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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 �(L�PS� S1lS� �/JD �ikTC 0aPL,,�,tJ� O C T 0 6 2023 DCM- EC r o M1 �O caruned Mail Fee "VonA ,n M1 Eztra ❑ ReeNSNm oe&Fees . Roo," u1,-vase a❑AaA as apPWaaG Q Recelpt(eleclrenb) ❑ ❑Caafned ofisf, llAgsbldod0.1vs, $ A/ Togas Tow P.C. ❑ ❑AdUHSio Mflaq„Ired SCPos)r�ia < 7664 SARATM 6V0 pAaaaSl$neNre Aasvlderl Del""'' ?THUS PolhT hG 27966 ❑ Postage $ I --P540A66 � 1-SC0.2'1S•8777 'T- iota! Postage and Fbea 279660C3 ❑ $ ,q Seat Term ID003 ru ❑ -AF ----- � � Clerk ID-. 000006 ?PCMM ..eiii. ..... ....... 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