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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