HomeMy WebLinkAbout87298A (MOD) - Broome and O'Canas_y1t.OEM%&[,�CAMA VJ DREDGE & FILL NY 8'/29 i A B C D
2� GPrevious permit
GENERAL PERMIT
Date previous permit issued
El New [I Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the State oAth Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
15A NCAC I❑ Rules attached. ❑Y, General Permit Rules available at the following link: www.dea.ncgov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State ZIP
Authorized Agent
Project Location (County): k c Y„ ,., 4 r,
Street Address/State Road/L.ot #(s) D.0 O L.
Subdivision
City f 1, 7.otk11, 0 ZIP a-rr
Affected ❑ CW
❑ EW ❑ PTA
❑ ES
❑ pTS Adj. Wtr. Body (tee. r,o 1 r (!. vn 1. nK 1, " i ,_(riatifffiWunk)
AEC(s): ❑OEA
❑ IHA ❑ UW
❑SPIMA
❑ PWS Closest Mal. Wtr. Body C e..�., c ! < .-, k_ f+-�'t •�i i-
ORW: yes/no
PNA: yes/lio-,
r.
Type of Project/ Activity
(Scale: U t :. )
Shoreline Length
Access Length
Pier(dock)length 'Uza[�C��"�-L��
Fixed Platform(s)
Floating Platforms) b(1',t,4
piers) `t �
Total Platformarea Groin length ��• � � -ky�—;- 1
Bulkhead/ ipra ,10
ngth
Avg distance offshore l7s
j �
Breakwater/Sill 1
Max distance/ len h""-�}--
14 F
Basin, channel � I- -�i-- �A.
Cubic yards .
Boat ramp
a916'
C`sFinger
R�l
._
- h;
a
�...
LG�-3
_
1
-
v k
(.
`
114
1
p
}e_Yt
C
Jiv
iVl
1
,.,
<a
/
-
"�
Boathouse/Boatlift
Beach BulldozingfF
.r
r
J
h
Other
_
,
SAV observed: yes T—
Moratorium:. n/a yes no �—
Site Photos: -yes no
RlparianWaiverAttached: yes no
<:
-
—}--
A building permit/zoning permit may be required by: (i . <1 , 4 (_ 1.7-c. i,-, 4
Permit Conditions
❑ 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
Signature -*Please read compliance statement on back of permit"
Permit Officer's PRINTED Name
Application Feels)
Check N/Money Order
f
Issuing Date
Expiration Date
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER 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:
JOSHU& )3iz0044e-
Mailing Address of Owner: 64M'-
Owner's email: ?Q s><�0 h 9��9/h9/l.� wner's Phone#:
Agent's Name:
Agent's Email:
Agent Phone#:
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. 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 ri rap revetments). (If you wish tow .ve the setback, you must sign
the appropriate blank below. J01��
I DO wish to waive som of the 15' setback
Signato of Adjacent Riparian Property Owner
-0 R-
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: ��� a4R--nI
Mailing Address '�� 'U.,of ARPPO: ��n1 /C,v�, C 1
(
ARPO's email: 1 grAll" t (�i �/�/� ARPO's Phone#:
Date: 20 t *waiver is valid for up to one year from ARPO's Signature*
Revised May 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of PropertyOwner:JDSOLAA $,CoamC 4 KR/Sr6L O'CAt-AX
Address of Property: 200(0 1q'V RS*0le9 RbFL 1 7-ABET7+ C. i 7-(, NC— 2.7 9o9
Mailing Address of Owner: ZOOG RiV& SHty& RD. EGi 2AAdE71J C r Ty, MG 2 7907
BCenM[.' SgooA41- 757-2SV—(ef7G
Owner's email: Wocis mA4 A;r�iL•Cos•+ Owner's Phone#:0'rwww s - 3& / -SJfB -OS 7 f
Agent's Name:
Agent's Email:
Agent
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.
�1� 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 fne iv.L;. uivision or L'oasrai
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 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 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
S7
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: C1 :.�i V �L
Typed/Printed name of ARPO: o c P � V. 1 u G Y' rQ
Mailing Address ofARPO: glv,,y;S lc)w La-) E hybegj Cif'% �JC -) %yVi
ARPO's email: 0k H d WJ,,.c,.iXkRPO's Phone#:(;252,2 It 1— u a S iJ
Date: - r *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 NOTIFICATION/WAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property yOwner:SOStJfA 3aooM E .1 'kISTEL- 01GAA04 S
Address of Property: 20 0 & R 1 Va0e S N vrCfi Ie D ELt ZAgE-rH enq Nd- 2-79 o 9
Mailing Address of Owner: ZOO 0 i?t✓AieSNer2rE 9b EL./EABE7II G i r y �G Z-7 9 a
IF460,41C-�qr rli0 HH 9 l�&moo Li.•Cppy B,¢0ars6
Owner's email:koC,gnuis�L ivnrt.COn+ Owner's Phone#:otw,.,,oe — 3'I -S'k' 0 5=
Y
Agent's Name:
Agent's Email:
Agent
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. I DO have objections to this proposal.
It 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 riprap revetments). (if you wish to waive the setback, you must scan
the appropriate blank below.)
I DO wish to waive some/all of the 15' setback
-OR-
Signature of Adjacent Riparian 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: Y _y// AU ✓�D Y�
Mailing Address of ARPO: .2 iVC✓ 4- at--e
ARPO's emajl: /ev-/'Dss0 RPO's Phone#:
•Ge
Date: _*waiver is valid for up to one year from ARPO's Signature*
Revised August 2022
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N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
I 1� r ��
Name of Property Owner: .—i oS A u P 13,re e e^-e AAd KIZ r s f c-Z CJ CAY^S
Address of Property: a260(a t�ivraJ�r< Rom( �e•7rAP1 `G't�%, t-IC �7$b�j
Mailing Address of Owner: 5`N rn
Owner's email: _�,*A-fsokk 1(t9M0,d•446woner's Phone#: '1S7--)5Lf ` !s J 7L
Agent's Name:
Agent's Email:
Agent
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.
VI -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 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 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
_OR_
I DO NOT wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner: Vo os -J f
Typed/Printed name of ARPO:
Mailing Address of ARPO:
4,Z bo ra 1, i^d rr-r? I I
ARPO's email:
aC)&)o
E lI' ab-O'f'ti Ct
Phone#: ("?_ 5�) 3 3I 0Z 56
Date:, UpIp 0-1 *waiver is valid for up to one yearfrom ARPO's Signature*
L.
z'7 96'9
Revised August 2022
11CAMA "' DREDGE &FILL
Nn 87298 � a c r
GENERAL PERMIT Previous permit
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:
I SA NCAC 14. �,)r �0t �0 ❑ Rules attached. General Permit Rules available at the following link: M deonc gov/CAMA i
Applicant Name JLvkt9f Ai(
Yi
�i f S){.` Q NS Authorized Agent
Address. a0l)(> R%t"-N re P-4 Project Location (County): Pn
City 1. i.Z+:.htZ't-. ON, State IJL � ( tad/L
—--r- ZIP _ � i c'i U r Street Address/State Road/Lot #(s)
r fs
Phone#(lj�.J)!J!k0 --4$44
Email
Affected ❑w [YEW PTA ®ES PTS
AEC(s): ❑OEA ❑lHA ❑uW ❑SPIMA ❑PWS
ORW: yes PNA: yes/6)
Type of Project/ Activity f&o 1 y luc A A of �i T+ e, I
Shoreline Length f &'AS' Jpp
Access Length 04v\l
Pier Platt length
Fixed Platforms)
Floating Platform(s)
Finger pler(s)
Total Platform area /
Groin length/# � y
Riprap length '-d3D'
distance of ore vl
Breakwater/Sill_ /
Max distance/length rf L�1
Basin, channel 1't
rlQ
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
Other
SAV observed: yes no
Moratorium: � yes no
Site Photos: .rVg—o .,,.
Riparian Waiver Attached: y
Subdivision
City 1=1i iGi. .4-1, i-y Z1P __s� qcc?
Adj. Wtr. Body Ct: n91 //II r Qit;VaJ,.nlL Q H/ .T I/unk
Closest Mal. Win Body Pe Sc+, IC a vC r
HstlLw.cL hl.grrr
w? T I 114--- v
� K
1 �M d;rlr:k.MeC
If �
I
1 w
Ey,. Pi JiY.rVtl q�aA. �'
`�/cell �\ � � � tt✓
ISr.ay rrv..(r
A building permit/zoning permit maybe required by:_ ,� V E I ?-c 1, t h (• `��
Permit Conditions
J
(Scale: k)YS.
1
KL ti
ML (yr(,ir�,
❑ TAR/PAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
Permit Officer's PRINTED Name
IS
rlUq 4 d(rC'
Signature •• ease read compliance statement on back of perrpit•` - Si nature
goo p7 -Al� i� �l-d�-'4g
\pplicahon Feels) Check
It/Money Order Issuing Date
Expiration Date
Jas
.
/ [`" �i /"� % do
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