The URL can be used to link to this page

Home My WebLink About87012A - Conrad, Ronald and MaryOCAMA ❑ DREDGE & FILL N9 87012 A B C D Preous permit al�l GENERAL PERMIT D teprevious 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: I SA NCAC ❑ Rules attached. 0 General Permit Rules available at the following link: www.deg.nc.gov/CAMArules Applicant Name _ Address City Phone # ( ) Email State Authorized Agent Project Location (County): Street Address/State Road/Lot#(s) Subdivision City — Affected ❑eW ❑EW E]PTA ❑ES ❑PTS Adj. Wtr. Body+— (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Mal. Wtr.Body V�l. ORW: yes/no PNA: yes/no Type of Project/ Activity INS ME EEEMINEENNO o E�E�.�'EAE��EEEE0® ■�.■ :. E.EE:..0ME EE '1 B �...N Other IS INS .■ ■■■NN■�1■/�N►fi.■■ ■■N■■/�N■N■ M4 oilEEEE�E ■ kill 12,E11EEEEEIN I ■�:N■ ■■ :EoE �EEEEE:!EEE I1 EliEEE E�E®E E M EIII■EEE■� NEWSN■■N71■■■�■.■■■■■ ■■.E ■■■■■■■■N■ i ■. , :�■:E■�' observed: Y05 no Moratorium: n/a yes n Site Photos: E■�N ...SAV MEN ........ M ME MEN MI 0 ISO A building permit/zoning permit may be required by: Permit Conditions ❑ TAR/PAM/NEUSF/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 i Signature *`Please read compliance statement on back of permit" Permit Officer's PRINTED Name Signature Application Feels) Check q/Money Order Issuing Date r Expiration Date N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVE C CE'v�® (Top portion to be completed by owner or their agent) G Name of Property Owner: Ronald and Mary Conrad Nov z ti zoz3 Address of Property: 314 Megan Loop 5, Hertford, NC 27944 DGM-EC% p 1... Mailing Address of Owner 4014 Hawks Way NE, Huntsville, AL 35611 Owner'semail: rdooi54@yahoo.Com Owners Phone#: 256-929-9625 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 for this 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 Iettap. _ 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�ii 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., Site. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted of (252) 264-3901, No response Is considered the same as no objection if you have been notified by Certified Mail, WAIVER SECTION (Choose only on 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 ao jy to bulkheads or nprap revetments). (if you wish to waive the sefbe ly)ou must sign the appropriate blank below.) 100 wish to waive somelall of the 15' setback Signature ofAdjacent Riparian Property Owner f DO NOT wish to waive the 15' setback requirement (initial the blank) , signature of Adjacent Riparian Property Owner: tu v TypeiliPrinted name of ARPO: _I"-�' s `J h { Lr Mailing Address of ARtPO(s �0� � �2�'� L'oo i' �o u t �_ �2r' 1 '6, � � 6C �[ _?M'C.✓r�,S.�W0.4/r^4�k� A'-Attt/01 % tT ARPO's email: ARPO's Phone#: a�qq Date: i f a "waiver Is valid for up to one year from ARPO's Signature` Revised August 2022 N.C. DIVISION OF COASTAL MANAGEMENT RECEIVED ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM CERTI_FIED._M..AIL_-_Rtt�(;EIPI�OVE�T D or HAND i)Fl IVFRY NOV 0 8 2023 (Top portion to be completed by owner or their agent) Name of Property Owner: Ronald and Mary Conrad DCM-EC -_�D Address of Property: 314 Megan Loop S, Hertford, NC 27944 Mailing Address of Owner: 4014 Hawks Way NE, Huntsville, AL 35811 Owner's email: rdc0154@yahoo.com Owner's Phone#: 256-929 9625 Agent's Name: Agent Phone#;_ .. Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom ooftl0n to he completed bN the Adiacent Prnnertv rluunar) 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. I DO have objections to this proposal. Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste. 300, Elizabeth Clty, NC), 27909. DCM representatives can also be contacted at (252) 264.3901. No response is considered the same as no objection if you have boon notified by Certified Mail, WAIVER SECTION (Choose only on 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 ((hi* -does not aooly tg bulkhead5- �rifff#t?_te etmien ). (if you wish to waive the setback. you must Sion the appropriate blank below.) s% I DO wish to waive somelall of the 15' setback S;OJ ahw6 of Adloeonf Riparian Proporty Ownor -OR- I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner; Typed/Printed name of ARPO: 1�=*ey &- Mailing Address of ARPO; 3I A) C- ,:L 7)qy d r 4C-7+6^ ARPO's email: -,$E-e i"7 j�� f't'D�` ARPO's Phone#: 1-W er`t %Y- 1f510 Date: e r -O g 0� waiver is valid for up to one year from ARPO's Signature` Revised August 2022 rq q— R M Unstwll -ftev e�W�t'" E, cev%d QAdA �ds'4h" tt tit r-1 AaA :irxe ..... W oeEti po�")arg Hers A. ---------------------- 'Ng UNITED STATES POSTALSERVICE, MASTIN LAKE 2501 MASTIN LAKE RD NW HUNTSVILLE, AL 35810-9998 11/08/2023 (800)275-8777 03:15 PM -- ------ ------- Product OtV Unit Price Price - --------- ------------ Fist -class Mail® 1 $0 (,b Letter Hertford, NO 27914 Weight: 0 lb t.00 o� Estimated Delivery Date Mon 11/13/2023 Certified Mai IN $4.35 1 Tracking #; 70222410000253803791 Return Receipt $3.55 Tracking #: 9590 9402 *760 0003 4591 55 Total $8.56 to got nip I atest status. Standard- Message and Data rates may apply. You may also Visit www -lisp$ com LISPS Tracking or call 1-800-222-1811 Preview your mail Track Your Packages Sign up for FREE @ littps://Infornioddelivel,y,u$ps.com All sales final on stamps and postage Refunds for guaranteed services opqv. Thank yo[.l for Your business. e. Tail usr e�perjai16Ut YOU ') Go to "? el r" : h��; /poslaiexppi i-nce.com/pO,, or Scan Ws code with ;9obj le Oevice, EIVED V V 13 �023 1 P 9wo or cal 1 1 800- 4DCM-EC OFN: 0 Receipt 2 Clerk: 12 (a,_'ij - y� �� tl -•— Ilk r ,C•' X 9r. + WA t • � ti A 7 �= a' y.� � zF�y► ,.Y•,! � es��s,,``Y�:ytiff. V. u k1, µ h. N mv Ull IV 4-ol- it •, e ✓. y i i 1'P 11' Y W y ate. �'$��1,^.�''�)y'/ •',An � /�y 11��,y*�,�Y �. -.(1 • ..yr,, j(• A l t • Ate. N v No y / 03"VIO® tal g 0 W ®'3nI303� u re