HomeMy WebLinkAbout87296A - Chesson Real Estate Properties, LLC#MNew
MCAMA ❑ DREDGE & FILL N9 87296 A B C D
Previous permit
GENERAL 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 ) t l ❑Rules attached. General Permit Rules available at the following link: wwnv.deq.nc.gov/CAMArules
Applicant Name ��'• k° `xxr•, 1 x r. ( (.'- S ir.it. )! i v (. f : )± f S. e 1- i_ c. Authorized Agent 1
Address Project Location (County):
City-. State ZIP - Street Address/State Road/Lot#(s) )(!"
Phone # ( )
Email
Affected ❑ CW ❑ E W ❑ PTA ❑ ES ❑ PTS
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
City
Adj. Wtc Body
Closest Maj. Wtr. Body
(Scale:
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Finger pler(s)
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Groin length/# ....rm ..
Riprap length
Avg distance offshore a
Breakwater/Sill
Max distance_/ lengt
Basin, channel
Cubic yards —
Boat ramp
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11�IM11•Bulkhead/
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Boathouse/ Boatlift
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Beach Bulldozing
Other'1�11
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SAV observed: yes no
Site Photos: yes no
Yinariai Waiver _t Oed to
RC1
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A building permit/zoning permit may be required by:
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) A
Agent or Applicant PRINTED Name �, ' Permit Officer's PRINTED Name _
Signature '• Please read compliance statement on back of permit" Signature
o..> ifS nrflt Gk ck •�a/ 13 Gf1 t4dti94
Application Fee(s) Check# Money Order Issuing Date Expiration Date
�a8��8)A—,M8}asl�n, M$'}aafA-�k��aS�A)
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: GA 5swU R AL ETA& MQPEQQ LLe—
Mailing Address: A/o AaA44�E bRI✓E
F.,7EA1rbA/ NG 2793;e-
Phone Number: 2-" 357 yS/�
Email Address:
I certify that I have authorized L/LLY 9t Son/ r;oNS7R4C4T/01l 1_4c�
Agent I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: Rirc-k'AEAA
at my property located at log GoRRrI✓ Cbc(RT EDEl llyd � Ile —
in cyav✓Ad County.
1 furthermore certify that 1 am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
a'. -Szl)"
Signature
W1411AAf E ChZYSoAl
Print or Type Name
MAA/AFs;_:-R
Title
6>3 i1v '2�!Y
Date
This certification is valid through I I
P
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: G1-12MrlN REAL. Z�-rA7E PR066RT/FS GLG_
Address of Property: /01/ GORB/Al GOeC/#T' aFA1&,AJ11, /VG 27937
Mailing Address of Owner: 2.70 OUAML2F AR/VE F1fFAilO/✓ NG -7931
Owner's email: w2c%PJ3Cspn/�9rrra 7• GOM Owner's Phone#: ZS2 3? 7 yX7�
Agent's Name: 4/66Y *`101V eL06STRC[e Il Agent Phone#: ZSa 337 ,S"Oy7
Agent's Email:
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 forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
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
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
No
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:
Phone#:
i
Date: 1 G 11 26Z *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 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: rWESSdN fil I[ kS'iA 1E P606ER7/E5- 44 C-
Address of Property: /OH 4oAA11\1 Coc« J ro 2P 0 bt .2793't
Mailing Address of Owner: o /YJ b6WOhE M16L F Mro/% NG 27932
Owner's email: Owner's Phone#: 2S1 337 ri$/2
Agent's Name: 6I44y T-Sor/ 621V `LAWCLIoN
Agent's Email:
Agent Phone#: IQ 337 Se11-7
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 forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. A
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.U. uiwsion or uoastai
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
No
I do not wish to waive the 15' setback requirement (initial the blank��
Signature of Adjacent Riparian
Typed/Printed name of
,M,a/il�/Addd�ress ARP0::
C 0
�Q ARRPO Phone#:
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
0