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HomeMy WebLinkAbout89796A - Clark4"r" AMA ( DREDGE & FILL -NY 8919G � a C D a �EZE�L PERMIT Previous permit Date previous permit issued _ jNew ❑Modification ❑ Complete Reissue ❑ Partial Reissue As authorized bytheState toff North r h Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of envionmental concern pursuant to: 15A NCACT ! hy 1 vy __—_____ ❑ Rules attached. General Permit Rules available at the following link: www.den.nc govlCAMArules Authorized Agent PtU Project Location (County):(„ ♦ r Email I "Vial/4 Affected [:]Cw EW PTA �,ES *1 PTS Adj. Wtr, Body L C(,nYi(LL i`f} z2('s'..f.V"1�.� AEC(s): DOEA 0IHA E]UW OSPIMA j,JPWS Closest Maj. Wv. Body �'\1 rA( Latyi_e !b6iL44,lA ORW: ye(s) e (no PNA: yeslo Type of Project/ Activity r 1 Y�.t{1.r"l�iw/�' �4.. r Q '✓tC'.r��rh l:?..tn♦t.Ca..i,.�t..f %a2Li..�!-4'L.1C%/�' i Shoreline Len Access Length Pier (dock) length _ Fixed Platform(s) Floating Platforms) _—_ _�— Finger Total Platform area Groin length/# ulk e Riprapiength t 5O 1 Av r distant ffshore t_ I Breakwater/Sill _ ax istan length 21 Basin, channel Cubicyards Boat ramp Boathouse/ Beailik__,.__,__,,,. _ Beach Bulldozing _��__, . __....._........ Other SAV observed: Moratorium: n/a Site Photos: Riparian Waiver Attached: A building permit/zoning; Permit Conditions -inV1 F� v" "A ✓" exis}tiq yes no ®� yes no `ye4 no j mut may be required by: _ Oft,oe CMA V1- M Agent r Applicant PRI NTEO Name ^„ Signature "Please read compliance statement on back of permit" Application feels) Check #/Money Order AND P,omt (Scale: N rt:7 ) i I TARIPAMINEUSE/BUFFER (circle one) �f-) e, Kl " " See note on back regarding River Basin rules ❑ See additional notes/conditions on track STATEMENT. (Please initial) PRINTED Name Signature Jr 1 Issuing Date Expiration ate 1�CAMA "' DREDGE & FILL N° 89796 �� B C D GENERAL Preous per PERMIT D teprevious 1permitissued Xew ❑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 100 ❑ Rules attached. General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Jolty. *- %�-ri5h y%,eL C. "K- Address 25 3i -�) A v zlro y. TIn`ykP City State N C- ZIP 2�5 Phone#qag5T-s1�s_%1 Email "✓Iotn� �aoZ '-"""I r6lyVL Affected ❑ CW 'K EW yL I PTA ;KES PTS r❑sUW AEC(s): ❑OEA ❑IHA SPIMA ❑PWS ORW: ye /no PNA: ye5a Type of Project/ Activity cL c3F 2 ` Shoreline Lengt •! �ii7 ( Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger piers) Total Platform area Groin length/# O` ulk a Riprap length Av distant ffshore t 21 Breakwater/Sill ax distanIW length Z f Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Authorized Agent V*-B B tTjJg Project Location (County): P -WP. Streit Address/State Subdivision n! i City `Qu t� Adj. Wtr. Body k-C(m%L LtA1'U-JO1AM(sl (na man,)ink) Closest Maj. Wtr. Body f�1iWIGiA�.f J�%i•LNI�' P ! �q SAV observed: yes no)e!!!,�— Moratorium: n/a yes no Site Photos: no Riparian Waiver Attached: no A building permit/zoning permit may be required by: DL��P C17L4YV'l Permit Conditions CONDITIONS THAT APPLY TO THIS Agent rApplicant PRINTED Name C kk(Scale: N7f7 ) 5 Of ?� l SCgZZa� C^ ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules y ❑ See additional notes/conditions on back D COMPLIANCE STATEMENT. (Please Initial) Permit Officer's PRINTED Name Sig nature'*Pl4ltuease read compliance statement on back of permit'* � Application Feels) Check #/Money Order Signature / / -:;-1 ':� I242?3 1113120z3 Issuing Date IExpiration late ^'❑CAMA ❑ DREDGE & FILL `a GENERAL PERMIT No 89796 , Previous permit Date previous permit issued M B C D ❑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: www.deq.nc.gov/CAMArules Applicant Name �4,,At tt v, `4- JJ . I" : I i `.. C, -! t;•�_ tt Authorized AgentYy"�iG L.f i • :.i �7✓' Address ` r d t V.,a' i" is �i Y : 4^�� Project Location (County): f�'tA 'k, City State ZIP ' a 7.G. fc: Street Address/State Road/Lot#(s) Phone # 1 1i . .'- Email i 6 w1 I Subdivision i fi y. ( I h ( b.�•t' city / ZIP %I Affected ❑ CW p EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body �t /'r,vt (fj 1 G (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body I ` F it ORW: yes/no PNA: yesjno) Type of Project/ Activity Shnralina I eneth i1 (Scale: �j-f e ) Access Length ,~ •-max I *— 4, .— - Pier (dock) lengthf. .1 f�1' _Ie, Fixed Platform(s) )._ Floating Platform(s) Finger pier(s) i I '.- N Total Platform area �..N Groin length/fI BulkheadoRiprap length - Avg distance offshore Breakwater/Sill O all till Max distance/ length -'- ' -"— �' j '" l- -' �' !� _ ' j�- R Basin, channel �^ Cubic yards - - Boat ramp Boathouse/Boatlift Beach Bulldozing Other- ' 1 I� I --�- I I-- — ie Xt SAV observed: yes no Moratorium: :n/a yes no t- — - - Site Photos: yes no Riparian Waiver Attached: yes no _Ml.... II i� _S._..-, w - A building permit/zoning permit may be required by: Permit Conditions �_.' Agent'or Applicant PRINTED Name ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit'* Application Feels) Check #/Money Order Signature i` X Issuing Date Expiration Date Do Sign EvtbpaID: 435FEE07-8DE84CF2AM3F398E22D7C8 Name of Property Owner Requesting Pemft Vlyis\riyot Mailing Address: 2�IA 0V4a4w) IN- Ft� Vocic+M NL 2 ►521n Phone Number; 4tq • 1�4-1 - 5aln Enmfl Address: . com l certify that i have authorized Z?kt RUI1c>ru, A UAL Agent /CmrracW to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary. for the following proposed development: N WJ bU1Kt%I0A at my property located at EVI Sp u(�d�i�ni CkivC in 00,xQ Cotmry- • " br sr.K . 64" Kristin Clark RWorType Name s/zta/zo23 / Date This Certification is valid through __1-_ . RECEIVED MAY 2 5 2023 ®CIYR—C. C N.C. DIVISION Of COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERG(•EIP> t2EQUEST DAoriWANO DEER FORM xpy CERTIFIED MAIL rs (Top. 1porrtiorn�to be completed by downer or their agent) mv Nam e of Property Owner: & n'A Y,6,4 nett "W1K �yt o Address of Property: 2r) S0 )•^� W QW CO,I i� {�i t2 MuC3 Mailing Address of Owner: L�3� T�`r'ct/0`i� or fugLa4y u(lm Owner's email-,)eortdd cf7 t (gjCA Owner's phone#.9n , (Acf 5([�� Agenl'sNamehaea 1tk1,V tk Agent Phom*.!!.tc„7Z2-577� Agem's Emall VIM r%i4i 01\'Y . • Ce nt ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom porno" to be completed by the Adiapent Prooare, OII null) f hereby cenity that I own property adjacent to the above (eimenced properly. The individual applying tar this Permit has described to me as shown on the attached drawing, the development they are prOpoeing, A dr wmd whh dkrlanalons must be orovlded with this letter. `rrLrt a Q, 1 DO NOT have objections to this proposal. ,1 DO have Objections to this Proposal. lr your nave onyaCrwrts to weret /s rMlny pmpased, you must aOtfry the-N.-C. DARslon of Coastal Managantent (DCU) In wrltkV wiWn 1e days of receipt of flNs notice. Coneepondemce shouts be mailed to 401 S. GrrBfin St, Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (2bV 204.3901. No response is considered the same as no objection N you have been — noti0ed by Certified Mail. - - WAIVER 8ECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse lit or grain must be set back a minimum distance of I F from my area of riparian access unless waived by me (this does not apply to bulkheads or rlprap revetments). (It you wish to waive Its setback, you fll!!0 the appropriate blank below.) I DO wish to waive some/all of the 15' setback OR SignatureofAocent Riparian Pmpelfy0wner I do not wish to waive the 15, setback reriulrement (initial the blank) Signature of Adjacent Riparian PrOP" Owner: � Tyt»d/Pflnted nema of ARPO; Malting Address of ARPO: ARPO's email: Data: ^' Is irbl for u to one year from ARPO'/ ���PP f y P pev/sed��rd� .I V.. lUN 0 6' 2023 DGM—EC e� M - My r ' `4AL fi Q Q Z 000"�Ll Cl. 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"• .r+ Mti►YY_M414h{ 11 r Z ] i lL ., ftn'-ft Pat" t n rim t�,� � •�+a •en e...tw �ava..r.+w iwa wau "w "' •^�'�"v w Q F . 1 r}() IfdT wwn� c4/R *p v � _ 0"4dM � e0 I�w alj.sly� b NN. pbpa� Mol.yrrwf /a'p /r /t wa.y -M" fa A4+wM. !a wwwf no/i7y ea N.C. div -ri.tnn d' ngpyy Ay old Mae00 fA"d rM arw� i o N "" "D" bNn wwtvvt erwTtc.a fbe rrwrst "-ny PrOPOSed �k"um r• • rrnorblp PlWV0• boot rMnP. brebkvvalw, b*W%X", Va, or /this does not apply to bulkheads or «ntvetm tO M xeo of Stan aoow" urdaaa `Mal mo by me the api ia19 blank below) ). ( YOU wish to waive the Setback, yeti ramLsba I Do tM1'iedt'a waive sc.ne/aft of the 15' sefbaok -Oa- Sigrlaaure OfAdfimcant Barran f'ruperty Owner / do net t&lsh to waive the 15'setback requirement Initial the blank Signature 01Adjacent Riparian Pr ty Owner: /� 'Jp dff*rynted 11811 � vtARPO: /� (_ Z-Z, G S r///np' Address Of ARPO; C�J A P end{ C 'watwr IS valid for up to on* year tr'om ARPCVz a � % Revised m, J U N 0 5 2023 ®CM -EC �-t�5 2\q SMpd\W ()r uJ N f U e U w )40 MQ-►NPJY'QS �� Z a n�-b2Z�0`J� W r W r � N N � N C0 O C m � Y OO V1 U a N N p U ? J cn O 8 p N 8 c cd Ol N {gyp M cd a ;; r •.E w A = a d 0 N N N J ~ in N N U o_ 0 0 r CO rn rn � c m c N Ua'a b H E E 3 t8 E3 v a E °