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HomeMy WebLinkAbout89013A - Bythway, Matthew1Ate"r" O'CAIVIA ❑rDREDGE & FILL N9 89013 ; A) 13 C D GENERAL PERMIT Previous permit Date previous permit issued ONew ❑ 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 H • i i C-) is ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.goy/CAMAruIes Applicant Name fAL[" AA kej) k I It . )0�q Address I. 7_ S ( ;'Y_ AAA e rlu City C7 b,t i n -3_ State �1 zip 7 -1 411. 1 Phone # (% .) �i -7 - 141 Email V1 d),/^iki,) "t.-! IF� Qsne, 1 � . r llrn �, .;a Authorized Agent i._ st(A 0 tiT A C+, V a -a. e �i t- : f_ Project Location (County); CCL LaAr4 P," Street Address/State Road/Lot #(s) 1 2 `.'t r .-rsrTL{ r t Subdivision City Affected ❑ CW E EW El PTA gES PTS Adj. Wtr. Body i 1�1.t� L ;it. s : (naVman/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body Ark t2 r° WV-);, Y ORW: yes/no PNA: yes{C 1 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/a r Bulkhea�6 Riprap length Avg distance offshore e� . Breakwater/Sill Max distance/length .w... Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other SAV observed: yes no Moratorium: "n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no yy� A building permit/zoning permit may be required by: c_ t2 a.s. A t2 to C.[>u tr .( Permit Conditions i �A rY..O r'rC nV- I e.n is (Scale: ❑ 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*• c,-1 G 9' Application Fee(s) Check N/Money Order Signature %11 / Issuing Dates Expiration Date RECEIVEL N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM APR - 2 2024 CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) DCM-EC Name of Property Owner. _t-7arf)ir1r Address of Property: 1d)- /j✓-P cb-7 & C✓ rJ C- ') %% of 1 Mailing Address of Owner. Owners email: m 4,4 it c nt) t I z�> M Owners Phone#: 7 C2 32-3 / V s Agent's'. Agent's ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Owner) I hereby certify that I own property adjacentto 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 PrOPoseu, you must notny me .v.v. ".v sw.. U, Management (DCIW in writing within 10 days of receipt of this notice. Correspondence should be mailed to 401 S. Griffin SC, 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 sinn the appropriate blank below-) I A I DO wish to waive some/all of the 15' setbacWI ,J 2J //� b� �I:'i l c Signature of Adjacent Riparian PropenY 42rwner -OR- I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property /Owner: j Typed/Printed name of ARPO: Mailing Address of ARPO: Z 2 3 CAM Y%1� ARPO's email: Date: ARPO's Phone#: 2 � � - -5 5 q - ! P 6 'waiver is valid for up to one year from ARPO's Signature= Revised July 2021 RECEI EC N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMIAIVER FORM APR - 2 2024 CERTIFIED MAIL RETURN RECEIPT REQUESTED Or HAND DELIVERY (Top portion to be completed by owner or their agent) D C M- E C Name of Property Owner. ('707NGW �NT!-I ✓liy Address of Property: );)S- cfiMo/ w A✓e 16-2De,2� 1L a75a1 Mailing Address of Owner. Owner's email: rh it W�+7i� w rr 7. Owner's Phone#: 7J 7 �77, /Ya1 Agent's Name: Ip.IG%vr �orfiPdT �i tc Agent Phone#:a'��l� Agents Email Left.JCrTIm � 4��C � Ti✓l �ttl t 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. 1 DO have objections to this proposal. H you have Wections to what Is being proposed, you must notify the N-C. Dhdsion of Coastal Management (DCMj in writing within 10 days of receipt of this notice. Correspondence should be malted to 401 S. Gr"n St., Ste. 300, Elisabeth City, NC, 2799. DCM representatives can also be contacted at (252) 264-3901. No response is considered the same as no objection ff you have been notlfled by Certified Mall. 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). (ifyouu wish to waive the setback You must sign the appropriate blank below_) I DO wish to waive somelall of the 15' setback , Signature o 9 ' cent rparlan property Owner -OR- 1 do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner. V Typed/Printed name of ARPO: ' n/ / y Mailing Address of ARPO:�1 ARPO's email: l/ X Co (`A% /Q17,v 0 Pdl iMW—s Prone#: Date: _°waiver is valid for up to one year from ARPO's Signature Revised July 2021 t of t f N .0 03- OO Wozz - SO 03AI30�lb US IS Qj C » N k C C v C � � u a -ilk IS'CLi