HomeMy WebLinkAbout89882A - Lee❑CAMA ❑ DREDGE & FILL N® 89882, ,A e C D
3 GENERAL PERMIT Previous permit
,�/ Date previous permit issued
L❑.� New E3Modification []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 f .t ❑ Rules attached. ❑° General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name V✓t In^,
Address i "f 1�a C: ii,
City V'c I,J !tr;t b_. r State h,i i zip
Phone # CM. J) :2.. 4 cj ..
Email r' I tt et'riT Ji'.' % l : r: �, r•, is C. ;. Yy'y
Affected ❑CW DEW ❑PTA ❑ES ❑PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/M
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards Y
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/a. yes no
Site Photos: , yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required
Permit Conditions
r'r ,,fl ?;,,:l
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Mal. Wtr. Body
(Scale:
❑ 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)
or Applicant PRINTED
Permit Officer's PRINTED Name
Signature --Please read compliance statement on back of permit''
Application Feels) Check q/Money Order
Signature
Issuing Date Expiration Date
Acr t!ca ID/(3,Z.3 f,,,
16x16 DECK
STEPS
5X16 -
LOWER DECK
6X32 FT PIER
PILINGS LEFT UP 40 IN
-10.000 LB BOATLIFT
OCT 0 6 2023
3X36
CATWALK
4X13 CAT WALK
9X16 DECK
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
C EA
OCT 0 6 2023
Name of Property Owner Requesting Permit: TaMMu LEE
Mailing Address: 1 ;�L4 SW ,'A ti C I f2GL-t= DW-EC
vA� T
Phone Number: "T5 % 7 2. L/-
Email Address: u-r-/ e'2 yghnc,� , Conn
I certify that I have authorized 21 bae M 16 (fC i %
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: �1 /L 4-- P-
at my property located at
in L i tR4l V46K County.
sL,JAA) c12«r . POt1vT
I furthermore certify that 1 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
l
Print or Type Name
oW/JE�J'
Title
/ 3 / 2 3
Date
This certification is valid through
N.C. DIVISION OF COASTAL MANAGEMENT ��gg i
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FOR16I E �' ' `
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
O C 7 0 5 2023
Name of Property Owner: �l �i(�1 (��( IC NI � :.',,,
Address of Property:
Mailing Address of Owner: / /2 y 5tdAy e-NZ ( (L r7
Owner's email: Gur �e 2 4 t9'%(b"r'sPhone#: -7'Z 5 77
Agent's Name: /CORE n Z LI 9 � Agent Phone#: 52 " 7ol — 7n 3--zj
Agent's Email: h4mid4 ypT hd(,? _ ("-/y)
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby ce ify that I own property adjacent to the above referenced property. The individual applying for this
permit hqg described to me, as shown on the attached drawing, the development they are proposing. A
1 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 / /k
Signature of Adjacent Riparian Property Owner
wo
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: %L.
Typed/Printed name of ARPO: �,,.Jall r A,, -
Mailing Address /o++f ARPO: ? D- Q@x 28r , ®o tn- d )4e�ibr �C
ARPO'semail: (TOsltr �.S(a�AhrgP/so0ol ARPO'sPhone#: �uLI"531W`��
Date:
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
I/
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORMa
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY 1
(Top portion to be completed by owner or their agent)
O C T 0 6 2023
Name of Property Owner: Z Address of Property: 12q d l j-) A A 0�� LE C �',
Mailing Address of Owner: / 2 `9 5LJ,41v ( �L
Owner's email: Gu -r jdoe 2q &' f}/6"r's Phone#: 1757, 7- %'Zq- S S 77
Agent's Name: ?0 C r, — I D& b / Agent Phone#: , S2 " ZO'Z - 70
Agent's Email: hl- �d hcW (,-VY)
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
I DO NOT have objections to this proposal. 'X 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.
uEIkylA:&3lli1R
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 , / a
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
i
Typed/Printed name of ARPO: J-am � � 7/-%�,1'�
Mailing Address of ARPO: _ //J� �,,�
ARPO's email: J-OJWL VT11 �cP/JLfhA- ARPO's Phone#: 2. 5- 2 Gi / 0
Date: `6 -3—a 7 _waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
i1
e
l
�r•
i
(f:
1
•�
sC
M
r
1�i�Y
zv .vrt