affected ❑ CW ® EW ® PTA ❑ ES ❑ PTS Adj. Wtr. Body L `TT�Q [ Vt— a&an/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body �Il/�'Il�lf�Y�Q Sd ORW: yes/0 PNA: yes/(2 Type of Project/ Activity r&f,_1, f f_ Shoreline Length `/— I Z06' Access Length C 11 Q Pier (dock) length Fixed Platform(s) L{ r )t ((J Floating Platform(s) Finger piers) = Total Platform area Groin length/# Bulkhead/ Riprap length Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other 1$�!s 1_v YSrCii2r W/l (o � 7c liar rr�u t'�•.d O�Q.�l bt tM u 1 tr K a it,��p��sKQy /� n , v \ C k q, IA Uk /r�R f�z$�J_ V SAV observed: /'� yes Moratorium: 4D yes no Q ice'` ��GV CC Site Photos: <' no 'c , Riparian Waiver Attached: yes io 1 A building permit/zoning permit may be required by: A q L'\t ccQ CQlhtw Permit Conditions Agent or Applicant PRINTED Name Signature "Please read compliance statement on back of permit" s 9.00. 9-0(0 r3 Application Feels) Check #/Money Order (Scale: V " ) ( f.G�< ersP ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back REVIEWED COMPLIANCE STATEMENT. (Please Initial) Permit Signatur5e /, 5/U-j 9/1yey) Issuing Date Expiration Date Ate"r4, HCAMA ❑ DREDGE & FILL IVY a7oJ7, ( GENERAL PERMIT 1 (A) B C D Previous permit Date previous permit issued >; New ❑14 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:)6nnm.deq.nc.gov/CAMArules Applicant Name Address City State ZIP Phone # (_) Email Affected ❑ CW [Z] EW ❑ PTA AEC(s): ❑OEA ❑IHA ❑UW ORW: yes/no) PNA: yes/no:. Type o�flProject/ Activity Shoreline Len&h Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) , i (. Subdivision City .. ZIP ❑ ES ❑ PTS Adj. Wtr. Body ❑SPIMA ❑PWS Closest Mal. Wtr. Body_ (Scale:I i ) Access Length Pier (dock) length Fixed Platform(s) ■■■■ ■!�®�■ ■ Elmo ME ... ■ ■■■. Total Platform area- M MMI Groin length/# MONO If .... ME loll M ME ■.■av■■®■■��m■■■■■■■■■■■u■■■■■EN ME so M NONE I oil ME ENE ■■■9�.��irt ■■N■■p ■a 0 OEM ENE ME :.F�::.�..:.......■...: :::a::l �C ... ■ �■■ ■■...■■■■■■:■�i.■■■■■■ :■■■ ENE A building permit/zoning permit may be required by: Permit Conditions ❑ 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 Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name t (— Signature "Please read compliance statement on back of permit" Signature Application Feels) Check ft/Money Order Issuing Date Expiration Date ✓►'t.tArtg2, '1�tc RECEIVED IBOA APR 14 2023 rl:Z_ ��qt�(o DCM-EC N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner K- i cka ref 5c�iL"A,- P Address of Property: ISO (ref tcc*/1 Ci kff-fyrd In L Mailing Address of Owner. $Gr eA L Owner's email: IOwner's Phonalk tj 111 &0 f Lt a c( D Agerri's Name: la(4d 0ti IVICtr$ne Irric- Agents Phone# )L5 -- Agent's Email: L-0 7der1 (�'l Gil i v� e E J4i14erect, co rw ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION r1�h (Bottom Portion to be completed by the Adjacent Property Owner) I hereby riffy that I own property adjacent to the above referenceLi property. The indivjdual applying forthis 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. 1 DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what Is being proposed, you obfy the N C Division WE Coastal �-4-1 t Management (DCM) in writing within 10 days 0f receipt of this notice. Correspondence should be mailed to 401 S. Gdffn 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 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 15' setback 1 -OR- Signature of Adjacent Riparian Property Owner 1 do not wish to waive the 15' setback requirement (initial the blank];�P Signature of Adjacent Riparian Properly TypedlPrintedname ofARPO:_OetfeirT lIAA�AeiC Mailing Address o�offARPO:'R4./rr/i�i2'iF��O�M/!t r % �f�c�S• �� ARPO's email it F✓iA/L* p90iA61� U G 1101< C'aaftQ's Phone#: 7s`7 Date: 'Waiver Is valid for up to one year from ARPO's Signature ■ Complete items 1, 2,,a'nd 3. - ■ Print your nan*and address on the reverse so that,we can re(Wm the card to you. ■ Attach f6is card to the back of the mailpiece, or on the-06nt if space oermitc ❑ Agent ca've address alitfentEl item17 fmm item 0 yesCu/vl 1 bL'/ VN/���°/$�iLs@� If YES' �1 rle El No x?1 �FunG�Ei�t I1 ea,t�i Che.swp8 ke- vw APR 18 an illilllllllillllllllllilllllilllllllllllllllil El Adult gnaturee t. iority 3. Service Ty Mall Express® ❑ Adult Signature Restricted De live egetered Mail*a 9590 9402 7889 2234 7974 24 ❑ cenined Mai ® ry ❑ gegisferetl Mail qes is ed ❑ Certified Mall Restricted Dative Delivery ❑ Collect on Delivery [very ❑ Signature Conflmtation*M 2. Article Number (Tians(el /lam S2Nide lade/) ❑ Collect on Dellvery Reshictetl Delivery Restricted Delivery ❑ Signature Confirmation lon !{ 11/7d167/toybb'1bbhb117t9A 1467s ! PS Form 3811, July 2020 PSN 7530-02-000-9053 ■ Complete Items 1, 2, and 3. ■ Print your name and address on the reverse JFA.'so that we can return the card to you.■ Attach this card to the back of the mailpiece, or on the front if snanw ncrmne D. Is Gu:(z et,-rf y Ctjpe- If t33117 PT rhe.sgpeaAe Ow-,L, 11 APR 1 8 1013 d3"S l Ililllill I'll llllli 111111111111111111 l III II Ill ❑ Atlul vSgna up ❑ nority Mail Express ❑ Atlull Signature Restricted Delive egistered Mail*'^ 9590 9402 7889 2234 7g74 91 ❑Certified Maile Delivery ❑ Re Istered Mail Rest ctec ❑ Certified Mail Restrlctetl Dellve Delivery 2. Article Number (Transfer from service /abet) 11 Collect on ❑Collect on Delivery Restrcted Delivery ❑ Signature Canfirmatlenrwf ❑ Signature Confinnation 7017 0660 0000 7183 4882 gall Restdc ed Delivery ry Restricted Delivery PS Form 3811, JUIy 2020 PSN 7530.02=000.9053 Domestic Return Receipt Domestic Return Receipt C. ❑ Agent i I IZ,7 (D N f0 (D A ? 3 m U/ 3 m W 3 m N 3 m 41 w - I0 Io N N 3 n m � N a y W � I� O I> h n y c C (D � � W N C la m °- W IN pt N I