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HomeMy WebLinkAbout87049A - Broadwell#E]New ❑CAMA ElDREDGE & FILL N9 87049 A B C D GENERAL PERMIT Previous permit Date previous permit issued ❑ 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 ❑ Rules attached. 0 General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Address City Phone # ( ) Email State ZIP Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (naUman/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity r ; I (Scaled >� ) fV•nrnlinn I unmh ■ ■■�■■ ■1■l ■■■■��� ■ . ■■■■■■�■■■■■ Omani :C::::C�MEMNON ���: ®...� ■ CAME OM::::C:" M..■ CSC M low mi::::: Total Platform area Avg distance offshore = :. ■■■..........■iii� ...®.■■■�I/�� .■■.■■■■■■■■■■■ ■■■■ 0 ME 1 ...■■■i■■■I■ .....■■....... �.�■■�■a■■ ■1■■.■■.� ■ .■■■■■■■ Mill 0 -JPM�G001 11 ■■■■■ C� No .....® W I Oki ME MEEMENS ■■■■'%■1■�SC1 11N 11■S■■� I■.■■■■ _ _'■■'mmoom ■ ■...... ■.�....■.■■■ ■■•:�: ■ ■.■■NN■■■■■■N■■■■■■■■■ ■■ ■■ ■ ■■■ ■■■■■■■■ ■ A building permit/zoning permit may be required by: '1'1 "IiiP- 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 Signature --Please read compliance statement on back of permit' - Permit Officer's PRINTED Name Signature Issuing Date Expiration Date Application Feels) Check q/Money Order AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 1)2 yco „I -F2o,4PWe r,( Mailing Address: -'O t3cx 19 �t 14,LL All- �27�5`% Phone Number: .3 08' 8 a.2 C) Email Address: r o,I1 1 certify that I have authorized ✓14tit a4Wg6#Z/ AwY� lS TQI DE,ur,HL4 r/irh Agent f Contractor (aq s7oc Tiov to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ! �Js 1iP &1e11 -,17,-„ Joez4- 1;4*:6, e'xi-,17,0 1 e W- Z ele cI-- at my property located at 1 6-D Le1 � s-T /e'er t4 . /r 9 rr %14�YiZx AllC' in 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: Signature Print or Type Name Title Date This certification is valid through RECEIVED OCT 2 5 2023 DCM-EC N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT) CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED j _!�/✓ o LJ it _ Name of Adjacent Riparian Property Owner Ad r ss City, State Zips 9 /27_/aoa .__. Date RECEIVED OCT 252M To Whom It May Concern: DCM-EC This correspondence is to notify you as a riparian property owner that 1 am applying for a CAMA Minor permit to Oil my property at., O Zia < Z4- Z&4 in P jib-' County, which is adjacent to your property. A copy of the application and project drawing Is attached/enclosed for your review. If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no continents or objections regarding this project. If you have objections or comments, please mark the appropriate statement below and send your correspondence to: (LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE) If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL). Sincerely, Pfoperty Owner's Name 5 5 6.0 3dS. 8 ;7,--- 0 Telephone Number Address City State _ '✓ I have no objection to the project described in this correspondence. ___.___I have objection(s) to the project described in this correspondence. / Adjacent Riparian Sig a-*e 3 Print or Type Name' —LI C'F . 2� ----. Date Telephone Number Zip / ga 14/4:57" W-6YrAy LLjiN ddj`jOk't/t/ f/ A/c �7 75 � ■ i.��wws Address City State Zip Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT) CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED Name of Adjacent Riparian Property Owner %"ss Addr ss %,y & I Ji�79S7 Clty, State Zip 9 �ZA00-3 Date RECEIVED OCT 2 5 2023 To Whom It May Concern: C M _C C This correspondence is to notify you fas a riparian property owner that I am applying for a CAMA Minor permit to lR157�a,l�_�°fFeaZr,'f .boa'% /�� on my propertyat _._M p Ly/r�T-- 4 in c p i f— County, which is adjacent to your property. A copy of the application and project drawing is attached/enclosed for your review. If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no comments or objections regarding this project. If you have objections or comments, please mark the appropriate statement below and send your correspondence to: (LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE) If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL), Sincerely, %�%t/ ems/ /»/.'����✓t=_/C Ptoperty Owner's Name M Address v s-06 3,O ? �22o Telephone Number 'L1_k/-e-'Y/7A/4- L Itle- City State Zip I have no objection to the project described in this correspondence. I have objection(s) to the project described in this correspondence. Print or Type Name Address I' 3 - zdr-� Date i (Q T S-f `5gz- Telephone Number uC 79S City State Zip Revised July 2021 y-MIA�5 /VRE E ""INGTON 222 W 2NO ST 0 WASHINGTON, NC 27889-9998 10/24/2023 (800)275-8777 In _______ 12:59 - M "' Product Oty Unit Price `rl _ Price ru C __ ________________ c 5 First -Class Mati® 1 $1.59 ru F Large Envelope Durham, NC 27701 p Weight: 0 Ib 1.10 oz r Estlmated Delivery Data ru Thu 10/26/2023 _ `n Certified N $q 35 0 ng N: a 9589 0710 5270 1282 1338 4 p ota 5.94 a- m UFN: 368344-0389 Ln Receipt 9: 840-52700306-3-5522749-2 rr Clerk: 06 iIF es aes (vRckmca`x K.wea,e xn nw asmaw odNen °- °- m.w.nm�ncros owrv..y ss- s:. RECEIVED OCT 2 5 2023 oCM-EC M6. LEFT Side Dock 6'x 100' (600sgft) Proposed 13'x13 Boatslip Platform 16' x 21'(336sgft) 0 Proposed Boat slip 0 Right Side Existing (10' x 16') Existing (11' x 16') RECE�vE® OCT Z 6 Zp23 ®GM"EG � i w