HomeMy WebLinkAbout89903A - Gero❑DREDGE & FILL v N9 89903 0 B C I /
Previous permit _
GENERAL PERMIT Date previous permit issued
[v�New ❑Modification El Complete Reissue ❑Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coast I Resources Commission In an area of environmental concern pursuant to:
I SA NCAC Ui 14 I ZOU ❑ Rules attached. General Permit Rules available at the following link: www.dgq.nc.govICAMArules
Applicant Name
Address
City 4-4`q1j%nfw :5 tate N r— zip 12794.9
Phone #(904)_'�� 21 P41Pot
Email Mce1!L3Wr, & f.—t
Authorized Agent C U If f tt'Uf k 'Ravo l Lift rl 4tl N G
Project Location (County): �I'll UP
Street Address/State Road/Lot #(s) /u/ae��w'L L[C Pt a,
Subdivision L
City 15laJ'�'11c!lCV1 sshof=? zip
Affected ❑CW dEW PTA E]ES PTS Adj. Wtc Body JG?'''tt[s'Et' 0r1=1 ••an/unk)
AEC(s): ❑OEq ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal.W[nBody, CLrtr;tQek 2e,,e,4
ORW: ved) PNAeno t-
Type of Project/ Activity &WIC J N �x i �i v f E t 3z,6-'4 lb— 1 o t w t 7-t -
.I k.4 (Scale:14 rO )
Shorellne Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platformis)
Finger piers)
Total Platform area
Groin length/g
Bulkhead/ Riprap length
Avg distance offshore Iv
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
s
aoathous cart"
.BeveM9aXdeeieg C D
other
e%-J
GAVIAL 'TO ..�
TEA9 GU;'=E CRILE:K
7ef
T4mlo e- A,
F3 oa+(, l P?-o?05>EV rGL INA T'c� 9,
Ldfr-111
CibR4T Ll>~T
IUR GKt3{•
i
SAV observed: yes no
Moratorium: yes no �•l
Sit, Photos: ov
Riparian Waiver Attathed: no I '1r0.��rUX ItNtCt. N
A building permit/zoning permit maybe required by: S U J1144—�*r 4 �11")
Permit conditions
Agent or Applicant PRINTEO>-M-) 1 1 w/ Permit Officer's PRINTED Name
TAR/PAM/NEUSE/BUFFER (circle one)
See note on back regarding River Basin rules
See additional notes/conditions on back
(Please Initial)
e"Please read c nce statement do lt�kill permit,** Signature I
n Fee(s) Check P/Money Order Issuing Date Expiratiod Date
❑DREDGE & FILL
3 GENERAL PERMIT
��- N° 89903
AO B C D
Previous permit
Date previous permit issued
[a2j New ❑Modification []Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coast I Resources Commission in an area of environmental concern pursuant to:
15A NCAC 0714Moe> ❑ attached. GeRules neral Permit Rules available at the following link: wwwdeq c gov/CAMArules
Applicant Name C0 U R7
Address
City pate y!ZIP �7949
Phone # (%* aj4-f 21 K 1
Email K462 r krlyde& L91 G61M
Affected ❑ CW dEW PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes9 PNAqDno
Type of Project/ Activity
A FoJn+br
Shoreline Length I Is
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore 10
e
Authorized Agent CUrCtYUGr ':SC.>o_T Iij*f r\at-t AC -
Project Location (County): ,1, n /roc //
Street Address/State Road/Lot #(s) f Swin L a_ W aL
Subdivision
Clty!;O.ijaln zIP 42J9 4g
Adj. Won Body Jrad-V� G I J;:k= aenCC na an/unk)
7 V
Closest Maj. Wtr. Body ��Y r1 k U G k����t�
GAttAL '10
JE } 60 ('( t"
7`Gf
Max distance/length _
Basin, channel
Cubic yards
Boat ramp
t tea/
Boathous Boatli 1
�eeeF�BnNdering• CI . o ItZ
Other
8oai'I � �� Qt2oPc>SE1� r LEdA'ro�.
r BoA-r 1_(Fi
r Pocks
(Scale:lj% )
W
SAV1 �'' *��Ipp
Moratorium:
observed: yes no �Y.. f G R-
Moratorium: � yes no Y T1
Site Photos: yes o /� ( v01�p
l—W
Riparian Waiver Attached: yes no IP ( *Q�COX l Wlet.Te
A building permit/zoning permit may be required by: Alsetr r S Y gl re---;
Permit Conditions
IAM
Agent or Applicant PRINTED Name
THIS PROJECT AND
Permit
Name
❑ 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
J$200. ::4io t1 5-,- /FL Zb 212 �2070
Application Fee(s) Check#/Money Order Issuing Date Expiratiod Date
LICAMA ❑ DREDGE & FILL
0N11 GENERAL PERMIT
NO 89903
Previous permit
Date previous permit issued
A B C D
F,lNew ❑ 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 c i I I.4, 1 Rules attached. e•' General Permit Rules available at the following link: wwwden nc gov/CAMArvles
Applicant Name 1� cz r`k !u c f ! ) Authorized Agent C't ' f f (� ( C F- [`��� ,:. l I r -� ' " f l a 1 I
Address (I. `'� I �' �" ` "A l 'T 1I >' Project Location (County): ,'11 i f r'11
City e '`'v State Ni e-. ZIP Street Address/State Road/Lot#(s)
Phone #( LA) -Z, 4--i - 7.1 r-, I /
Email V "I /err'.,_, k ^ t¢ r• i+ ( r`L� in Subdivision LL'
City
Affected ❑ CW �EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body jc (-s I 1 "�t" C"�,"?:?;_' _4(batlAtan/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body e'• t JY f'14 UCi:• �>[s �r
ORW: yes/no,} PNA-.4&no
Type of Project/ Activity
(Scale:)>T,9 )
snoreune Lengtn I r .,
r-' ...�_
_
_.�_.._._..
_
-_.T..
�_.._.
_
__
.,,.__
I
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_._,.._
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I
-
._.
_—.
_..
Access Length
-
---
-
-
_
-
r
_
__
'--
Pier (dock) length
Fixed Platform(s)
FloatingPlatforms
I
i_
I
_
J
i
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
—'--
-
I--
'--
`- -
Avg distance offshore
Breakwater/Sill
Max distance/ length
Cli
Basin, channel
p"
.•
_
_
—
Cubic yards
❑
Boat ramp
Boathous<6 a' lift IU }' 1
_
j
`
-�
r
Beach -Bulldozing:_
Other777
-•
_
SAV observed yes
y
_
Moratorium n/a yes no
Cr
Site Photos: yes no..
c1
f
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
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"
Application Feels) Check #/Money Order
Signature
Issuing Date
Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APP41CAnON
Name of Property Owner Requesting Permit: 14 "4-
/ I (yam,44.J
Mailing Address: LS -�,W�
Phone Number: bb 1,0 .3 1--7
Email Address:
I certify that I have authorized
to act on my behalf, for the purpose Of applying for and obtaining all CAMA permits
necessary for the following Proposed development:
Y / 577
/l1eZ.3 Li;-
at my property located at_, (a WeKv 61,-- L/-Lr,�
in TWe- County.
/ 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 Infoffnafion:
Signature
Print or Type Name
Title
Date
This certfication is valid through
Ili 1. Ili 00 1,023
Revised Mar. 2016
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONlWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be
Name of Property Owner
Address of Property:
by owner or theiragent)
U 14 >
Mailing Address of Owner: 7 ryrAQ -
Owner"s email_ ��?c� r Own rs hone#.
Agent's Name:
Agent's Email
Agent Phone#
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
1 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
_. .. _ _ _ ___..:,,...i _;d ihic IotMr
I DO NOT have objections to this proposal. I DO have objections to this proposal_
ff you have objections fo 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, 27901 DCM representatives can also be
contacted at (252) 264-3901. No response is considered the same as no objection if you have been
noted 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 somelall of the 16 setback
Signature of Adjacent Riparian Property Owner
+
I do not wish to waive the I setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner- _
Typed/Printed name of ARPO: (}�j �/ 1
M jlj Address of ARPO: -��
r1l
JUL 0 0 2023
D�t9:.,
a ng
ARPO's email: 5Up e d 2 () ARPO's Phone#: qo>
Date: E'7 / `waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
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 t� ^ LL <�
Address of Property: i LWIv
Mailing Address of Owner. '7 7 L1; C \�_C '—
C-!}Z. . <'
Owner's email.�'i j = �� ' __ Ownefs Phone# LJ
`a
Agent's Name:
Agent Phone#
Agent's Email: ----
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 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,mty )nfe.C. Division of Coastal
Management (DCMJ in writing wiffrin 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 nprap revetments)- (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive somejail of the 16 setback
Signature of Adjacent Riparian Property Owner
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner.
Typed[Printed name of ARPO: )F i s
Mailing Address of ARPO: �� ��:r?_. >� c' U1, All�-
t
ARPO's email: S't n- �j�e c /7 �it� ARPO's Phone#: Z 2 (- - aqi, I
Date: ! rld 'waiver is valid for up to one year from ARPO's Signature'
JUL 0 6 2023
DCM-E ✓
Revised July 2021
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