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Home My WebLink About87115A - Bells Island, HOA+° °"'"+r ❑CAMA El DREDGE & FILL No 87115 A B C D a GENERAL PERMIT Previous permit � 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 ❑ Rules attached. ❑.' General Permit Rules available at the following link: www.deq nc gov/CAMArules Applicant Name A Address City State •`i ZIP Phone # (� ) Email r.>f rl +-;'. 4 f- , t L tc i) g r Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City C i Affected ❑CW ❑EW ❑PTA ❑ES ❑PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body ORW: yes/ho PNA: yes(dr Type of Project/ Activity :1 r\ S I a i ( ( <F `�, V t n ,(` 6 v l L �\ N,ci (Scaler"-�t�I ) Chnrelinc I eng h T :; 1 n Access Length -�- - - �� Pier (dock) length Fixed Platform(s) d - — - Floating Platforms) 4_ _�_ ___- ,X 1 At Finger piers) J _ - V 1 Total Platform area - - Groin length/#L Bulkhead/ Riprap length l a4 P> Avg distance offshore f,J -'---- Breakwater/Sill rt L_.._ Max distance/ -length ^— - j __�L. -' - -- Basin, channel .. w.,.,,.._ ._..1__.-_ - -. - .___'.._ -wA _ _-_. — i•. Cubic yards _- i.__ -__ _ - __Ism Boat ramp Boathouse/ Boatlift Beach Bulldozing '-`i kE - Other 1 _ �`" ._ SAV observed: yes no ". - ";' Moratorium: n/a yes no -�- �- '� i-- Site Photos: yes no - - f - -1 - —1 I-.. T Riparian Waiver Attached: yes no ._..._._.li_.. �_ ._:.. ...I� ._.._ 6 ❑. A building permit/zoning permit may be required by: t'.\. t t t r Permit Conditions " ❑ TARMAM/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 Signature **Please read compliance statement on back of permit** Application Fee(s) Check #/Money Order Permit Officer's PRINTED Name Signature Issuing Date Expiration Date CAMA RfDREDGE & FILL GENERAL PERMIT [New []Modification [:]Complete Reissue [:]Partial Reissue N9 87115 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 a I SA NCAC O J K - 11 ®U ❑ Rules attached. [Vr General Permit Rules available at tl Applicant Name 72c_1t5-5krA-"e1 110A Address 51-32-!k1(.576Lov.,A Q.bra City CUYIrI'iUCk. State N C. ZIP Z-1 j29 Phone#t+1,3) 53"1- I372- Email nrAepifeca (I an Jctkc,6 [z!lm Authorized Agent At?,' " TJir Project Location (County): �u Street AddreWState Road/Lot #(s) _ U B C D i 1 VICt. lei Subdivision p3C'�ri .�f�lr1LlA.r City Cuy-rt+UCH zip 2,7 423 s Affected ❑ cW E(EW PTA ` ES fPTS Adj. Wtr. Body C CW—X-1 +0 �SJLLI V1 1CJ- pj (nat�unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body CuT'r1T0C SoU0%ct ORW: ye t--;) PNA: yeser--�l Type of Project/ Activity Shoreline Length t > 1 O Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger piers) Total Platform area Groin length/# ulkhead Riprap length l'4�,5 Avg distance offshore Q Breakwater/Sill Max distance/ 4enSill 5' Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other 5tUaY* ( bt (15 TfOcxvi,i (ioh •_.ytrc.-_. j Czcot) n4 I tiv PZ0909E:D KS r vI1JV� `r��u�NEan '. ✓ 7 I 4 t To Go t tAlo G K 5A `( SAV observed: �� yes 40 1 �Y r rkX5-�. sVtk LNP-AQ Moratorium: <:n yes no / Site Photos: ® no Riparian Waiver Attached: yes no / J1 A building permit/zoning permit may be required by: CLIP r1'1Uc k C if]tr�1Tu Permit Conditions (Scale: NvVL 'T r-* ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AM AWAR OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) %V o r, e6& M 6L, i VtAA, is ca l l Age plica t PRINT m Permit Officer's PRINTED Name �� Signature * Please read complia a statement on back of permit** Signature ��ll 11� y<cniy.0° Zr 12-hglsi 4(zX1-2c,�� Application Feels) Check q/Money Order Issuing Date Expiration D t I ; 517ITAN le. •i i„I 1 I��Zif Name of Property Owner Requesting Permit: 13.4, OcA Mailing Address: 5 $ 2 /�✓el�s -re Ic... ( iza ��Kt�u�k Y1c 2-79-2ct Phone Number: 7 Sim - I3'72 �cu+� Je�c 44 eao Email Address: ,�c r�apl�e�u Lt,�alnoo/row. I certify that I have authorized -t L I�cl�ewds i ons�r.,c� i ors Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: ?n5S rfloro� / 55 at my property located at in 1,04-V; -uck County. I furthermore certify that I 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: D ate 93 This certification is valid through U 1 o I Z L_ �i'��I�%1hC�l�e7h.7"GS7FP.i:siQ 443 G3.H'di&FruivTs'eartina»ctu. m.....e.....-..__.._._— N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICA71ONNVAIVER FORM CERTIFIr;D MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: j3.4 1(5 1� nr '1 �JfN Address of Property: 5 Z Mailing Address of Owner: Owners small: ,W4, t:J on •� . �amCaYJwnefs Phone*: 6F13 - S3-7` /ate Agent's Name: /�ooGit r�..�� e<{S Agent Phoned: Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be COMM$ted btr the AJacent Property Owner) 1 hereby certify that I own property adjacent to the above referenced property. The Individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. g DO NOT have objections to this proposal. 1 DO have objections to this proposal. N you have objection to what is being proposed, you MUST noury ere n.... u•rs,an W, ...�•a. Management (DCM) in writing within 10 days o1 receipt or this notice. Correspondence should be mailed to 401 S. Gdffln St., Slo. 300, Elizabeth City, NC, 27909. DCM representatives can also be contacted at (252) 264.3901. No response is considered the same as no objection N you have been notified by CertMed Mall, WAIVER SECTION 1 understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15, from my area of riparian access unless waived by me (this does not apply to bulkheads or dprap revetments). (it you wish to waive the setback, you must Sian the appropriate blank below.) 1 DO wish to waive sometall of the 15' setback L I 14 Signature of Adjacent Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (Initial the blank) _ }(Signature of Adjacent Riparian Properly OwnesPUJ /�� Typed/Printed name of ARPO: d?a.^ WSE o/ A to gG4 e'le-Is Mailing Address of ARPO: 106 ('r a ``' c •n (�Rse AY'y.J.2 160f rAu /l c�c )C ARPO's small: a c-LA.-'4IS �� RPO's Phone#: a6a-0a- q x Date: I t 1 ? 19:5 —*waiver is valid for up to one year from ARPO's Signature* NC Zt92 Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (fop portion to be completed by owner or their agent) Name of Property Owner. 13-a t(5 -_VF %ra.Lci d 4 Address of Property: "-z 3( .eNks Mailing Address of Owner. S$z 13-L%\s _61c.,n! t c.�r✓rivcE nL �l�r y�J Owner's emall:K i R.j.�-t?Gu cr.7ye{tio.coOwners Phone#: �/13 � r- 4' —� ri Agent's Name: oma 8.1Lk*nc'rs Agent Phone#: Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adlacent Properly 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 t� ri I DO NOT have objections to this proposal. I DO have objections to this proposal. Y you have objections to what is being proposed, You must notrty me rv.c. urwston or coasrat 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) 264-39M. No response is considered the same as no objection if you have been notified by Cerdfled 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 16 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 sometall of the 15' setback A) Ik Signature of Adjac&nt Riparian Property Owner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Typed/Printed name of ARPO: I -i [ � ✓_5 1- Mailing Address ofARPO: 773 )3Qtk5 X ARPO's email: �,CARPO's Phone#: x Date: `waiver is valid for up to one year from ARPO's Signature* Revised July 2021 d H y y � e 2r' w �