HomeMy WebLinkAbout89004A - Rose, Nelson and Donna❑CAMA ❑ DREDGE & FILL N9 89004 A 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:
I SA NCAC I ❑ Rules attached. 0 General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name 1`i1 I., ", , IL
Address ICY Q, . 1- '4 f t U,-
City 11e r t State r:(. ZIP 2':I 11 "' I
Phone #(151) 313-G'b-46
Email frov o)sc I`; L,c)(d r.�V, w
r
Affected ❑CW
AEC(s): ❑ OEA
ORW: yes/6q,'
NEW X]PTA
❑IHA ❑UW
PNA: yes/n- )
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
i
Finger pier(s)�
Total Platform area
Groin length/H
Bulkhead/Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
-.
Cubic yards
Boat ramp r
i---•__.
I
_.
IL
Boathouse/ Boatlift
!,
Beach Bulldozing
I,
Other
i
SAV observed:
yes no
--
Moratorium: C n/a
yes no
--
Site Photos:
yes no
-
RiparianWaiverAttached:
yes no
i..
A building permit/zoning permit
may be required
Permit Conditions
❑ ES ❑ PTS
❑$PIMA ❑PWs
Authorized Agent !^.
Project Location (County): I �< c
Street Address/State Road/Lot #(s)
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
t.,
(Scale:
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial)
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit**
i
Application Feels)
Signature
Check q/Money Order Issuing Date
Expiradon Date
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: A so� it leos c J2
Address of Property:
5f 2rv« g4vo e P z , Nc 77`,
Mailing Address of Owner: S e 6-f ✓}/>'o c
Owner's email:N✓I"Losc (glop (0 6m4 6tJwner'sPhone#:
Agent's Name:
Agent's Email:
Agent
7a'7-373-9re7<-
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
APR 2 2 2024
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
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.
it you have objections to what /s being proposed, you must nobly the N.G. UIvision 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 apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must slan
the appropriate blank below.) ,
I DO wish to waive some/all of the 15' setback /
Signature o djacent Ri arian Property Owner
_OR_
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: r, L l2
Typed/Printed name of ARPO: OA4e C6. o -9"(
Mailing Address ofARPO: Sors (Sfli�02,2x "eg (JR
u &_� a33ao
ARPO's email:
ARPO's Phone#: 75-7 3 Pk - 6 io v
Date: y A. / d `Y *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022
,1,A-EC
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: N `e(30 ,1 A 2• sE 7r;
Address of Property:
1- A�v
Mailing Address of Owner: Swot?5 A5 41f0 V e
Owner's email: N iq 12,05,cF t 9 G o Owner's Phone#:
Agent's Name:
Agent's Email
Agent
,P 9 - 37? - �6 7 (.
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
-iECEIVED
APR 2 2 2024
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
description or drawing, with dimensions, must be provided with this letter.
VZ I' DO NOT have objections to this proposal. I DO have objections to this proposal,
it you nave oofections to what is oemg proposed, you must notify the N.c. utwsron 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 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:
tat—Eis
FkJ
Typed/Printed name of ARPO: �—(C-- 1 \ 0 U) P&Lb <�� y
Mailing Address of AR(P,O: `�� r I �-
ARPO's em il: lee 1J\V lc-
1/ i I I -?
Phone#:
Date: - OZ *waiver is valid for up to one year from ARPO's Signature*
Revised August 2022
t hZ�Z Z Z Ndtl
AMA / fJ DREDGE & FILL
ENERAL PERMIT
New ❑Modification OComplete Reissue ❑Partial Reissue
Previous permit #
Date previous permit issued
#3225,4-
As authorized by the State of North Carolina, Department of Environment and Natural Resources .L
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC
WRules attached.
Applicant Name="If�N� �O�'�_ Project Location: County C is CR l , MA A -I ,-
Address .'�7,5fl.IJI
City CN-ASA ,'CQiATi ��.b-�_State—V-A—ZIP_�23?112.
Phone # (157, Fax #
Authorized Agent
Affected D CW IXEW
AEC(s): ❑ OEA ❑ HHF
❑ PINS:
DPTA RES ❑ PTS
❑IH ❑UBA ❑N/A
❑ FC:
ORW: yes / no '. PNA yes / no� Crit.Hab. yes /
Street Address/ State Road/ Lot
Subdivision f 11 . 9 '; t[ Sf {), / --S
City E}tl A') Ilk , ZIP 71c)y(�
Phone # O River Basin
Adj. Wtr. Body J ,''F at /man /unkn)
Closest Mal. Wtr. Body
Type of Project/Activity
` .`.l4�iCE
jt.lirl:.l
Fi.�Li-%!r/f>')
j
r
(Scale:
Pier (clock) length
Platform(s)
Finger pier(s)
Groin length
number
Bulkhead%Poprap length , Jfi
f avg distance offshore'-
maxdistanceoffshore '.?
Basin, channel
cubic yards
Boat ramp'
Boathouse/ BoatlikIt
Beach Bulldozing
Other
Shoreline Length 1 6.o / T
SAV: not sure Yes
Sandbags: not sure yes CO)
Moratorium: n/a yes 'o
Photos: no
Waiver Attached: yes
A building permit may be required
Notes/ Special Conditions
- -
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❑
See
note
on
back
regarding
River
Basin
rules.
Agent or Applicant Printed Name
Signature s"i' Please read compliancestatement on back of permit
App on ee(s) Check#
®CAMA / REDGE &FILL
ENL PERMIT Previous permit#
New Modifi❑Dcation ❑Complete Reissue ❑Partial Reissue Date previous permit issued
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC c—'ri . tZ'r' 4'
ZJ Rules attached
Applicant Name
Address 'J�i 1, i)e F yc-.3•{d G+il/t"
City State
ZIP_._
Phone # # ()
Authorized gent
❑CW EW LI PTA LIES ❑PTS
Affected I
AEC(s): IDEA OHHF ❑IH ❑UBA ❑N/A
❑ PWS: ❑FC:
ORW: yes / PNA yes 'CSS ) Crit.Hab. yes
Project Location: County L4t(-Vi,44 -1-7y r
t `lc
Street Address/ State Road/ Lot #(s)
'i
Subdivision irFTZ6.- %l e.-hi St fGi1-t
Gitq f[3ilflt ][ '4i) ZIP /t(s{
t —7
Phone # () River Basin
Adj. Wtr. Body Lurk"" 49—D)m— an /unkn)
Closest Maj. Wtr. Body �j ✓a'
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Agent or Applicant Printed Name
Signature Please read compliance statement on backofpermit"
ApplicationFee(s) Check#
Permiii6fc 's Signature;
IssuingD e:...-Expitation Date
Local Planningjurisdiction Rover File Name
AMA / NOREDGE & FILL
LLkGENERAL PERMIT
w ❑Modification ❑Complete Reissue []Partial Reissue
A
Previous permit #
Date previous permit issued,
1.3 �D
As authorized by the State of North Carolina, Department of Environment and Natural Resources
and the Coastal Resources Commission in an area of environmental concern pursuant
to I SA NCAC
!
Rules attached.
i
Applicant Name :;`*d: ' i :a i �. f`o'S (
Project Location: County rCu "�' " 0 r
Address C. 1 0 A ! 1t i v �
Street Address/ State Road/ Lot #(s)
City :Il"i,-,kA-i,'1:%`XL: State�4 ZIP F
+ i'i✓it5Ytit_ L: f.'t(+:'L
Phone # (2_�fl it E-Mail --
I
Subdivision + 'UY I I : 1_wj 51 { ' t& S
i + -
Authorized Agent !
City t_ir— z (D ZIP
cw SEW PTA *ES ❑ PTS
Phone # (7�) t . ^ t'2 ` t'. River Basin )--i'ti`� ��Iii `��
Affected
AEC(s): ❑ OFA ❑ HHF ❑ IH ❑ UBA ❑ N/A
Adj. Wtr. Body L, i ai.- _ ./man /unkn)
❑ laws:
iW+'/"� iz_
Closest Maj. Wtr. Body
ORW: yes / no; PNA yes /:no �.
Type of Project/ Activity _
Pier
Fixed
Float!
Finge
Groin
Bulkh
Basin
Boat
Boat
Beac
Oth
Shor
SAV
Mo
(Scale: ' It I )
Platform s
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Phot
Wait/ r
A building permit may be required by:
❑ See note on back regarding River Basin rules.
( Note Local Planningf uns Iction)
Notes/ Special Conditions--%'-;r. , - „<. ,'7t,
Agent or Applicant Printed Name
9 ( i
PermitOflicer's Printed Name
Signature' '*' Please read compliance statement on back of permit*"
Application Fee(s) Check #
Signature
Issuing Date
Expiration Date
C
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