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Home My WebLink About87029A - Immordino, Richea`COAer", OCAMA ❑ DREDGE & FILL ND 87029 A B C D GENERAL PERMIT Previous permit t Date previous permit issued "❑ 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 ' / t / r/ ., ❑ Rules attached. ,❑ -General Permit Rules available at the following link: www.deg.nc.gov/CAMArules Applicant City Phone # ( Authorized Agent Project Location (County): � 7" State ZIP Street Address/State Road/Lot #(s) _i o'.� ,}. c - ��. S , cl Email i - Subdivision City ZIP L % Affected. ❑ CW EW PTA ❑ ES ❑ PTS Adj. Wtr. Body S"d..a. �tan/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body <� ' ,` _S ° ,, ' A ORW: yes/no PNA: yes/ng Type of Project/ Activity <. ! ? 5 _:: -> , S �, 62 l , ' t� e , r. , ✓e c t �� ' S o �� s -�r, l 1, n c ,r, rl` <� n t (Scale: p/TS ) fFn.nlinn I`nnnf6 I I _ Access Length :Pier :.: length Fixed Platform(s) �■ �: �■� � E�CE�®EEE ��1 I INNS 0 MIS IS MEN Sol Floating Platform(s) ... W,► I� I EEC®Esi=C=EEN E: u ■■ ■ ■■ ■ ■■ ON Total Platform area Groin ength/ft All ap length Avg distance offshore Max distance/ length Basin, channel Cubic yards Boat ramp Beach Bulldozing ® ■ E EE■■ii■■■■ 0EEEEE N■■■N■■■■ ■■ ■ ■■m■�.■■■■■EMS ■_ IS in■■ I HE C� ■■■■� ME �OC EEE■ INNS MEN Imp®��C' �� .■ ■■ �.■■. { ■■SEEM ■ E��:� IfllM■111111111 8 � . E a�-E■Ef� t i W El milli MEMO MEN EAMIM A building permit/zoning permit may be required by: c C 111. n --` 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) / Agent or Applicant PRINTED Name - Permit Officer's PRINTED Name Signature --Please read compliance statement on back of permit" Signature Application Feels) - Check q/Money Order Issuing Date Expiration Date Statement of Compliance and Consistency This permit is subject to compliance with this application and permit conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that: 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement from the adjacent riparian property owner(s) has been obtained, or proof of delivery of certified mail notification of the adjacent riparian property owner(s). The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: 1-1 Tar - Pamlico River Basin Buffer Rules Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. If you have any questions, please contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the Wilmington Regional Office (910-796-7215). Notes/Additional Permit Conditions: Please ensure all debris associated with the removal or construction of the permitted development is contained within the authorized project area and disposed of in an appropriate upland location. Division of Coastal Management Offices Morehead City Headquarters 400 Commerce Ave Morehead City, NC 28557 252-808-2808/ 1-888-4RCOAST Fax: 252-247-3330 (Serves: Carteret, Craven - south of the Neuse River, Onslow Counties) Elizabeth City District 401 S. Griffin St. Ste, 300 Elizabeth City, NC 27909 252-264-3901 (Serves: Berne, Camden, Chowan, Currituck, Dare, Gates, Hertford, Pasquotank and Perquimans Counties) Washington District 943 Washington Square Mall Washington, NC 27889 252-946-6481 Fax: 252-948-0478 (Serves: Beaufort, Craven - north of the Neuse River, Hyde, Pamlico, Tyrrell and Washington Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax:910-395-3964 (Serves: Brunswick, New Hanover and Fender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 6/01/2021 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: nit0 Mailing Address: Phone Number: Email Address: I certify that I have authorized -" I' I - to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property located at in 1)4k& County. &AMC6 ,1t✓`7T1E5 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 Owiier f Sin tare Print or Aype Name Title /01_Zey i�Wz? Date This certification is valid through 06 1 30 1 2O N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion tope cmAeted by owner or their agent) Name of Property Owner. Address of Property: Agent's Name: Agent's Email: ..r ..ia , _1 / r 1 I .. rtf%, Agent ADJACENT RIPARIAN PROPERTY OWNER'.8 CERTIFICATION (Bottom portion to be completed by the Adiacent 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. »_ I DO have objections to this proposal. If you nave ob/ections to what Is being proposed, you must notify the N.C. Division of Coastal Management (DChn in writing within 10 days of receipt of this notice. Correspondence should be matted to 401 S. Griffin St, Ste. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (2S2) 264-3901. No response is considered the same as no objection Nyou have bean notified by Certified Mall. WAIVER SECTION I understand that any proposed pier, dock, mowing pilings, boat ramp, breakwater, boathouse, lift, or gran 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 dprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) i DO wish to waive somelall of the 15' setback -OR- Signs 'of A Jacent rian er rVSignature of Adjacent Riparian Property Owner: i'lTyped/Printed name of ► , Mailing Address of • .. Date: I I - U;-vl "7..VA W `waiver Is valid for up to one year from ARPO's Signature' Revised July 2021 Q m x m m N.C. DMSION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM (Top portigg to be �Wpleted by owner or their agent) Name of Property Owner: Address of Property: Mailing Address of Owner. /��( Owner's email: ri4"t Owner's Phone#: 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 1 DO NOT have objections to this proposal. __ I DO have objections to this proposal. n 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 malted 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 scan the appropriate blank below.) I DO wish to waive some/ail of the 15' setback -OR- Signature of Adjacent Riparian Property Owner I do not wish to waive the 15' setback requirement (Initial the blank) `_-7._„__ Signature of Adjacent Riparian Property Typed/Printed name of ARPO: Mailing Address of�AQRPO:: " /11 ARPO's small: r�rUrl ..i-ARPO's Phone#: Date: ALV 20 *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 :� 1 it 1H 1' j i I I I I t • I�ti i �04tir 11 il' I�t \AN •i�r; I I ti\ 1 1 IC 1 0 1 i I' t V. I 11 YI� lv 0.< t • I® all t �I -li r Idt