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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 „..__ _._,.._ �. 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 U J J m 06 4- J +-a m O co U �R Sqg W O L- a_ • �-'b Q" O J (D > > N @ o c W m O C a U U 0 w $ 7 � O ro ao o °a > a� m Q :3 O U E a)vi a>'i z Y CO co•� O O n U -O L a) �_ - m � V o DNS W •v a 2 N L N a)O = d U Z c ] O O U) @ L � w (B U) p !er) 1 70 m LIJ M N #'. a "Is