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HomeMy WebLinkAbout89886A - Perazzelli°"°"r" kACAMA V1 DREDGE & FILL N° 89886 ( A )B C D Previous permit 1@4 GENERAL PERMIT Date previous permit issued ONew ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by the Late of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC q t /I -b ❑ Rules attached. E?6eneral Permit Rules available at the following link: www.deg.nc.gov/CAMArules Applicant Namf ee A l �4- w,' N1 f 4 ra�-2- -I I I Authorized Agent I Address 3 W r rr'Z- n 1/'= Project Location (County): �¢1if City �QState T1V State/ AJT zip C>g a�`� Street Address/State Road/Lot /i0 4�irk Phone # (lY '� 3 5 - r 1 O / 5 t--> Email 0.AY'N ff`` n �/ / � ✓1 P QC�C71 Z Ze-��1 ®Z U / �'-< <:Orf'v. n Subdivision City Ff S zip 2,193 Q Affected ❑CW W-4W �RTA ®ES 2flms Adj. Wtr. Body Ct1.A ty (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑SPIMA ❑ PWS Closest Maj. Wtr. Body M �£ c- k, knZ( ORW: yes'V PNA: yes/. Type of Project/Activity As T�.�. ( y\�A��ce-/t�en� Vt,1v ck/R%lA-cLV (Scale: N-/3 ) Shoreline Length � Access Length Pier (dock) length \/ Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area VBulkhead hqRiprap length � g t) f ce offshore r Breakwater/Sill Max distance length �- Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no Moratorium: n/a yes Site Photos: es no Riparian Waiver Attached: yes no A building permit/zoning permit Permit Conditions 0.� o ,<S a< -I CC sy� be required by: c..> `r 4-1— .4-, e _ L a 2-eO gLA. LK/i'6*-P o F QLX157 V& A4k I-Kil`6 P 04 �L __ F� 6xISTjnIG- �rcL/��`fiOS _r PL5-kf 22ZCZ ct 10LL ❑ 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)4-47 Agent or plicant PRINTED Name 5i nature* *Please read com plinature**Please read pliance statement on back of permit**on back of permit** o1 Application Fee(s) Check k/Money Order Permit Officer's PRINTED Name S���Q-�Z3�-� a�2� Issuing Date Expiration Date �EJCAIMA F/I DREDGE & FILL GENERAL PERMIT 6 0 a 4 0 6 Previous permit Date previous permit issued A B C D FINew F-1Modification E] Complete Reissue F] 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 F-1 Rules attached. ❑ General Permit Rules available at the following link: wwwdeq.nc.goy/CAMAruIes Applicant Name T Y.V Authorized Agent Address Y Project Location (County): 2) e, City State ZIP Street Address/State Road/Lot #(s) r, Ii Phone # I I , i '( r ea X C� A Email o, Subdivision r 'i c/ City 1 zip Affected F-] CW E]EW P'PTA E ES F] pTS Adj. Wtr. Body—— (nat/man/unk) AEC(s): F—] OEA ❑ lHA F] UW F]SPIMA F PWS Closest Maj. Wtr. Body /L0 /k7 r 'A CRAP: yes/no PNA: yes/no Type of Project/ Activity A :S 'k, (Scale: v,;,S Access Length L - Pier (dock) length Fixed Platform(s) I Floating Platform(s) 41 I- L& IC Finger pier(s) S'� e� JA Total Platform area Groin length/#_ Bulkhead/ Riprap length Avg distance offshore L_l Breakwater/Sill Max distance/ length 11 _I I Basin, channel Cubic S�7 77 17, yards Boat ramp 1. —4 Boathouse/ Boatlift Beach Bulldozing t Other r C) SAV observed: yes no Moratorium: n/a yes no * � i r Site Photos: yes no Rioarian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions TAR/PAM/NEUSE/BUFFER (circle one) E]See note on back regarding River Basin rules FiSee additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please lnitial)? Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature -*Please read compliance statement on back of permit** Signature Issuing Date Expiration Date Feels) Check #/Money Order N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM �CI.TIFIEU MAIL, RC i URN RFC PT RF; JLSTG;I or.y/ENO DE�hi=R!' (TOO portion (u be C011pleted by o',. ref or their agen", Nar-x of Prcportt• C•.ercr- Ail rHo,6 f' Ar.Jr0os el Pr,^,prl?,.: sOtyl j',Cowf t-E i:, - 1. F4 iJ ,l%G A!eii n§ +11crr.,ss of Ov",-,: Wt' r3)-Il<t" D t-Se�G.�``G<_ •, An/I o.✓r! r�/.Pr;,CA�2e0t.,l' -JT f nJ�j :�$c.'Ss•4: L'a•n(!rs r•-, It rGI.a NQ•c. o'•'U•,�nar's Phur.cn �.i �i-S_3S -%%�y Aye^!'c Notre _. i•.r,C'r Ph- anea; Aaonts F^',aI -- ,ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION :Bottom portion to Ua completed by the Adjacent Property O'witen it:u•rhg cenfi•; ::.:'. l u•cn l;r,?(it r:::: ytac��"�. tl•. ubr, re?C'C:7::d prop=,--j. T!'c r,,c.: t::. tr a, i.� .•� :tr!,rs perm has cccrf::en t0 rho. J9 a•.:..::n is :^e :,::acf ed .... V ••g the e r_ r . .. r c( s:fi des��riy/f� r rr�_rrav,.nq.y.rr: du r•h: i : i us: be ,pro, ;,•, : i ;tis 1_. e -r V I Do NOT have ,IPcY;rr.. 1) .I.0 prop:: -al I DO f-a r..... t..i., . a..,..:,.I. It you have objections to what is beinq pruposed, you must notify the NC. Division of Coastal Monayement (DCb1) in writing within 10 days of receipt of this notice- Corresponden o 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 ubjection if you have been notified by Certified Mail - WAIVER SECTION (Choose only onel I ;r �Cr3:anj :Pat any Frop�.,u p c,. ❑::ck vrinwwi p4incs tOa: rnwp, hrea(wirr f. !'•'iai^.44.5a. =t. Or i" -;S' Co S Loci rvy.lr...m di::twice of i:i f•Om •r! arCa 0` npa'iar. uStiCs9 ^Rr:a vat: -.,el ,,•Pir. A-; •. m>r e;:;,,,• 10 b,.! or rip•ap reve:mertsl. (1' to vr¢r•vc Jse sa.bccL. you musts :n3 90r'oF'iQ:i+ u::u'k Lr,lu;: . �'�gCatory of Aq;acont ii:puriar, �repur;I U:;nur ., R I DO NOT •,:uh ta'ua,ve the 1; sein-nrk re7ui timer ! :iri:i.:! :I:c :f.turhi - Signature of Adjacent Riparian Properly Owner: Typed.rPrinted name of ARPO: L✓ __ LZ�KRrt�G�04TLcS_�JAJK 14iw6Aw 6 et e- Mailinn Address of ARPO: vZ0 1 A 97 iir..L )if, /.i f A t1w M a A32 7 `iS" 1 ARPO'semail: AtujrpJk,nnRrA6wnst. ARPO'sPhoneg: 21-2 - 36t'-8Py2 , ccw Date: L� 3 - 2 62 f _ 'waiver is valid for up to one year from ARPO's Signature' P.ewso`d /uruus; 2622 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM Ertl( i c nnAl� .,tit r WI.JYUJY (Top portion to be completed by owner or their agont) Name of Property Owner /tit' Ho N y Adrfress of Property 10 ^I C . ,.Zy.. 4 Mailing Address of Owner .3Y Wl4?JNf!t(" D4. �pLWtrtk Jo _ „�' g Coto rwiifa,vy,N. PE�tAEtU Owner's email; TGLe v e. c o n Clwhar's Phonoa Agent's, Name _,_ Agenl Phoned Agent's Email ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be cgMglgtpd by the Adlacont Pronerty Ownerl I hereby certify that I own property adjacent to the above referenced property The individual applying for this permit has described to trio, as shown on Ina attached drawing, the development they are proposing g Qgscn i r r, in with imgY f nk p,}ixt, be provided with this Iottor I DO NOT have objections In this proposal _ 100 have objections to this proposal It you have objections to what is being proposed, you must nopty the N.C. nrviston 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, OCM representatives can also be contacted at (252) 264-3901. No response Is considered tho same as no objection if you have boon notified by Certnfod Mall. WAIVER SECTION I understand that any proposed pier, dock, mooring_ lings, boat ramp, breakwater. boathouse IM, or groin must bo set back a minimum distance of 15' f om my area of riparian access unless walved by trio (this does not apply to bulkheads or nprap revotments) (if you wish to weive trio setback. you m9st clan the appropriate blank below) I DO wish to waive someiall of the 15' setback Signature of Adjacent Riparian Property Owner .oft - I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property ypvdlPrinted name of ARPO: 6 Mailing Address ofARPOt sot VA, �cRt�!v/ ARPO's emaiiv�l6� .3 � ARpO' ones: E'g� patol�%_rJ� CY •waiver is valid for up to one year from ARPO's Signature* J �7 s✓J ! Revised July 2021 Perazzelli bulkhead replacement AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 19i1TH0Ary Mailing Address: 3y WILTShiLc DR. �E d ALL. A/,J' U`do S 0 Phone Number: �S� -S.3 S' 17 Email Address: fnyTh ax/j✓ /v✓ ^Flt A-z�2 N cci rJ � Cco (4 tort I certify that I have authorized �"e �^ Agent I Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: So /3uI(� N�"� 0 at my property located at rO / q I Tit EA5 ate' c T. F< tSG� .v Z 12o in �h2`/ County. I furthermore certify that I 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: lze­ Sign re Print or Type Name w.✓r�c Title 10 I l7 I 2- Date This certification is valid through Revised Mar. 2016 �t_a - e�ge� 1,, . a%� ;`,>, c` • Y� f� � �` �(.�. ...r:k C d Ire KRU