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
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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
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