HomeMy WebLinkAbout89913A - SchockXCAMA ❑ DREDGE & FILL N9 89913 (bfb ® B C D
Previous peit
GENERAL PERMIT Date previous permit Issued
L-INew []Modification ❑ Complete Reissue ❑ Partial Reissue
As auduxlxed by the State of North Car Iona. Deparnnent of Environnnenal Quality and the Cow Resources Commlssfon In an area of errrlronoll! l Cuncarrr pUrstunt be.
I SA NCAC -i�� LT • 1200 - ❑ Rules arached. ® General Permit Rules ava!bble at the following [irk, wwwdwmcaod/C1AM/wles
Applicant Name l )Q viC� i� �Or It JTC bC� Authorized Agent q_1;11
Pn gj�Q \CC+ t
Address 1 (� N 9'I I �'h2tih)4Lr� S.JYtt_�__.._.._� Prolect lncadon(County):City FFn��b�il2. Scathe I-L ZIP Go 140 StreetAddress/SateRoed/LotM(-
Phone M ((O C4 �.�ff=... �.'i ).[�.....�...{............. up���
Email��h QC-X-IOrte7 o't�C7� nr,. itlTkl Subdivisionf1ThI ����/
City e1'i"dtA LJP-20-86 _-__
ARected UCW DEW ®PTA ❑ES PIS Yc1Ad) Wa.. Body �p.Tm--�.*w'----s�r�-'x�-L�➢matdurdc)
AEC(s): ❑OEA ❑IRA ❑UW ❑SPIMA PWS Closest Mal. Ww.. Body A-l1xMM—( SO[. nt1/
ORW: yes,e MA:yle�
Type of Project/ Activity %O t X S t 9 5
(Z t X ir6' a j p1u (Scale;I°=4.a)
10 Shoreline Length }/^ j .. _ 1-- —r+
Access fen
Pler (dock) Lengh " ._ ` •('YriM r r �t _� ' `... i 1 �- �' V ..
Fixed Platforms
I r...
Floating Platform(s)
Finger pier(s) __._� -L .J- , i ' „, V y _—� •� I t. �'--.• T(/ 1t}
1 y�(/JAI
Total Piadorrn area -- +--+-"a L_. , _ ^ -I,-
_ -
%_ � 1
Groin length/4
Bulkhead/Rlprap length t l T--i--�—� �-+ -j—' i i i..
Avg distance offshore
I
Breakwater/Sill
Max disance/length r ( I ( ( l Basin, channel
r �_�1�♦y -_J L i r �i 1 I l�r rt-1
�f 1 _
Cubic yards T �..�
I I
Boat ramp
Boathouse/Boatlift
Beath Bulldozing
Other-
1-2-1
1 1 i l t � /
��{g-/Ij
SAVobsemch yes �' -tV 1 _ �� '—� 11 r i
)(
Moatorium:� s no 1-"*'T' ^�'.^ .s t s '"_'_"_ • r. '
t 1
Site Photos: s n
Riparian Waiver Attached: yes
A building permit/roning permit may he required by: COIAMLO
PermRConditions I% W M Ol-- '�fa. C�41� Ii rheL ❑TAWPAhVNEUSEBUPPER (drde one)
chc'mCh C.w4tl. l4r h�0a-tiM aCcPSS Ctl"C0.--f ❑ H See note on back regarding RNer Besln rules
See additional notes/conditions on bad
I AM AWARE OF STATUTES CRC RULES AND CONDTOONS THAT APPLY TD THIS PROJECT AND REVIEWED COMPLIANCE STATEMEM. (Pleaselnidal) JEW
.1, . s . 1. . . u . _ 17 J. _
Agent or
Permit
on back or permit" agne.uw
)2$3t ti//in
Check g/Monev Order Issuing Date Expiration Date
Cur ,p No 89913
®CAMA El DREDGE & FILL ® B C D
GENERAL PERMIT Previous permit
Date previous permit issued
MNew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State
ff o''f North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to;
/
I SA NCAC , 1200 ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name \ )OLVy C7\ 8 L06 5SchVCtl
Address I 11 N `6'1( l he hlo„.�D Tre';
City qcL 0A±P'5 tCL Tf. State L ZIP (0 0 (l0
Phone#(f, Vq C(yJ
Email 5(`.1nOCK (Ort'7`6(oyef�Ykati. CC1YN
Affected ❑ CW ❑ EW ® PTA ❑ ES
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA
ORW: yes, D PNA: yes/ oe
Type of Project/ Activity
t2t Yh,I
Shoreline Length r/— Ot
Access Length (ZO
Pier (dock) length
Fixed Platform(s) j2 t.X-.t% r
Floating Platform(s) �-
Finger pier(s)
Total Platform area
Groin length/q
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length '—
Basin, channel Cubic yards r_
Boat ramp
Boathouse/ Boatlift —'
Beach Bulldozing
Authorized Agent 01K V`
Project Location (County):
Street Address/State Road/Lot
City
Adj. Wtr. Body WV I1Z l_j`12(tJL I r—i bcult! f43man/unk)
Closest Maj. Wtr. Body SOc,rwl
120' 'K S t QLC c e 3 sL�t.;,,,t c3re4- ('Cl rj") C'y
(Scale:("
,t
it iu litj7*0Lwlt Sow.d
/kiMorit`a)
(ro`x l2r ipla'F�rwt
SAV observed yes 4W Rv-- t k,
Moratorium: yes no �yt
Site Photos: es ng �t
Riparian Waiver Attached: yes d
A building permit/zoning permit may be required by: ,(�Ber �', oft
Permit Conditions (.� �D+"'(\tSn OI— tV2 dclaktq
Agent or Applicant PRINTED Name
e
wt
'I I ^u34
SChvice �fp• r -rod.
❑ TAWPAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial)
Permit Office r';;,RyITED NvTme
Signature **Plea a read compliance statement on back of permit** Signature '
S d00t o� 12S3g 7/iff/z3 f/�1/?3
Application Feels) Check N/Money Order Issuing Date Expiration Date
OVOMI" ❑CAMA ❑ DREDGE & FILL N9 89913 A B C D
go, GENERAL PERMIT preepSperm``
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:
SA NCAC ❑Rules attached. ❑General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name '`-
Address
City State ZIP
Phone # ( )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) _
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
ro+ai riauorm 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
SAV observed: yes no I j-f
Moratorium: .n/a yes no 1
Site Photos: yes no
Riparian Waiver Attached: yes no.
A building permit/zoning permit may be required by:
❑ TAR/PAM/NEUSE/BUFFER(circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(gat/man/unk)
(Scale:' )
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** Signature
Application Feels) Check rf/Money Order Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J76t ve a Lot; Sabi
Mailing Address: IDfJ sn t H;gghla ad Thai
Phone Number:
Email Address: ;zLL"I or't ,181n'i 60ama ice. eo ►+
I certify that I have authorized ,A M; Il'a a/0:g Astde oe&—OzQfk(
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary, for the following proposed development: l2dr�' )ailoi. Xx 12 r i t ' deck-e7 )Z j
i pe+ s>a l:f� usUr% surd t6 Ie� 2.Atp girdiryr 2�+d jof , 2 rbd
(nv .J&ercl ca',l
at my property located at 2S McnQnLDDc> S He/ AcJ W— 229-44---j
in County.
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:
AN:,51.j
iaxim�i, aa„c x, zozl n-;a r o„
Signature
Lori Schock
Pont or Type Name J U N i 1U23
rrtle
May 1, 2023
Date
This certification is valid through ^_/_ I
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: D. tyP '-Love Smodr.,
Address of Property: -3�i MlAttJ1 L= iD 5. 14er• 4pird 1J C- 2'1digg
Mailing Address of Owner: IDNin la T! " WArAptkb ifo ILA (pO%LID
Owner's email: Sc tgtY-loci -12;I t{D5 , .1• Owner.cLAt's Phone#:
Agent's Name:,11i° )Ai kJ; ote nside- Agent Phone#: 251-3)1 `414k__
Agent's Email: OCeaCo✓tlywsp
ADJACENT RIPARIAN PROPERTY OWN'
(Bottom portion to be completed by the Ac
I hereby certify that 1 own property adjacent to the above referent
permit has described to me, as shown on the attached drawir
descdotion ordrawina. with dimensions, must be Provided with
100 NOT have objections to this proposal.
If you have objections to what is being proposed, you n
Management (DCM) in writing within 10 days of receipt of
mailed to 401 S. Griffin St., Ste. 300, Elizabeth City, NC, 2
contacted at (252) 264-3901. No response Is considered th
notified by Certified Mail.
WAIVER SECTION
I understand that any proposed pier, dock, mooring pilings, boi
groin must be set back a minimum distance of 15' from my are
(this does not apply to bulkheads or riprap revetments). (If you
the appropriate blank below.)
I DO wish to waive some/ail of the 15' setback
Signature ofAdjaceni
-OR-
I do not wish to waive the 15' setback requirement (initial the I
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: JDrae E6Diftom-
Mailing Address of ARPO: IV III Fbu&h&i 4 i tLS
ARPO's email:
Date:
ARPO's Phom
"waiver is valid for upkcCpyet fortiRRQJ's Signature"
JUN 1908 i08 Revised July 2021
DCl9-C
Agent's Name:
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Dave 'i Lz i Sc-hock-
Address of Property: 3p6 Maya l-oD r0 S j4erl4rd NC ziicc f
Mailing Address of Owner: ID N $11 HiAh In" Ron, �� udlmphi!e IL i io0 l,14
Owner's emall: lori Owner
Phone#:
J•W.1.a001
Phone#: 252-312 -y 1
Agent's Email: 06MA504-- 1 c vm
f ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
i�oi 1 1 i (Bottom portion to be completed by the Adjacent Property Owner)
�cT<p fjy .1-D I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
ll n permit has described to me, as shown on the attached drawing, the development they are proposing. A
deeccriof n or drawing with dimensions must be provided with th is r..
t
( 1023
I DO NOT have objections to this
have objections to this proposal.
ff you have objections to what is being proposed, you must noury the IV.c, umsrvn yr L vdbldl
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
nodfiedby Certified Mall.
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.)
DO wish to waive some/all of the 15' setback
OR- Signature of Adjacent Riparian Property Owner RECEN
1 do not wish to waive the 15' setback requirement (initial the blank) jUN 2 0 ZOD
Signature of Adjacent Riparian Property Owner: � ��� DCM•-EC
TypedlPrintednameofARPO: �o� iA,6/A �v v
rU
Mailing Address ofARPO: Mie 6 Aba _
ARPOFrills �TrrMRr1 IOr�Y1 lA(� 2,rig-t t
CEOLb. QAl&--gVMZUJ-ARPIO'sPhone#: (30) �I SLIP
s email: 9 2
Date: ��� �� �� Zo Z J "waiver is valid for up to one yearfrom ARPO's Signature'
IZP.ViCPft .11-d 212Z'(
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: 191Ve �-L.01 oicr e
Address of Property: ?O$ QaALco,n S Me/Ft' y-d A)C- 21941l
Mailing Address of Owner: Ac1
TfAil H0miQ5Lllfet
IL
60140
Owner's email:5-A0Cklov;%64 &OAlgrl. ccM
Owner's Phone#: C:�r3p
,,X6-111
Z
Agent's Name: Jle MilJ,aa� ,xeams#
V 1 ry_
Agent's Email:
Agent Phone#: �Z- 325 —SBDI�
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Ownerl
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 drawing, with dimensions, must be provided with this letter.
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
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
I do not wish to waive the 15' setback requirement (initial the blank)
RECEIVED
MAY 0 0 2023
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: Na 14U a Nctna, TtSher-
Mailing Address ofr/ARPO:/ 3112 8L j-Oop 5 Herl-(Drd WC— 1719cf
ARPO's email: �i/1��rYNhB �!. is4in,teM ARPO's Phone#: a .4 9b11-1)Dtf 7
Date:
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
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