HomeMy WebLinkAbout89972A - Danielsx,�❑CAMA ❑ DREDGE & FILL N9 89972 A B C D
a GPrevious permit
GENERAL PERMIT
Date previous permit issued
F�J New ❑ 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 ❑ Rules attached. 0 General Permit Rules available at the following link: www.dett.nc.pov/CAMArules
Applicant Name
City State
Phone # (_ )
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City l
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
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
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: \rt ayes no
Site Photos: yes no
Riparian Waiver Attached: -yes. no
A building permit/zoning permit may be required by: ` Cx+. i,
Permit Conditions
(Scale:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
1 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** Signature
Application Feels)
Check tt/Money Order Issuing Date
Expiration Date
F)
M.
I .._. _ _
Name of Property Owner_ w (7 U &- z
Address of Property:
A06 3 1 2023
DCM-EC
Mang Address of Owner. Sniv; fi
Owners enat 4/1Q Owner's Phonel 75 ` u0�1 llX `l C
Agents _L,A �� (, ^ rA Ph :aS�3--& 3 l3
Agents Efflet
ADJACENT RIPARIAN PBOPERTY OWNER's MuwlcAT"
(Botlam portion to be snrnrrlated w the ArA rr Prooad►Owner)
I herabyoerWthat I own property adijacenttothe abawere-Thehtdividuai apwmforthis
pern* has described to me, as shown on the attached drawuO. the developnrerd they are WDposov. A
descdoftn ordrawkmL with t&rrerrsiorts. nprst be ororided W this 10W
I DO NOT have objections to ihes Proposal I DO have oNections to 0rt P gMal
If you have okectfam to what is being proposes � >� 0e N C Dirisfao of Cow
Y (D( b+ xt?(in9 witl:6t fti tf�rs ofreca$t afthh no�iw Crresilmu&r ce sl odd be
d to 4M S_ 6rdin S, Ste. 309 Effimbelft City, Aft 27'909. OW rqpresentmom smr afo be
o edat(2M26 3901.MusawcomiseonsidwedMesameasaoogllacgooOyouhowbeery
noli led by CartHierl b &
WAIVER SECMN
f undersiwrd that any proposed Pier, dock rrro xmg Pam. boat ramp breakwater, boathouse. Eft, or
gmin must be set be* a U*&Mun dsWm ofl5fiomrtWrarea Of f0aden Le k• edbyInast nr
Mm does not apply to brddr� «rprap revebortn). (if you
Y
the appropriate blerk below.)
I DO wish ID waive sorra/aH Of" 15 seltreck
v
-OR-
I do not wish to waive the 15soMadr rew*ertw d (dial 0te biwr
Swmhrre of A4acent Riparian
Typedflimmed mane of ARPO:
Nail Address of ARPO:
ARPWs emahh
Date:
ARPO's Phone#.
`waiver ir. vapid for up to one year from ARPO's Skjniae`
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RECE I\j/FD
N-Q DIVISION OF C. r� .
ADJACENT RIPARIAN PROPERTY _ . ,
(Too portion to be Completed by\\owner or their agent)
Nam of Property Owner, /� Z 1 EGf%l Y n ' G LS
Address of Property. L09
Mailing address of owner: %
owner's enw A�!% owners Phone# 5? l/�i/ I �0 �l
Agents Name: ja�I /n&d &),, X22L Agent ft0nedk
agents Emat
ADJACENT RlPAR1AN PROPERTY OVMWS CEiiFICAIM
caomm portion to 6e completed w the Adiak�rrt Prooarbr Ownner)
1hereby cerillyBrettownproperty a*cmAtothe ahpve>ett >,' lr.The Indlvidual applying forthr-
pen * has desaibW to mea as shovm on fine alfeclned draw the dent they are proposing- A
r �(Do NOT have objections to this proposal I DO hava olyecdons to this proposM
ff you harp oQ kfons m what is being pnwose4 you Mow MMl pre a r,- wmmm a. uu�xm
Ak-gagemOW(DWinwrNngw&UnlDdRpofmceWutMs r lWyespoodenceshould be
4416d to 401 S Grilffm St., SIm. 3W, EffimbeM CA% fps VWSL OW nPOSSublium saw also be
conftcftdatMM -ftnmponse isconsidered thesameasnoogjecdonMyoubevebeen
nobliod by Cw~ MIA
WAIVER SECTION
1 named HW any proposed pier: dock, mooring pTWrg% boat ramp, breakwater. boWmuse. Ok or
groin mnd be art back a n**nrmr distarwe of 15, Run uW area of riparian acoess rudess waived by no
(Uas does not apply th bulkheads or nprap, ter } (if you wish to waive the setback, You must AM
the appropriate blank below.)
I DO wish to waive SOMWall of the 19
5iofAa¢ac arran ertyOwrrer
-OR-
[do not wish m waive the 16 Setback reM*emerd (atial the blank)
Swuhme of A4acerd Ripen n Properly Owner:
Typedf hinbednameofARPO:
Ma0ing Address of ARPO:
ARMS, env& ARPO's Phone
Date: *Waiver Is valid for uP to one y+earfmm ARPWs Skjnahn e`
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