HomeMy WebLinkAbout87142A - Wise, John and Miller, Jill❑DREDGE & FILL N9 87142 A B C D
GENERAL Previous permit
PERMIT
� Date previous permit issued
❑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. N General Permit Rules available at the following link: vvww deq nc gov/CAMArules
Applicant Name „.. • I (V I P• I i t e
Address i .S l q L. J H 4
City 1_1,4.r s L. r.F State ZIP `'w'i
Phone # (ILO q 01 s�
Email
Authorized Agent
Project Location (County): - V
Street Address/State Road/Lot #(s) 'd f.:) t ( e 1?- v'.:•a
Subdivision
city ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wen Body , (fiat/man/unk)
AEC(s): ❑OEA ❑ IHA ❑ UW ❑SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/fi'o,..-) PNA: yes/no
Type of Project/ Activity____
Shoreline l en,th
(Scale:' )
Access Length44
Pier(dock)length
Fixed Platform(s)
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F_
—
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7—�
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Floating Platform(s)
-
-
-
H
-
Finger piers)
_
i
'
I
'
_
Total Platform area
Groin length/A
Bulkhead/ Ripralength
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Culticyards
Boat ramp
Boathouse/ Boatlift -"
Beach Bulldozing
Other
_.
' 4
r-
I
Q
t
i
..
i
f (
-
!
i
74
_
-
-
-
I--
j'
--
—
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no--{-
Riparian Waiver Attached: yes no
-
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t--
_.
-
—`—
_
_
-L
-
A building permit/zoning permit may be required by: I',na u o
Permit Conditions L•
❑ 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. (Pleaselnitial)
Agent or Applicant. PRINTED Name Permit Officer's PRINTED Name
Signature "*Please read compliance statement on back of permit"
Application Fee(s) Check tt/Money Order
Signature
Issuing Date
Expiration Date
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERED
Datc
Name of Adjacent Riparian Property Owner
Address
City, State Zip
To Whom It May Concern:
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at
s
County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Owner's Name
Telephone Number
Address City State Zip
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent Riparian Signature
Print or Type Name
Z- /L — ZD 2.3
Date
25-2-333- S-11V
Telephone Number
Address City State Zip
Revised July 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION (MINOR PERMIT)
CERTIFIED MAIL, RETURN RECEIPT REQUESTED or HAND DELIVERED
Wcq
To Whom It May Concern:
Date
This correspondence is to notify you as a riparian property owner that I am applying for a CAMA Minor permit to
on my property at
in County, which is adjacent to your property. A copy of the application and project
drawing is attached/enclosed for your review.
If you have no objections to the proposed activity, please mark the appropriate statement below and return to me as soon
as possible. If no comments are received within 10 days of receipt of this notice, it will be considered that you have no
comments or objections regarding this project.
If you have objections or comments, please mark the appropriate statement below and send your correspondence to:
(LOCAL PERMIT OFFICER, NAME OF LOCAL GOVERNMENT, MAILING ADDRESS CITY, STATE, ZIP CODE)
If you have any questions about the project, please do not hesitate to contact me at my address/number listed below, or
contact (LOCAL PERMIT OFFICER) at (PHONE NUMBER), or by email at: (LPO EMAIL).
Sincerely,
Property Owner's Name
Address
City
Telephone Number
State
I have no objection to the project described in this correspondence.
I have objection(s) to the project described in this correspondence.
Adjacent ariasSignature
Print or Type Name
�l Date
r�-339-(;�/S{-
Telephone Number
Zip
Address City State Zip
Revised July 2021
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