HomeMy WebLinkAbout89618A - Jacskson" ' r
CAMA 0 DREDGE & FILL
, GENERAL PERMIT
B C DV
Previous permit ? t 1
Date previous permit issued lkrl)j ,S.'.Y
❑New ❑Modification D< Complete Reissue ❑ Partial Reissue
As authorized by the jState of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
l
15A NCAC � 1 • i I oo ❑ Rules attached. V General Permit Rules available at the following link: www.deo.nc.gov/CAMAn les
Applicant Name
City - t 5w'Su to M n ZIP 1{ i
Phone # (3i) 672y --i �(a I
Authorized Agent LYi;4aV1 6,LCA&AA Wi
Project Location (County): _ 1) CW1-10
Street Address/State Road/Lot #(s)
U. r It. `3l�t `i
Email :: 44�1n r C) C�4M[1,t 1 .C7: :1.1. Subdivision ( b%w i el Xl &JAY.
City :A"a QA✓il 4Ltjt�',-W ") zip L • G
'IM Ad Ww Body_ 1� +t •!L a3.Vt 4yt L.Jn (t,`tG.. nzt/man/unk Affected �CW �EW PTA �ES �PTS 4 Y I ( )
AEC(s): nOEA E]IHA OUW F]SPIMA PWS Close,,Maj.WtcBody 601,VVI t11A4.1V- /:S_2,4n {
ORW: ye no PNA yes/ o
Type of Project/ Activity LU °' .4— '— G "" .f • 0, : C - aki G -W4 d -
t
V F6V ` I' 4L IV110J V1 I ' jrvt2ic'.vvL`Gite {. (Scale: R V't�)
horeline Length_)'!' 710 -7 t
Access Length ° t
Pier (dock) length
Fixed Plattormis)
Floating Platforms) -`i- (p�
Finger pier(s) U ' • " ,
Total Platform area _^v ppp 00
�ve
n length/11 /}," ]/�,t J ^/.:.� ®_
bead IpraplengthdisfsXari3 t C.i°\AJ\' F filt,vt+���L'1 Bi�AX.Z
Breakwater/Sill ,1" ,ems
length �i) Qp\J"A
Basin, channel _ Yd:`st".LII is 'i "' .y �✓
Cubic yards
Boat ramp t
Boathouse/ Boattgt t r A _ Y� 6
Beach Bulldozing Other It
zVL�' (fit r V�J r y'�,�Sv 1
r` •ems•. 2 %j
SAV observed: yes
task �. 9 �C --Ib ✓t' I 0
Moratorium: n/al yes no •�+� - -�'"`?�„rr..�t _.r Imp
Site Photos: <14Z no i 1
Riparian Waiver Attached: yes no� 1 1
A building permit zoning permit may be required by. ' A ' a b J L"Ysc?�
Pe`rem�it Conditions__1�J_� NL Ar,.. �Csril� • _�_i gr Q � tv�C.tN �,��(G�l 'ram ❑ TAR/PAM!NEUSEBUFFER(circle one)
wt aV\ LO. YV\dY.N -->MQG�4'. (y`�Fn .S l KIXIA hLU4' _G1.fr� See note on back regarding River Basin rules
See additional notes/conditions on back
��`°"'" CAMA "DREDGE & FILL N° 89618 W� � B C D
GENERAL PERMIT Previous permit *R(&1111
{ Date previous permit issued D iU /'LL
❑New ❑Modification Complete Reissue ❑Partial Reissue
As authorized by tlh_elSttaate of (NorthhrCarolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC 1 rn� - I •1.1 (J L r - —y ❑ Rules attached. 16 General Permit
(Rules available at the following link: www.deq.nc.gylov�/�CA1M�Arules
Applicant Name NCM/tr- +T Id C)& JG W, 4o.7oix— Authorized,6,gent Vf'i)Q+I w tuyj 'hyl-% 14oiy p!4 AU54M
Add re Project Location (County): Dupe -
city a
gSvu
+y, "'" �� C$tate _(A V ZIP 21 {1� Street Address/State Road/Lot #(s) U) Pi i,°!202-l- -Tkxa L
Phone # (;/�) — ._ �� If J'/ 9
Email j OuN7iL.tn f4A?.—VA- 150 CD y^ Subdivision C.1n;t C d,Ll d.Ll
City 150w)',00 ig 6�h�Vh[CI_ZIP ZT-q,41
Affected ❑CW ❑EW YIPTA ❑ES 56Ts Ad!. Wtr. Body N ^ZU /�+0 J'f &4^Wik W,I (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr.Body (;64*rlcfuty— 5f)Wg01
ORW: ye no PNA(yesD/Iio
Type of Project/ Activity
o V 2, wa VV IA,[LUUeA qe
orelm, Length + 20 5
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/q
Fulkhead iprap length
Breakwater/Sill '�—
anr length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes (
Moratorium: n% yes no
Site Photos: ® o
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required
Permit Conditions
Applicant PRINTED Name
'f5)
-ail
w>�ud v 9�caKd
6t
N-�.,I ® Vi��v J�;f% Lt
Y �Q�
al t20151 s 1-e
1 1
1j d{ I'a':V2 CI� ❑TAR/PAM/NEUSE/BUFFER(circle one)
Permit Officer's PRINTED
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Sig ture�**(P1lease reaaadd compliance statement on ba/c+ktof{perV--, �� Signature -'r /t /7/7
Application Fee(s) Check p/Money Order Issuing Date Expiration Date
❑CAMA ❑ DREDGE & FILL NU 89618 A B C D
GENERAL PERMIT Previous permit
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.goy/CAMArules
Applicant Name Authorized Agent C V C` A4 ylx',
Addrelss. Project Location (County): I '
City _y State ZIP Street Address/State Road/Lot #(s) i .-
Phone # O t
Email ik, ':ice Subdivision
City ZIP
Affected ❑cW ❑EW ❑PTA ❑ESePTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ! 14,.
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length,
Fixed Platform(s) _
Floating Platform(s)
Finger pier(s)
Total Platform area l
Groin length/#
Bulkhead/ Riprap length
r Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no -
Moratorium: n/a; yes no
Site Photos: yes no t
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(Scale:i )
r!� , ❑ 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" Signature
Application Feels) Check#/Money Order Issuing Date
Date
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM �y
Date 1 .. �31 G . cl-
APR D 6 2D12
Name of Property Owner Applying for Permit:
Mailing Address: y�
1 certify that I have authorized (agent) w1(t� L' i iA% to act on my
behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to
install or construct (activity)
at (my property located at)
'Phis certification is valid thru (date)
-0.3jQW W
Pt 9a"v-
Property Owner Signature
4/5/2022
Date
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONANAIVER FORM
GCE TIPtED MAIL RETURN R6rEIPT REQUESTED or HAND DELIVERY
(Top portion to be compl'e7ted by owner or their agent)
Name of Property Owner %vt l J . -I(,1 t' r.�t - Jr,
Address of Pmpady _ 7
MeiNn; Address; of Ownar
Owner's Phone
Agent Phone#?
Agent's Email - _t_G'L:.7r_l.n ✓` f-, -, f-/'.-!'r
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
Bottom portion to be completed by the Ad' ar
r Property Owner)
I rereby certify that I own propertyadjacent to the above referenced prape, The individue'&
=-efrmt has described to me, as shown an the attached drawing the development they wf nothis
A
care proo
eps riWion o drawing with dimensions m s( be orovnded with this lane;
..-......�......_ CO NOT have objections to this prcposai
-I DO have objections to this proposal
li you have o6Jeciions to what Is befit - d y g propose- ou must nofify the N.C. Divrslon of Consul
Management (OCMJ 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. OCM representatives can also 6e
contacted C rti fi d Mail.07. No response Is Cunsidered the same as no objection if you have been
notlfiatl by Certified Mail.
I understand that an WAIVER SECTION
groin must be set apply
t opa bulkheads
Minimum distance of 15'gfrom my was Of r ilings. trust parban access unlessowaivelift,
d by me
(ties does not apply to bulkheads or ripmp revetments) (If you wish to waive the setback, you must sign
She appropriate blank below.)
I Do wish to we've somelall of the 15' setback
-OR Signatum of Adjacent Riparian Property Owner
I do not wish to waive the 16 setback requirement (imiial the blank]
Signature Of Adjacent Riparian Property Owner.
TypedlPrinted namo of ARPO:. :Jcknc'
VI)
Mailing Address of ARPO:
ARpO's email::JO�.I A ,s Phoneg: t'—a. �Q n
Date: "i 'waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
Loeffler, Sarah W
From: Croatan Custom Homes <croatancustomhomes@gmail.com>
Sent: Tuesday, September 20, 2022 8:28 AM
To: Loeffler, Sarah W
Subject: Re: [External] Adjacent property Sign -off
CAUTION: External email. Do not click links or open attachments unless you verify. Send all suspicious email as an attachment to
Reoort Spam.
Good Morning Sarah,
I picked the signed form up from Mr. Hurley and he said he has no objection to the bulkhead. We went over the survey
and he was fine with it.
Please let me know if you need anything further.
Thank you,
Deana Matthews
On Mon, Sep 19, 2022 at 10:31 AM Loeffler, Sarah W <Sarah.Loeffler@ncdenr.tov> wrote:
Good morning Deana,
Mr. Hurley did not indicate on the form if he does or does not object to the proposed development. Can you please
confirm if any objections exist? Thanks!
Sincerely,
Sarah Loeffler
Sarah Loeffler
Field Representative
Division of Coastal Management
401 S. Griffin Street, Suite 300
Elizabeth City, NC27909
Office: (252) 264-3901 ext 232
sarah.loeffler@ncdenr.aov
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed byowneror their agent)
Name of Property Owner: E I I fz 1 �-t'V II I- 7� 0 Q
Address of Property: 7� Y � �ej� I i
Mailing Address of Owner:
Owner's email: ( j Owner's Phone#: 2
Agent's Name: SI I I1 / 1 Agent Phone#: )15), JOrzi 36:50
Agent's Email: Cru l _ (Ah Qiii hmoo ay-- t
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent Property Owner)
I hereby certify th own property adjacent to the above referenced
permit has d ribed to me, as shown on the attached drawinq,J
I DO NOT have objections to this
perty. The individual applying for this
development they are proposing. A
have objections to this proposal.
it you nave oblections to what is nemg 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
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, 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.)
100 wish to waive some/all of the 15' setback RECEIVED
Signature of Adjacent Riparian Property Owner
OR- APR 13 2023
I do not wish to waive the 15' setback requirement (initial the blank)
DCM-EC
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPIIO, V" U : ��lV))�Ebl A 1 on- %# l,q � 1 03S/ • 1) (/
�( ARPO's email: 6A1'Ux�� }1RP0's Ph�-? `� L
X Date:aDQ,S "waiver is valid for up to one year from ARPO's Signature'
Revised May 2021
AO - ABOVE
80 - BELOW GRADE
Pt - PROPERTY l3NE
TY LM
W - WATER VALVE
Q - BENCHMARK
gs,
�
';48
58.85
532'4
77.87
/ 9.43
77 5' 5152
57.23
C4
138.43
1' 75.10
74.20
5657'23'
LINE TABLE
LINE
LENGTH
BEAMN0
Linifn
0.35
L
35.97
NIW31109,w
78.81
23.5E
T1E) CANAL
"1 97TIc1'__... 1 R/TIC\ .r__. O -�• .It\Ei
* _ _ LOT 399 i
wooD FENCE-1— — — A —2A !2T rTN Met(P G� — — -4
OR 1 7.1' 1
0
S \ c OECK H.4
w PROP. 2 STORY W/F
Q PROP. b OWELLM ON PIL OS
TANK Y�, W/A ON q�piOCARAOE 5.D'
I
PROP. <8) LINES O 2r
30' L.F. fNi 3' CENLER +\ \ .�ry' U' v J�
Va MT HER 3 �C1 t•RR, By
SPLIT RAIL FENCE---\
LOT 400 129 FROM P
0 7'
cotic
DRIVE
AA7T .2' AS
V�
LOT 401 y
Y
VI
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FLUSH Fdj �P - "+
a ($ R(f
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+DN PROP POTESK�ET TRA_ IL
u
/ i :xC
TH 51I
(DEB)
4� SEALr
5 L-4567
LOT 398
A 769,72' Vo.a• Bc
FOP O
N. PL
LOT 398
iH S PU' Ati UNLLR
SUR)E'r f + of `7Y 33,ASK_'
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LAM) SOWZY1.1, IN :nv CAtOM 21 f=c :<,15 O� ___...
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REC k
SUR L.
APR 0 6 2022 r
SURVEY FOR
PETER JACKSON do LISA M. JACKSON
LOT 399 — CHICAHAUK — SOUTHERN SHORES
ATLANTIC TOWNSHIP — DARE COUNTY — NORTH CAROLINA
w100 40 F%3SEAWARD SURVMM0 & PLANNING. INC. C—f536
t inch = 40 ft 103E W. WOOD HILL DR., P.O. BOX 58, NAGS HEAD, NO 27959
OR
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CAMA X DREDGE & FILL
y� .GENERAL PERMIT
O OIu errt
�oo
no,
permit issued
C
New [..]Modification [.J 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:
-s _-..
15A NCAC .._..-..:f� _-!_(- E,l Rules attached. General Permit Rules available at the following link: www,dgq_nc_goy%C-MArulm
Applicant Name
c'l..y---.-_....... Authorized Agent L,_IVC/(_It1.Ya_S.4i�IULc1/._I�uYr5. l..q..4S7i(k1[�
Addreyssst.�1 yA�4� Tus'7F"��t ` Protect Location (County): _ -------
ity .p _f
City y�tD.ir�1/ - %- ---Sute -._-.---..... ZIP yl 7 „y'Strettet,�,A{LddressiSSttattee Road/Lot #(s) —S j LAmt %- �t�,�,1. L.._..
Phone # lii)�12�S...JQ�102 _ idt.T-__-.-t.Jl19- ......... __--___ ___..-
Email Subdivision_Cln.�_CA A!\a/.L=
J Ciry 6DX4_V"Y`l j,"��',NbVt2 �jJ� ZIP �+Lf -cf____.
Affected CW t ] EW PTA ES PTS Adj. Wtr. Body �t�'jy�--_.>K� tiji'_(`;�L�L4�l.,SS_i __-(tt man? nk)
AEC(s): [_JoEA C]INA DEW E]SPIMA FJ PWS Closest Maj. Wu'. Body
ORW: yes PNA.is o
Type of Project/ Activity __
_.._�....__ (Scale: N.•r5 j
shorelS'� m�LengiYi /i(1%-_.---------
Access Length
Pier (clock) length
Fixed Platform(s),
Floating Pletform(s)
Finger piar(s)
Total Platform area
Basin, channel _
Cubicyards_
Boat ramp _
Boathouse/ Boatiift
Beach Bulldozing_
Other
SAV observed:
Moratorium: n a
Site Photos:
Riparian Waiver Attached:
A building permit/zoning T
Permit Conditions.__15J
s^
A",A'V\ov\
w k is s�M
r
I
— 'C ... IT. -I
.- t
yes
no
e no ( S•j-q,I,
Yes
by:
0
gent Applicant PRINTED Name
Signature '--phease read cgmpiianee statemem on back of permit"
Application Feels) Check P/Money Order
f ❑ TARJPAM/NEUSEIBUFFER (circle one)
IJSee nose on back regarding Rivet Basin rules
See additional notes/conditions on back
(Please Initial)
Signature r t
r0 1 i c 12ia22- 2.11b 1 k�3 _
Issuingdate Expiration Date
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