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Home My WebLink About87211A - Heath Jr., John#[PNew $CAMA � DREDGE & FILL N9 87211 g)B C D GENERAL PERMIT Previous permitJJA 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: 15A NCAC —44• ll OCR ❑ Rules attached. M General Permit Rules available at the following link: www.dea.nc.gov/CAMArules Applicant Name W _ WCC ik Jf Address IAR Ea�ne w.12 Perry Qa. t' City lk4-Ir tJ State NL zip a-114y Phone#(+u') L1�b-S Biel Authorized Agent N IA Project Location (County): ne YW ✓t rnn.r S Street Address/State Road/Lot #(s) I2CR f: e S i' i's• m Pi et v Q d �— Email IIC.L'}t9 f ate:} I.(d n :rala,i . lei Subdivision City Ae.-k-frorcl ZIP ;k q4 Affected ❑CW %EW PTA ®ES ®PTS Adj. Wtr. Body I"Crq�Yt5 If�t.rtr (nadman/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body ORW: yes4o PNA: yess) Type of Project/Activity Re.pla '-aIlo'Q1 9J[Kl. 'Two GrA} t.rkIV.V/J C+ Sfyrm dc.rr.axcl g0tA *6&J ,tAc✓xAua\abk Act 1 1a tt t) a 6r 1. itcl' occ !ta w�ecr')I— (Scale:N,T.S) Shoreline Length ±AeIOt Access Length (� Pier (dock) length N " Pct. Virwn] V-"C( Fixed Platform(s) \ 1. y w Floating Platform(s) 1 Finger pier(s) /'" a' Total Platform area Groin length/N rv1ru�1kheAd/')RIprap length *.190' Avgdist�ffsb re 2t Breakwater/Sill Maxdistance/ length r7 Basin, channel Cubic yards ✓` Boat ramp Boathouse/ Boatlift Beach Bulldozing Other Aor\, r:-..z iSU\iLlauct Q\yrsn..rt'r �_ _ _%) ,t i Nam/ SAV observed ��yy yes Moratoriurr�y/a� yes no K Site Photos: yes% Riparian Waiver Attached: yes e�D Sc.nuryv/� A building permit/zoning permit may be required by: Permit Conditions Wittl. RGnlOyn, A. 16.sZ Efvs.. r. esw'Q N- CCv!!clti kiw✓� NwL �l<S'�LrM t�•mt•a,1 l ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules f'*'1AY �t t ❑See additional notes/conditions on back I5f} WL o N IlosCalCs) JOtlr� V4 `{EATq AR Agent or Applicant PRINTED Na^me� ` n \\ 'W- 4�72* t S gnature **Please read compliance statement On back of permit** 4 1400, oo 1-0t,Srtltev - FIF 4o Y3 Application Feels) �Q r3,1 a%0 rr Check M/Money Order (Please Initial) Permit 3/I4laoa4 -4%I'daoaq Issuing Date Expiration Date ❑CAMA ElDREDGE & FILL N9 87211 A B C D GENERAL PERMIT Previous permit ' Date previous permit issued (i t #M,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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.naaov/CAMArules Applicant Name '. `•sr 4_U i1e1,4-4,. Address 1 it City State W i_ zip :) i 11 `I Phone # ( ) Email�e%` Authorized Agent I' 1" Project Location (County): Street Address/State Road/Lot#(s) i i. Subdivision City 'P ,. , ;d-I ricl'-I Affected ❑ CW ❑ EW ❑ PTA ❑ ES 0 PTS Adj. Wtr. Body 1 �:, , .. ,, - i Z , ', % (naUman/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body ORW: yes/no PNA: yes/no Type of Project/ Activity (Scale: N : i . S ) Access Length Pier (dock) length — f IY n Lt Fixed Platform(s) Floating Platform(s) —.— i. 1 Finger pler(s) e. _ Total Platform area i t � Groin length/k -�— Bulkhead/Riprap length— Avgdistanceoffshore -- i - ) -- ---- >'�' - --(-- Breakwater/Sill I t ' Max distance/lengthBasin I ,�• �� channel Cub c' y Boat ramp i I Boathouse/ Boatlift Beach Bulldozing A( _ I os _ _ - - _ _ _ _ _ — Other _�_, SAV observed: yes no Moratorium, n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no _L _ A building permit/zoning permit may be required by: itr'la,,,: (�r. -.t'f Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back 1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. Agent or Applicant PRINTED Name Permit Officer's PRINTED Name (Please Initial) _ Signature **Please read compliance statement on back of permit** Application Feels) -7 _;a ��, ��, Check if/Money Order Issuing Date Expiration Date N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMIAIVER FORM CERTIFIED MRIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: -r..._ eto &r&l, W K£ov" Aqx Address of Property: \2S E cAnne esRg.:( gq Mailing Address of Owner: KERTr6 R D nr C, Z79 4.4 Owner's email: - Owner's Phone#: owner AgeMsName: kAea rerik2w�tn@�«�a,t.coa+ti 4o5-ti"J6- 5662 Agetit•Phone#: Agent's Email: 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 forthis 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. - y— nave vujmuuuns to wnar is oeing 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 Mail. WAIVER SECTION (Choose only one 1 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 appiv 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 , L u-L �tPt7� USignature 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.,4,,F-- L. D MJ Typed/Printed name ofARIPO: 2-0.mes I-- ()ygvt- 6h Mailing Address ofARPO: l'ZO &-. Ca-*�.p $Q/rry RJN. Ngret+zv&, Nr, 2-194q ARPO'S email: _jOyat >ti.c; coli,ARPo's Phone#: 25z y� Z�i7 (, Date: � _t?%..� v_ waiver is valid for up to one year from ARPVs Signature' Revised August 2022 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM QET� IFIED MAIL j3ETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) joNK W. Kemal^ ac Name of Property owner: 5� P—� drr tom$ RmP QEaRt Address of Property: 1r,60.TFoP•9 , Mailing Address of Owner: _�)O_w k cus C�fWk Owner's email--?�-�&+d} 6'T' ver's Phone#: H6c� c 4leA�tin� 9r�Rtk. C bM A01a - zi-lb-5to(o2 Agent's Name: Agent Phone#: Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Propert 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 _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 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 Mail. WAIVER SECTION (Chopse 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 apniv to bulkheads or riprao revetments). (If you is waive the setback, you must sign the appropriate blank below.} 1 DO wish to waive some/all of the 15' setback Sig ature of Adjacent Riparian Property Owner -QR- I DO NOT wish to waive the 15' setback requirement (initial the blank) of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: Mailing Address of ARPO: Y( ARPOs �- 3f a t RPQ's Phone#; email:] l Date: Z Z *waiver is valid for up to one year from ARPO's Signature* Revised August 2022 12-9' 4ekf",a , w c. -1'19 D - TL, Vj , R eoilN , Z-; . F,Ta,� Isy If 4� 6 -kae 4 W/ $ ONk t 4-&po', � I % a Qtt p $I oyll . .... P4 v 4 eIlk burr ! a.® Ar4 -< Z O 0 �` T-S'� � t'•� • t i:t +�: U ) ,k•