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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 - - ' l l L ��_ �.� t r— j I . —__ l I —°I-_ -- _ I i _ '._ � T by: I / it t f i Jl/ ? ❑ 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' ■■■■■i ■■■■■-�u■u ■■■■j � .W■■ _ MIN NONE 0 NN::■EN ■■■■■ �Y ulii���w,Q�!!!!■N� M ME N�n �■ ■■■ j■■NL��' '7!i■■■M■■■■MMEM ..j■■ ■w�E=� ■�■■■ ■p ■ ■i■momm'"■iiiiEa■i.i ii ��Sii■"`iiiiNiiii� ■�■��� • ■ ■■■ ■■ ■■ ■ .. ■s'NGiiiMu■ ■%I ■■■iWN ME i® ■ �_ .■■■_—..sum �■■■■■■■� ■m■11■N=■ NINE t+ ■ Was N■7■■■■fir'■■■■■■��®�8��■■■■■■ r �■�,►■■■■■■■■■■■■�■BNu■■■ ����NNMEN■m■■��■� ME �E[m■■MM■ ME EEMISM ■■M■a�Ni.0 ■■■ ■■A■■WMEMS NO ■MMEM'i■EMEM � 1fiMiii�tl ■� Li ✓ i So r 005e 2- 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 S■■ j� ■■■�■■■■■ tl:l■■�i■1i1�31G■■■�■■■■■■■ I T '1 ■■■ �■i■�i■i'�iu ■■ME ■�Ul��MO■■■■�■ ■■■■■L�i�■■ a, N■�■p■■■■H■■ I k��■r�i'�Ir��1�if�l�ita'll■ 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 E