HomeMy WebLinkAbout89908A - Muirheadnn N9 89908 tZ s C D
®LAMA (� DREDGE 8t FILL �'`
RAL PERMIT Previous permit
(j-�X
GENE -
Date previous permit Lssued
New Modification ❑ Compt Reissue ❑Partial Reissue
As authorized by the"
S}}t�tee� of North Carolina, Deparbnent of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to,
ISA NCAC �Cf. _ f f.` __ 0 Rules attached. L& General Permit Rules available at the following link: vm8 nc gam(-AMArules
Applitam Naym�e,, fYl\Ch�.,Q.-� KLOr1 aci
Address ------ r.._ I -CC `"t i_l r.
cfV-.C1qU6V,� _State N C- ZIP- St7�'2.'�._
Phone #I1 io) Wok - N!-1 .
Email t� j0. ��q,. n-ltz :JaecJ Cd �,rrctii. con».
Affcded E1CW MEW MPM DES ❑vrs
AEC(A): f10EA ❑MA [:JUW DSPIMA DPWS
ORW: Yes/0 PNA: Yesho
Type of Project/ Activity _-fa I k
Pr�x.,o.aoJ1• 12 i lr I nt i.....,,. .niryt. _. 0 it
Shoreline Length 2
-LLP'_...__._..
Access length
s :..'
•. _.- :-
Pier (dock) length
Flied Platform(s)IV' !r.`�=t—
'_
Z_Cr
_ . -.
......
Floating Platform(s)
Roger pier(s) I(]t Xiar
Platform area?��.'_,...:.
....
rvTotal
.._
Groin length/# _._ +...,
.....:.
Bulkhead/Riprap length •r
�i!.r•
Avg distance offshore
Max distance/length-
Basin,ctlannel
^
...._-
Cubic Yards _
Boat ramp .�_^ _........_
Boathouse/Boadift
w
Authorized Agent
Project Location (County): -- 0
Street AddreewState RoadMt hi(s)
Subdivision
C4 tt
Ad). Mr. Body
?rii�`t2.
ZIP 19s"1
C"est Ma). V✓tr. Rody iri U2,Pt'-b2r(f- so,.J
Beach Bulldozing_ .. _.
Other fo- �`—f'•�•—
SAU observed: yes - r
o��i
Moratorium: � yes o
Site Photos: I& no -
Riparian Waiver Attached; yes��45}YOT
A building permit/zoning permit may be required by: __.----- _ CaS&- Tt
'
Permit Conditions _i�t��tZor�l (11Y.�
enf gfjAppilydttt PRIM 0 Nf(me -
2`P.V_1 � Nime r
Signawre'•Ptease reacromplia6Wstatement on back of permit"
Application Fee.(s) Check #/Money Order
' } l
TARMPA"NEUSE(BUFFER (circle one)
s
See note on back regarding River Basin rules
17 See additional notes/conditions ar back
(Please Initial)
&;/U Z3 t6f2/'Z3
issuing Date Expiration Date
❑DREDGE & FILL NU 89908 B C
GENERAL PERMIT Previous permit
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:
r
C
I SA NCAC / N - 1 0.UJ ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name 1 1 t� _ (
Mke k r
ke&d
Authorized Agent 1 V OI � V la. PT Zr'
I\Cha
Addresss 500 sferce-`1t
br,
Project Location (County): l'e Y itrc
City Ck6v\ State
NC
rf
ZIP OZ� z /
Street Address/State Road/Lot #(s) (6I
PhonI yoq - 731
144'3 ma:ezil iC else.
Email I)III"Yw.A.. mu'f r VA
W @ a n'
l'l , Conh
Subdivision OP Oc Y
`Va on
City If Sewrl tT_t1 ZIP �l957
❑ Affected CW MEW
u❑ PTA
❑ ES ❑ PTS
\
Adj. Wtr. Body _ iq 1 CXQQi'V CLr Le 5QII� r d (Qman/unk)
AEC(s): ❑ OEA ❑ IHA
❑ UW
SPIMA PUS
❑ ❑
J
Closest Maj. Wtr. Body r' 1 �D2i'i� r l Q. 4-�'J
ORW: yes/0 PNA: yes/0
Type of Project/ Activity
Access Length
Pier (dock) length IZ6 I K ZISy
Fixed Platforms) 1(6 ` X ZA y
f tr K Z.Qr
Floating Platform(s) ^
Finger piers) y0' KIP
Total Platform area
Groin length/#
Bulkhead/Riprap length
Avg distance offshore ^
Breakwater/Sill
Max distance/ length
Basin, channel ^
Cubic yards
Boat ramp
Boathouse/ Boatlift ^
Beach Bulldozing
Other (a (i 3
SAV observed: yes r0
Moratorium: ® yes no
Site Photos: Ye no�C
Riparian Waiver Attached: yes )
A building permit/zoning permit may be required by:
,Ay6 /
r "s�
n
f f11Yr
i'g
ci'�t
+t°
,LG
Sil.C•''f+:!�Ti�lii�"�1: �C v �Si`T�"�'S�d�R��LI. !7
a _III 111pi loll pil
Agent or Applicant PRINTED Name
Permit
r)t,fe t=e (s-yV
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Signature'*Please read compliance statement on back of permit" Signature F
I2_6 ,Q9' 151(,P'L (04ziz3 c�iziz3
Application Feels) Check #/Money Order Issuing Date Expiration Date
N 89908
9_1QNevv
�`°"'�❑`4 CAMA ❑ DREDGE & FILL �i I` �A) B CnGENERAL PERMIT DatePreviuevioust
Date previous permit issued
[]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:
ISA NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: wvn¢d nc gov/CAMArvles
Applicant Name Authorized Agent • i r
Address Project Location (County):
City State ZIP Street Address/State Road/Lot#(s) - I
Phone # (_)
Email i . Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body - (hat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/do'
Type of Project/ Activity
(Scale: )
Shoreline Length
Access Length
i...
f
•
_.'
f
.-.::
f
`
`
i
Pier (dock) length
Fixed Platform(s)
+
...
-'�
!
i i
'
�—
-
Floating Platform(s)
-�
r).
I-
?
-
--
-
F
L.
. 1
Fingerpier(s)
( Total Platform area ;
x
—
Groin length/8
Bulkhead/ Riprap length —
_..;__
i .
I__
"
11
4,
Avg distance offshore
atr-,
Breakwater/Sill
Max distance/ length
'
�'
Cr
I
1
Basin, channel
q
❑
r1
-
Cubic yards
Boat mm
+
—
Boathouse/Boatlift
Beach Bulldozing
Other
SAV observed: yes no
I
,
-.r-
---
Moratorium: hia yes no
'-
Site Photos: yes nov`..il
't{v.
x.
!"
Riparian Waiver Attached: yes no
a,q�
't
.. _.`
��
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
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 ft/Money Order Issuing Date
Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPlJC8ATI0N
Name of Property Owner Requesting Permit:��t
Mailing Address:
Phone Number: " ` V
Email Address:
I certify that I have authorized
Agent / Contra for
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
at my property located at
in 'y �.• County.
i furthermore certify that l 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
permii application.
Property owner InfortXtatton:
i
Signature RR 1
Print od Type Name J U N Z 6 WS
TitleW DCM-I C;
Date
This certification is valid through i +
LEFT Side
6ft x 40ft (240sgft) walkway
Boat slip
Be
Dock 6'x 120' (720sgft)
Platform 16' x 201320sgft) With metal Roof(400sgft)
Stepdown 12' x 20' (240sgft)
Right Side
N.C. DIVISION OF COASTAL MANAGEMENT (� ���r Gti
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONAVAIVER FORMREC
gERTIFIEp MAIL RETURN RECEIPT REQUESTED or HAND DELIVE y J U H 2 0 2023
(Top portion to be completed by owner or their agent);
} . '� I r Iti 2L _ ®CM -ECG
Name of Property Owner —
Address of Property. 516LL-
Mailing Address of Owner. ��x � � __
t1t}wnersAg ont Ptpne#.�" I �}
�� & z
owners email
Agent's Name: �t1 -
Agent's Emaif:li—' t v, r ■� tt 14 x € . , _ --
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adee iant Property Qwneb
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
1._ _ _ _ -..,,t tie nrnvidwA with this letter.
_ I DO NOT have objections to this proposal 100 have objections to this proposal.
if you have obj.ections to what is betng proposed, you must no#rfy the N.C. -Division of Coas#at
Management (DCM) in writing within 10 days of receipt of this notice. correspondence should be
Washington, NC 27889. DCM representatives can also be
matted to 943 Washington Square Mart,
contacted at (252) 946-6481. No response is considered the some as no otajecHon if you have been
notified by Certified Mail.
WAIVER 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 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 sitln
the appropriate blank below.)
I DO wish to waive someiail of the 15• setback
.5rpnanare of Adiacertt Riparian property weer
.OR_
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
t!
Typed/Printed name of ARPO: (e
y„ P
{- � 5�"t��t'y (,J•-''',,:'.C(.l..y, y�af'. �.::..Ji���?v, t/`
Mailin Address of ARPO,
ARRO's omarl ".i` T �`^'�t•'t`'" _ ARPO's Ahone#:
-�
z,
Date: �' i j -. _ __."waiver is valid for up to one year from ARYO's Signature
Revised July 2021
N,C. ONISION OF COASTAL MANAGEMENT
ADD AGENT RIPARIAN PROPERTY OWNER NOTIFiCATtONMAIVER FORM
y: C{C^ ssIg -E c WErP E, �'i'E(?.or HANG CJE' 1VE`.'
AWACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
.Bottom op rt>os?_, f1a ,,aacpletoc� ;7v the Ad i _C nt Propeelti.QwneD RECEIVED
lJ
_.
JUN Z 6 Z6Z3
1 usa hake uLlectlurzs to wc'i" is brrng'nro;iasriu �rau n rse :wt,ty tyre Tv. ;l;vsr9r��c,' ;o se.
E
'1r,aq m'am (DC.W in writing within tti clays of revai}l¢ or this notice. Correspondence shtxl)t bet
�n .1,€3 Was,4ingion Square Metz, Washington, NC 27889. DGM representatives call aisu b?
a< i2S2! 946-6481, No _-esporise is „ons'dered the same as no Objeotion if you have boiiI,i
Ieruried Mait.
'NAi"'-WR iECITI iN
. lls i rT,r"jl "vF�r�ISW82E+ Usld inflii»' zf,. J➢'
.. r ,f «Pa;1av aCX;BS$
rp Uetlil�r*ntea namo of ARPO
Va;finy A;ldresx of ARPO:.e...t�.+��,'?'
A[a4�;-1'e email-5. t..4�.tJ. felt i2*��� ARPO'n Phor'Alf:
OPM
waiver is valid for up to one year from ARPO'e Signature"
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USPS Tracking°
Tracking Number:
9589071052700556930025
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Your item was delivered to the front desk, reception area, or mail room at 1:08 pm on May 16, 2023 in
DURHAM, NC 27701.
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Delivered
Delivered, Front Desk/Reception/Mail Room
DURHAM, NC 27701
May 16, 2023, 1:08 pm
• Notice Left (No Authorized Recipient Available)
DURHAM, NC 27701
May 12, 2023, 2:15 pm
iIn Transit to Next Facility
May 11, 2023
• Departed Post Office
BATH, NC 27808
May 8, 2023, 4:17 pm
• USPS in possession of item
BATH, NC 27808
May 8, 2023, 2:21 pm
I of 2 6/5/2023, 2:03 PM
92 OOE6 9550 0L25 OTC O 6956 r
2E OOE6 9550 0Z25 0U.0 6956
6h OOE6 9550 0425 0240 6956
Product 0ty Unit
Price
First -Glass Mails 1
led Mails $4.15
acking 8:
9589 0710 9270 0556 9300 25
$5.65
s Mails 1 $1.50
lope
NC 27701
0 lb 1.20 oz
[ed_OeUvery Date
Total
First -Class Mails
Large Envelope
I® $4.15
N:
0710 5270 0556 9300 32
$5.65
1 $1.50
•
LEFT Side
Dock 6'x 120' (720sgft) Right Side
6ft x 40ft (240sgft) walkway Platform 16' x 20'(320sgft) With metal Roof(400sgft)
Boat slip
Stepdown 12' x 20' (240sgft)
RECrD
En: ���L--
JUN 2 6 2023
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