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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, Cr I (Scale: A17-5• r._.. p/ _A14kt r Y A wAiG r-5 z--- J /,G .max I / y 1 ,Bl`0. [ �•�;�nmxnY y 'I k'smad � EXIST-'r ni� s.x t-kHE1)n c{ a ( 1/ i ^.^` I a r� { "•r-1'<'S�'sa"c { 10 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 bry oa.,�u r.,n.ii+;ens EI2Jn •#-S� �) '1 TS A'Ak''o Z' -'J' 41fJ ( LtR q� i, iD V.� ignryWn -11--I } f 2d (— EXISTrn�, Buz.kffEAm Of 3 I (L P� 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.,• 2e176 m \d\� . � \. � i\ \� ?\� \ ,: .41 m