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HomeMy WebLinkAbout89674A - Mills(MI AMA DREDGE & FILL N° 89674 OLGENERAL PERMIT Previous permit Date previous permit issued (.New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by�thle t to of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC ' ` -tt i( r •� ❑ Rules attached, ff—General Permit Rules available at the following link: wwsv degjmgov/CAj6ndm Applicant Nye _ Address !v'/ b Cityj 2 c� CZ" ZIP Phone#(5) 7-32 1-5 Email ` j-&4rti O n 4-r'e,kCx,ny Affected ❑CW ®EW [&TA AEC(s): ❑OEA ❑IHA ❑UW N ORIN: ye no PNA: yes no Type of ProjeW Activity V Shoreline Length Access Length Pier (dock) length Fixed Platforms) Floating Platform(s) Finger pler(s) ©'ES %DPTS ❑SPIMA ❑PWS Total Platform area \ G ngth/R Bulkh Rlprap length h / 6 Avg distance offshore 'y Breakwater 1 �_ Max distance/ length !X \� Basin, channel Cubic yards — _�✓ Boat ramp .. y y Boathouse/ BoatliR LV Beach Bulldozing Other SAV observed: yes Moratorium: n/a yes no Site Photos: es no Riparian Waiver Attached: no A building permit/zonpermit may he ree /in'g Permit Conditions K IO.A 20 I / cia cJ orO d Q\q 0 Lupo uired by: Authorized Agent `-Vvwt e (i✓L Project Location (County): - ec+ rit— - Street Address/State Road/Lot #(s) 5 /� / 3 (.. Subdivision "'' _ r City HT 4-1 Adl. Wtr. Body T�`e- flnaa� ,,Nnk) Closest Mal. Wtr. Body (Anc'•M i 'Jy g4+�11, (scale: IQ 7-.5 1 7t a CiJcaPel�vJo rd � F m Id —' —zaa ❑ TAIVRAM/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)"" " !)cu G /�lY r,�,J X V b I ti� Cart�e(� Agent or p/gllcant PRINTED Name Permit Officer's PRINTED Name Signature $ read compliance statement on back of permit" Si re �� I `15 513b1�-3 %I3o�z3 Application Feels) Check R/Money Order Issuing Date Expiration Date D.DREDGE & FILL N° 89674 �(- (q) C D GENERAL PERMIT Previous permit Date previous permit issued [T] 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 { / I ❑ Rules attached. `❑ General Permit Rules available at the followinglink: wwwd eq nc gov/CAMArules Applicant Na e s\V -� n r� %li 5 Authorized Agent Address - D Y• Project Location (County): � � � c ( lot - City '• 1 4 /1 -r State P•) -- ZIP j. 7 / (" Street Address/State Road/Lot #(s) Phone#( .) Email n. C3 /Y// ' s.f'{- �<•..�� (--/r C a�i-�._ Subdivision City_Li .. .. ZIP ( �' Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑pT5 Adj. Wtr. Body I i (na�nan/unk) AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Mal. Wtr. Body i' .s _ ORW: yes/no PN/A: yes/ho Type of Project/ Activity 11 i .. (Scale: ) Shoreline Length ached: :yes, no _ Riparian Waiver Att 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 I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. Agent or Applicant PRINTED Name Signature "Please read compliance statement on back of permit" Permit Officer's PRINTED Name signature (Please Initial) Feels) Check #/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION Name of Property Owner Requesting Permit Mailing Address VO>K l i Phone Number: ``yS Email Address: 7dhy vl s r 1't tJG�" (P� f. (61/il I certify that I have authorized,-��- Agent 1 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 �ylp in 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: Signature II To t^.. /°-A+ t l s Print or Type Name Title -76z Z pate This certification is valid through =i mr _ ----- �a \\�- - \°k 0 ;� c� ��� � � i P��� � i x m o � N �� �O 2 u '. � 599 �,, � �� �`� � % �� / � a �o I � � '� s _ m /\� ;n �z iA aT �� � i I i ��� ��� `� ,III I I �av �< � �� � pN \ 1 `\\\ N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATiONIWAIVER FORM C 7Ir D MAI RETtJRN EGElP REQUESTED or NAND DELIVERY (Top portion to he completed by owner or their agetit; Name of Property Owner: _ 1Olr�rw �l Address of Property. _,�t�� Melling Address of Owner._t.-(„.�.'^''`` AOwner's emaitr genPs Name: ;� iY -eYsP one#. 1� t�:k�LC%�"-,3ZT5 Ag-(� Agent Phone#: a Agent's Ernsil: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent ProoertV Owner) I hereby certify that I own property adiaoentto the above referenced property. The individual applying forthis Permit has described to me, as shown on the attached drawing, the development they are proposing. A descriri on or drawing with dimensions rovided with this ie to . i I DO NOT have objections to this proposal. ^— I DO have objections to this proposal. if you have objections to wlrat is being proposed, you must notffy the N.C. Division of Coastal Nianagernent (DCM) In uniting within 10 days of receiptof 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 i understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, tiff, 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.) 100 wish to waive someiall of the is, setback 4 Stgna�hm'of Adracenf Rrpanan Properly t�wner -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: 1 rviaitin}y Address ofARPO; �J1t J� c—p. ARPO's am all; ,rw+�D�d��1 �✓ RPO's Phone#: Z-:�-y�s�j- 0ats:t , j .1- L„�- ,_ Waiver is valid for up to one yearfrom ARPO's Signature` Revised July 2Q2 f N-C. DIVISION of COASTAL MANAUMEN7 ADJACUNT RIPARIAN PROpERry DWNr� 'R No, WIGATIONIWAIVER FORM L 414P — -P _kJyE k I -gy lor, ymonforl to b(' e-,)n1PI0W?J 1A, OwnE[ of their agent ADJACENT RIPARIAN PROPERTYOWNER'SCERWICATION I"`R1lR%AMJA-nAq- �c-m 04b'rb', wj;fy- Jra I mm property adjacent to thcab4ve lefetenoll Ym,ezly, 114 jppt�'n? -- 1- " has d0tVibSz1 fa me, as shbwn on 1hp attached ding, the they at_ Pcpbsf,g 00 N 0 1 have oajccmas to ovs proposal 100 have oacc-blu to this propbc, For.-F wo—n, �rw o'-JOC—— a what is batnp- JI6Z141911nvent (DCM; in wligilg Within IQ a nWltyd to 401 S. Gruffn st., Ste. 300 Eliz, cenrcead nonfied try C"ari'd r4ait of this naum Conat¢rondonoo bho"Jit b, 27000. DCM rcqaresonfayyvw con atzo 0e the some *S no objection H you have ham, WAIVER SUCT10fg, virr a4" that ary proposed pier, Clock ryinafing pilings, boa! ramp, be Sal back a minimum dtifenu of 15, from my area Of �panan access bociir� ,tm,- cos rm! APPI 1 to bulkheads 0, ni ravounenio) (it you wish url;m vrawt,' b, 'I's Z-icmmaie biariv W-W) , waive the sSQbic* yo, MJk��,;gj � 00 Why f* ;ov'Ve sofficiaR of file Is sow, a raq,4t"Al (Inital the btalk) owne! iv- Typr&P,intrid Mailing AdJresa (If ARPQ: APPO's vmatl[ ARM% Phonttb -vvo'"T is valld fiat up 10 011f YPattfobARPQ,s Signzju,c- ®� V4CAMA b4MREDGE & FILL GENERAL PERMIT N° 89674 Previous permit Date previous permit issued (A ) C D N4New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by the t to of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC � t !� ' , ❑ Rules attached. 'General Permit Rules available at the following link: www.deq nc goy/CAMArules Applicant NayJ�e c� 7� n M < ! �S Authorized Agent (Drl-c.n Address ✓ JbJ . '1 J Project Location (County): c�/C-c"k- 1 City d-wn T/�-State %J ZIP /[ Z� Street Address/State Road/Lot #(s) ✓ / Z'3 Phone #(Z-52) „321s �r2/JU <2. a-r�nP Rs�•< -Oo,.� Email 1�0 �� p.. CD M, `4 wf'I re cam/ � C-/Y� Subdivision 1�'- — V City IT,44T f6._5 ZIP Affected ❑cW [F�EW PTA [j�ES 1�tPTS Adj. Wtr. Body f f"e- 5 wS 1, < U tan/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body ORW: ye no PNA: yesno Type of Projew Activity �� 1 n .,l I. O /K� 1'� " � 4 � 3 ' (Scale: NTJ ) Shoreline Length ����/// Access Length /� _ `' I �� 4 Pier (dock) length Fixed Platform(s) - y Floating Platform(s) Finger pier(s) Total Platform area ip,�/fg eulkhe Riprap length _ Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: Moratorium: n/a Site Photos: Riparian Waiver Attached A building permit/zoning Permit Conditions n _ t yes no yes no es no e no Agent or Applicant PRINTED Name required by: _ 41 i �tnCanc}— �-r *La"_ o )=i-vsA rd a m !d 66, 6V-W1x4LwA ,Ik Ac.+,�t'1 s-c J Ao' Re.+L� P1__ •t Cam. / ) Signature **Please read compliance statement on back of permit** 1 Application Feels) Check #/Money Order ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back ND REVIEWED COMPLIANCE STATEMENT. (Please Initial) 104- yV'6 J ere c �- Permit Officer's PRINTED Name 4 si Z� 3 71 �/z3 Issuing Date Expiration Date Carver, Yvonne From: Carver, Yvonne Sent: Tuesday, May 30, 2023 8:29 AM To: Doug Dorman Subject: Mills & Davis/Setzer GPs Attachments: MILLS GP89674-OS302023080225.pdf, DAVIS SETZER GP89675-05302023080339.pdf Morning Doug, Copies of general permits issued for the Mills' bulkhead project and Davis/Setzer's bulkhead/dock project are attached for your review and signature. To validate these permits, please address the following: 1. print and sign the permit on the bottom left-hand corner below your printed name, 2. initial where indicated on the bottom right of the permit, 3. scan and send signed copies of the GP back to our office. No work can be initiated until after we receive the signed copy. If you have any questions regarding this correspondence, please don't hesitate to contact me. Thank you. PS, I will also have them with me today, in case you just want to sign and get originals when we meet in Wanchese. Best regards, *On" Yvonne B. Carver Environmental Specialist II Division of Coastal Management INC Department of Environmental Quality 252-264-3901, ext. 237 Please note that my email address has changed to:yvonne.carveroo deg.nc.gov 401 S. Griffin St., Ste 300 Elizabeth City, NC 27909 _DEQ,- Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. 1