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Home My WebLink About89632A - J. Smithf�- o'Lossyv %,4CAMA ❑ DREDGE & FILL N9 89632 e C D GENERAL PERMIT Previous permit Date previous permit issued eew ❑Modification ❑Complete Reissue ❑Partial Reissue As authoriby the /Sere of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern punuant to: 1 SA NCAC 7/T a � � D ea ❑ Rules attached. General Permit Rules avail" at the folkswing link: wwwdeq nc gov/CAMAnd Applicant Name Address , 9 -/' / to S /►'L al r S i'-L_. Project t.ocadon (Cony):e*- Cly ogs�..1u� J i I e- State h- ZIP (e 3 (e v _ Street�AfddresslSnte Road/Lot N(s) Phone #(V!s-)(O4 Y�JiiS 5 Y �/ti Yam% is a�{Ov ia��i;tSa� iQos' Email o k .Tm i 'f r.- / Y(.(a Q (� vTM Ml t'JM, Subdivision_. Pa,'G sY- j % 7r �K>< Hen. r Mc- City OK aC ZIP 2 :7 Affected ❑CW MEW OPTA ❑ES ❑PTS Adj. Wtr. Body p x_C-p 5&r (mt/maNunk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Ma'. War: QA1 r) G V. a H - _ 1 Body _ /c S n .. _---- ORW:.yes/ o r PNA: yes8 Type of Project/ Activity a _ Ili f, . / r" -5 Shoreline Pier (dock) length S Ci r FI dPladorm(s) r e x, Y — Floating Platform(s) Finger pler(s) Iota dor ar i�bW� Groin lengt / — Bulkhead/ Ripnp length Avg distance offshore Breakwater/Sill Max distance/length J Basin, channel —" Cubic yards — Boat ramp Boathouse ftt 3 //.3 Beach Bulldoeirj "— Other % 5 /t t/ , 1salka `! SAV observed: yes no Moratorium: AJa 1 ye n Site Photos: Riparian Waiver Attached: yes A building permit/zoning permit maybe required Permit Conditions Anti 0 5 - i-: a- 7"rC /V `4 /3r w 2u rl<q` o- es.3 A -'s — 5 eps Ak Pi cat a t IA: NI 15x U . Ri1@A K 6arti Price Agent orr pplijPfllj`iED Name Signature - Plealle read compliance statement on back of permit" I b � 21`1 _ Application Feels) Check g/Money order (Scale: /(/rj ) F1 ❑ TAR/PAMINEUSE/BUFFER (arcle one) ❑ See note on back regarding River Basin rules ❑ See additional rates/conditions on back (Please Initial) /. ffl-- Permit Officer's PRINTED Name iN`('Yti.MQ CA.sysae�� Sig64re. 312'a12-3 - /, - '!��/z3 — Issuing Date Expiration Date ❑DREDGE & FILL N9 89632 �idL O B C D GENERAL PERMIT Previous permit a Date previous permit issued �Plew ❑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 7/4"/-7-t'e`' ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name .) "A /t 'b' +S,ky r c 4 SMi' _ Authorized Agent V' �)/ V 6 c' Address 3 3 S% (,e < rn ai .a. S— Project Location (County): City T+.A V S If State P l4' ZIP 1(,3 (0 ;t� Street Address/State Road/Lot #(s) � Z3 v Phone #(U( ) 4 / Tt�fS 5y E%�D7 / A U t k7 RO��i�7 Email +okA SM G(t 41 vbstAc 1, czll . Subdivision r D,fg.% iiir NL 2.279Zd City OcC 7C ZIP 2%g2b Affected ❑ CW MEW OPTA ❑ ES ❑ PTs Adj. Wen Body .+� 3:7 f • +6 Ca oR- rQ- -Kj (nat/man)unk) AEC($): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body / 0 ,n /1 G n S o c.t/U,�t ORW: yes/ C. PNA: yes6 Type of Project/ Activity >< `� P) e f / S' Y.- 2 a' ie / 4 - -�o Crn `6 r X y'"l" 2 Y I K / ! o u» �Q(Scale: UTS4�f Shoreline Length '%.e KJ 6.7 +D CAT1t,hS STDZ r_5 Access Length 5 ' K V Pier (dock) length �X_ Filed Plafform,(s)%U .r rJ�{— P+Q,a-s6zT-40190 ff" ,r `� Floating Platform(s) Finger pier(s) e jsp�l� Total Plength th alea Groin length/ Bulkhead/ Riprap length q, Avg distance offshore Breakwater/Sill �. C Max distance/ length Basin, channel Cubicyards Boat ramp Boathouse .@o atlift Beach Bulldozing CA IIII� (1 Other SAV observed ; a yes no Moratorium: /a C\/ Site Photos: yes no Riparian Waiver Attached: yes ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back I AM AWARE OF STATUTE$, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Dt Yy'4112 cc-cw4-� Agent or Applicant PRINTED Name Permit�s.O//fficer's PRINTED Name __ // Signature**Please read compliance statement on back of permit** Sig�A(ire � b" 21 y 9 3/2 ��3 -7 Application Fee(s) Check p/Money Order Issuing Date Expiration Date NC Division of Coastal Management Cashier's Official Receipt 27134 QB C D Received From: P1 <I— z-, ` ' ^ 5 < ",, Permit No.: (C'e0o �( / (,3 L Applicant's Name: Project Address: <T t,., !.-Yf C. ry Sll"44� RZ-0--frS� r. J Date: 'r// ) 20 Z3 b `v Check No.: 'Z% V / County: Please retain receipt for your records as proof of payment for permit issued. <.y'� Signature of Agent or Applicant: 5 Date: Signature of Field Representative: �"'s '"' �"""` Date: 3 A 7�-2 --2' _. ............ — ., 1. u uiy na.0 ,. Vy uu4m (L 4UI UI IIGC. 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. P..S. Gary, I sent to both of your emails, as I wasn't sure which one you were currently using Yvonne B. Carver Environmental Specialist II Division of Coastal Management NC Department of Environmental Quality 252-264-3901, ext. 237 yvonne.carveroncdenr.00v 401 S. Griffin St., Ste 300 Elizabeth City, NC 27909 Q� OeGa}rnent ai EnWranmeMai QpieaillyE Email correspondence to and from this address is subject to the North Carolina Public Records taw and may be disclosed to third parties. 1 o+"CaUr"+e�Q❑CAMA ❑ DREDGE & FILL N9 89632 A B C D GENERAL PERMIT Previous permit 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: v ,clea nc gov/CAMArules Applicant Name .1,,,,<"C'-u _i 1- 1i-•- Address r71 _ , City State - ZIP Phone # O Email_ o r > Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City_ Affected ❑ CW ❑ EW ❑ 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 Shoreline Length (Scale: ) Access Length Pier (dock) length 7' ■ ■■ ■ ■ Wil Fixed Platform(s) ��■ ■�� Floating Platform(s) lie ME NE 111 0 Finger pler(s) �.. ■ CH�1C..S.01ENNEE Isms S.' son i�li��■�■■O�i� 0�r1■E�■■ ■OOH 1� ■®®■ra■ ■■ ■■■■■■■■H■ ■ ■■■■■■■ 1;■■■E1a�� ■■,1lIHH■■■■� �H�■ n■ . e111111411IHiH■ ■i......■■.■■..■■ Emilio MEIN :.. - . HM1 I@ ■ . IN H■■■■ s 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 (Please Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature --Please read compliance statement on back of permit** Application Feels) Check #/Money Order Signature Issuing Date Expiration Date AGENT AUTHORIZATION FORM FOR CAMA PERMIT APPLICATION Name of Property Owner Applying for Permit: John 0. Smith Mailing Address: 33576 S Main Street Townville, Pa., 16360 Telephone Number: 814.694-5554 I certify that I have authorized Gary Price agent to act on my behalf, for the purpose of applying and obtaining a CAMA Permit necessary for construction of Pier, Boat -lift and attached Step-down Platform My property is located at, 47047 Rocky Rollinson Rd., Buxton, NC, 27920. I further certify that I am authorized to grant permission to the Division of Coastal Management staff, the Local Permit Officer and their agents to enter upon the aforementioned lands in connection with evaluating information related to this permit application. This certification is valid through 02/06/24 (Property Owner Information) John 0. Smith Print or Type Name 2-6-2023 Date 814-694-5554 Telephone Number johnsmith_1966@hotmail.com Email Address X0 6r,~----__e3M1A1N3dO -ad - 1. N !;%. v MAR 0 6 2023 0 = z F— O N JN J OU �z Z �OX :LJ W m n v w U) M m 11 M O N to 0 0 7�1� z z _ O N r+ M -� - _NfTEDSTATES 9 PD STIlL SERVICE February 28, 2023 Dear Gary Price: The following is in response to your request for proof of delivery on your item with the tracking number: 7022 0410 0002 4480 2273. Status: Delivered, Left with Individual Status Date I Time: February 6, 2023, 5:01 pm Location: RALEIGH, NC 27614 Postal Product: First -Class Mail Extra Services: Certified MailT"' Return Receipt Electronic ShipmentDetails Weight: 1.00z Signature of Recipient: � G Address of Recipient: a Note: Scanned image may reflect a different destination address due to Intended Recipient's delivery instructions on file. Thank you for selecting the United States Postal Service' for your mailing needs. If you require additional assistance, please contact your local Post Office TM or a Postal representative at 1-800-222-1811. Sincerely, United States Postal Service 475 L'Enfant Plaza SW Washington, D.C. 20260-0004 N.C. ONISION OF COASTAL MANAGEMENT r ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATfOWWANER FORM G�tY,.TIEl�i7�SE FiEIU&yAEGEI 414t£STeoaNurn„p• - X (Tap Poston W be c np[oted by avmer or their agent) r.m+!aotPrx:¢air•9.+n§+',7fN1i/}+'Y,,i'',<!�.,�.y.(,.,�h(IiH.._ ....._.._..__...._ A,nketx Mprt c", g7O99 KOaKy K[ititN3OAl 1�G.rP,t>pIAN, NG. Z7 2i? _ ada,;,.S A�.;xtss tr crn tr 3-9.576 S AABfN3F.. 71?WU{4L!& Al Ib lb@ Awl, nwaK GAR T PRICk_.....__.__.-- Ap=m P. ,7S2 AGmrsaCmai.,�z.R,Sa#,f,EU£�:Y'#,t:,¢._..l�Ddl_. .. ..__. —. �' McFl huho!!n: wni.$eii . nccdM,1 ey {4++8 C095 rX� " C,.ViatiW0t74 ti rvoo �4" UI V) '3»t etfvCrFs:e �bdzm9 '+w\"`y FUtY nb.. wsaro sfX�`x13 :4 the t&'d8i4dLh SXIAhh OIWA$+: id'a AbY u'.4it Lk wA.i�E3sn }r att4,W3t r&gLLtM4Nt{�fk'�il It y SyMaraa catagaeren {ips.iarfRu:Y4rr m.:.:x..,.; TypedV4in4ad mmen of ARP0-�.,... iN9q eA fM 6GJtcPQFl N yu;r }84`P bMn uraaxr:�t_r, traaY tl 0.(d ibti A:C twkm as^rci try rnt: xa.nM eNSA, nu!Tt+L1.kIiT! 7Glt Dz�4J �aRv .ems t G AGENT AUTHORIZATIQN FOR LAMA PERMIT APPLICATION e Name of Property Owner Requesting Permit JOr+ry �, �yvt 1Tfi Mailing Address: Phone Number: 4 ?44 - Cj [mail Address:y o �{ N 1 Tf-k 19 N qT MAIL, coM I certify that I have authorized Agent I 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 in D(}7RC. County, l 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: r JOHN Print or Type Name Title a1 10 Date This certification is valid through t Revised Mar 2016 c am_¢ .a m 3¢ � o J e �/�✓ �� .i �!1':. '