HomeMy WebLinkAbout87102A - Wren, Kenie❑CAMA ❑ DREDGE & FILL
GENERAL PERMIT
v New ❑Modification El Complete Reissue ❑Partial Reissue
N9 87102 (A, B C
Previous permit
Date previous permit issued
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:
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15A NCAC '•-� 1 E-i ( I C?(1 ❑ Rules attached. t/ General Permit Rules available at the following link: www.deq.nagov/CAMArules
Applicant Name k:_ E: V's i c- L_O C E'. V 1 Authorized Agent r-C l k
Address I'Ji 9t;. ['l) Gd< 6� m, C, Project Location (County): 'V c-t. I
City t) I. K:- State C •_ ZIP �L' t 9 ^1 9 Street Address/State Road/Lot #(s) I •S c) L.:, ")) ,_; kc-7!c'_ ti
Phone #(1;) 3`�9 ^i1?i2 CCKSG'a•i}�i
Email %., P.,v) I (I . Ln) S C'V) tw 6'��I WADyyk i as"n(? S . r'r, tvt Subdivision ) r( v) ,) c I<' .i..•7) , F =v
City .�.) J C'ZIP /-"1 ` •'1 J
Affected ❑ cW
Q EW ❑u' PTA
F ES
Q PTS Adj. Wtr. Body f_ i a ( r t , t f `< `:1 r+ r rt• !(naman/unk)
AEC(s): ❑ OEA
❑ IHA ❑ UW
❑ SPIMA
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❑ PWS Closest Mai. Wtr. Body ri j r f
ORW: yes)
PNA:yeS(no'
Type of Project/Activity ':. boiVkf_ad' U)%'-fl) tI It,J t Iv. _7o ('.A
hh : ��o: c t•f c= L� ['f (Scale:I s;yp )
ShereflneLen-,h r
Length
Accss Pier (dock length
Fixed Platform(s)i_
L
7,71T
—
•
I
FloatingPlattorm(s)
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4
.
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Finger piers)too
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_
—
—
Total Platform area
Groin length/M
.,..-- /
Bulkhead/.Riprap length L X 50
Avg distance offshore—
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
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—
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-
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—
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uc�C'
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Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
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SAV observed: Yes Co_
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
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A building permit/zoning permit may be required
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) 'A Ili
Agent or Applicant PRINTEDName Permit Officer's PRINTED Name.
Signature**Please read compliance statement on back of permit** Signature
Application Fee(s) Check q/Money Order Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: Kenie Wren
Mailing Address: 1396 Duck Dr.
Duck, NC 27949
Phone Number: C:w), --ISr't�
Email Address: Kenie.Wrenn aaraymondjgmos corn
I certify that I have authorized Jillian Kalis / Shane Clark Construction
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 50 ft. vinyl bulkhead
at my property located at 1396 Duck Dr. Duck. NC 27949 ,
in Dare County.
I furthermore certify that l 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
Kenio Wren
Print or Type Name
Owner
Title
\tJ P4 I
Date
This certification is valid through /_
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: Kenie Wren -- ---
n n , nir ��ad9
Address of Property 1s Duck
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Mailing Address of Owner: 1396 MCkBd.9S19$ NC 27949
Keni .Wrenn@raymo.-ndl'ames-0 er's PhoneO: -
Owner's ematlbgr(�'$�'{I�1f}IitG� - --- -- -
Agent's Name llian KRjj;L_._ Agent Phone9. 7rjQ3Mr7132 _—
Agent's Email Jillian0shaneel@rkenncynetjOn
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 proposinge
descriobon or drawing with dimensions mustily provided with this 1 er.
l DO NOT have objections to this proposal. _ 100 have objections to this proposal
if you nave opreceons to wnar rs aping r••vp..ow, Y..•• •••..N• ••••••v •••_ •-•^ ------ - -
Management (DCM) in writing within 10 days of receipt of this netir:e. Correspondence should be
mailed to 401 S. Griffin St, Ste. 300, Elizabeth City, NC, 27909. DCM rcpresentativos can also be
contacted at (252) 264.3901. No response is considered the some as no objection If you have been
notified by CortiOed Mail.
WAIVER SECTION (Choose only onet
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' hom my area of npanan access unless waived by me
is s not apply to bulkheads or nprep revglmenlW. (If you wish to waive the setback, you must slan
the appropriate blank below ) S
I DO wish to waive some/all of the 15' setback
ignefu�'ie pf7ltltacenf Ripan`
-OR•
I DO NOT wish to waive the 15' setback requirement (initial the blank) _
Signature of Adjacent Riparian Property Owner:
TypodlPrinted name of ARPO:
Mailing Address of ARP 110 Mallard ■"Duck, NC 27949
terq�roseoGaogrrfa"U .-K
ARPO's omail:M t J 5 tit 9 cliVi`� ARPO's Phonafr:
Date: 11AZ" I_43_ _._ 'waiver is valid for up to one year from ARPO's Signature'
Revised Arrgusf 2022
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner. Kenle Wren
Address of Property: 1396 Duck Rd Duck NC 27949
Mailing Address of Owner: 1396 Duck Rd Duck NC 27949
Kenie. WrennCcDraymondjames.com
Owner's emailterr rose85 gmail.Com Owners Phone#:
Agent's Name: Jillian Kalis Agent Phone#: 740-359-7132
Agent's Email: iillianCcDshaneclarkconstruction.com
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
1 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. e
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.
ff you have objections to what is being proposed, you must notify the N.C. Division of Coastal
Management (OCM) 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) 254-3901. No response is considered the same as no objection if you have been
notiffed by Certified Mail.
WAIVER SECTION (Choose only one)
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 rioraP revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
DO wish to waive some/all of the 15' setback
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
Typed/Printed name of ARPO: Makai 2015 LLC
Nailing Address of ARPO: 20721 Robinsonville Rd. Lewes, DE 19958
ARPO'semail: 141% s;leine(VVerizon,ngtARPO'sPhone#:36Z-Sri/-5546
Date: //- /0 - 7_023 "waiver is valid for up to one year from ARPO's Signature*
Revised August 2022
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