HomeMy WebLinkAbout89879A - James Pecsok, LLCon❑CAMA ❑ DREDGE & FILL N9 89879
A,;B C D
n GENERAL PERMIT Previous permit
s 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: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent
Address Project Location (County):
City State ZIP Street Ack ress/State Road/Lot #(s) t (
Phone # ( )
Email Subdivision
City ZIP
Affected ❑ cW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/manJunk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale:' )
Shoreline Length
Access Length I T I —I- I
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger
Total Platform area
Groin length/#
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 no
Moratorium: n/a
yes no
I
Site Photos:
yes no
-�--+
Riparian Waiver Attached:
yes no.
A building permit/zoning permit
may be required by:
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 THATAPPLY TO THIS PROJECTAND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
f,
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on backof permit** Signature
f is
Application Fee(s) Check q/Money Order Issuing Date Expiration Date
RECEIVED
O C T O 6 2023
[ACM -EC)
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION RECEIVED
y OCT U 6 2023
Name of Property Owner Requesting Permit: �AN1CS f" LLC 0C
Mailing Address:
5-2 ? iVRMK VhACc2 R0.0 LJUIVI-r-u
►-I
Phone Number:
Email Address:
I certify that I have authorized
,Z
to act on my behalf, for the purpose of applying for and obtaining all CAAMA permits
necessary for the following proposed development: �X 'Z-y , pieR
W'f7-14 '2W x as '0ec l<
at my property located at Z AIOPM4 /11 r7 LC- (U) CCat_42'17
in eQ1?Rl714C1( 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:
--f
I� Signature
J�IA)tC re Cod(
Print or Type Name
(� w b-i C
Title
q
Date
This certification is valid through I I
N.C. DIVISION OF COASTAL MANAGEMENTyy y g�
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORK E ;1 LI IL.,: D
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) OCT 0 6 2023
Name of Property Owner: .r(A(V\es ? EC,!Sbc.% "�DCM_EC
Address of Property: 112 N 6v?,-r � in (- (- (4f 2 C r &1Z,41VQ g /JG
Mailing Address of Owner: �52-8 W A-rULt)N i C C QD r C1 /+1)1E V /4 2337 -aOwner's email: �- Owner's Phone#: 75� 1 �9
Agent's Name: I�LwT M tb w-rr Agent Phone#: 2S2' �y Z —7D3
Agent's Email: — RL(M tQ & Q Yqi )OCR C6/v�
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
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.)
I DO wish to waive some/all of the 15' setback
Signature of Adjacent Riparian Property Owner
Q•1:a
I do not wish to waive the 15' setback requirement (initial the blank) Cb ^)c
Signature of Adjacent Riparian Property Owner: C aall.1� &LA` l
Typed/Printed name ofARPO: C at' et;n L 61a f
Mailing Address ofARPO: 9qO5' XVMi25y1'0,e irroens fKy Vet 694.A a3/{La
ARPO'semail: �b lalr��ch® ��rh Q; ARPO's Phone#:
Date: `1 1y l0'?,3 *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
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