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HomeMy WebLinkAbout87080A - Flach, Paul and Michelle:° °"'N❑CAMA El DREDGE & FILL S 8%��� (Ai B C D 3 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: v .deo.nc.gov/CAMAruW Applicant Name Authorized Agent Address Project Location (County): City State ZIP Street Address/State Road/Lot #(s) Phone#O ' Email Subdivision City r' ZIP 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/no PNA: yes/no Type of Project/ Activity - r (Scale:) No NONE MENEIIII ■:... ...: ■■■■■■■.....�..:.. �INS N :::::::::::Emommims N:�''•:: ::::E :�::::::::: :::� Finger pler(s)�■ ■■■■ N ■■ ■■ ■■ ■ ■■�I �.::■■■::.■�■ Total Platform area Groin length/# Bulkhead/ Riprap length :.. . :.. .•.■■■■■■■■■■■■■■■■W■■■■■■0■■■■■■■mom ®. ■■■ON ■ ■�■ MEMOM : : ■�:■■ M:: I ::': ■■■:..:.:.:.�1: 11M:::::: ::::�:: : :::::::: : 111111 ::�111111011 ::: '::::�SIR C Elm AM i i■ii::: :., .. ::ia■IONS=i��u■i: ■1::M ■■M■■■■=■:■®l�■■■■■■■■■■■■■■INI■■MIN ■ ■■�■■■■■■■■■■■■■■■■ �■■■■■■■■■■o■ ■■■■■■■■■■ ��■■■ ■■tea■O■■■11■■■ A building permit/zoning permit may be required by: - ' E( �' �'-' �� ('' i" ❑ TAR/PAM/NEUSE/BUFFER (circle one) Permit Conditions ❑ 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) t s,11 C Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature **Please read compliance statement on back of permit' * Application Feels) Signature„ Order Issuing Date Expiration Date JAI dcomr'r ❑CAMA ❑ DREDGE & FILL N? 87080 A B C D I 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.dea nc.gov/CAMArules Applicant Name City Phone # ( ) Email _.. _. Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale:, ) 'EEEE Omni :. EE EEEE. �■.. EEE�■■::::��� ■■■■■ ■■■■■■■.1■!■■■■�■■■ ■■■B ■■■■■■ EEEEEEEEEECa�WEE.EEEEEEE EEEEEEEEE ::■C::S IMENIMEM:■E■:::C:iEms M EEECEE: =EE�EE111EEEEEEEEEMINEE Total Platform area length/# Bulkhead/ Ripraplength Avg distance offishore- - EEEE11EEGroin EEE:�EEEE 61EEEEEEEEEEEEEE ®■..■■....�......■11■■■■■■■I■■■■■■■I■■ �� E..;;. . EE�EEEEEE■EE�EEE.I�E ���...�.■EEE=� "ANIatEli3EGlIMMEMME ��� `I�var.mraas'rt .�,�3�w�i ■■■■EE■■ i■■■l■■.■■■■■■■■■■■■■�■■■ ■ �.■..■■.EEC■■■■■■■....�.......■..■■ � ■■•■■■■■■■■■■■N■■■■■■■■■■■■■■■■■■ ■■■ 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/canditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THATAPPLY 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 ft/Money Order Issuing Date Expiration Date 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, Paul Flach Address of Property: 108 Miller Lane, Elizabeth City, NC 27909 Mailing Address of Owner 108 Miller Lane, Elizabeth City, NC 27909 Owner's email: tony.flach@gmail.com Agent's Name Agent's Email: ECEIVED FEB 1 t 2024 Owner's Phone#: 757 617-2486 DCM Vn_EC Agent Phone#: ADJACENT RIPARIAN PROPERTY OWNER'S 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 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. If you have objections to what is being proposed, you must noury me rv.c. urwsron or �oasra+ 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. WAIVER SECTION (Choose only one) 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 riprao 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 Adjacent Riparian Property Owner -OR- I DO NOT wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: TypediPrinted name of ARPO; OVA" f t Mailing Address ofARF v1C ./���V ARPO's email: Tv tM [ Oo AN P Date; "waiver is valid for up to one year from ARPO's Signature' Revised August 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: Paul Flach Address of Property: 108 Miller Lane, Elizabeth City, NC 27909 -RECEIVED Mailing Address of Owner: 108 Miller Lane, Elizabeth City, NC 27909 Owner's email. tony.flach@gmail.com Owner's Phone#: 757 617-2486 Agent's Name: Agent's Email: FED 1 12024 Agent Phone#: mC A_EC 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 description or drawing, with dimensions, must be, rovided_with this letter _X— 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.C. 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 Mait. WAIVER SECTION (Choose only onel I understand that any proposed pier, dock, mooring pilings. boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15from my area of riparian access unless waived by me (this does not apply to bulkheads or riprao 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 Signature of Adjacent Riparian Property Owner -OR- y� I DO NOT wish to waive the 15' setback requirement (initial the blank) �!c Signature of Adjacent Riparian Property Owner: / w-- 'ram C Typed/Printed name of ARPO: AA<k- �) M )A LL. Mailing Address of ARPO: 2Z J )Q 4Y1-I `U 6 E ARPO's email: J ) "15 !? n°ARPO's Phone#: Date: 1 2� ZUZ _'waiver is valid for up to one year from ARPO's Signature' Revised August 2022 RECEIVED FEB 1 ' 2024 DCM-EC Cl m o, o ` N L T _U L <0 co G E O X CO O N a co Q N co N N cu + _ U U � � G N y C L L � N � O U c0 � L cn a V � m D > c N 'i i! Q \ m t� o _ �a i P �