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
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Authorized Agent I
Address 3 W r
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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
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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
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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
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