HomeMy WebLinkAbout89760A - Leh Jr.4- LAMA I I DREDGE & FILL
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GENERAL PERMIT
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Previous permit
Date previous permit Issued
MNOW ( ]Modification (]Complete Reissue
( Partial Reissue
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AEC(,) 00EA ❑INA E]uW SPIMA PWS
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Closml My. Wit, Body __ __A@SI_tS�
ORW. W,4) PNA-
Type of Project/
ShW NInlIMg1A__�g'+ r
Access lenph _
Nab Platform,,)
Floaong Platform(,)
ringer pie(s) _
70lal Plaaolm area a Y b
Groin length/g
Bulkhead/rhPraP length
Avg dialaMe offshore
Breakwatelfstil
Ma+distance/length —
Baun, channel
Cub1c yards
Bost ump
noathougoalldl e
Beach Bu eau``
other -
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SAVobsevod yes w—)
Moratorium. N+ yyySSSFFFa,, rw LEF%
11otos.
1phano
Alpanan Waiver Attached. yes no
A building permit/toning permh I*be reeuhed By �g 1 C-• 4 n
Permit Condmons
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Agent
Name
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TANPAWNEUSE/BUFFER(cirese one)
See note on bilk legatding 111er Sam ,0, ,
See adddional notes/mtnfi"M on b ,, �
Slgnatwe'•PioV mdtumpllance ftalement on back of permil•' Sivon, --
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Applrtahon reels) ChakP/Money Order I»umg Dale Bpuanon Dale
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'GENERAL PERMIT
�[Vew ❑Modification ❑ Complete Reissue ❑ Partial Reissue
NY 89760
Previous permit
Date previous permit issued
l�
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 2 J :7 ❑ Rules attached. (TJc &an.Eral Permit Rules available at the following link: www.dec.nc.goy/CAMArules
Applicant Name Authorized Agent _ %O In 17 0 / I Cf C.E ,% s4_1
Address to/�v , o X (6I.a S Project Location (County): ID d r--
City Py S G o State i11 C.- ZIP Z^] �' 3 iu Street Address/State Road/Lot #(s) f 4 ey _r/ . 4,tf- .Sr�
Phone#( 2.41-/7/ko _S,I59 .61n<K 6�-�ras df-1
Email r E..� 4T fYl s/1. C_,,, Subdivision A t-% I C',n 4.5 13wY
City ZIP 2-7 �3
Affected ❑ CW kfilw kZWA ❑ ES ❑ PTS Adj. Wtr. Body Ca. O_ St u / (na an nk)
AEC(s): ❑OEA ❑IHA ❑uW ❑SPIMA ❑PWS Closest Maj. Wtr. Body /00k,V% 'd -C Sca kA^J
Ci yes/Poi PNA:
Type of Project/ Activity R ¢. 12 a c 4. d 5 c (� W t 'T t� / Zi 1 �C 2.11 f
'66 ._" U _'I. /er .n I n _ L1. r.l
Shoreline Length
Access Length
Pier (dock)length ✓C >� y � �
Fixed Pla[form(s) _/ Ui X Z 4
Floating Platform(s)
Finger pier(s)
Total Platform area I- y t+ I
Groin length/#
Bulkhead/Riprap length _
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
BoathouV_ noatlift
Beach BNVIinng
Other
�T.
y� "**40
5x y
aiKaat
SAV observed: yes no Moratorium: , n/a es no 1
Site Photos: es no
Riparian Waiver Attached: es ,(o�no
A building permit/zoning permit m5y be required by:
Permit Conditions
Agent or Applicant PRINTED Name
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
PRINTED Name
Signature "Please read compliance statement on back of permit" Sidi tt
�3 �aa _
Application Fee(s) Check#/Money Order Issuing
(�
Expiration Date
':TpiR'v"ir 4.�4irr'.i
°�°"°"" ❑CAMA ❑DREDGE & FILL"
GENERAL PERMIT
N9 89760
Previous permit
Date previous permit issued
A B C D
r 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 I �, ' t , ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deo.nc.gov/CAMArules
rl
Applicant Name fir(. r7 o t-
Address 10 r'Sr x
City I .._t ..-i , •'. State /\ <. ZIP ;--�% `J _3 tr•
Phone # ( d(� A. `(I -- / / i �,.
Email r t c'_ `:e I ` ,'7 r e
Affected ❑eW DEW ❑PTA ❑ES ❑PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW:yes/no PNA:yes/no
Type of Project/ Activity
C!,. Gee Ieee,6
Authorized Agent r {. , -5 "it- ,
Project Location (County):
Street Address/State Road/Lot #(s)
5� f
Subdivision
City
Adj. Wtr, Body
Closest Maj. Wtr. Body
(Scale:
Access Length -
__
Pier
---
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,_
I
` _
_
t
Fixed Poatform(s)
I
Floating Platform(s)
Finger pier(s)
_-
.
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j 1
Total Platform area
Groin length/q
Bulkhead Ri ra length
Avg distance offshore -
Breakwater/Sill-
Max distance/ lengthBasin, channel
Cubic yards
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-
-
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Boat ramp !v..y
Boathouse/ Boatlift �-
Beach Bulldozing1
Other (l��t(S i'
SAV observed: yes no .— L.
Moratorium: yes no n/ a
Site Photos: , yes no�
Riparian Waiver Attached: :yes no
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A building permit/zoning permit may be required
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)'C
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
i.
Signature**Please read compliance statement on back of permit** Signature f
Application Fee(s) Check H/Money Order Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
° (L o Be E14-)
p Name of Property Owner Requesting Permit:
Mailing Address:
r1/cLy/�$G¢
Phone Number: t"'1 R4-A 2(-A l 01 ; ----'
Email Address: C ,"
I certify that I have authorized
gent t Contractor C.�ry1�Cv
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
t
at my property located at ��` J q`��r G� YY S
in �c?� County.
I furthermore certify that 1 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:
r'2eo- — ri,
Srgn re
%�o /3 E4 L .
Print or Type Name
ay t z7 i 2oz5
Date
This certification is valid through
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQjESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: I lk- 1, L. A
Address of Property:
Mailing Address of Owne
Owners email: �C✓� u ®r�AS-n� U" v/,,. Owner's Phone#:
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 for this
permit has described to me, as shown on theA
attached drawing, the development they are proposing.
L
I DO NOT have objections to this proposal. I DO have objections to this proposal.
Tf you have objections to what Is being proposed, you musr nonry ure "` W`......, �• ���� �-
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) 254-3901. No response is considered the same as no objection if you have been
notified by Certified Mail.
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 Sinn
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) U
n
Signature of Adjacent Riparian Property
Owner: -- r -g" _.
TypedlPrtnted name of ARPO:
l�,a AKERS
Mailing Address ofARSr�t�� �'n2(�S
lICF35inwPO: giu4g e Vey M r
ARPO's email: / ARPO's Phone#:
/
Date: - 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
DIVISION OF t
TR
0610 f i1 • f . 'in NO RM Zia
•• portion to be completed by owner or their agent)
Name of Prop" Owner.
Mailing Address
Of • -, I
owner's emali • i
Agents Name: Phono*_71�9
Agent's Email�
=ktncrW { .
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permit has described to me, as shown on the attached drawing, the development they are proposing. A
description or drawit�, w�jt� dims ions r +,g�tr,prQv_ided with this lettor.
-• �f'I DO NOT have objections to this proposal.,{6@havaobjac9ans.toihis
it you have, objections to what is being prvpos, You must rrotNy the N.C. Division of Coastat
Management (OCM) In writing within 10 days of racetpt of this notice,. Correspondence should be
mailed to Oat S. Griffin St, Ste,. 300, Elhaboth City, NC, 27909. OCM representatives can also be
contacted at (2S2) 26#4901. No response is considered the same as no objection U you have been
notified by Cettlifled Mail.
WAWER SECTION
I understand that any proposed pier, dock mooring pilings, twat ramp. breakwater, boathouse, lift, or
groin must be set back a minimum distance of Whom 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 mitill litirl
the appropriate blank below.)
% r VSNFt��j, K/iiht�
I DO wish to waive somelall of the IF setback - - --"�"--
Irc
Sign m ofAdjacent Riparian property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed/Printed name of ARPO:
Mailing Address otARPO:
ARPO's email: ARPO's Phoneil:
Oate; 'waiver is valid for up to one yeartrom ARPO's Signature'
Rowsed July 2021
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Carver, Yvonne
From:
Sent:
To:
Subject:
Attachments:
Afternoon Angie,
Carver, Yvonne
Monday, July 3, 2023 4:42 PM
Top $
Leh GP89760
LEH GP89760-07032023163336.pdf
A copy of general permit (GP) number 89760 issued for Robert Leh's docking facility in Frisco is
attached for your review and signature.
To validate this permit, please address the following:
1. print and sign the permit on the bottom left-hand corner below your printed name,
2. initial where indicated on the bottom right of the permit, and
3. scan and send a signed copy of the GP back to me.
No work can be initiated until after we receive the signed copy. If you have any questions regarding
this correspondence, please don't hesitate to contact me.
VVOtUW
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-264-3901, ext. 237
Please note that my email address has changed to: yvonne.carver(@deg.nc.,
401 S. Griffin St., Ste 300
Elizabeth City, NC 27909
MWWWOWSW
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OcOanrzrrn(nf EnvEnv oonnronyl QuaiaY
Email correspondence to and from this address is subject to the North
Carolina Public Records Law and may be disclosed to third parties.
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