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