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HomeMy WebLinkAbout89927A - Songer° w 6CAMA ❑ DREDGE & FILL No 89927 OA B C D fA-L� Previous permit GENERAL PERMIT Date previous permit issued 11TtT�lew ❑Modification ❑Complete Reissue ❑Partial Reissue As authorizedbythe State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern Pursuant ro: i SA NCAC � R e2 20 J ❑Rules attached.General Permit Rules available at the following link: +tl - /CkMAnl Applicant Nam Al CI I T i4 /a'ta n d 4 o A 9 g t Address City gg {{A� o State N < ZIP Phone # (may i a c - Co qV 1 Email A• o oor Ca Project Location (County): IT) a' Street Address/State ROasyLot #(s) R I/a $ If 1/27 B S Subdivision City tit. (J C ZIP 1 ,,,� Imo! . Adj. Wtr. Body r � a{ m I nas/ un ) Affected ❑CW 1� `•' Ij rM ❑ ES ❑ PTS AEC(s): ❑OEA rL[ 1HA ❑UW ❑SPIMA ❑PWS Closest Mal. Won. Body ORW: yes PNA: yes, io Type of Project/ Activity Shoreline length (p 5 Access Length Pier (dock) length Fixed Platform(s) _ Floating Platfomis) Finger pier(s) - S1-wnl) t�•Cs � h Total Platform area - --� Groin length/# —' --t Bulkhead/Riprap length U Avg distance offshore lr - Breakwater/Sill _ Max distance/length I`V? Basin, channel Cubic yards _ Boat ramp Boathouse/ Boatlift — Beach Bulldozing Other I Moo a r� SAVobserved: yes no Moratorium: /a Moratorium: e��� no Site Photos: LL'e;i% 20 �L Riparian Waiver Attached: yes N9 A building permit/zoning permit may be required by: Permit Conditions ,L r,JGC' tenterA pllcantPR ITEDN e 'gnaure 0 OPleaseread cornplian;l6tatement on back of permit" 7 a :r `i 317 rp ication Fee(sl Check #/Money Order /s'L ear 1 rs PL l � �� (scale: Nis 1 X M I murr47 1 �L TAWPAM/NEUSFIBUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Initial) Permit Officer's PRINTED Name slgnatur �gl�-� Issuing Date Expiration Date �`°"`� ❑CAMA ElDREDGE & FILL oL N9 89927 A B C D GPrevious permit ENERAL 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. a• General Permit Rules available at the following link: www.deg.nc.gov/CAMArules Applicant Name _ Address City Phone # (_ ) Email State ZIP Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) 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/no PNA: yes/no Type of Project/ Activity ­ (Y i I (Scale: Access Length -� Pier (dock) length Fixed Platform(s) y Floating Platform(s) .. r '- i T - Finger pler(s) Total Platform area Groin length/N—- Bulkhead/ Riprap length i t t- -) 1 -- 7-- L '_ 1 - c -, Avg distance offshore __ Breakwater/Sill I I Max distance/ length'-- '- Basin, channel ,I - --� (- --- t- _a_ ' k Cubic yards ,.- '_ 1_ - Boat ramp - -�-- -- - -(- T � I -r i_ II Boathouse/ Boatlift i I _ _ -� _ ( 1 i - i r L Beach Bulldozing i �. ... --r- Other .. T. �. i 43 yt SAV observed: yes no Moratorium: n/a - yes no ! ---- -- --- - -- - --� - �� _ I - f-- Site Photos: '. yes no ! RioarianWaiver Attached: vas no .. L.. _ _.i__ .... A building permit/zoning permit may be required by: % < < 1 " TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions See note on back regarding River Basin rules See additional notes/conditions on back 1 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** Signature Application Feels) Check q///Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: /v-e I'/ 6"V h/� Nr�a SoNa Mailing Address: Phone Number: Email Address: a, sa/JIeUuALIa I certify that I have authorized 8 0�1., /n l+4 Si�N�e Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: an�Tas / at my property located at i 12S in 6xir-e County. M I furthermore certify that I am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: tie 11 S Print or Title t_1�1 2 07,?5 Date This certification is valid through / Z 13 / 1� .3__ Revised Mar. 2016 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER 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: % ( 2- J— r( C Owner's email: / Owner's Phone#: ,Z S� 3 ®-(G c/Y� Agent's Name: {�//4eAlcc Agent Phone#: 1S2 30S- % � 13 Agent's Email: C ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that I own property adjacentto the above referenced property. The individual applying forthis permit has described to me, as shown on the attached drawing, the development they are proposing. A 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. 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 (Choose only one 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 some/all of the 15' setback Signature of Adjacent Riparian Property Owner -OR- I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Z/L n a Typed/Printed name of ARI Mailing Address of ARPO: 0 ARPO's email: k ARPO's Phone#: nZ,'io2 -Jo-r - Date: 2;1 /� .i o 2 ? 'waiver is valid for up to one year from ARPO's Signature* Revised August 2022 I I 75 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) f Name of Property Owner: Address of Property: / 12i +11 Mailing Address of Owner: tFai�d t N Owners email: v✓1 Owners Phone#: J{Y Agent's Name: / I J� G ��2/I% ce Agent Phone#: 3A— T 9 (3 Agent's Email r^✓ �`am r+J �NCz° �h•�, - o Burnside Rd Manteo NC 27954 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis permit has described to me, as shown on the attached drawing, the development they are proposing. A 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. urwsron 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 ff you have been notified by Certified Mail. WAIVER SECTION (Choose only one 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 some/all of the 15' setback Signature of Adjacent Riparian Property Owner -OR- OB I DO NOT wish to waive the 15' setback requirement (initial the blank) AB Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: Olga Baram and Ariela Baram 9000 Falcon Ct Venice FL 34293 ARPO's email: olga.baram@icloud.com ARPO's Phone#: 631-335-1535 Date: 07/13/2023 *waiver is valid for up to one year from ARPO's Signature* Revised August 2022 64n4o, 0 /PVL v r-4 -/ 76 On 6FW cL z CN zj t— 10:1 10--1 OM 9 �l cal c31� 01 c, CD to m m In C14 CN 04 ti O LO 0) a) x Val a) al j5 (D E m I, coo N 0 E z E N Im- 0 m ID M 0 0 a) 0 C'4 ca 2 el IL CL Z FL x 9 -j 01 CL �; - 0 u 9 I (D c 2 w Ix cn 0 a. u F Ft jtY r,l' 1 tl �a. M• fn4 IR k. nl 1 I II JJ I VIA l I 'l laSl -� 6�1� r1