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Home My WebLink About87064A - Burns#[STNew ❑CAMA ❑ DREDGE & FILL N9 87064 A B C DGENERAL PERMIT Previous permit Date previous permit issued ❑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: 15A NCAC "!""( i-+ ! ! f'l > ❑ Rules attached. Er General Permit Rules available at the following link: a vwmcIeo.nc.eov/CAMArules Applicant Name "i- S JA! t_ r Aa 2at, 1 r, , Address 1 17., ./.. (.._ P_.. 1 (L c ic'_ I _C1 CityState )};' ZIP Phone#(Y7T';-'l) Email Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) _ Subdivision City ),!, ..... _ ...4u ++ ZIP Affected ❑CW ❑tW ❑ PTA is b] PTS Adj. Wtr. Body 0 a r 1( 'U i" 1!= (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Maj. Wtr. Body ORW: yes//tlb i PNA: yes/no t... Type of Project/ Activity (Scale: 1n = J o) Shoreline Leneth Access Length Pier (dock) length Fixed Platform(s) ■ ■ ■■ Gii�tt711Li'J+"■ BOOM I NiVAA■MMIN I Finger pier(s) ME MMMEMMIEI MEN Groin ... : Avg distance offshore C�-- Breakwater/Sill Max distance/ length - Basin, channel I Boat ramp Beach Bulldozing— Other loin no 22MME01111111111 � �>r i'�■■ ■ �i i e11111m,11111 ■ ME ia no MEN now ME ' ■■■u■■■■■■ RNMEM■NE i s M If, i � � ■ ■ ■lloa■■l■�� ■ ■■■i a� ■■u:.■■ ;;■ ' IMEi■1i O��. SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no ...... .■C. ..� ■■■H■...... ■ - M 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 THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) �'- I I / Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature *'Please read compliance statement on back of permit`• Signature Application Feels) Check N/Money Order Issuing Date Expiration Date N.C. DIVISION OF COASTAL MANAGEMENT AGENT AUTHORIZATION FORM Date Name of Property Owner Applying for Permit: Mailing Address: I certify that I have authorized (agent) `/ / I &, t,/V Jta / to act on my behalf, for the purpose of applying for and obtaining all CAMA Permits necessary to install or construct (activity) D lA V,,pA , at (my property located at) This certification is valid thru (date) Property Owner Signature Date DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED I hereby certify that I own property adjacent toWOCf1 Lt IAIST'fh0.�IlA)iP1VM i s ((N�a'meof,PtropertyOwner)o property located at (%q Lg&V cj1k (C,�� KtIOAL `hi sliq 6 0 Aree 00%a (Project Site: Address, Lot, Block, Road, etc.) on C U I-6j a(k. �)prs in N.C. (Waterbody) (City/Town and/or ICo'unty)•`_ , ,, / Agent's Name #: MArlx+.kri . PYtA p- -� Mailing Address: I t4 Cret�.K.F. 6yl e Agent's phone #: JSr7 �?O a - ZXC) ( lt(10 t�Jrj ` 1K aqq5-6 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (individual proposing development must fill in description below or attach a site drawing) corl,S�ruc'ER�plocemea.-� b�,Lkh.e_�.>�RshoR2lWle.Qr6t�--hc,Vf c>� I43'1 Ls'>a.>�-tz� co.v�e.� Ktw�to �sk�.ct��SC. Biw-t-k�ecad face-rro-n�,u>>l.� fire, hwl kl�m`c�(Any.3o� � SS(6f,'"+0 --b "OVO*) . �o2nraR amd 0. , (,o {t 2lorn � ch ecn5c��tih If you have objections to what is being proposed, you must notify the 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. (Property Owner Information) (Adjacent Property Owner Information) MAzab � _ ! ► Print or Ty.• - 15 le LaA.5a P. k Lno Mailing Address k_t`a <-, � I- -t (� City/State/Zip -157—t�ta-a0(oI/6 Lrm)oc• Telephone Number/ Email Addless Date *Valid for one calendar year after signature* maanw (�,Q Signature* oitt],r\ (L2War, Print or Type Name Mailing Address kA.x,l�rol. City/StatelZip 101-J/V-jcm-f Telephone Member / Email Address &t. a-. a6a3 Date* Revised Jan.2017 DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED I hereby certify that I own property adjacent to WOM LA hartmLID-u .1 I 's (Name of Property Owner)'WMA-o property located at (Project Site: Address, Lot, Block, Road, etc.) on C U in Ct t f ty ck N.C. (Waterbody) (City/Town and/or 1Co'unty).`_ , '' / _ ._ Agent's Name #: M�+]Yt -ALI kat, Mailing Address: ��b LPAAD- . l(!)%e Agent's phone #: 1Sr7... $?(9a •- ao lQ ( IV Ctt s f4�b 1-11� I�C a9g,56 He/She has described to me as shown below the development he/she is proposing at that location, and I have no objections to the proposal. DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT (Individual proposing development must rill in description below or attach a site drawing) ConstructRyplo-c�m�rvt bu�{ct,e� �RShoReLwle ot��lcrn" 1437 Lev->,,. k— to -vie.) Ktvotto .9Slnnd,�.SG�.�t�lk d R Placemo �t.cl�ll� du rre da-Yv,o%e- I>IA Lk C-\ (A"ppx. 30_F t aCra:sfa� Cast i !o Yl10.W26� C CjRnaR O�c� 0. �eC�� Qlo/� �C%1(Yt5C�1liV, If you have objections to what is being proposed, you must notify the 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. (Property Owner Information) (..1. /ii . 1 ll Signature mAiealia Print or Type 151 F Lk-)L�a R k L-m Mailing A_-J(�, tdddress�' City/StatelLip Telephone Number/ Email pct ' 3r ,)r) Q.3 Date `Valid for one calendar year after signature" (Adjacent Property Owner Information) Signature" Jamo. WJ0f1)Arr0VrY111411.11L Print or Type Dame I 390f5 7ll�c car Mailing Address VA ae-- Ck , VA City/State/Zip � to/li Telephone Numberl Email Address Date' Revised Jan. 2017 i 3 o Z s_lk d N o � b Z 1 � . .. « \ V.4 \ y - �- \ 5;412�2 t »5 � * z � .x` _ • ___ A \ lk r - � / c & \ I � . a & ��. ,,,, � ` .�, ,� � �� ' ,�, �r� ,.�, �.<, � - �� r.K� �� -� _ � it ,� wF�:s:�a:a '��{ .ate �® `x` x«� r t 3 w �Sk,�•:. .,. `'.. ,,v,�3x _ �'��i� a >, eti, .. % , .. ....,y �" — .. 3 �' �'�::4X�. :. �i sCi t v� IS aL f�i �"Wy. 1 L r �Y 1 Y f y" d1 1, Y, ice•