HomeMy WebLinkAbout89926A - Fletcherermit
"`Qu" (]CAZ [DREDGE & FILL ` Y 89926 Q.-,h`s C ��/
GENERAL PERMIT DatePreviuspousp
Data previous permit issued
*eW ❑ Modifi ation ❑Complete Reissue ❑ Partial Reissue
As authorized by therS.j}ato of North Carolina,/Department of Environmental Quality and the Coastal Resources Commission man area of environmental concern pursuantta:
i SA NCAC • t r 1 y —./ 4 r' _ Rules attached. General Permit Rules available at the following link: yrww_.dgo n<.ggylC,llhM/iruI%
Applicant Name /7% e. ("J )In + 1 i17 f i G i t., F� 4.-rc.{�4jr Authorized Agent _ -`t +A•I_J._=
`� V q y 0Q Pr ect location Count �•
Address ej UIS? ._...._............___._ � (County): ............._._J
Ciry �R,•,Cy�.•arvnTt�lSL'!lf$tate,�;V,(�_ Zip .LaLl�o Street Address/State Road/Lot#(s) L
Phone 4 (Sr.) 7 2 fL `1 $ %C?
Email ,1_Lf3 C.o,n_c0. C.- 2 —40 __,__ Subdivision__-
Affected u CW W "' MPTA
AEC(s): fIOEA IHA 0UW
ORW: yes Io PNA: ves/Q
Type of Project/ Activity V z
i l 4 -'V" i— C/,..
Shoreline length
Access length
Pier (dock) length_. tor K %r
Fixed Platform(s)
Floating Platform(s)
Finger piers) -�
Total Platform area
uikhead ipmPlength --!Z
Avg distance offshore a-v
Breakwater/Sill
Max distance/length S
Basin, channel
Cubic yards _
Boat ramp
Boathous Boatlilt
Beach Bulidoz
Other
SAV observed: yes
Moratorium: n/a y no
Site Photos: ye no
Riparian Waiver Attached: yes D
A building permit/zoning permit may be re
QV,
Application Feels)
LJ Es V PTS
OSPIMA 11PWS
Ciry_�Ja�t 5 /-f..4 Z
Adj. Wtr, Body�1�-
Closest Maj. Wtr. Body._ Tj„y a ^ ,•X S> .n n d,
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(Scale: A17-5•
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t ems• ! �Q � g TAR/PAM/NEUSEIBUFFER(circle one)
•Y
r,•2 �/�• .�fl �-(J� ,ts (6 See rote on back regarding River Basin rules
:2. A— l r nn f kA 4M See additional notes/conditions on back
ONO/IT�IO'NS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) 1!5LfJ!he/_...___�
Permit OHiterS PRINTED Name
t onon back Sin
permit-- s g • x /1Ag (23
Check II/Money Order Issuing Dale Expiration Date
,CAMA DREDGE & FILL N9 89926 (LN C D
Previous permit
�* GENERAL PERMIT Date previous permit issued
ew [:]Modification []Complete Reissue [:]Partial Reissue
As authorized bythe�5tate of ; oorthCarolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC 11CC fJ i❑ Rules attached. General Permit Rules available at the following link: wwwdeg nc gov/CAMArules
Applicant Name Ill ^ -f` P-0-ri cl Cam.
Address Eo. V¢.5 L--) tY
City (��4OnTcSVI �q$tate _VH(��F ziPt//L°
Phone#(rX+V/) f'Z •' I S 9a
Email t/g-/DI 1R COrT,c0.S i /)2ci�2�
Authorized
Project Location (County): •" c i a —
Street Address/State Road/Lot #(s) L e"( 93 5 t c A
.Za? 0, r —rori. '� 4i�w�po� C/�//I
Subdivision
11 h I J AbcI
City �1 !q f . 14 d zip
Affected ❑CW 7E P N!VTA ES PTS Adj. Wtc Body G4n `°" ( (nat/.<jn )nk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ^ �i6' sa "•'s b
ORW: yes PNA: yes/ WQ, I
Type of Project/Activity r%Jr Co' Jc % g!�e/0.c9)Qr
0.�11 (Scale: AIT.S
Shoreline Length
Access Length /�
Pier (dock)length l>7 X %
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Gr ' h/gam_
ulkhead iprap length
Avg distance offshore art.
Breakwater/Sill T
Max distance/length .g
Basin, channel
Cubic yards
Boat ramp
Boathous Boatlift D /
Beach Bulldoze g
Other =
•�-'
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: no
<9
Riparian Waiver Attached: yes
A building permit/zoning permit may be required
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EXISTrn�, Buz.kffEAm
Of
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J -f— fa. /+t1 ❑TAR/PAM/NEUSE/BUFFER(circle one)
e-0 'r C—p ❑ See note on back regarding River Basin rules
M 5 . �--fl / S �C✓t rd
w � j • ❑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) PC
P— 71✓r's r/1AC (a .f�J�-r
Agent or Applicant PRINTED Name Permit OfficePRINTED Name
v- c
Signature**Please read compliance statement on back of permit** Sign e
Cu tom : 13 91 s ? m/9,3 u Lf (23
Application Feels) Check tt/Money Order Issuing Date Expiration Date
❑CAMA ❑ DREDGE & FILL N9 89926 ', A s C D
Previous permit
3 GENERAL PERMIT Date previous permit issued
F_JNew [-]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 El Rules attached. ❑ General Permit Rules available at the following link: wwwdecl nc gov/CAMANItis
Applicant Name
Address
City State
Phone # ( )
Email
ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City —
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wer. Body (nat/man/Onk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no r PNA: yes/no
Type of Project/ Activity
(Scale: A(-/ )
Access Length
-
-
Pier
F
Flied Platform(s)
_
I
Floating Platform(s)
--
—
_
Finger piers)
—.,
—
--
Total Platform area
�.---
—
(
-
✓
�i
C
i
Groin length/ft ate_
__.
-
—
_.
I
—_.
_
—
;--.
Bulkhead/,Riprap length
r
-
Avgdistanceoffshore
t
Y
'L_
.(�.
_
Breakwater/Sill
F
'
z
Max distance/length
Basin, channel
Cubic yards_
Boat ramp
I
I
Boathouse/ Boatlift
`
L"-.-i
.'
Beach Bulldozing
b
_
i.
_.
t
—
—
_
_
-
Other
�
}
—
SAV observed: yes no
'
Moratorium:. n/a yes no
{L
Site Photos: yes no—
`l
.,03I 1 m/,Ma.Fud.
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)Y
AgentorA licant PRINTED Name Permit Officer's PRINTED Name
PP
Signature•*Please read compliance statement on back of permit-' Signature
Application Feels) Check#/Money Order Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Y / / / /L'% _.
Mailing Address:
222111,
Phone Number: �6�'_qu "q, -7o
Email Address: � r C'�C sly _
I certify that I have authorized �yTf' j� 8 t� 6 L
Agent / contr Actor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
�
necessary for the following proposed development: m4loo & 1_l&k� _.
at my property located at 00"? '%rnr, ari>, �
in 9 yr;e 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
permit application.
Property Owner Information:
(21017W-
Title
/ 7
Rate
This certification is valid through tO
RevJsed Mar. 2016
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
Address
Mailing A
Owner's
Agent's t'
Agent's Email: �'��ll%h;�(;C G%»irJ/� Lb
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.
� 1 DO NOT have objections to this proposal. 100 have objections to this proposal.
it you nave ooiecnons to wnar is oemg proposed, you must nonly the N.C. Division or 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 (262) 264-3901, No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION (Choose onto one
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
-OR-
1 DO NOT wish to waive the 15' setback requirement (initial the blank) C,
St nature of Adjacent Riparian Property Owner: i
e 1 P p rty �� 1J �s�yyccrv-�
TypedlPrinted name of ARPO: l} 0,
I i 'C , (( rL � r % e, r% /�
Mailing Address of ARPO: r; 1 l' .1 a� V rr n e- /V A 6�Lf Io l t e)1 r
ARPO's email: C Cr2n, 1 6+•t : rt— a ARPO's Phoned: 3 '7 h' '33 i tf
lie v' i Z,n n, n � t--
Date: I, *waiver is valid for up to one year from ARPO's Signature*
3
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:�%jj�
Address
Mailing A
Owner's
Agent's I
Agent's I
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
lRottom op rtion 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 drawino with dimensions must be provided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
ff you have objections to what Is being proposed, you must norny me mu. uiwsion or uoasrar
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
malted to 401 S. Griffin St., Sto. 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
notifled by Certified Mail.
WAIVER SECTION (Choose onh[one
1 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 sometall of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (initial the blank) C k
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: C e y f r r d ev
Mailing Address of ARPO: i 3 3 )- %)r. A.F _ L e Gs r 9i
VeriZ
ARPO's email: on•ne) o
4- 6 k, t r J l'r n l '� ARPO's Phone#: (~7 a 3 9 E E 6
Data: -7 / 1 / �2 3 *waiver is valid for up to one year from ARPO's Signature*
V.,•
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