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
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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
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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
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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
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