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Home My WebLink About87177A - Noori, Rudy�1*001Ur"'& CAMA ❑ DREDGE & FILL 3 GENERAL PERMIT ®-New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue N9 87177 A B C D Previous permit Date previous permit issued 1=4 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 o 1A.Rules attached. H "General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Ktl 1 Authorized Agent if i:I(7�-i t� )^�\kA Address }•�}r if"} t t'. 7 ('>c] t 6 <l Project Location (County): 0 ri. t' t . City �'� n�•?k State }�-} C_ zip ,4 4 9 Street Address/State Road/Lot#(s) La Gi Z. ( M CA. C.. _,}'/fl 1'r Phone # (_) ) `� (o f.. 4 Po i ti Email Y" `7C; icn-i ay1AjC"YV Ic`t�". <.:.C1iN1 Subdivision IA CLf '}'t r't `'i Vr-t City lP '2. •1 9 4 9 Affected ❑CW E]EW PTA DES ❑PTS Adj. Wtr. Body 6k VI [al it T`r• {-t r•`!."k. ,(raftiman/unk) UWAEC(s): ❑DEA ❑IHA Closest Maj. Wtr. Body _.Uyt1i'J CCL3 S^,, ORW: yes/no PNA: yes/no ``'' Type of Project/ Activity '>'7-� F A•, g& f- v c f . !Cz, V . . o (: J •,r'ry. 5 . (Scale:V�l= �L>) Access Length Pier (dock) length Fixed Platform(s) �.. P*v ' ( - A CA J It Floating Platforms) 2 Ct.'" r�tY. _ - Finger prer(s) '') r y 'zs Z _ -I I I i (% 0 C .: r Total Platform area °> �i - - �" Groin length/rim Bulkhead/ Riprap length � Avg distance offshore-- Breakwater/Sill Max distance/ length Basin, channelJoL Cubic yards Boat ramp Boathouse/ eoatlik' 1 "7 Y. �_«-'i- Beach Bulldozing Other r -�- �� f /� - } <- - (9( - i -G- -- � -- �-' - (- " !- - - -� - -- - - - - t O r -:-� i ` -\ 1 �.{� I '. L_ - _ _- _. - _ _ - SAV observed: yes`: no Moratorium: n/a yes no Site Photos: yes no Rioarian Waiver Attached: yes / no) - .,.�+ - I V Q . �a',"_. r�. i _11- --_. I_ _ _ _ _ - A building permit/zoning permit may be required by: VA tic r eci st 4>i`iHc -{ nt A; w .iri -L k1 ❑ TARIPAM/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) K2 Agent or Applicant PRINTED Name Permit Officer's PRINTED Name, Signature -'Please read compliance statement on back of permit" Signature I Application Feels) Check ft/Money Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: Mailing Address: Phone Number: Email Address; I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: a5 .5 N "`"`" at my property located at in County. I furthermore certify that l am authorized to grant, and do in fact grant permission to Division of Coastal Man,:igement staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating informaSon related to this permit application. Property Owner Inforrnatiow SignaturQ 14 Prr t poor Typ6 Name /YE Title 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: Address of Property: 502 l jy. 121 } ,�fa 7 •�{ I (its I< Mailing Address of Owner: — Noo- 4Ci'+, Sol +85 !-f -51-7 Owners email O wA s aryr e G :tit--__ Owner's Phone#: _ /� — Agent's Name: I Agent Phone#: �. , a hvc�_.G Agent's Email: �Clsl — , 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 ---.__ ...11..1 k a to t with this letter. I DO NOT have objections to this proposal. I DO have objections to this proposal. If ou have objections to what is being proposed, you MUST noury ura ,..4• -•• - ---- - 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 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 somelail of the 15' setback Signature of Adjacent Riparian n perty Owner III I do not wish to waive the 1 setback requirement (i ft Y the Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: Date: ARPO's Phone#: '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 NOTIFICATIONtWA1VER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of property Owner: Address of Property: SC c 2-7quq Mailing Address of Owner: _,_ — -- Nxr-i � Cr-t- 591e,� %L,-3 S 1 7 � Coil Owner`semail: Owner's Phone#: Agent's Name: (`t� �i0 = T Agent Phone#:,. �— Agent's Email: — C `- 22 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to he completed by the Adjacent Property Owner) I hereby certify that I own property adjacent to the above referenced property. The individual applying forthis permit has described to me, as shown on the attached drawing, the development they are proposing. A _....I,..I ud#k +hie Ipttpr 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 n 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, OCM 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/ail 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: Typed/Printed name of ARPO: Mailing Address of ARPO: ARPO's email: ARPO's Phone— f Date: *waiver is valid for up to one year from ARPO's Signature* Revised July 2021 REM 4L/ F XIS'TWNf ;Z,YU1 td a,t r'"n, PILINGS FOR 5FT PIER A PC PILINGS FOR t; FUTURE LIFT PILINGS ALONG EXISTING PIER 4 PILINGS PILINGS FOR LIGHTS (/I Y2 4) PILINGS FOR BOAT HOUSE 13.000 LB LIFT 6 ! PILINGS FLOATING DOCKS ;l `(vcr o ■�: .%•� " a �.:: _ j