HomeMy WebLinkAbout89009A - Newbegun Land Association1+"OUr', WCAMA 0 DREDGE & FILL N9 89009 A, e C D
Previous permit
Date previous permit issued
GENERAL PERMIT
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 ❑ Rules attached. ® General Permit Rules available at the following link: www.deq nc gov/CAMArules
Applicant Name Authorized Agent P
Address i Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # (" )
Email Subdivision
City 1- f, y-- ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body fa - r. .(nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wen Body ,x,l r..IC 1l,Vf
ORW: yes/i o-) RNA: yes/no
Type of Project/ Activity � 0' L x l o' l.f i1w \L C. v,,
OW,,,.,1 (Scale: P. )
Shoreline Length
Access Length
Pier (dock) length
Fixed Platform(s) —
Floating Platform(s)
Finger pier(s)
Total Platform area
droin length/4 acl x t U
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/
Beach Bulldozing
tt
Other Z
SAV observed: yes no.
Moratorium: i. n/a yes no
Site Photos: yes no
Riparian Waiver Attached: yes no
A building permit/zoning permit may be rE
❑ 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**
lo`A 4 3
Application Feels) Check ff/Money Order
�f
Signature
Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: a3�D S�Gi.GI b�
6liz. 0;�/ tic YI'Lz7l
Phone Number:
Email Address: 411Q
I certify that I have authorized L Gyrlevx M a/ i^e" ,;,, L
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
I
necessary for the following proposed development:
at my property located at D.34 S/vW// D2 Et;2. C,Wj /?c R2id
in 0�1(oklt County. /
1 furthermore certify that I 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:
-(Signhfure
Print or Type Name
Title
/(_l-j I
Date
This certification is valid through to 1 a I a /
RE
VED
iti.C. DMSION OF COASTAL MANAGEMENT C "`" 1
ADJACENT RIPARIAN PROPERTY OWNER NOTlRCATION'WAWER FORM
CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY APR 1 5 2024
(Top portion to be completed by owner or their agent)
1,11C%il... f--r-
Name of Property Owner.
Address of Property:
Mairmg Addrsss of Omer. 156 eG'X //00
Owners "464 ' 40- s �f�/� e��7m�O�wrieP� s"�honeik go o -
8 o
Agents Name: l-!f 14-6.1 /✓1Ltr t A t T4 L Agent Phone#
Agent's Email: I&r ae r-^+ a r-
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion io be completed 6v the Adjacent Peopertv Owneel
I hereby certify that I own property adjaeentto the above referenced property- The individual applying forthis
permit has described to me, as shown on the attached drawing, the development they are proposing. 9
_-
' 100 NOT have objections to this proposal- i DO have objections to this proposal.
if you have obgections to what is Demg proposed you must rrofffy the N.C. Drrislon of Coastal
Management (17CMJ in Writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St, Ste. 300, FJiaabefh Cfty,1VC, 27909. DCNI representatives can also be
contacted at (252) 2&4_3909. Alb response is considered Me same as no Objection if you have been
notified by Cert�f' red IMI.
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 16 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 sine
the appropriate blank below-)
I DO wish to waive some/all of the 16 setbacjc L (�
Sign re of djacel nt iparian P any Owner
-OR-
I do not wish to waive the 15' setback requirement (ini ial the blank)
Signature of Adjacent Riparian Property owner
i yped/Printed name of ARPO:
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phone#:
`waiver is valid for up to one year from ARPO's Signature=
Revised July 2021
/`
�w
MK'
3a
'3aI
RECEIVED
APR 1 5 2024
OF COASTAL MANAGEMENT
ADJACENT RIP-SARIAN PRIOPERTY OWNER NOTIFICATIONMAIVER F `✓ E I V E D
CERTIFIED MAIL • RETURN RECEIPT REQUESTED or HAND DELIVERY
APR j 5 202b
(Top portion to be completed by owner or their agent)
Name of Property Owner.
Address of Property-
/1'Fv�beY,�n I �n�
A
ey
1.J�..'IVI"'-��,•'
/v, 'O' i
,G
oZ.�ti S/"lG l ( Z)2—
� ��� 12
Mailing Address of Owner 10, +"KIr? ,S-,o nV a L a-2 4 e, 5
Owner's email:
Owner's Phone#.
Agent's Name: bj4de n ✓ n06 n- t r SAC-
Anent's Email: I G e.n 11'lu ri -1
Agent Phone#- eS 33 S t3
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Sattom portion to be eomaleied by the Adjacent Property Owner)
I hereby certify that 1 own property adjacentto the above referenced property. The individual applying forthis
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.
A ` DO NOT have objections to this proposal- I DO have objections to this proposal.
If you have objections to what is being proposed, you musr nonry Erie rv.U.
Plfanagement (DC1f/IJ In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. Griffin St, Ste. 300, Elizabeth City, TUC, 279gg. DCrYi representatives can also be
contacted at (252) 264.3901. No response is considered the same as no ebjectlon fa you have been
ao0fied by Gertified Mail
IMAIVER 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 dprap revebnents). (If.you wish to waive the setback, you must sign
the appropriate blank below-)
I DO wish to waive somelall of the 16 setback
Signature of A jacent Riparian Property Owner
-OR-
I do not wish to waive the 15'setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner;
T ypedlPrinted name of All
Mailing Address of ARPO:
ARPO's email:
Date:
ARPO's Phones:
-waiver is valid for up to one year from ARPO's Signature
Revised July 2021
MI -NOG
MzsiM
,rF'.• . .
Ij
A J
l
n
Nq
4
Oc
J L
a
� L,
C2.G
C
,/ I o