HomeMy WebLinkAbout87299A - Motichka, Jeffrey and Erin❑DREDGE & FILL N9 87299 (1) B C D
GENERAL PERMIT Previous permit
Date previous permit issued
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 1 i+. L�1000 ❑ Rules attached. 4 General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Hoyt(—ktr' .
Address Iigay iZ4
city EI• l,tFh CA state Nc- zip a'telocl
Phone # (15-3) II a z S
Authorized Agent 12o F' Ih 1 c) Bvt;t f
Project Location (County): - Pe, a,,
Street Address/State Road/Lot #(s) I'KJ y IL vt r-A IHV rC d
Email 31- 9&ya Hob. C....-, Subdivision NK
city Eft lu! r C.i Ir ZIP a�go9
Affected ❑ Pa 5 t, u o Iry ^ k AI vt e- man/unk)
AEC(s): ❑ OEA ❑ IHA � uW ❑ SPIMA ❑ PINS Closest Mal. Wtr. Body ��' S r, vo k.^ k n+ ,A r
ORW: ye / o PNA: yeio>
Type of Project/ Activity C.twlov-C E x, s']
a
Shoreline Length f I I n
Access Length
er
ock) len
Fixed Platform
Q� N
Fixed Pla[form(s)
n..
Floating Platform(s) / .n
N
(Scale: WT.S, )
Sna•Vwcr(4,LLC
�-AQL
Total Platform area
EY• 51,0 4I P1t r
Groin length/#
e I
Bulkhead/ Riprap length
r
Ilk it I III 1 1 1 It I l r t 1 I I I it I I, 41
e offshore
Avg distance Breakwater/Sill
I
/
s a
Max distance/length
Basin, channel
4 I r r
Ea: Sl.p M1. L
r a a ✓ �%�%-dI --►1'' 1 + `�
Cubic yards
r /
ramp
lDMOPBoat , ^)
ir h..'
+,toom.Boathouse
oatli
4 rI.}fvf
Beach Bulldozing
FI nc r j1,Cr A^ r (', C- P&Ct Cru,&-,^1 $1•9
Other
`
id�X\ol PiJ<')•\,�7
✓ Cs1.Q Ik 3� t-. Ex g.lyvh...i'
SAV observed: yes no
&- Nwl,
Moratorium yes no
Site Photos: �„ :> no
Riparian Waiver Attached: yes CD
to
db
M off, Chya
L
MaPtiers.sr.
A budding permvzoning permit may a require y.
❑ TAR/PAM/NEUSE/BUFFER (circle one)
Permit Conditions
❑ See note on back regarding River Basin rules
THAT APPLY TO THIS PROJECT AND
Agent o/Ap _ Permit
Sgna re "Please read compliance statement on back of permit•' Sig
41100 oo 1F I o4I 11
Application Fee(s) Check#/Money Order Issuing
❑ See additional notes/conditions on back
(Please Initial)
❑DREDGE & FILL Np 87299 A B C D
Previous permit
a GENERAL PERMIT Date preiouspermitissued
❑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
Applicant Name
Address
City
Phone # ( )
Email
Affected ❑CW
AEC(s): ❑ OEA
ORW: yes/no. '
❑ Rules attached. V] General Permit Rules available at the following link: www.deq.ne.gov/CAMArules
Authorized Agent f.: 1,,, -t. 4^ q:
Project Location (County): I,-
r
State ZIP Street Address/State Road/Lot#(s)
MEW ❑PTA
❑IHA ❑UW
PNA: yes/no
Subdivision P V''
city f--I, yr.diei 1, r.}/ ZIP>-j
❑Wtr. Bo ES ❑PTS Ad I• dy I"fig c i -a •,k_ fz.Vl+ (fiat/rhan/unk)
❑SPIMA ❑ PWS Closest Mal. Wtr. Body jam' S.; ao )-..n 4' Yh ✓� !'
Type of Project/Activity 4,: r e."J -1,? 4h)r N �-/ c. z 1, O IZtf-
t c I I as (30 (Scale: Al .Z. 1. I
loll,
on
I
Floating Platform(s)
ME
MEMO
MEN
No
M
Finger pier(s)
Mi
Bulkhead/ Riprap length
Avg distance offshore
Iiii�%�i�i■■■■r
N
�
■
N■�1��
�■N■
Max distance length
��!
■
►
■�I
■■�■■■
■
1�
■�■
■■low
■■�i:
r(JI■■■■■■,
ME
■
■■■�
■■■■■■■�®■■r
■■■■■■■i■■
SAV observer: yes no
lvloratorium� n/a yes no
Site Photos: yes no
VoarlarVarver "ached: ves no
MEN
A building permit/zoning permit may be required by: k I. q � t>, f i-N (t G 4
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 Initial)"
Agent or Applicant PRINTED Njm@
r✓ ll� _
Signature "Please read compliance statement on back of permit•
Permit Officer's PRINTED Name
Signature
t '
Issuing Date Expiration Date
Application
Check N/Money Order
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: MDT. t uA i4"\�
Mailing Address:
Phone Number: l I7�
Email Address: C"' 1 o �' �� 1 3 �' cLk on
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:
60 fa, l` kNo 00CY---
at my property located at
in 'PNS Q\,)l5 f'-\T�r—County.
I furthermore certify that I 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:
I Signature
Print or 7ype Name
d \-� " (3
Title
Date
This certification is valid through I
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: SL R M o-1'
Address of Property: 1� L�1 Qy� F s 1kckc r-o E-QZA-�C-TA Cff-( . tvC Crjo'
E-
Mailing Address of Owner: �c6 L l l2 \�fcS(lS t -2'ii L-I Z-Ail6SKV� C I T:j YJC -U c)Crj
Owners email: _\ CM Nwt '1v
i 13 rO ,�x;� . wner's Phone#: \1 S 1 Z�2�
Agent's Name: V-LA6H T I"l Agent Phone#:
Agent's Email:
G
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 for this
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 l4ave 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 (Choose 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, y area of riparian access unless waived by me
(this does not apply to bulkhedds or riprap,6etments). ( you wio-to waive the setback, you must sign
appropriate blank
I DO wish to waive
us 0
I DO NOT wish to
of the 15'
Adjacent Riparian Property
the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: M r C% Rf' h O u (- k 1 J
Typed/Printed name of ARPO:
Mailing Address ofARPO: )b0 S- 0(rs-e- ����5r_�Gt fin. ��r-ii/13-- � �3yO/
ARPO's email: rO o u r I4i 5ti Am4.r I ARPO's Phone#: > ��I 7 % Z (,8 3�
Date: t I ` Z *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022
4ft
32ft
28ft
Steps To Water
S1(rN
Boatlift
Steps
Existing Pier
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: JC—w 1�` l Nlt�t '1G�k�
Address of Property: 2 1 jZ1VUL) thaw (-Q C L12A,5 L1-1-1 , EL Z .r%S(09
Mailing Address of Owner: ` -y �l V��S �bt I� 12A E I 1=� Ll N I I Vim- -U, IM
Owners email: \C)� ('noA �-? I Q, , r 1l .owner's Phone#:
Agent's Name: I DGr61) Agent Phone#: (-ZS L) jP 7 03 3
Agent's Email: r I yy-)
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
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 (Choose 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 aoDly to bulkheads or ripMp revetments). (If you wish to waive the setback, you must sign
the appropriate bla
I DO wish to waive
-OR-
I DO NOT wish to
below.)
the 1 setbac
/ Sig ature of Adjacent Riparian Property Owner
the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO'se�maiail• 4 /; 'A,�
Date: - /
2 ' 2 � 3fl- �-' �.7 �
is valid for up to one year from ARPO's Signature*
Revised August 2022
Boatlift
17
1
Steps To Water?
Steps
Existing Pier
:
:\
/
�
I
� k
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