HomeMy WebLinkAbout89022A - Holland, William00—Ava` �GAMA VpREDGE &FILL NU 89022 as C D
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fA GENERAL PERMIT previous permit_
Date previous permit Issued _
flew ❑Modification []Complete Reissue ❑ Partial Reissue
As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resarrces Commission in an area of environmental concern pursuant to:
I SA NCAC. —VW—( ¢% s� Rules attached. ❑ General Permit Rules avallable at the following link: vsww,delf rc gov/CAr & t,
Applicant Name w i 1 1 T
Addre$&.a• 5y� 7 �.
City N12 4I j c State VAe zip _1 J -2 cirY
Phone /f ( Say) :3 to e• -"LT
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Email t,�1, I �)_ is /in d o i'l[sti 1, C'G A'
Authorized Agent �• ____ _
Project Location (County); 9T) 6,
Street Address/State Road/Lot if (s)
+f7cs4'a XoC�C--�v��. ljan l�c�r
Subdivision �
City !) t,CX j-csn
Affected ❑CW 2Tsw MWA Fits OPTS Adl.Wtc Body._ \A1/it, '-Ij �, C J�` an7unk)
AEC(&): ❑OEA ❑IHA ❑UW SPIMA ❑PWS Closest Ma). Wtr. Body��M �) C•D
ORIN: yeN2� PNA; ye
TypeProJeet/Aetivky �c,nn..c'f" .(-e v.o_e/ �-ino.r r� a•' /( d�n,d in Y �"e �� %Sr
o •i s/' n`� 15 S I f s 5--k � LA c., t .}- C t. < .i-�, I "LL i-� c•�
Shoreline Length � % U r + + (Seale: tit FJ
Access Length., J t,
Pier clock) length rM
Fixed Platform(s) ^
a
Floating Platform($)
Finger piers)
Total Platform area
Groin length/q
Bulkhead/Riprap length �' S•r ({ I �/� �J�" I /
Avg distance hole. ^ �1 z_,•-s�
Break Sill
Maxdhtance ength ."
Basin, channel `
Cubic yards — S✓
Boat lamp 4�
BoaUluusu/BoatliN _ .����' �� �✓ J/
Beach Bulldozing -4/ ,V I cL^
Other � � _✓ t/i 4Z
SAv observed: yes
( 1 C L=4 •l 1/Q�l
Moratoriumn%a` yes no s 11 �,
+ JI p11
Site Photos: yei no /�p•'s J"PU p I10.A•`a. I- C
Riparian Waiver Attached, no t.Yt /-
A building permit/zoning permit ��maybe required by:
❑
TAWPAMINEUSEIBUFFER(circle one) Permit Conditions ___
------ ,.__ ._ ❑ See note on back regarding River Basin rules
-- F] See additional notes/conditions on hack
IAMAWAREOFSTATUTES.CRCRULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT (Please Initial) Pt W.
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r� _Yvon ���,�
Agent or Applirmn PRIN ED•NaRLc / Permit Officer, PRINTED Name
I-sPl+S'J,'rt 7mplia/nce statement
Signalu c'•Please readcompllanca statement on back of permit-- Slg ure
P b T.% S� y 9 /3 o & Y
Application Feels) Check q/Money Order Isunng Date Expiration Date
00MA, V11CA,MA �.VREDGE & FILL N`.' 89U22 (_A) B C D
GENERAL PERMIT Previous permit
Date previous permit issued
w []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 •'/ /—/Z '3V M Rules attached. ❑ General Permit Rules available at the following link: wwwdeq nc gov/CAMArules
Applicant Name Ini f
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Authorized Agent
Address
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Project Location (County): � C r,
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City 1TQ4 f j c.
State
ZIP —, ? 9
Street Address/State Road/Lot #(s)
Phone # ( $d ) 3 tS a
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c (pa X , _k
Email L,) r 1
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Subdivision �
City ew'x Fcan ZIP Z%S"Lu
Affected ❑ CW
PTA
❑ ES ❑ PTS
Adj. Wtr. Body y4li A <�) c��9 na an/unk)
AEC(s): ❑ OEA
❑ IHA
❑ UW
❑ SPIMA ❑ PWS
Closest Maj. Wtr. Body 4 G' �'t./ i
ORW: yesito:�,>
PNA: ye6
Type of Project/ Activity
a,�- JtAvl 511
Shoreline Length i r%
Access Length
Pier (dock) length
Fixed Platform(s)
ri IQ : arm Ai If ( e`AA in S -k / f- '75'
Co o15 e L-S a c�S . (Scale: A17S' 1
P" l\ (Lt, s J .,�� K)T
a
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/# r^
Bulkhead/Riprap length
Avg distance hore
Breakwa[o s
e J H 2t S r yh
Max distance length
Basin, channel
Cubic yards _
Boat ramp —
Boathouse/Boatlift '—
Beach Bulldozing _
Other _ /�� I(VI
SAV observed: yes
Moratorium: n/a yes no
Site Photos: yes no
Riparian Waiver Attached: no
A building permit/zoning permit may be required by: .l l
Permit Conditions
OF STATUTES. CRC RULES AND
Agent
ent or Applicant PRINTED Name
2Signatu a *'Please read compliance statement on back of permit*•
Z> a c�S'3a c�S'3
Application Feels) Check #/Money Order
s" [Is -0/5' oVQ_K-I,f /5P`�"
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9-K- S\ t/
p2ce, i r a
P�
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please Initial) P(
YV .> A n2 CJa�
Permit Officer's PRINTED Name
sig�73 / /2 / /
Issuing Date Expiration Date
t1AVOTI,HCAMA ❑DREDGE & FILL N9 89022 B C D
GENERAL PERMIT Previous permit
Date previous permit issued t
E] 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 r ! /-�i --,J� �`' rl.vt
44 u Rules attached. ❑ General Permit Rules available at the following link: wwwdecinc gov/CAMArules
Applicant Name (>`1 ! 1 c+. M _ S - Authorized Agent `-
Address `/" 2 (. )" C A f Project Location (County):
City State ��% �- ZIP / Street Address/State Road/Lot #(s)
Phone #
i'.
Email + ( I j , n d k; / I- rti J Subdivision
City ZIP ../..r .
Affected ❑ CW 'EJ EW F PTA ❑ ES ❑ PTS Adj. Wtr. Body (naU,man/unk)
AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body I
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length,
Access Length _
Pier (dock) length
Fixed Platform(s)
Floating Platforms)
Finger piers)
Total Platform area
Groin length/#
Bulkhead/ Riprap length -
Avg distance offshore4 -
Breakwater/Sill
Max distance/.length
Basin, channel Cubicyardsyards Boat ramp - j--'-
Boathouse/ Boatlift - I
Beach Bulldozing
Other
SAV observed: yes
Moratorium: n/a ',
no
yes
no
Site Photos: yes
no
Riparian Waiver Attached: yes
no _..._..._ ..e__
A building permit/zoning permit may be required by: 1, r `
Permit Conditions
PROJECT AND
r
Agent or Applicant PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Feels) Check #/Money Order
(: o LJi'�.;.
(Scale: n, )
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Permit Officer's PRINTED Name
Signature
Issuing Date Expiration Date
N.C. DIVISION OF COASTAL MANAGEMENT
AGENT AUTHORIZATION FORM
Date —,�W_ 00 a 4
Name of Property Owner Applying for Permit:
tom" /P Al All
Malting Address: ,
I certify that have antlrortud (agent) .. E : _, C 6\�,e- "Ito act on my
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behalf, for the purpose of applying for and obtaining all (!AkLk Permits necessary to
install or construct (activity) �r3�3 �1�� t?
at (my property located at} Q D &06K(
This certification is valid thru (date) _ 10 ) � 0 q,
110M
Property Owner Signature t� A Date
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONNVAIVER FORM
DERTIFIED MAIL • MUM RFMJPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner: W 1 I l l AM yo ll Ail /�
Address of Property:; 4I 0 6 0 eCMY AO/j i, / L,v fto♦ [jyt%,✓ de J yy al A
Mailing Address
Owner's email:
Agent's Name:
Agent's Email:
4n� (�r<-,iTAt ry' /�,��✓/{ica ,y>s �a 9 y
I*ll r✓Ae)►orftne0Phone#: RO'f 200 Il i6
Agent Phone#: ei S� 1 4- 0 y k Q
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be (cyo�mC ntetped/,biyt The Adlaclent P_ dL%/ner) � � 0
the bycertifytthhatiotvnprop�rtyadjac9nttdthle'l k%ferencedp p,)eRy-:7heind(vidualappiy�'gibrthhisw'-j
Permit
thas described
to me, as m dimensions,o non the attached drawing, the development they are proposing. A
� � N'a Provided with h' letter.
->�''�. I DO NOT have objections to this proposal. 100 have objections to this proposal,
!I you have obJeetlona to whet !s being proposed, you must notly the N.C, Dlvisfon of Coastal
Management (DCM) In writing within 10 days of receipt of this notice, Correspondence should ba
mailed to 401 S. GAflin St., Ste. 300, Elisabeth Cly, NC, 27909. DCM representatives ten also be
contacted at (262) 264.2901. No response Is considered the same as no objection !f you have been
notified by Certified Mail.
WAIVER SECTION (Choose only one)
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 ri anen access unless waived by me
(this does not eoty ro bulkheads or doraP revetments). {If yo h to w ' the setback, you must aion the appropriate blank below.)
I DO wish to waive eome/all of the 15' setback
-t)R-
Signs ure ofA nt Riparan Property Owner
wpvLc, oC-'JLi(
I DO NOT wish to waive the 15' setback requirement (initial the blank)_
Signature of AdjaCeht Riparian Property Owner:
Typed/Printed name of ARPO: AA , rjE-;W.1
Mailing Address of ARPO: Lb 7b ,C �7
ARPO's email: P L140106'")o L'' ARPO's Phone#:
Date: 1 j -Z-y `waiver Is valid for up to one year from ARPO's Signature*
Revised August 2022
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property: It7O (tO kwi v 6 hSpn /1j &tx40 r1
Mailing Address of Owner:. Ode 1 0 s' At— -, f dEti t-1 t,O V rl
Owner's email:h/z��i`a v�;^ho/Jc.rOwnar'sPhona#: 100-I 5t/1
Agent's Name: 144 G�, Ve_✓ Agent Phone#: 25-2 Oe�elQ
Agent's Email:V obkrt? 9 mar , Cr✓M
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adlacent 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
b0'Silj
> 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 (Choose only onel
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 riorap 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 .e
-OR-
Sjgnature of Adjacent Rioaffan Property Owner
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: M1e nAt( tT i do f
Mailing Address of ARPO: ,3�j Z G ,�0 VR ��f�m tf PvA YfiDi 2{G 2
i
ARPO's email: rm,4 i�nL ism ARPO's Phone#: 157 36 'DSOs �ei1
15'7 •Y4�1-9EIS l-fo�c�
Date: S /O •-2 P 2- t' 'waiver is valid for up to one year from ARPO's Signature'
Revised August 2022
Carver, Yvonne
From:
Carver, Yvonne
Sent:
Monday, June 3, 2024 11:47 AM
To:
Bill Holland
Cc:
mel covey
Subject:
GP89022, Receipt & 07H.2100 rules
Attachments:
HOLLAND GP89022 & RECEIPT.pdf, t15a-07h.2100 breakwater-sills.pdf
Good morning Mr. Holland,
A copy of general permit (GP) number 8789022 authorizing your sills project in Buxton is
attached for your review and signature. A copy of your receipt is included in the pdf. lam
also including a copy of the applicable rules/conditions for the construction of the sills for
you and your contractor, Mel Covey's, reference.
To validate this permit, please address the following:
1. print and sign the permit on the bottom left-hand corner below your printed name,
2. initial where indicated on the bottom right of the permit, and
3. scan and send a signed copy of the GP back to me.
Please contact me if you have any questions, and please let me know a timeframe for
when you will be ready for the GP for the pier proposal.
Thank you.
c`7i�o�U.ae
Yvonne B. Carver
Environmental Specialist II
Division of Coastal Management
NC Department of Environmental Quality
252-621-6453
401 S. Griffin St., Suite 300
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