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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.