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Home My WebLink About87126A - Midgett, Richard°O—W* �CAMA ElDREDGE & FILL NU 87126 O B C Previous permit IMI GENERAL PERMIT Date previous permit issued fidew ❑Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by the S�tjate of North Carolina, Department of Environmental Quality and the Coastal Resources Commission In an area of environmental concern pursuant to: 15A NCAC / T-r / z-'t`'� ❑ Rules attached. �eneral Permit Rules available at the following link: www.dea.nc.goWCAMAh+ale< Applicant Nanme c- a cL a - Authorized Agent 4— J .Y // t o-f J /T u- Address r . r 6 b 7< s- y7 Project Location (County): cry AtTe-�'GS State G ZIP 2T9y3 Street A'Qdress/State Road/Lot#(s) S/e /23q phone #(AM 77.5-227S /..,, � s-7i, tl //d�t/er Dt. Email 1'iC• H i rt C> A'l f q 4 f .Le, r COyJ.. Subdivision City /�-aH ar4s ZIP 9-79Y3 Affected cW OPTA ❑ ES ❑ PTS Ad!. Wn. Body C-0. n /off. I ) C (nab�m nk) AEC(s): ❑OEA IHA ❑UW ❑SPIMA ❑PWS Closest Mal. War. Body Au.m Ijce. sy aVA \.-./ ORW: yes no ) PNA: ye no \f Type of Project/ Activity Shoreline Length Access Length Pier (dock) length r )c,3 6 Fixed Platform(s) Floating Platform(s) Finger pier(s) Total Platform area Groin length/# Bulkhead/ Rlprap length Avg distance offshore Breakwater/Sill Max distance/length _ Basin, channel Cubicyards Boat ramp Boathous Boatflft l j0� Beach Bulldozing Other SAV observed: yes no Moratorlum: n/a Ae no a\ Site Photos: no Riparian Waiver Attached:no vL A building permit/zoning permit may be required by: ar Permit ss V (Scale: Nl� ) I I-®I¢li ❑ 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) yfl ' ,�, Monica L. M. Small Agent or Applicant PRINTED N y pi®�e( Signature • Pleasere d ompli�ce s atement o'n hack of permit ` Application Feels) 2 0a 3 PrYs J e.a'� Check #/Money Order Permit Officer's PRINTED Name Sig re Issuing Date Expiration Date ij �CAMA ❑DREDGE & FILL t tGENERAL PERMIT w ❑Modification ❑Complete Reissue ❑Partial Reissue N9 87126 Previous permit Date previous permit issued OB C D As authorized bytheS[ta[te of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC / r' r /Z'�'� ❑ Rules attached. &�LGeneral Permit Rules available at the following link: www.deamc.gov/CAMArules Applicant Name C-I- L /✓a-. Address P. _-2 J arc 5"y X City j� 0:%'i-e-('o-.5 State N L ZIP 2 7 Y y 3 Phone # (.3L2) 9 9S -229,I Email r ( C' k i c rn /I'L 5 Q q e ++r .,6- Authorized Agent L,S � Project Location (County): :�) e r� Street Address/State Road/Lot #(s) � R �2 3 7 S?154 /\.Ater Dr. Subdivision City d Fi arcs zip '-'-79Y3 Affected ❑ CW 'PTA ❑ ES ❑ PTS Adj. Wtr. Body cz.,O, n no- 1 II (na an nk) AEC(s): OEA IHA W ❑SPIMA ❑PWS Closest Mal. Wtr. Body jlo �t/ic� SbUAtl ORW: yes no ) PNA: ye no Type of Project/ Activity Shoreline Length ;L / g Access Length Pier(dock)length q Fixed Platform(s) Floating Platform(s) ` Finger pier(s) Total Platform area Groin length/# Bulkhead/ Riprap length ` Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubic yards Boat ramp Boathousk Boatli� ft�X /% Beach Bulldozing Other SAV observed: yes no 0 ai Moratorium: n/a es no al Site Photos: ye no Riparian Waiver Attached: a no A building permit/zoning permit maybe required by: L Permit Conditions I t V w�{1drTZnc� y iC3 Z> (Scale: NL$ ) 1 T pJ—k 4 8/i` lar �(Ejl,4l2,P &/rr- �r I / v )_oRD In ❑ TAR/PAM/NEUSE/BUFFER (circle one) / ,/ 9_sP) - ❑ 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)!X �4__ Y V o A 1- C6-f- Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit** Sig a re �e 3 07 Application Feels) /� Da 3 Check #/Money Order Issuing Date Expiration Date t #FINew ❑CAMA ElDREDGE & FILL N° 87126 Al B C D Previous permit GENERAL PERMIT Date previous permit issued ❑ Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by tth'e7 State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC /' ( r - ❑ Rules attached. ❑ General Permit Rules available at the following link: wwwc1eq.nc.2ov/CAMArules Applicant Name i{ /A o- 1- 4 4 J1"1 r : (`j -- Address 1� ,':7 r cJ zc" 5 v � City ds,{" pro. S State Nc-- ZIP ,.7 Email r I r h c ,M G> h'1 T J y ¢--I 'I C r. r. / dy , c ar7," Authorized Agent Project Location (County): Street Address/State Road/Lo/t#(s) Sf� /'?- '7 r" D r. Subdivision City /I , A -4 r. r " zip Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body Qa (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body n I ri ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: N1) j chnrolinn I unaeh :1 /C Access Length Pier (dock)length a r Fixed Platforms) - — -- ' — -- -- — I _-i Floating Platform(s) "- v Finger piers) Total Platform area + I '— i I I Groin length/ft — — — Bulkhead/Ripraplength - t—--- )- - — --- ------ — Avg distance offshore(— Breakwater/Sill Max distance/length Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift I . - ! - ,t 6 - c ( I k ' Beach Bulldozing Other SAV observed: yes no Moratorium: n/a yes no Lis---} Site Photos: yes no (� Riparian Waiver Attached: yes no — —ram - - 4 ' — J a A building permit/zoning permit may be required by: e c n 4-- i. Permit Conditions I 4 ❑ TAR/PAM/NEUSE/BUFFER (circle one) G' S sI'1 G I I t o 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 p/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: 31C*PQ Mailing Address: 1'. O. Rox 5149 Hi\nL-P,KS 3 NC a7c(L s Phone Number: a 5,� VS Email Address: i7�tClitFMfilMli>G-t"�iR-FAIT (� I certify that I have authorized f 91 SMM gMAU 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: B(AT a r-i- `ra ; S-I.54 KoiA Li:-,e at my property located at 57154 K() H pji� in OhIRE County. 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 Owner Information: Ck .1v1 r ts�'CX Signature Print or Type Name bW �F f` Title i a— , Date This certification is valid through / _ = - - iz _ a - _ z u t I W pew - W 111 i O ~W� �O z oxW�o I i I _ r I i R Li oo W i w o --r I� z i I Iif� 1 u i t cn o I m o Z --- t er - a N _ o- o w ¢ i -z z v� p a J — - - (7 (� - i WZ��. 1 T o I. I I�- z Y o 02 I 04I W o� w U Y _,_—I � a,, Lr LLIV I .� _._ -' _'._I I do>56- a �xswz��i I wI air trwzcn -- I� 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: RICHARDA. MIDGETT Address of Property: 57154 KOHLER DRIVE, HATTERAS, NC Mailing Address of owner: PO BOX 549, HATTERAS, NC 27943 Owner's email: RICHIEM@MIDGETTREALTY.COM Owner's Phone#: 252-995-2295 Agent's Name: SCOTT C. SMALL/LSI MARINE Agent Phone#: 252-261-1967 ofc / 252-473-7695 cell Agent's Email: SCOTT@LSIMARINE.COM ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom Portion to be completed by the Adlacent Property Owner) I hereby certify that I own property adjacenttothe above referenced property. The individual applying forthis permit has described to me, as shown on the attached drawing, the development they are proposing. 6 description or drawing, with dimensions. mugt be provided with this letter. 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 the N.G. 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. 30D, Elizabeth City, NC, 27909, DCM representatives can also be contacted at (252) 264.3901. No response Is considered the some as no objection if you have been notified by Certified Mail. WAIVER SECTION 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 sign the appropriate blank below.) I DO wish to waive some/all of the 15' se ack � v�%G Z o Signature -of Ribarfan Property Owner -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: DONALD S. ODEN, JR. & EYVONNE F. ODEN Mailing Address of ARPO: PO BOX 177, HATTERAS, NC 27943 ARPO's email: ARPO's Phone#: Date: /-2 J/411v2.3 "waiver is valid for up to one year from ARPO's Signature' Revised July 2021 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: RICHARDA. MIDGETT Address of Property: 57154 KOHLER DRIVE, HATTERAS, NC Mailing Address of Owner: PO BOX 549, HATTERAS, NC 27943 Owner's email: RICHIEMQMIDGETTREALTY.CQM Owner's Phone#: 252-995-2295 Agent's Name: SCOTT C. SMALL/LSI MARINE Agent Phone#: 252-261-1967 ofc / 252-473-7695 cell Agent's Email: SCOTT@LSIMARINE.COM ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION ftttttgm portion to be completed by the Adjacent Property Owner) 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. it you nave objections to what is being proposes, you must notify the N.c. unnsfon or voastar Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin St., Ste. 300, Elisabeth 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 sign the appropriate blank below.) I DO wish to waive some/all of the 15' setback Signature of Ati scent Riparian Property Owner MA I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: STEVEN R LORD & M LORD Mailing Address of ARPO::, PO BOX 71, HATTERAS, NC 27c9�43'J ', rt ARPO's email: �(nnb�� c\dC�G�. c� ARPO's Phone#: i� —HZ " V.\' 1 T Date: O�o*waiver is valid for up to one year from ARPO's Signature* Revised July 2021 9 z a a Ln S 0 m m m 0 0 0 0 0 S 0 ru ru 0 M1 Postal Service'" 3TIFIFh MAII"' RFCFIF 69 DomeWIC Mail Only VA m Ln m 0 0 m 0 M a 0 N IU C3 M1 Carver, Yvonne From: Carver, Yvonne Sent: Friday, January 19, 2024 5:31 PM To: Monica Small (monica@lsimarine.com); Scott Small (scott@lsimarine.com) Subject: Richard Midgett GP87126/Receipt Attachments: MIDGETT GP87126-RECEIPT-01192024172101.pdf Good afternoon, A copy of general permit (GP) number 87126 is attached for Midgett's dock project in Hatteras, Dare County; the pdf includes a copy of the receipt for the permit fee. To validate this permit, please address the following: 1. review, print and sign the permit on the bottom left-hand corner belowyour printed name, 2. initial where indicated on the bottom right of the permit, and 3. scan and send a signed copy of the GP back to me. Please be sure to keep the installation of the structures within the 1/4 width restrictions, and let me know if you have any questions related to this correspondence. Thank you. Yvonne B. Carver Environmental Specialist II Division of Coastal Management NC Department of Environmental Quality 252-264-3901, ext. 237 401 S. Griffin St., Suite 300 Elizabeth City, NC 27909 4$� a Q Y hl