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HomeMy WebLinkAbout89635A - Ralston'�`°�""rGEZER A.DREDGE &FILL aAL PERMIT N9 89635 0, , C D Previous permit Date previous permit issued (�iVew ❑Modification ❑ Complete Reissue []Partial Reissue As authorized by the State f North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 4 I SA NCAC ..___ < / b J ❑Rules attached -General Permit Rules available at the following link: wvny deg nc gov/CAMAruI s Applicant Name EX ^ A ci I Authorized Agent .r,J1F=.��utF�l[ft l iJ 4i 1. AddressDD �(2 �i e>_.0 fYI� Project Location (County): �'(� c�..["" _ /.! /�or' City—✓L}�(_�g,sf6gXq-\..{`�ptate •r/ U(4 ............ _............ pin.' ,., zIP,_i 4J_�'a--_ Streeet�Address/State Road//Lot#is) 5K �y�s+4+Lo'�'"5C?J_ Phone#Vr�) Col t�`y F 1 % d C_"c )ct �A.J Email «. /1 A 8v f3.. S -Ft,A t7 rf Cd «; 1T1-Gr� t:.u'ys,... Subdivissiton .. faS �1__ n� y City /+✓+�,^lrryytt --T ZIP 17'11-5 Affected ❑cw FK.' �P.TA [6C3 [aPTS Adj. Wtr. Body „__M`.!1L G(- naU attiunk) AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS 7Ze. Closest Mal. Wtr. Body. &rv\.1i s b •-5�t. ORW: yes/rfo\ PNA: yes, Type of Project/ Activity Shoreline Length .- Access Length v_ Pier (dock) length '- Fixed Platform(s)` Floating Platform(s) Finger pier(s) Total Platform area Groin length/g Bulkhead/ Riprap length_—g h I Lj O Avg distance offshore Breakwater/Sill Max distance/ length> -- Basin, channel Cubicyards Boat ramp Boathouse/ BoatliR Beach Bulldozing Other t? SAV observed:: yes no ` Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit maybe required by: Permit Conditions v M1 LL� cR,&K Avy oVI ZRA d-f jJ I 2 W o.A'J-Ax- "l.-e 4_4 Is T i 1%CX (S?'1NCs 4uLz; Brandon Mitchell Agent or Applicant PRINTED Name Signs ure'"Please read compliance statement on back of FermiP• _4�� 3a7 Application Feels) Check d/Money Order f'A1 ST�� Lei 15 77 4 t VocGK, waL'KWKy �pp c�ilnd (Scale: !✓-C ) Ny ❑ TARMAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Yo /r s _v Pe it Officer's PRINTED Name Si tore 3 12,R1 a. S i /2-%�l3 Issuing Date xpuation Date �`°"'" fAMA ADREDGE & FILL 101 GENERAL PERMIT N° 89635 Previous permit Date previous permit issued CB C D R�Mew ❑Modification [-]Complete Reissue []Partial Reissue As authorized by the State/PPf North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC 8--/ ' �� ❑ Rules attached. ..General Permit Rules available at the following link: www.deq.nc.gov/CAMArules zip '1 '37'J •T— Project Location (County): _ 14 Street Address/State Road/Lot #(s) Email dnA e. Sib A I D /)\A.r 1, Subdivision 1 dT a5"6J L-esI ®n H J "` / city A ✓n ,-L ZIP SZ7 %/ S Affected ❑ cW 5 EW V.eTA Llj� [ifflPTS Adj. Wtr. Body (r t 1 / IC- QOQ-¢ � nat/ an/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body / H-m. ORW: yes/C) PNA:y Type of Project/ Activity Shoreline Length Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger pier(s) _ Total Platform area Groin length/# a Bulkhead/ Riprap length Avg distance offshore 'L / Breakwater/Sill _ Max distance/length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift vO Beach Bulldozing rd.•f" Other V SAV observed: yes no Moratorium: n/a yes no ` Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: _ Permit Conditions I AM AWARE OF STAT Agent or Applicant PRINTED Name v�i"h.xS ?R� a�l n Anent' 2 W w�tf v,3oli� 6� 7 EXIST/NG 4uL✓s H��AD lz ze IQ,` 3� I /Ck«ITJ cycl ( ,4� PZ_ Signa ure "Please read compliance statement on back of permit•** ,=>M5 , 3Drj Application Feels) Check #/Money Order fA LSTDfJ (Scale: NrJ ) lV y 1 'DOCK+ t OL wat.ttWry / �A ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Initial) Perfnit Officer's PRINTED Name Si Lure -3 A 9/z5 Issuing Date Expiration Date NC Division of Coastal Management Cashier's Official Receipt Received From: v n � --t - // Permit No.: �" Pig / /� Applicant's Name: A /f /l. Q- 01 R.(.f�-G Project Address: % '7 b G� w 271380 C D Date: - 2'3 20 �3 s (C'� Check No.: �30� County: T � `� i� SV�C`5 a, Please retain receipt for your records as proof of payment for permit issued. �4•a Signature of Agent or Applicant: Qr- Date: Signature of Field Representative: Date: No work can be initlatea until aver we receive ttte siyiieu uupy. n you t iavo a..y yucauv„o ,..y�,,.,,,y this correspondence, please don't hesitate to contact me. Thank you. VOO*W Yvonne B. Carver Environmental Specialist II Division of Coastal Management NC Department of Environmental Quality 252-264-3901, ext. 237 Yvonne. carver(@ncdenr.gov 401 S. Griffin St., Ste 300 Elizabeth City, NC 27909 bepartmont ut Pnvbunmantn(Oualfly Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties. to+°ttoMrk'la�❑CAMA ❑ DREDGE & FILL Nv 89635 A B C D a = GPrevious permit GENERAL 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: I SA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: yiww.deq.nayov/CAMArules Applicant Name Authorized Agent ! Address _ Project Location (County): City State ZIP Street Address/Sate Road/Lot #(s) , Phone#O , `/ Email Subdivision - City I ZIP Affected ❑ CW DEW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body i f i , i i - . (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 I math i (Scale: ) Access Length NMI ■■■■■■■�■��■■n■■■■■ ■ C. � CM.SUO MIMI= M SUN 0 MEN ®l.'16'3ic�#�®■illy■■.■►r■No ■..... ■ ■■■.US ..�■.■■�.�.. �■■■■::n■�■ .■■■■■■■■■■■■.�.. .. ■�ME :a :::'� ■ , aME .... . A building permit/zoning permit may be required by: ,/.) f,-_ l 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 APPLVTO THIS PROJECTAND REVIEWED COMPLIANCE STATEMENT (Please Initial) >h Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit" Signature / pi Application Feels) Check H/Money Order Issuing Date Expiration Date Aem elgoo Z6 E gwOOMON / -a cz 00 11J O / t tU O �+— O U l i_ CO �— ,� m cn � r Cry, 6) , Dx sV Envelope 10: 7F48FO95-F8BE48"B5C-06B401899CF0 Name of Property Owner Requesting Permit: PMIM, �k Mailing Address: F U Ou Qra tLD fax vn Rc>A Phone Number: O ' Emetl Address: OaNVN& . YU.kS:orN l \ .Cain I oartify that I have authorized 8 QwA KqV AAS t AIL Agent / CoMrecror to act on my behall, for the purpose of applying for and obtaining all CAMA permits necessary for the fallowing proposed development: 3 ' e r try 1 t V MM vQ at my property located at 3q t� Cobi 0. Wt1 Avatn NG 2�q i�j in 0 kQ Cour". I furBrerrrroM carffy that I am arsarorized to grant, ana do in fact WSW perrrrrssfon to DMsjon of Coastal &ftnaggemerrt Staff, " Local Permit Otfloer and their agents to enter on the affirwparAWW krnds In aonrrecMwt with evaAmft wdommdon related to this / WPRCadm Milan, o«,ap1»e w lAKIAA, KAi, &, Sowfike- Anne Ralston PIW or Type Nerve TM9 2/20�202� _J Date This certillcatlon Is valid through ADJACENT Rio e; 0-18 ON (?op pDrttDn to be com i r u party Owner. t;-� Name of Pro p etCu by Owner or their agent) _y�p AddQ QAS�ress of propgny�. q�--Ot-o�=-`-"------- Mailing Address of Owne v -A —'--.---iQ1 lVit Ovmetsemaie YGA C!I\0._q (�l _ Ownei s Phone#: to 1) 5 0 y317 a Agent'sPfame:ESY �aa\2. rn —. q i4N0 Agents Email. �1(1V Agent Phone#:_`-) 01.\ l..\ ( Rl (t3o DImCENT RIPARIAN PROP nton c ERTy OWNER'$ CERTIFICATION 1 hereby certify that I o Lha Permit has descd own Property adjacent to the r a w de Cal ion or betl to me, as shown on t above referenced ro f raven v^Ot dim n5ions muses attached drawiriq the develo na r�tv�dual applyirgfor this I DO N r de vri h this tea c. Pmant they are proposing. q NOT have objections to this r „You have t is P oposal. _-___ r DO P Management �pC� +�sw �� a being Proposed have objections to this pro osei mailed to 401 S. Gri%in Sf., Sfe.l3� 10 daYs of rece pt of fh s not7� CON.C. Division of Coastal contacted at (252j 2ti4-3907. No resPon/se saconsitl• NC• �7909. DCM representaavesc can also be noticed by Certified Mail. ered the same as no obJeetlon N you have been 1 understand that an p WAIVER gEC7) groin must be set ba pro used Pm disten olkhef 15 'am 9s, b a1 ramp. breakwater, boathouse, tie. or (this does not a 1 � a minimu PP y to 6uow.) s or riprap revetments my area of riparian access unless waived by me the appropriate blank below.) ) (If you, 10 waive the setback, you ost t 100 vnah to waive some/all of the 15' setback -OR- Signature a/ gdjacent RI Parien P�rjopert�y�/O/w'ner 1 do not wish to waive the 15' setback requirement (initial the blank) !.L .� 1 , Signature of Adjacentt y"I 0.A Ripanan Property Own TypedlPrinted name of ARPO: Melling Address of ARPO: 'Aux a �c�h-tiy e� x �6 Y (40.52 ARPO's emai�:lS4f.�n/,o{��yR,ly le M - r C i79r/— Date: -------- ARPO's Phone#: `)J'73 - 087� 0� 3 -ti-t3 - ___'waiver is valid for up to one year from ARPO's Signature• Revised July 2021 3/29/23, 12:59 PM USPS.com®- USPS Tracking® Results USPS Tracking® Tracking Number: 70220410000105653181 Copy Add to Informed Delivery (https://informeddelivery.usps.com/) Latest Update FAQs > Remove X Your item was delivered to an individual at the address at 2:30 pm on February 23, 2023 in GREENFIELD, MA 01301. Get More Out of USPS Tracking: USPS Tracking Plus® Delivered Delivered, Left with Individual GREENFIELD, MA 01301 February 23, 2023, 2:30 pm Arrived at USPS Facility GREENFIELD, MA 01301 February 23, 2023, 7:12 am Departed USPS Regional Facility SHREWSBURY MA DISTRIBUTION CENTER February 23, 2023, 5:13 am Arrived at USPS Regional Facility SHREWSBURY MA DISTRIBUTION CENTER February 23, 2023, 12:30 am Departed USPS Regional Facility SPRINGFIELD MA NETWORK DISTRIBUTION CENTER February 22, 2023, 11:11 pm 0 Arrived at USPS Regional Facility https://tools.usps.com/go/TrackConfirmAction?qtc_tLabels1=70220410000105653181 1/3 k�`I '-W«�-iiFt •era+Tjj$j-w m I' I'� -A centred Merl Fee 4.151 i i448 p $ a �c pE? I_I;, Fxtra a Gee ?A Fes e(checkba,q add fee asl ) D s r_j ❑ Return Receipt (hardooPY) $ ° O ❑ Retum Receipt (etectronPo) 3 Postmark r_3 ❑Csrtifled Mall Restricted Delivery s _ p Here Q []Adult Signature Requited $ h rr . i r i iL77 18 202` ❑Adult Signature Restricted Delivery $ r-i Postage $1 I , 6 i O Total Postage and Fear t� "� l;T(J ''I )" 061 (ru weer arrd, ;t -0., or r30 ffox iU0. Y--�EM .................(p--� l A 1n.p n a An %, i A- A��Q U m Ln .D Ln O 0 0 I lGnir:� 1�=a��i I $4.1.5 ❑Retum R"pt OwdCopy) $ f V a V V � ❑ Return Reoelpt (eiwvonk) $ ❑ Canned Melt Rmtrlcted Delivery $ ❑AdunftnatureRequired $ 1.,!, 0ta ❑Adult Signature Reatrloted Delivery $ _ ostage I { L, . U il `f 1 .� 0448 11 2 qEl Postmark -- Here FEB 18 2Q2� I