HomeMy WebLinkAbout89829A - Tant,dam XCAMA CI DREDGE & PILL. �Q g�$2 0 e C D
GENERAL PERMIT Previous Permit
Date previous permit issued
IffOg New (-1 Modification [-[ Complete Reissue ❑ Partial Reissue
M yt.hod"d by tin Spoon, of North Cwt hroc Departn> of EwArero a tal Quality and the Coastal lb n rces cortmdsston In an aria of emkorxnennt concern pursuant to:
NC I SA AC __717----= ---. _...�.:. _ . ...._.. L Rules attached. �' Genera) Pern it Ruk-s at the fellawhig f7ndC yfgri L .
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AEC($): E] OEA
ORW: WIA691)
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NEW [ZPTA
PNA:VW40
Ots [JPTS
L-ISPIMA []PWS
cioscst Mai. Wit' Body
Type ofProject/ Activity
Shoreline Length_—.
Access Length
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Grnin length/#,-..-_ '' + , -.-. •-. - � -
• Butkt#eatlt>tiafapaength ' + �
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Avg distance ort$hOre
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Beach Bulldozing• +4.
) . _:._' t iA �.. ; , �� ` r.i-_ ,..w }... •� .
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fattie-);
SAV observed,
yes
(56
rlp:ato hunt
yes
no
Site Photos.
C
no.
Riparian Wa":vef-Attacbed.
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A building permit/Wiling peffnh Maybe n
Permit Gondolans
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ant on back of amen:t
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TAWPAMINEUS' MUFFER (circle one)
see note on back regarding River Basin rules
See additional notevwisdihom on beck
s
&"t"°rr"'1,1,,X❑CAMA ❑ DREDGE & FILL NO 89829 ® B C D
Previous permit
GENERAL PERMIT Date previous permit issued
fg 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 Vi i - 1 aco ❑ Rules attached. ® General Permit Rules available at the following link: wwmden.nc.gov/CAMArules
Applicant Name 7 f
Address 14 Q 3 I X ly�_Uy` ?J.
City F(i-tB�State NC zip a,19001
Email TtCir��'@�AiS�'t00.31' Xtk IA'e.COWk
Authorized Agent
Project Location (County): ��.Xl Li d
Street Address/State Road/Lot #(s)
I qq 3 N i Aoninm kal
Subdivision
City 61aAbe�h C'( zip 279001
Affected ❑ CW ® EW [A PTA ❑ ES ❑ PTS Adj. Wtr. Body L_Tl It 1-L VV' - c 1 na man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body kke�,-(-e �OfAA-.d
ORW: yes/® +1PNA: yes/
1 4o
Type of Project/ Activity a§iAnA A
(Scale:(cKd)
Shoreline Length f "h
Access Length
Pier (dock) length ^
Fixed Platform(s)
Floating Platform(s) .'
Finger pier(s) ^
AA-"'Wc
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill —'
Max distance/length
Basin, channel
Cubic yards ^
Boat ramp
Boathous Boatli (Zr x 13r
Beach Bulldozing
Other �—
(L N�
b �a4�A�`
kk
, L I C} 13r
ed'l*x4iVA �
SAV observed: yes lab e4-0
Moratorium: yes no k*^rV5v
Site Photos: CiB no Q ,/�Q,t.,� �•"t
Riparian Waiver Attached: yes r� 1
A building permit/zoning permit may be required by: 1/a Sq aaAan,K- (20M 1%�r
Permit Conditions 1
14rICC�..r
❑ TAR/PAM/NEUSE/BUFFER (circle one) (y�o
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name
Permit Ofjip4r,4 PRINTED Name
Signature **Please read compliance statement on back of permit** Signatu�v
1a2 0= 4(34(1) ii
Application Feels) Check#/Money Order Issuing Date
Expiration Date
rdc°"r" ❑CAMA ❑ DREDGE & FILL N9 89829 A B C D
Previous permit
GENERAL PERMIT Date previous permit issued
`( 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:
I SA NCAC % { ` � ❑ Rules attached. General Permit Rules available at the following link: wwwdeq.nc.gov/CAMArules
Applicant Name - f
Address
City State \l''-- ZIP
Phone #
Email
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s) _
Subdivision
City
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wen Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/nol
Type of Project/ Activity -
(Scale:! I )
Access Length---
.:.
1
I
Pier (dock) length
Fixed Platform(s)-
...--.
�
_s)
�
I
T
. _
��
Floating Platform
I
Finger pier(s)..._
Total Platform area
Groin length/fl
I
�_
•
}
-
—�--
t
f
r
Bulkhead/ Riprap length._.__)y
Avg distance
-�
-
r
h
f"'
° -i�>-
f
-
: -
offshore
Breakwater/Sill
Max distance/ length
17
Basin, channel
Cubic yards
Boat ramp
_
_� _
Boathouse/BoatllfJ
r
Beach Bulldozing
Otherk-
_T_
-
t
SAV observed: yes no
1
I
��-
I
-
Moratorium: n/a yes no
Site Photos: yes no
"""i t
oe3-
t--
(
l-
1
RiDarian Waiver Attached: yes no
�_
A building permit/zoning permit may be required
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" Signature
Application Fee(s) Check q/Money Order Issuing Date
i
Expiration Date
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: /;;;OX� A` T�,Lcct�✓ J�Gtr��
Address of Property: / &19e? �V/j[ Or✓/� ni� r� t7
Mailing Address of Owner:
Owner's email:
Agent's Name:
Agent's Email:
`7457-IPZ0- 876,G
Agent
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
I DO NOT have objections to this proposal. I DO have objections to this proposal.
If you have objections to 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, 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 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-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian F
Typed/Printed name of ARPO:
Mailing Address of ARPO_
ARPO's email: t_
Date:
Owner:
Phone#:
*waiver is valid for up to one year from ARPO's Signature*
l f k,
01750?
Revised July 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner
Address of Property _ .
Mailing Address of Owner:
Owner's email: Owners Phone#:Y_,
Agent's Name:
Agent's Email:
Agent Phone#:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adlacent 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 proposes, you must notny me rv.c. urvisron or k oasrar
Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St., Ste. 300, Efhabeth 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 Certffied 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 some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: �7a /��
TypedlPrinted name of ARPO: �� 1 L✓EH I�LD/3� f2 i l7<��✓��j
Mailing Address of ARPO: 306 /LIr MC41?r-l'%!= 41 W1 A-i j dni /vG',79g6
sc, cep
ARPO'semail: SW/ARfP1t? &A Z,`U6�W ARPO'sPhone#:�h -6`f2-'�
Date. �S /=iRO �' ! 'waiver is valid for up to one year from ARPO's Signature'
Revised July 2021
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