HomeMy WebLinkAbout89911A - Hull3o�a°"'"a�VICAMA ❑ DREDGE & FILL 1�Y N9 89911 0 B C
INPrevious permit
i : GENERAL PERMIT Date previous permit issued
[X]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:
^t
I SA NCAC r� n I � o ❑ Rules attached. ® General Pemrit Rules available at the following Ilnk: wwwden nc eov/CAMArules
Applicant Name t�i kasel 6 92M r iTt Authorized Argent f
Address %C li Srrrd� '♦rt Project Lowdon (County): .ti� t GTAnk
Ciry , W 1� stMe NC zip a� 09 Street Address/State Road/Lot #(s)
Phone #(�) 339- 51 �1j %64 SwNstU r.
Email Cflts_CiefdS%Yt t i� 6kyT ,Q t I, corn Subdivision l`1' sAn P LotJ
city Ll c eth IP 97109
Affected ❑ CW ®EW PTA ❑ ES ❑ PTS Adj. Wm. Body ivw_ P-tti['?,t�' / a�t Munk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ♦�e*,acte JQ4s'�Ot
ORW: yesc) PNA: yes/Co'
1
Type of Project/ Activity G ka 1, O. ' Xz, ' t_1 " 18' X i
(Scale:l�5� )
Shoreline Length K CS,
Access Length
Pier (dock) length
Fined Platfomn(s)
i
Floating Platform(s) ( I �:. i ' ; I i. " ] ( • �.I - -�, I
Finger piers)
+ I I
Total Platform area - - I
Groin length/N
Bulkhead) Riprap length
L i a r+ + !
A distant/offshore r r - - r r +—-i - s
w
v6 f ' I r I srY/' ' �
Breakwater Sill
Y L
Max distance/ length .. I"
Basin, channel � I � r _ _ i , r i + r � "_r _ - - � I r Cubicyards
_ I +
71
Boatram r
I I I 1 ( I I I r I
Boathouse/ Roatlift `� Y - I
I
r
Beach Bulidozin f r i
Other
s
LT
I , -
SAv observed: /�q yes W
Moratorium: q{Y yes noSite Photos: egr no -
Riparian Waiver Attached: 0 a�_ �L{}, - �. �. ri.--_.`._ /I •, f...� / .-
A building permit/zoning permit may be required by �k$Cj 4dT�tlC_ ` OUM''1:f
I I
i I I r jl
❑ TAMPAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
❑ See additional notes/conditions on back
I AM AWAREO STATUTES, CRC RULESA DCONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCESTATEMENT. (Please Initial)
LnUy-j, Akita
Agent or Ap Rom PRINT DN a fI Permit r' PRINTED Name
Signature"Pie a read compliance statement on back of permit• Signature
r tol3 7/zc[tj,
Application Feels Check N/Money Order Issuing Date Expiration Date
A3A"COM14 ®CAMA ElDREDGE & FILL
GENERAL PERMIT
„ L,N° 89911
+� Previous permit
Date previous permit issued
(2) 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:
15A NCAC 70 ' lot 00 ❑ Rules attached. ® General Permit Rules available at the following link: www.deq nc qov/CAMArules
Applicant Name r9-kSSU 6 Cot., y'�v e�'�iR�' Authorized Agent
Address 0 l �t c� k 'Or.
Project Location (County): it 1 9 Obc Kk
City 1->`("(Stj7`2 C-try tV State L ZIP a ®� Street Address/State Road/Lot#(s)
Phone#(25,A) 53
t r�r�I(�
-601 r.
Email irtuc'3Yykrtl
1_
k Q �t1T 1VlQ1 1t cow\
t��ZSVKCL((
Subdivision Ne-ulAn PC�L) A L
City L(iXC:6e+h 1r-N
q o
ZIP a1l0/
Affected ❑ CW
NEW M PTA ❑ ES ❑ PTS
Adj. Wtr. Body s h+k
p
(-L- '
[ at/i an/unk)
AEC(s): ❑ OEA
❑ IHA ❑ UW ❑ SPIMA ❑ PWS
^� 11
Closest Maj. Wtr. Body f 7 (i� e'rnar
((?
tF_ SQ4nd
ORW: yes
PNA: yes/0b'
`
Type of Project/ Activity t'(\6�a �� 0. :fits ICf 1
1i�9"' — g t X �.O t
(Scale:
Shoreline Length ^
n
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pierls)
Total Platform area
Groin length/tt
^
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
'—
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
'—
Beach Bulldozi,ngt�
Other
+yes
SAv observed: �qj
(Z'
Moratorium: Q
yes no
Site Photos:
a
no
Riparian Waiver Attached:
�dl' lC �O
\�o .
A building permit/zoning permit may be required by: 56 a 64-0 h.C_ ` QLKt
Permit Conditions i
Agent or Applicant PRINTED Name
Permit OiNter;6 PRINTED Name
I Ten,6e,,)
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature ••Plea a read compliance statement on back of permit"
is W— (o139
Application Feels) Check #/Money Order
Signature "
I/s-a Ct3 "/Vll
Issuing Date Expiration Date
�COASt, ❑CAMA [I DREDGE & FILL N9 89911 A B C D
GENERAL PERMIT Previous permit
3 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:
15A NCAC ❑ Rules attached. 0 General Permit Rules available at the following link: www.den.nc.gov/CAMArules
Applicant Name _
Address
City
Phone # (_ )
Email
State ZIP
Authorized Agent
Project Location (County): _
Street Address/State Road/Lot
Subdivision
City `
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/nor PNA: yes/6o,
Type of Project/ Activity
(Scale: )
Shoreline Length.
Access Length
Pier (dock) length
Fixed Platform(s).
Floating
Finger pier(s)
Total Platform area
Groin length/q
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/ayes no
Site Photos: yes no i
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
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 APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "'Please read compliance statement on back of permit* -
Application Feels) Check ft/Money Order
Signature
Issuing Date Expiration Date
JUN202u23
N.C. DPJWAON OF COASTAL MANAGEMENT
ADJACENT RIPARIAN pROPERTy OWNER NOTMATIONIWAIVER FORM
CERT(FlED MAIL • RETURN RECEIPT REQUESTED or HAND DELWERY
(Top portion to be completed by owner or their agent)
Name of Property Owner
Address of Property:
Mailing Address of Owner. LV
Owner's email: I1JVY4f `-Y'0I� E \l�Ju 1� . G0Ownees phon": a� - 9 - 31s
Agents Name: %ylLt/_ Sln/C�
Agents Email: Lgydeyu r LLt/dn% !"
Agent Phoned!: ?5,>" 3,31 - &3 ✓
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be ootnoleted by the Adjacent Property Owner)
I hereby certify that I own property adjacent to the above referenceU9roperty. 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.
t.+_J 8 1 DO NOT have objections to this proposal. 1 DO have objections to d is proposal -
If you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Afanagement (DCW in writing within 10 days of receipt of this notice, Correspondence should be
malted to 401 S. Griffin St., Ste. 300, E&abeth City; NC, 27909 DCAI representatives can also be
contacted at (254 264-3901. No response is considered the same as no objection if you have been
notified by Certified Mall
WAIVER SECTION
I understand That any proposed pier, dock, mooring pifrngs, boat ramp, breakwater, boathouse, lift, or
gran 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 some/all of the IV setbav, F �Ivff�
r
S1gnaftMofA*cGntP*&M Owner
_002-
I do not wish to waive the I& setback requirement (irtittal the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARP(Ys email:
Date:
ARPO's Phone#:
"waiver Is valid for up to one year from ARPO's Signature
RE
JUN202UB
N.C. DIVISION OF COASTAL MANAGEMENT D C M` E G
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICAT IONIVYAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property
Address of Property:
Mailing Address of Owner. -Ltll \'
Owner's email:
Agents
f
(Ike )Vc 3-1909
Phone#: 3tO 3 `) _ a 159
Agent Phone#: ;)Jk� -331 - & 3l-�
Agent's Email: t aVaek-\ rno/— i dr it U /7,yf-/ /",, r
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be camplteled by the Adiacent Property Owner)
1 hereby certify that 1 own property adjamntto the above references Property. The individual applying forthis
pwW 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.
04- 1 DO NOT have objections to this proposal. I DO have objections to this proposal.
1f you have ob}ec8wrs to what is being proposect you must notify the N C Division of Coastal
Marragemerrt MW In writing within 10 days of receipt of this notice- Correspondence should be
moved to 4oi s� Grarm st, Ste. 300, Elizabeth City, NC, 27909 DCM representatives can also be
cropfacted at rAW 264-290. No response fs considered the same as no objection Myou have been
notified by Cerf fkd AWL
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.)
1 do not wish to waive the 1S setback requirement (ird W the
Signature of Adjacent Ran PropeM
TypedfPrwrted nanre of ARPO:
MeE MAddmssofARPO:
ARIPWserrou. ARPO's Phpnra
�L our
M
Dabs: 'Waiver Is valid for up to one year from ARPO's Signature`
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RECEIVED
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