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HomeMy WebLinkAbout89829A - Tant,dam XCAMA CI DREDGE & PILL. �Q g�$2 0 e C D GENERAL PERMIT Previous Permit Date previous permit issued IffOg New (-1 Modification [-[ Complete Reissue ❑ Partial Reissue M yt.hod"d by tin Spoon, of North Cwt hroc Departn> of EwArero a tal Quality and the Coastal lb n rces cortmdsston In an aria of emkorxnennt concern pursuant to: NC I SA AC __717----= ---. _...�.:. _ . ...._.. L Rules attached. �' Genera) Pern it Ruk-s at the fellawhig f7ndC yfgri L . Api>?caz,t tVatr+e Adtkvn city 5inA10 r�(`'SO) EmaN TS{i^ Abetted t_J cw AEC($): E] OEA ORW: WIA691) JA-e NEW [ZPTA PNA:VW40 Ots [JPTS L-ISPIMA []PWS cioscst Mai. Wit' Body Type ofProject/ Activity Shoreline Length_—. Access Length flier {dark}I,nafi„ FLxed Pialbrm{sl..._ a t b w ' + floa[In$ Ptatfrxm(s) """ f t + I * � ( Finer p;et{s}_._..... .. _NV, Iota) Platftxm area Grnin length/#,-..-_ '' + , -.-. •-. - � - • Butkt#eatlt>tiafapaength ' + � t • Avg distance ort$hOre ilCt W� i e + r A l Bma4watnrlS+R < - ' � 7A;u[dssWnrn«7 knpnh _ .�A'. c> Basin, channel , t eoashoas £Wall. �. ,.tw.� — Ci Beach Bulldozing• +4. ) . _:._' t iA �.. ; , �� ` r.i-_ ,..w }... •� . tl+ fattie-); SAV observed, yes (56 rlp:ato hunt yes no Site Photos. C no. Riparian Wa":vef-Attacbed. Vic ( A building permit/Wiling peffnh Maybe n Permit Gondolans + ! t Pdtm ant on back of amen:t t � 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 E E No J o o r o a c 0 U Y c cv w. 0 cr N cQ CL a- 0 a� r� n M� m : � � � \� /� �° 2\