HomeMy WebLinkAbout87207A - Roquemore, KimberlyeA-. B C D
Previous permit
Date preVIOUS permit ISSued _
[ANew Modification [] Complete Reissue [,jPartial Reissue
As authorized by the State o`• North Caroline. Deparencnc of Environmental Quality and the Coastal Resources Commison fn an area of nnvimrn:t tta! concern p e,o,eu in:
ISAMAC _J_1uC f H .l.0f� Ki 9 .--. .._. Rules attached. _ General Penni[Rulcs available at dln follows grk n5wden.nc gpYtCjet�AryaJ.P3
Applicant Namen'a (y ri' IZQGy kt4LT�4..r t_ .... ...._... Authorized Agent _
Project Location(Countyt' _�"6�tf+, r. ixt�k ......
CrtY....Storeim zip?�j„l..,S,...._. Street AddrewSmte Road1ot i.(s) t1s ly+� c Y t....'n)<
phone d(vid) JA.V ri._ALA.S- --. "_-"._. ,_Lc i_if.l.l.. . _. .._--_.---
Fuold_„�Y+OSs�3.i•^'�... _ - Subd vsion
4 ._...." _—__._ _.........
yyy �� __..
Affected 10CW ,l-kFEW �/v�PTA E} 1T FITS Adl, Wtr. Botly__�_
AEC(s): ❑OEA IHA UW jSPIMA [.--,I PINS Closest Maj. Wu belly (_erl7y---
ye?PNA: yed�o'
Type of Project:/Activity Na.+.. � r1�lw..t _ss.}—ir::IRi�1.,�=� '_see=� ht��__aii t"Ju,f'la F=�c;•y, •yi"
t & _ J (Scale: t. "i )
Shoreline Length
A_:essteePth _.
flier hkid,
I Pla ors sb] xCdCa
v C
fluating Platfonotsl
Finger parls)
_ hU +e.0 re+..r ✓
Groin lengthAl __ ✓1 /f// . t vt .-(t; fh_ lt_i,—d
/Reprap length
Av dp 3WnCe oRshare
Breakwaler/STI _ter //=-;,r7\,� / ✓
Mail dislan a/Ienptla
Bashi thanti <l ~"'�
Cuc ysdn lna, r2t saran ry Eba})w. Fwp ary six rp,Nv, ^
add ram
Boathouse/Doat7iR
beach
SAv observed: ,�Ycs 1ng5 '. R(:Ct Ul. tvoot ln-
Mocatoriem: tig,a C,n,-e L
Ste Pbotos es-� ,,,nffno
RiparianNNvaa Attached yes rfo)
A b'dic"4o. cit/zaidhg Perrino ele, herequired b/:_..... L-1 i.,�sa_4`. L.�'. __ ._
TAfyPAMINEU$EBUFFER (tirde ore)
permit Cenriif+ons______
See note on Lack regarding, River Basin rules
See additional notesfctmditions on back
I AM AWARE DF STATUTES.CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Plus, LrtialjA
permit
5'gnaa f xse rern7« s1 oncesl ton bad: of per ..V' (4.0r,1
rl
....a........ s....rn n+n„y eF-ra..u. n.d..,
mc.,
�o��`°"'"c[ CAMA A DREDGE & FILL
3 = GENERAL PERMIT
New ❑Modification ❑Complete Reissue []Partial Reissue
N9 87207 i>g C D
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 area of environmental concern pursuant to:
15A NCAC� 1 � ww
• ) 3\w ❑ Rules attached. General Permit Rules available at the following link: wden nc Pov/CAMArules
Applicant Name k1M (v IR40 A•t Wto(t
Address 314 Ric, Pond Lane
City at." W lt.e- State V A ZIP aj3 ai
Phone # (1,y}) 4 D 4- 041A R 4
Email KAr A CO r4A. LJ✓^
Authorized Agent Project Location (County): Y(�
a%nveo•,-^L
Street Address/State Road/Lot #(s) Pelt (X^ Pe t Ak br. ^
L v + W 11 Subdivision Pfktur 00'All-t
city (j%ZIP DL-tofoci
Affected ❑ CW &W PTA AJ PTS Adj. Wtc Body Lb .emu j, (na;dd;/unk)
AEC(s): ❑ OEA M IHA ❑ UW SPIMA ❑ PWS Closest Maj. Wtc Body PASV o icn L' lzrt rvcl-
ORW: ye6? PNA: yecs:l
Type of Project/Activity PC. hnr� J sh•rcl•AtTao Xdo Qlah\crm v :Yh
r p\ (Scale:uT.S )
Shoreline Length *tio
Access Length f
Pier (dock) length
F' Plattor ;G'X.W �,,,�\ 0'O Sq vO'}-r;n(C 2rv't✓ ---�
Floating Platform(s)
Finger pier(s)
/}J TMJ!•Z-�� ��01�
�tarPTaifiirm�a�S 4av -sr}� P `` � y j ✓
1ti'r. !M
Groin length/# Ai lhor.'Et2 f,5v 1Y-P" J
t '� A1. nrn k
kh - Riprap length X qD / •"�o, _ rr
�. Trca,
Avg distance offshore
N ✓ 1`
Breakwater/Sill 3
JL
Max distance/ length a u c- — — a.• �,• N w L
Basin, channel
Cubic yards R'IO• fbCFv I ETt S3r)e ra& .. FSy rP�'
Boat ramp
Boathouse/Boatlift j '�L fT
i"1 CfC.e_.
Beach Bulldozing
Other
C
�e.
SAV observed: yes C..:�> IV OT
Moratorium: no
Site Photos: n �
Riparian Waiver Attached: yes l/
A building permit/zoning permit may be required by: I-4cl]a.+V, CAi
❑ TAWPAM/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 lnitial)X
liCI
Agent or Applicant PRINTED Name Permit Oft*rTPRINTEame
Signature **Please read compliance statement on back of permit** >�NOo� Signature
i
4�oo.ao iFsl�'I(p4m�`.IiS s/II)a•uaL4 3/9/away
Application Feels) Check #/Money Order Issuing Date Expiration Date
&❑CAMA ElDREDGE & FILL
® GENERAL PERMIT
N9 87207
Previous permit
Date previous permit issued
A B C D
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:
15A NCAC I I 1❑ Rules attached. 4 General Permit Rules available at the following link: www.deq.nagov/CAMArules
Applicant Name C 0,
Address 1
City
Phone#(_)_
Email r
State
rg -i -y :1,'1
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
,L ) i'1 j l
Subdivision Pe 1l t. r ' ,
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (11, : -•a ( (nat/ii"i A/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body ,o, Iz. v<:-
r
ORW: yes/no PNA: yes/no
Type of Project/ Activity f ,,.. w r•
(Scale:u )
0
N
mom
mum
0
MEE
mom
ON
::::®::I
INIBM
ENE
so
Finger pler(s)
Total Platform area, -
Groin length/#
Bulkhead/ Riprap length
Avg clistan.Pa offshore 4�
IN
MEMO
Max distance/ length
MR
Basin, channel
B....:..
each Bulldozing
NINE
■
■
■■...:''
...
■■■■:■■■■■■■■:■■■■:■■
A building permit/zoning permit may be required
Permit Conditions
❑ 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
Agent or Applicant PRINTED Name
Signature "Please read compliance statement on back of permit"
Application Feels) Check q/Money Order
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date
RECEIVED
N.C. DIVISION OF COASTAL MANAGEMENT FEB 19 7.924
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY A/(
(Top portion to be completed by owner or their agent) DCM-EC
% Name of Property Owner: i M n ,- I q Q R U e m of t'
Address of Property: 12I Pe,Ii wo n0/n7y ZAb ef-h Cl f�, /� 219 a l
Mailing Address
to�fJJOwner, 32H Aq �pot� Ln Oie5iiaealeP V/4- 2. 32'�
Owner's email: Koll'Q(Uehnor�'en Owner's Phone#: (757) 4/-0y-2-YSV
Agent's Name:
Agent's Email: N(}
Agent Phone#: IVA
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby certify that I awn 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
descri do or drawin with dimensions must be rovided with this letter.
I DO NOT have objections to this proposal. I DO have objections to this proposal.
lif you have objections to what is being proposed, you must notify me rm.. Urwsron or Uoasrar
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 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: N-
Typed/Printed name of ARPO: �VSrj n f /7 z s 0 / rrY
Mailing Addrerg of ARPO: / Y f
Li rrr) YGt2/C .I�/, dons'
ARPO's email: SO %l2 ,c'S� ARPO's Phone#: 5,3O �/7 ,5�3
Date: a// % *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
ADJACENT RIPARIAN PROPERTY OWNER STATEMENT RECEIVED
I hereby certify that I own property adjacent to, K t nnb .r1 W 7 c i) vBmo.� FEB 19 2024
(Nam of Pro erty Owner
property located at I Z ) ?e) ICNn yE., n/( c/'�
(Address, Lot, Block, Road, etc.) ®�j ��ll�GlJ
on Po5eueJoAk 2rve�r ,in E)i2a)9r+k Ci+y N.0 M
(Waterbody) (City/Town andlor County)
The applicant has described to me, as shown below, the development proposed at the above
locatio .
I have no objection to this proposal.
I have objections to this proposal_
DESCRIPTION ANDIOR DRAWING OF PROPOSED DEVELOPMENT
(Individual proposing development must fill in description below or attach a site drawing)
20(7e oJz! c'i.:C.k
i1S r2
pun 7
ie k lc � P:
i P•••ierFy i5 9 V w4K'N Y, do,.k ,� miade c { prwrrl-y
WAIVER SECTION
understand that a 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. (If you wish to waive the setback, you must initial the appropriate blank below.;•
I do wish to waive the 15' setback requirement.
— I do not wish to waive the 15' setback requirement.
(Property Owner Information)
Print or
Telephone Number/ email address
'Valid for one calendar year after signature'
(Adjacent Prope y Owner Information)
Sin,(tann'e*
Date*
nil
:Revised Aug. 2014)
R P—
RECEIVED
F E B 19 2024
I'DCM-EC
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