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HomeMy WebLinkAbout87003A - Beneck7.. `{5 P-tiv i F'Y ;J VR,�,.L/VG at r11116.E6 L GENERAL PERMIT Previous permit Date previous permit issued New E]Modification 0Complete Reissue DPartial Reissue As audtartzed by the State of North Carolina, Departrrxant of Environmental Ouzity and the 4 .costal Rtxnurccs Commission In an aw of emironmcnud coroetn pursuant to: I SA NCAC `� ` I � Rules attached. Genera'. Pem e Riles available at the foliowaag link: st�+ry st ".Lg ggy�GhMFuules Applicant Name-__.'�5Oi`.In, d, Address 211A CarJSL �%NN1(- . city_ j (ar-d S Rr— Email Authorized Agent Project Location (County):_ — St AddressiStare Road/Lat#(s)„ # . sutidNW,ior, s City �-ti"xi'- `r-t7( Affected DCW 11Vm gm DES DM Ad. Wt:. Body__,f�runfunk A€C.(s): DOEA DIVA DUW D5PIMA DPWS Cinsest hktj. Wa. Body / ORW:. Yes/ PsNA: veSSwc) rypeofProject/ Activ)ty c. �61X(eri a"'T' s<y%ite'..R1 4 nl,c} t». s_l 2-01Ki71 t4' xlt�' 10u et �t�vv m rrr m (scale: N'T$ shoreline ienRth Ty` J�'� Access Length "' ...... Pier (dolki Iength ibred PfaUorm44s) _� A� ?x .. ... Floating Platforms) Finger plerisl a Total PlaNarm area �sQ� -�'}— T� ' Grain length/# b*c`1i^rtt,n'R S� Bulkheadl Riprop iength y — Avg distance offshore Max distance/?eng:h " Bas:;n, charnel _... Cubic yard; r..,, .:... ... .. : Boat ramp ....,..;j Boathouse/Boatlift Beach 80dozfng tither $AV abservefi: Moratorium: yes no Site Photos: no Riparian Waiver Attached: a no A build leg fastmit/tuning Permit may be tequired by. Permit Condiocins TARMWUN EUSFJBUFf€R icircle oft) . .,,..�_...�,..._,�, See note on back regardire,, River Basin rules T See additional notes/ccnditipns on back I AM AWARE OF STATUTES,CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) ,�t7ita IE�J �p i y/;e. (Rent Or AP t PRINTED, blame �� "Please ead c�mpkerc=_statement n back 4f mint" Rix 11-51 application fee(s) Check p/Money Ordrr Signature � -- tl/!�f 1 Z3 3/irq lZq I ssuins Date Expiration Date ®CAMA ❑ DREDGE & FILL GENERAL PERMIT N New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue N° 87003 ib B C D Previous permit Date previous permit issued 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 rI H ` I Zal ❑ Rules attached. N General Permit Rules available at the following link: www.deq nc gov/CAMArules Applicant Name---JOr`Y% S +Slcx eel Ueha Cy, Authorized Agent r AddressaIi+g GMSS S4 7o1'(X o� PA. Project Location (County); - % ''``� City ge'-4arCI State N.L ZIP a1`�44� 1 Street Address/State #(s) o' 'it 2, Phone # (2001) III- I W7 ^Road/Lot l Ss.( ?O IK2,01 Email Subdivisionr$4Rot' br. City ZIP a- ( G-J', Affected ❑ CW MEW ® PTA ❑ ES ❑ PTs Adi, Wtr. Body e t O nan/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PINS /t Closest Maj. Wtr. Body 41 6�' "s 1,2 S1d ORW: yes/(E) PNA: yes/0 Type of Project/ Activity Z 4 r x I b' 0 4 Shoreline Length Access Length "� N Pier (dock) length f es Fixed Platforms) Ilnt '-A 111 �. �Zi Y'x14,' � Floating Platform(s) Finger pier(s) Total Platform area �q�f 5gi-� Groin length/N Bulkhead/ Riprap length -� Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift ^M Beach Bulldozing Other �kY N SAV observed: yes 0n If Moratorium: ® yes no Site Photos: (a no I Riparian Waiver Attached: es no 1�, A building permit/zoning permit may be required by: 1 (?hi9 Permit Conditions I AM AWARE OF STATUTES. CRC Agent or Applicant PRINTED Name Permit reap lb - (Scale: (\ITS c4+ba,u,ar fe ❑ TAR/PAM/NELISE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back (Please Initial) Signature *'Pleaseuad compliance statement on back of permit* -Signature v i9,w .Q- 12511 ji//4/Z3 3//y/Zy Application Feels) Check M/Money Order Issuing Date Expiration Date ❑CAMA ElDREDGE & FILL N9 87003 A B C D GENERAL PERMIT Previous permit 3 Date previous permit issued 0 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwdeq nc gov/CAMArules Applicant Name Address City State ZIP Phone#O �(it•i Email Authorized Agent Project Location (County): Street Address(Stete Road/Lot #(s) Subdivision City_ Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTs Adj. Wtr. Body (nat/fnan/unk) AEC(s): ❑ IDEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/do Type of Project/ Activity (Scale: ) Shoreline Length Pier (dock) length ■ n■ ■■■■■n■■■■■■■■IMIN Fixed Platform(s) ■■■ 1.�1■■■ ■� �■■■■ No Finger pler(s) ii ■ENE ®6■ ■ No MEN '■C ins NO NO III ni OEM no an No MIN■ ■■■0 imom Win I Emil 'EN MEN 1111 min nn®■■■ ■ ■■n■.■■nM0 nIN I!■ ■�■ m■■■■■■■n■ ■■■■■ CubicyardsIN ib... l� ��0■11 �■�"ri� Boat ramp �1 ■'"■ rTi� �. "' Boathouse/ Boatlift ■ ni0 nii■■n■■n■■■ ■ No Bulldozing ME mom nm.n�.�■ .n■■iBeach ®■®�� �AV observed: yes no ■ ■■■■n ■■in■■■■'�i■n■nuiiiiii n/a yes no :MIN :::::in•Moratorium: ::":::C Cite Photos: Yes no Riparian Waiver Attached: ves, no A building permit/zoning permit may be required by: (� S 6, iv 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 Application Feels) Check A/Money Order Issuing Date Expiration Date N.C. DIVISION OF COASTAL MANAGEMENT RECEIVE® ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY OCT 3 0 2023 (Top portion to be completed by owner or their agent) Name of Property Owner: Sb Nj A(N!) �G�tYGF1 1 8N�— ID��r� Address of Property: Z41 62JZ"sy �pi�T t✓li if t�l�r 27q� Mailing Address of Owner: 5I°SML Owner'semail:5�64meck@4mni).cm Owner's Phone#: Z41'iI'Z-Ilb7 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 forthis 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 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 (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.) 17 I DO wish to waive some/all of the 15' setback sm I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Typed/Printed name of AR Mailing Address of ARPO: 4Pi's Yi � ty&r t ARP0's�email: C(0r�m�S rn u„sO-CclM ARPO's Phone#: �-/ Date: A /�-3 *waiver is valid for up to one year from ARPO's Signature* Revised August 2022 N.C. DIVISION OF COASTAL MANAGEMENT .ECOVED ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY OCT 3 0 293 (Top portion to be completed by owner or their agent) Name of Property Owner: J m i AJP S;Re�y �EJfCI� ACM EC Address of Property: Z19 of IT -RD. I 14fR-TFo20 Af Z7g44 Mailing Address of Owner: %5A M I - Owner's email: Coat Owner's Phone#: 7-o7 - 7 / 1-- 71 �p 7 Agent's Name: Agent's Email: 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 forthis 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 proposed, you must notify the N.(;. uivrsion or t;oasrai 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 (Cho I understand that any proposed pier, dock, mooring pilings,. groin must be set back a minimum distance of 15' from my appropriate blank below.) I DO wish to waive some/all of the 15' setback M ramp, breakwater, boathouse, lift, or of riparian access unless waived by me ish to waive the setback, you must sign I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Typed/Printed name of ARPO: Mailing Address of ARPO: Owner: zlfyzj ARPO's email: G ' ARPO's Phone#:� "� ►b` I Y� ��l aWY/\ Date: 3 *waiUver' is valid for up to one year from ARPO's Signature* Revised August 2022 Z o l w •°5 •\ 'w''e° w / .F � "°p � 3�raaawemaa . f E A •,. /. mow Am Aa 1 s � k n Z m Sul zT I a ;ap i t; kj. s A u�i U 0