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HomeMy WebLinkAbout89685A - Roberson°t °Af"�VAM[?�CAMA El DREDGE & FILL � $��K ®g C D" I 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 environmentai concern pursuant to: I SA NCAC ft - K00 ElRules attached. ®' General Permit Rules available a the following link: wwwdea r,�ggy! a s. ,b. Applicart Nami,_iZ me f r�h{Q6_gJtt Address6 r� 1'ts1 _6 tN'-��CR City State Kc AP a� f Phone # (2_`a 7.) Email _1jmiinex-3an e 2YN ro tYt e.�.f yt+ Authorized Agam Project Location (County): c6wo ram, Street Address/Stater Road/Lot #(s) _14-� jar? P-�(yo� _ .& -Tr{ Subdivision C t{ YC1 W 4l H(\i Q h city —EkAe b%.,- zip atig �2 ® ❑ n ❑ pTS Ad). War. Body(naym Affected �CW ®EW PfA ,CIA AEC(s):"'�^at OEA DIHA �uW �SPIMA ElpWs Closest Maj. Wtr. Body �7 oftw:yes/lo PNA: yes —v.._. Type of Project/Activity e, din r� I( oc�t and {fit Kz $t �poa�� tg (Scale; V,-t;v � Shoreline length f^�.�4 a r. Access length _ 1 Pier (dock) leng[h'__i(?t - Fixed Platform(s) /�� .- 1 Floating Platform(s) Finger pier(s) — � e Total Platform area Groin length/p Bulkhead/Riprap length -- 1 Avg distance offshore — 1 Breakwater/Sill _ Max distance/length Basin, channel t Cubic yards - BDatramP .. �.... - eoathoeu Boatlift 13^"' It ; 1 Other SAV observed: yes + /t Moratorium: 49yes no Site Photos: rQe>At, no 0 _— Riparian Waiver Attached: 1�C71 A building permit/zoning permit may be required by: _ Permit Conditions or mgnature'^riease read compliance statement on back of permit** 'i 2.n -*1 01351 APPllcation Feats) Check II/Money Order 1 r � I I r f 1 r .— i I 1 I + _. 4 WL ,..... t7 TARMAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Permit Signature _ ��rd/z3 lUyl-11? Issuing Date Expiration Date tAds( S14 5QCAMA El DREDGE & FILL N9 89685 ® B C D a 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: I SA NCAC '10'-ZOO ❑ Rules attached. 19 General Permit Rules available at the following link: wwwdeq.nc gov/CAMArules ApplicantName Itl GYt ue �l dykJC�m IW0CV__%f 6 Address 1SS City State �' ZIP 2-1 Vol Phone#(g457 '&g22, Email S r6h2r3.m. Q p VK6!a. O nllaA.Com Affected ❑ CW MEW ® PTA ❑ ES ❑ PTS AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ORW: yes PNA: yesA Io Authorized Agent Project Location (County): C, 6 W Ck.✓t Street Address/State Road/Lot #(s) 'O � 0 I14b wi Mal' wk Tr( Subdivisiotnn AfryloW%.gc ate, City IFOleut flah zip a, 4 32- Adj. Wtr. Body Crar z,I (nat/m un Closest Maj. Wtr. Body C1hQL4_jnA give, Type of Project/Activity Coros)iN�Ct' A l(erx 1,61 o(oek IVY2-Tt boa_q'"e Shoreline Length '+/- ALI Q r (Scale: (tr=Saf Access Length Pier (dock) length (bt k(Jt Fixed Platform(s) Floating Platform(s) _ Finger piers) Total Platform area 3(,OgsT1r- Groin length/q I Bulkhead/ Riprap length Avg distance offshore. Breakwater/Sill Max distance/length ` Basin, channel Cubic yards Boat ramp Bea�oathous Boatlift ozing Other SAv observed: yes /1 Moratorium: 00 yes no `�.`f`d�Q� Site Photos: e no (W�`�'r Riparian Waiver Attached: 10 Qo A building permit/zoning permit may be required by: Permit Conditions IAM Agent or Applicant PRINTED Name 1% ``Pert' yr tv� 'V"X` \ Permit Ofiicjer's. PRINTED Name N fli U`W.'ver� ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Signature -*Please read compliance statement on back of permit" Signature Y '3a0'3" 9351 co/G/z3 10406B Application Feels) Check it/Money Order Issuing Date Expiration Date 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 by owner or their agent) Name of Property Owner: Address of Property: Mailing Address of Owner: Ci e l -4 �S U s atn K io he Owner's email: -vahe %Sort ('!<.Mh 4/7iOwner's Phone#: CZS Z"s(a7' Agent's Name: qf-1. (101" Agent Phone#: Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Ownerl 18d I I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawing with dimensions must be provided with this letter. "� I DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what is being proposed, you must notify the N.c. uiwsion or uoasrai 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 he 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.) I DO wish to waive somelall of the 15' setback C r" Signature of Adjacent Riparian Property Owner MAY 2 2 2023 I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name ofARPO:a/r inAt.-IDA� l l�.1�12zv1 (lam Zv�cc7 Mailing Address of ARPO: IO`1 l� �o (�k ,a �+Zv c L cue 1 \C _ �2 7 ,32 ARPO's email: �'�li'�U�Ir�µtaaa�G•r ARPO's Phone#: �'- RANI L.'ctn"l Date: 3 <<O- �23 'waiver is valid for up to one year from ARPO's Signature` Revised July 2021 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 by owner or their agent) Name of Property Owner: Address of Property: Mailing Address of Owner: 1-C ... 113z Al G a-1 fO9 Owner's email: 5yto r.idn @aW1 bjC it Wl q,,t, wr M pwner's Phone#: ' Agent's Name: Agent Phone#: Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Ownerl I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawing, with dimensions must be provided with this letter. JLI DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what is being proposed, you must notity 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 15from 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.) I DO wish to waive some/all of the 15' setback Signat re of Adjacent R arian Property Owner LZs L ®t t" -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: )Vr-NN\s Z Vyl-J J Mailing Address of ARPO: ARPO's email. Ak5 60"i4RPO's Phone#: Z2- 7Z% -43"y' Date: *waiver is valid for up to one year from ARPO's Signature* MAY 2 2 2023 Revised July 2021 0 LO C) > ti IA O qn { N 1 v 22 cg")g A` * �i to 1L I' 4 F 1. 4#1 AN ydl