HomeMy WebLinkAbout89032A - Snafuworld, LLC❑CAMA [ DREDGE & FILL N9 89032 A B C D
GENERAL PERMIT Previous permit
3 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 1 ❑ Rules attached. 0 General Permit Rules available at the following link: wwwcIeq.nc.gov/CAMArules
Applicant Name+.n�1 1 [, .
Address -/ f < n(i V-(, �3, !
City'•'' State F' f.. zip j ?>Li o I
Phone # ( )
Email .,..� t i .
Authorized Agent 1a •t c
Project Location (County): �^t , r o i
Street Address/State Road/Lot #(s) V it k 0 f (. k d
Subdivision
City r ?
Affected ❑ CW ❑ EW ❑ PTA ❑ ES �d PTS Adj. Wtr. Body 1; - : s,1 (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mal. Wtr. Body Poe
ORW: yes/no-) PNA: yes/no
Type of Project/ Activity
Shoreline LengthsY.t
Access Length I
Pier (dock) length
Fixed Platforms).
Floating
Total Platform area
Groin length/#
Bulkhead/Riprap length
A�Lqdstance offshore
Breakwater/Sill
/
Max. distance/length
IA
Basin, channel
1
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 -
A building permit/zoning permit may be required
Permit Conditions
(Scale: iv .L ' )
❑ 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
R G 1 V[ D
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION MAY 13 2o24
�^ DGM -L
Name of Property Owner Requesting Permit: S na�� ti U� I LL— C-
Mailing Address: 1 6-30 (? �"P'S 4/1- P 6
G('z. oil!j nc.
Phone Number:
Email Address: /
I certify that I have authorized LG�Ge.-, iY1ar%n p f )7n L
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development:
1 C, o I -A R ;gip-rrr��R A/) 20 ( h U&I,d
at my property) _located at LJD Q� rCrS�G�C R�
in UU-t�'► k- County.
1 furthermore certify that l am authorized to grant, and do in fact grant permission to
Division of Coastal Management staff, the Local Permit Officer and their agents to enter
on the aforementioned lands in connection with evaluating information related to this
permit application.
Property Owner Information:
24�
Signature
Print or Type Name
Title
�IO� l_ui
Date
This certification is valid through UV
REGEIVED
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION►WAIVER FORM MAY 0 0 2024
CERTIFIED MAIL . RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent) C M m C
Name of Property Owner. S rl a t v rJ o r U k �,C
Address of Property:
Z 710 c(
Mailing Address of Owner: 7 oo/� S 421,-e- s t I west R 4, (; rye k, FL .33 ` o
Owners email: nn io u. P (�jj (lv4 r I Owners Phone#: J 6i 77 7 G 8 a
Agent's Name:toadjg '� / Agent Phone#:aS13 "?1'�P���
.gents Email: Let N6fInMN�9 n & "f,ee%, I • C &,"I
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Ownerj
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 drawino with dimensions must be provided with this letter_
V 1 DO NOT have objections to this proposal 1 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 (DOW in writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Grfffin St, Ste. 300, Elizabeth City NC, 27909. DGM 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). (Ifyou wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive somelall of the 15' setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the I & setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mailing Address of ARPO: RE) re I_I 7_ it C� I Ci -1 ^; (
l
ARPO's email: �� 1 ^0� i ARPO's Phone#: -7 �
a o a calf
Data: t Li �P2 �� 'wa\iv(er is valid for up to one year from ARPO's Signature-
Revised July 2021
rt O
uj
o%
V c�
U
W(j)
�
S
�
S
r
CZ
Q
N
J
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM ,MAY 0 6
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: C1v I-rt w n t �C� ln- ti(,
Address of Property:
C
Mailing Address of Owner: 700 5. 04ve. 54, We54 OWK Be46k , Fk 3340t
n
Owner's email: f11 uovf 1� (S Q r�..Owner's Phone#: Do 1 i ? 7 (41.8 3 $
Agent's Name: kee1cte,\ _f'(4 t^t Agent Phone#: Z.i"Z 33L 0-313
Agent's Email: tc� iC�ro�rwecr.ne f� 1W�Mcc� 1 • Gd/ri
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
C:
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
descriptiREor drawing, with dimensions must be provided with this letter.- Ov/k ((
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 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
No
I do not wish to waive the 15' setback requirement
Signature of Adjacent Riparian Property
Typed/Printed name of ARPO:
Mailing Address ofARPO: 1900 {n 1.ez 2 `Le �rrQc�✓, �Ii Cr6A
ARPO's email: 614- , lI' 111 J�� kR O's Phone#:
Date: L4'' (b -Zo / *waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
st �
0
m
w
J
3
i
v
.. �!M1,�f
iq 1
� r
h Y
( �• f! 1i �1 � ; F
!
I ..
Al
r 9`
9,; hl
�tl1J1 p`s 1, i`` sa.