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Home My WebLink About89894A - Terryberry�`°""❑CAMA ❑ DREDGE & FILL N9 89894 A B C D GENERAL PERMIT Previous permit i 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: wwwdeg.nc pov/CAMArules Applicant City Phone # (_) Affected ❑cW AEC(s): ❑OEA ORW: yes/no. _ State ❑EW ❑PTA ❑IHA ❑UW PNA: yes/no ❑ ES ❑ PTS ❑SPIMA ❑PWS Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Adj. Wtr. Body Closest Mal. Wtr. Body Type of Project/ Activity (Scale:. ) Shoreline Length Access Length Pier (dock) length 7— -s _ —� Fixed Platform(s) , t Floating Platform(s) Finger pier(s) Total Platform area Groin length/q - 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 Ihe ----- Moratorium: n/a Site Photos: yes no Riparian Waiver Attached: yes no) A building permit/zoning permit may be required by: Permit Conditions I 1._.1.__L____J_J 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 Feels) Check #/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: Tar- Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of In an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven — south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Bertie, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven — north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover and Fender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 ZO° NCD94 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: D A a v «^L_ !L" tg �� Mailing Address: Phone Number: Email Address: I certify that I have authorized Int..�r I),_ I_ ✓`J Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: FO.MT Li,Pl -/- PlA-T Pa x� at my property located at Los— in �� x'"� County. I furthermore certify that l 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: X at hature 5 - b Y-L/! Print or Type NaRie O-')n-Zr Title Date This certification is valid through / RECEIVED OCT 0 2 2023 D �e ..'k . 1 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: CDV F4_ 1 k1 Address of Property: Soy-) SI\O ,�c NC a7909 Mailing Address of Owner: --A Ly�l 1_ 5 ,Ma /✓ 1) - R IVC- `�� rya tip Owner's email: C0Vt�smlPQ ll � Owner's Phone#: a ^ 331 �al Agent's Name: Agent's Email: Agent Phone#: 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 C�-1 / 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 noray me mu:. urwsron or uudbaw 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 (Choose only one 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.) pM I DO wish to waive some/all of the 15' setbac Signatur of Adjacent Riparian Property Owner -OR- �" I DO NOT wish to waive the 15' setback requirement (initial the blank) REC E N 2023 Signature of Adjacent Riparian Property Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: Date: ARPO's Phone#: *waiver is valid for up to one year from ARPO's Signature* Revised August 2022 TIPS FOR ADJACENT RIPARIAN OWNER NOTIFICATION & WAIVER FORMS CAMA Regulations require notice of proposed development to the Adjacent Riparian Property Owners (15A NCAC 7J.0204(b)(5)). Proof of actual notice (a sign -off by the owner on this form) or certified mail return receipts (showing delivery of notice) are needed. The purpose of this notice is to make adjacent riparian property owners aware of the proposed development so that they have an opportunity to provide comments (or potentially object to) the proposed development, and to give DCM an opportunity to consider these comments/objections before a permit decision is made. "Permission" of adjacent property owners is not necessarily required for DCM to issue a permit; however, permission must be obtained for certain types of proposed developments if they fall within a 15' setback area along the riparian access area of the adjacent property, as determined solely by DCM. It is in the applicant's best interest to provide comprehensive and accurate notice so that any concerns or objections can be resolved early in the permit review process. In addition, if the adjacent riparian property owner appeals the permit decision, insufficient notice could be a basis for granting such an appeal. Who is an Adjacent Riparian Property Owner? What is Adjacent? (Note: DCM reads this broadly to ensure comment by potentially impacted neighbors) • A property that shares a boundary line with the site of proposed development; AND • A property that fronts a natural or manmade waterbody that is connected to coastal waters and can support some form of navigation, even a kayak or canoe, including a common canal system or a manmade basin. • Easement holders? Yes, if the easement could be impacted by the proposed development. • Streets/Roads? Only if the street/road could be impacted by the proposed development. This might include street -ends which might be used for parking and beach access. • Holders of recognized submerged lands claims/shellfish franchises. What is Riparian? Do the boundaries of the adjacent property legally intersect with the water at mean high tide? If there is a question about whether an adjacent property is considered "riparian," please reach out to DCM Staff - especially on the oceanfront beach where there may be undeveloped parcels on the beach or in the water. WholWhat is a Property Owner? For private individuals (or families), send notice to the address listed on the tax card. If the property is owned by an Inc. or LLC, please send notice to the person listed as the registered agent on the NC Secretary of State's Corporations Look Up site, https://www.sosnc.gov/search/index/corp. For Condominiums or neighborhoods with an owners' association (HOA/POA), send notice to the association (which is usually a corporation, for which you send notice to its registered agent). What is Notice, and how do I ensure it is received? • You can meet with your adjacent property owner, provide a description or drawing of the proposed development, and ask them to sign this form and return it to DCM; OR • You can hand -deliver this form and a description or drawing, and ask your neighbor to return it to DCM (consider providing them with a stamped envelope); OR • You can mail this form by USPS Certified Mail, return receipt requested (the Green Card). If you choose this option, you must provide either the signed & returned green card OR track the certified mail package number on USPS.GOV's online tracking system, and provide the tracking print-out as proof of delivery to DCM If you have any questions about this process, please reach out to DCM Staff and DCM Legal Counsel and we will work to answer your questions. , Revised August 2022 N,C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL.- RETURN REQQPT REQUESTED qr j1AND DELIVERY (Top portion ` to be completed by owner or their agent) Name of Property Owner. _ / t2Q. �ZCL — <-- Address of Property: Mailing Address of Owner: Owner's email _.__,.:_,_.._ — Owner's Phone#: Agent's Name: _ Agent Phone#: Agent's Email: , ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION Bottom rtionn to be completed b the Adjacent Property Owner) I hereby ce fy h t I�wn p p ny adjacent to the aT o reia Onced'prope�rty. individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A descn n or drawing with dimensions must be provided with this letter. — 1,00 NOT have objections to this proposal. I DO have objections to this proposal. Tf you haWobjections 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 matted to 401 S. Grim St, Ste. 300, Elizabeth City, NC, 27909. OCM 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 (Choose only one i understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back n minimum distance of 15' from my area of riparian access unless waived by me this do $ not aopiv to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the aDeronriata biankbelow.l t DO wish t aiva omelall of t e 15' setbac Signature of Adjacent Riparian Proyp`orrt Owge v LLC 1 1 D0 T wish to waive they,' setback requirement (initial the blank) CC 0 2 2023 , Signature of Adjacent Riparian Property Owne yped/Printed name of ARPO: c-E\K_ {_ Mailing Address of ARPO: -1 C ARPO's email: .� ARPO's Phone#: Z� l Date: _ C L j"�' *waiver is valid for up to one year from ARPO's Signature` a' Revised August 2022;" p'R.a x� keJ N Aj �j Q N1 i � V N o W � I ;J r� w CIO cx, r64 aNa�.r�,�3 r1 > L.. a PP w O L W r 7 � I 7� If you choose your agent to fill out the application your work is done. The portal will send a notification email to the your agent and link them to the application you started. Wetland Delineation Approval If applicable, documentation of U.S. Army Corps of Engineers wetland delineation approval should be provided. The wetland delineation file name should follow the template below. o Applicant USACE delineation. Example (Smith USACE delineation) Adjacent Property Owner Notification Certified letters (Return Receipt Requested) with the copies of the permit application package (permit application forms and appropriate work plan drawings) must be sent to all adjacent property owners. The signed return receipt(s) must be provided with the permit application. This notification must also include instructions to the adjacent property owner that any objections or concerns they have about your proposed development should be provided in writing to the Division of Coastal Management (DCM). The adjacent riparian notification file name should follow the template below. All adjacent riparian notifications can be together in one document. o Applicant ARPO. Example (Smith ARPO) • Stormwater Management Plan Certification If your proposal will lead to an increase in built -upon area on your property, you may be required to submit a stotmwater management plan to the NC Division of Water Quality for review and approval. You are advised that DCM cannot issue a CAMA pennit until this approval has been obtained. The Stormwater Management Plan Certification file name should follow the template below. o Applicant SW Cert. Example (Smith SW Cert) Ocean and Inlet Hazard Notices For projects within oceanfront and inlet areas, an Area of Environmental Concern (AEC) Hazard Notice Form must be signed. This form is available from your local CAMA permit representative. The Ocean and Inlet Hazard Notice file name should follow the template below. o Applicant Hazard Notice. Example (Smith Hazard Notice) Other Information At the discretion of DCM, additional information may be requested. The file name should follow the template below. o Applicant "Description of File". Example (Smith Pictures) For more information, refer to the North Carolina Administrative Code Section 7J.0200 —Application Process. Copies of this Section are available from the offices of DCM, and also from the website: http://deg.nc. sov/about/di v i s ion s/coastal-m an aeem en t. Rev 11/10/2022 �" i wr ,A � \\� 2�\\ \� \� \ \\�� 'V JW