HomeMy WebLinkAbout89963A - Delong, Richard and Marthaea ®CAMA El DREDGE & FILL N° 89963 G B C D
I GENERAL PERMIT D tepre io slpermit issued
0 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 77ii • j ZOO ❑ Rules attached. 1XI General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Authorized Agent
r
Project Location (County):
Street Address/State Road/Lot
J v City lr�d ZIP 279141
Affected ❑ CW NEW K PTA ❑ ES ❑ PTS Adj. Wtr. Body L till 4e-I,, n ,� t V2,�• t�a 'man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS ClosestMa�WtrBody 41110Cn orle Sokt,J
ORW: ye no PNA: yes, io
Type 11 of_Project/ rrActivity —�
4 It
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
x 291
Finger pier(s)
t�oe
Total Platform area .,� ,YS€WF
{
���FFF
b w
Groin length/4
•X� e
V
Bulkhead/ Riprap length
�.•
Avg distance offshore
Breakwater/Sill
Max distance/length
Basin, channel
' ,
iz zC!
Cubic yards
V 14
Boat ramp l
Boathou e/ Boatlift I Z i Y '
Beach Bulldozing
Other VV x16' rue cyt,
e& 5 04r_rw.
SAV observed: yes
Moratorium: es no ♦ cm-")
Site Photos: no r1v `py4'+r��7• ,-gyp\v
Riparian Waiver Attached: yes no r.
�s V" /�'ss
A building permit/zoning permit may be required by: —mob �Ak
Permit Conditions l• _
I AM AWARE OF
Agent or Applicant PRINTED Name
Signature **PletU read compliance statement on back of permit''
aft _ sill'
Application Feels) Check #/Money Order
,kr-5
- 1" t pGt�
17"'
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❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See ad itiona notes conditions on back
(Please Initial)
Permit Of er P'RnINTED Name
Signature
""ts I73
Issuing Date Expiration Date
xdiomrQ r; CAMA ❑ DREDGE & FILL N° 89963 <A B C D
GENERAL PERMIT Previous permit
Date previous permit issued
4 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: wvew.dea.nc.gov/CAMArules
Applicant I
Address _
City
Phone #
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/
Subdivision
city
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s)
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore_
Breakwater/Sill
Max distance/ length_
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: n/ayes no
Site Photos: yes no +-0
Riparian Waiver Attached: yes no
A building permit/zoning permit may be required by:
Permit Conditions
(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** Signature
Application Feels)
Check k/Money Order Issuing Date
Expiration Date
'AcWtV&LICAMA ❑ DREDGE & FILL N° 89963 A B C D
1 3 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 ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City _
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
E,.
(Scale:) )
Access Length Pier (dock) length
Fixed Platform(s)
�
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--
�
I
,.'
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i
Floating Platform(s)
Finger pier(s)
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7
Total Platform area
Groin length/#--
Bulkhead/Riprap lengthj-=-----,
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel��
11
j
i
I
I
Cubic yards
Boat ramp
Boathouse/Boatlift
Beach Bulldozing
it
i
Other
if
SAV observed: yes no
Moratorium: n/a yes no
Site Photos: yes no
RioarianWaiverAttached: Yes no
—
—
!
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_.�_
-
—
—
_,i
A building permit/zoning permit may be required by:
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 Name
Permit Officer's PRINTED Name :
Signature **Please read compliance statement on back of permit**
Application Feels) Check #/Money Order
Signature
Issuing Date
Expiration Date
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be oorrtpleted by owner or their agent)
Name of Property Owner: r,
Address of Property: SUS
Mailing Address of Owner: :E +
Owner's email: r d�' LD+� CJG�. v1 ,us+oner's Phone#:
Agent's Name:
Agent Phone#:
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 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.
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 dprap 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:
Typed/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
*waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
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Richard Oelong •Y
i5canner: IMG 0740
Jun 26, 2023 at c0 AM yt � 4-7 (i�.•� i/7 j j�
rdelong006@gmaii.ail.com �`"
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1. Article Addressed to:
IIIIIIIIIIIIIIIIII�I III � III I IIIII I IIIII III I III
9590 9402 8264 3091650830
2. Article Nienhe. IT,—f— /— —d..e t�J.an
7020 2450 0001 0555 9197
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