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HomeMy WebLinkAbout89808A - Williams-: r J I lJ " I I I f I I e I ~~ct>Alr4{~[29.CAMA O DREDGE & FILL ~ i GENERAL PERMIT N<? 89808 ® B c o Previous permit __________ _ Date previous permit issued _____ _ ~ New O Modification O Complete Reissue O 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 ~ H ' I J-00 0 Rules attached. ~ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name =s C)~ hu °' \l a.(\ lu'i \ l I a f\'\S Address \ (a(o Hu~\os L<At\.J \"'-3 'Ref, City tnJ,A.~ C.¾ State __ N~<:_~_ZIP 'J.,19 a9 Phone#(]S1) (o'J.\ -~'-i<-(~ Email joShb '(" SI.\ q €1 ~mad. (OW\ Affected O CW AEC(s): 0 OEA ~EW Q1HA IK] PTA Quw ORW: yes,.Q) PNA :yes~ 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 - Breakwater/Sill ..... Max distance/ length -. Basin, channel -Cubic yards Boat ramp ________ _ ~ I.,\ )r ,.., I Boathouse/~-_ ~ ~ Beach Bulldozing -, Other _________ _ t\ SAV observed: ~ Moratorium: n~ Site Photos: Riparian Waiver Attach ed: ye s yes g ye s ~ no r,e_.t-1" ...O· \ □Es OsPJMA O PTS 0 Pws Authorized Agent ___ ~~-------------- Project Location (County): • fa, S O LI O iC\.r\ ~ \. Street Address/State Road /Lot #(s) _____________ _ I (.:,Cc, 1-\o\,bs L~~½ R&. Subdivis ion ____________________ _ ZIP __ ~_1_q_0~9~- Adj . Wtr. Body_~L~'*~~l-e~-~~~~~------~man/unk) Closest Maj. Wtr. Body _~A-__ I ~~~~~\,e~ __ S_()_'::V'.':e_-J~---- ~ Q'c,' \ A building permit/zoning permit may be required by: --~¥~0._S_'=t:t---"Y~~~d-~Q,~t'\,~t~--~~~"-=~'-'-',,__-□ TAR/PAM/NEUSE/BUFFER (circle one) D See note on back regarding River Basin rules D See additional notes/conditions on back Permit Conditions ___________________________ _ I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please In itial) ______ _ Agent or Applicant PRINTED Name Signature **Pl ease read complia nc e statement on back of permit** -$ac6 . ~ as:<oo Signature ~/14 11..3 Application Fee(s) Check #/Money Order Issuing Date Expiration Date -a:::::=::::: REC EIVE D N.C. DIVISION OF COAST AL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL · RETUR N RECEIPT REQUESTED or HAND DELIVERY JUL 2 6 2023 (Top portion to be completed by owner o r their agent) DCM-EC Name of Property Owner: Jo-SH l)A, V. h} 1t.,t.,14--15 Address of Property: l , C. '1 c, 6 S 5 l, A AJ /). 1 ,J tl:, R. f>. Mailing Address of Owner: / fc(i, 1-1 C, BB$ t-Aiv !l) ~& 8 f>. J G l,' Z A &e; rd C IT r.t NC I d 7 q <1 Cf Owner's email : Jt>.S1,q3R,.54<::J(f?ti,-.-tA1t,..,~wner's Phone#; 1fi7-~a,J · ~ 4 'f 3 Agent's Na me : C. {NTHtA Ro0AJT~£t Agent Phone#: a_5a-;24; q. 3'1" 1 G.,x r . a.3 .,, Agent's Ema il: C..1<JJ1~1 A,. R.t>t)IJ1R££E.@ /),ZQ, NC, (?c7V 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 in dividual applying for this permit has described to me, as shown on the attached drawin g , 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 th is proposal. If you have objections to what is being proposed, you must notify the N.C. Division of Coastal Management (DCM) i n writin g within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste . 300, Elizabeth City, NC, 27909. DCM represen tatives can also be contacted at (252) 264-3901 . No res po nse is considered the same as no objection if you have been notified by Certified Ma il. WAIVER SECTION (Ch oose only one) I understand that any proposed pier, dock, mooring pilings , boat ramp , breakwater, boathouse, lift, or groin must be set back a m inimum distance of 15' from my area of riparian access unless waived by me (th is does not apply to bulkheads or riprap revetmen ts ). (If you wish to wa ive the setback, you must sign the appropriate blank below.) I DO wish to wa ive some/a ll of the 15 ' setback --;:;:--.--;--:-:c:----:--=-:---::---:=-----::-----S i gnat u re of Adjacent R iparian Property Owner -OR- I DO NOT wish to waive the 15 ' setback requ irement (i nitial the blank) ~.n/\ Mailing Address of ARPO : ____ /_7.__.'0'--... 5'--v_i-7"'"',,..'--'-; se.==--t,-"-1/'__,,_( ________ _ ARPO 's email: ,~ A£4 7'( e ARPO 's Phone#: ;2>2 -'33'5'-ll?.5:ZJ 1/-0 ? "'le../. C'.., ........ Date : ~ ? 4:, / ;:i!._J *waiver i s valid for up to one year from ARPO 's Signature• I Re vised August 2022 - RECEIV N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFI ED MAIL · RETURN REC E IPT REQUESTED or HAND D ELI VER Y JUL 2 6 2023 (Top portion to be completed by owner o r the ir agent) Name of Pro pe rty Owner : __ J~~ ..... S'.Lf:lutJ~A:....,.___.Vc....:._.,,_b],.__._l-""'kc.:1.,,::...il.LJA....._M.:...,,..,::S=------- DCM-EC Address of Pro pe rty: / (i,Gi Ho BB S LcAi'1 b I tJ b RJ). Mailing Address of Owner: i G,G, J.l o e,e, 5 l ,4.. ~ A 11.J b Owner's email : J e>.S H SR 5 4 ~@ t;"'lA, I... C~w ner's Phone#: ~b-,&,1,1-z.AB ~iil c ,;,t,>J l, ~7"1 0 tl , )5 7 , Co -:l l • 8 1/4 3 Agent's Name : C tJ-rl-( IA, Ro u,J tR €f Agent Phone#: a sa -:J.&:'l · :'.3 'l 0 1 ~ ¥ ,. a 3 '-I Agent's Ema i l: C NT~ I.A . RO t.J AJT R.f E@ DirQ, /JC., 6,0 \I 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 ind ividual applyi ng for this permit has described to me, as shown on the attached drawing , the development they are proposi ng. A descri ti o r drawin with dimensions must be rovided with th is letter. .ld'..,_..oc..,.. I DO NOT have obj ections to this proposa l. __ I DO have objections to this proposa l. If you have objections to what is being proposed, you must notify the N.C. Divis ion 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 Ma il. WAIVER SECTION (Choose only 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 ri parian access unles s waived by m e (this does not ap ply to bu lkheads or riprap revetments). (If you wish to wa ive the setback, you must sign the appropriate blank below.) I DO wish to wa ive some/all of the 15 ' setback --;~~--;-:--7.--;-:::-:----:--::----~---S ig nature of Adjacent Riparian Prop erty Owner -OR- I DO NOT wish to waive the 15 ' set back requ irement (initial the blank)~ Signature of Adjacent Riparian Prope Typed/Printed name of ARPO: __ a++~:.L.r:+--f=~➔~-Hi,f-~Hr-"4-----:'."".--.A / Mailing Address of ARPO : --'-..IL.C""'---"--"""-';1+....L-1-L.ld..J~:..,._-L..:..::..i.._--.J...._~L.J.' =-~ //4 / ~ L ARPO 'semail: .,y II 3 ?9"-&iJ r Date , 'fn<;/4-3 *waiver is valid for up to one yea r from ARPO 's Signature* Revised A ugust 2022 I J 1G,G Ho 6S l,,A,Jl)1f'l& Rb .. Gu\z..(6f·•--µ. c.-1-ri, tJc ) a1l:\09 'i ~A ~' T ~i\~R f 11.t f_:,1,.s.,) iJ& ~ 11:::R. C SA.t,, T Rft.-" b RECEIVED AUS O 1 2ll23 DCM-EC ,---------------------- I AJil\'lS,;. -t.-t., ( / ~ Pasquotank Cou nty NC July 31 , 2023 1:564 0 .0 1 0 .01 0 ~,..__,....______,_------,L.....,-"-----r--"---r--__:· 02 mi 0 0 0 .0 1 0 .0 1 0 .03 km NC CGIA. Maxar , Mlaosoft Untitled Map Legend Write a description for your map. 166 Hobbs Landing Rd ,.