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:
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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
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Authorized Agent .r,J1F=.��utF�l[ft
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Project Location (County): �'(� c�..["" _
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Phone#Vr�) Col t�`y
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Email «. /1 A 8v f3.. S -Ft,A
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City /+✓+�,^lrryytt --T
ZIP 17'11-5
Affected ❑cw FK.'
�P.TA
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Adj. Wtr. Body „__M`.!1L G(-
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AEC(s): ❑OEA ❑IHA
❑UW
SPIMA ❑PWS
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Closest Mal. Wtr. Body. &rv\.1i s b
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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
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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
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Brandon Mitchell
Agent or Applicant PRINTED Name
Signs ure'"Please read compliance statement on back of FermiP•
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Application Feels) Check d/Money Order
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❑ TARMAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
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Pe it Officer's PRINTED Name
Si tore
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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
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7 EXIST/NG 4uL✓s H��AD
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Signa ure "Please read compliance statement on back of permit•**
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Application Feels) Check #/Money Order
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❑ 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 -
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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 �
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SV�C`5 a, Please retain receipt for your records as proof of payment for permit issued.
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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
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A building permit/zoning permit may be required by: ,/.)
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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
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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
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Tracking Number:
70220410000105653181
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GREENFIELD, MA 01301
February 23, 2023, 2:30 pm
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February 23, 2023, 7:12 am
Departed USPS Regional Facility
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February 23, 2023, 5:13 am
Arrived at USPS Regional Facility
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February 23, 2023, 12:30 am
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February 22, 2023, 11:11 pm
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