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
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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 �
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I r f
1 r .—
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1
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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
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