HomeMy WebLinkAbout89055A - Siers, MichaelJ(Our° CAMA ❑ DREDGE & FILL NU 89055
A B C D
ENERAL PERMIT Previous permit
Date previous permit issued
NV�New ❑Modification El Complete Reissue ❑Partial Reissue
As authorized by the[/$tote of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
ISA NCAC 7('� t 12 a a ❑ Rules attached, OLGeneral Permit Rules available at the following link: MWAMnL9V&AMAu I
Applicant
City # State do ZIP
Phone # tL X7 —
Email 1
Authorized Agent Nl{-1'(�ao_ s•�'e Cry_plky-91e
Project Location (county): n o.(i
Street Address/State Road/Lot #(s) _ �/ 3 Z S. 671, ,e
Subdivision
City ry cc
Affected ❑ CW
AEC(s): ❑OEA
ORW: yes/6
E y PTA
❑IHA ❑UW
PNA: yes
❑ ES
❑SPIMA
❑ PTS
❑PWS
Adb Win Body CrGA M'
Closest Maj. Wtc Body ,<oaA ok,.-.SOcsA�
(nat/®unk)
Type of Projebt/ Activity
n f^y--
4Ct
(Scale:A( )
Shoreline Length
Access length
f
/V
Pier (dock) length
CA
t.i A I—
Fixed Piatformis)
Floating Platform(s)
—
Finger pler(s)
•+•
/f 6 CvT (� ��
Total Platform area
Groin length/t
Bulkhead/Rlprap length
A'"
Avg distance offshore
Breakwater/Sill
M
Max distance/length
L
Basin, channel'—
Cubicyards
�eaCts i—rrV� Ss tica/fn3 --
Boat ramp
Boathouse BoatllR
I
Beach Bulldozing
Other
�C
6-A7
I
5
SAV observed: a yes LnoJ
Moratorium•• n/a/a yes no I
Site Photos: <VELi3
Riparian WalverAttached: yes V
A building perMt/mning permit may be required by: /yg� _
Permit Conditions
❑ TAR/PAM/NEUSEIBUFFER (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)
Y✓O AAA. C(*CVa"
A or Applicant PRINTED Name Permit Officer's PRINTED Name
Sign [ e••Please read compliance statemedon
back of permit•' Sig ure J
Application Feels) C eck g/Money Order Issuing Date Expiration Date
Iq
❑DREDGE & FILL N° 89055 a B C p
ENERAL PERMIT Previous permit
e Date previous permit issued
New ❑Modification ❑ Complete Reissue ❑ Partial Reissue
As authorized by the to of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to:
I SA NCAC f a D ❑Rules attached. � General Permit Rules available at the following link: www.deq nc gov/CAMArules
Applicant Name /V
L ) CG 1'i_A_Q
( I S / :g a S
Authorized Agent N D
4'lF71 e-, e
Address O
.S
c�.c. W
Project Location (County): ���[[
I
CityS State 1�C ZIP
c
/o-�✓L
Street Address/State Road/Lot#(s) LAI
3/Y S Dune
Phone#"
—f'
Email
Subdivision
4+
city N!q if
ZIP
Affected ❑ CW
EW
❑ ES
❑ PTS
Adj. Wtr. Body C.f�ppyL *ai'
(naU n ra unk)
AEC(s): ❑OEA
❑IHA
❑UW ❑SPIMA
❑PWS
Closest Maj. Wtr. Body /\bM oKe--Sflu�
ORW: yes/"I
PNA: yescf�)L
Type of Project/Activity �nS7
G-tl 131-
/
iS n 4 *
CoCO
(Scale.AfT )
Shoreline Length
D
Access Length
Pier (dock) length
Ca t�J ft L-
Fixed Platform(s)
Floating Platform(s)
_
Finger pier(s) -'
Total Platform area
Groin length/# _
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/length —'
Basin, channel
Cubic yards
Boat ramp
Boathouse Boatlift I
Beach Bulldozing
Other
�E�ts � ,N� ss wcu/tEhos
5' / 6Rs
SAV observedyes L
Moratorium yes no i
Site Photos: <SieeC� nq �tL
Riparian Waiver Attached: yes o
A building permit/zoning permit maybe required by: ( +(.1 :n. e t- N 0.V head
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) A
YVb it �e Ccr�a�
Agent or Applicant PRINTED Name Permit Officer's PRINTED Name
Sig nat re **Please read compliance statement on back of permit** Sig ure /
nC) %2 05 Lo(I7—/9.Y
Application Feels) Check #/Money Order Issuing Date Expiration Date
ACe"r", ❑CAMA ElDREDGE & FILL N9 89055 (A) e c D
J.
GENERAL PERMIT Previous permit
A
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 ❑ Rules attached. []- General Permit Rules available at the following link: www.deq.nc.gov/CAMArules
Applicant Name Authorized Agent n% 1 r
Address Project Location (County): !
City State ZIP Street Address/State Road/Lot #(s)
Phone # (:_)
Email Subdivision
City ZIP
Affected ❑ CW ❑ E1N ❑ PTA ❑ ES ❑ PTS Adj. Win Body (nat/man/unK
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Mai. Wtr. Body
ORW: yes/no ) PNA: yes/no
Type of Project/ Activity -
(Scale: )
Chnrolino I onoth
Access Length
I
V
i
I
I
i
Pier (dock)length
Fixed Plafform s
—
_
I
...L_.
T
r
-
—
—
— —
Floating Platform(s)
Finger pier(s)
Total Platform area
Groin length/#
L
-
3.�
i
4
Bulkhead/ Riprap length
Avg distance offshore
--
I
r
-
---
-
-
--
--
_
-
--
�—
--
—
-
Breakwater/Sill-
L
Max distance/ length"'
m
I
1
Basin, channel
Cubicyards_
'
r
;.
_tr
,
-
�,
<
_
-h
—
—
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
T�i-
Other
-
-
-
�
-
-�I
-
-
-;
.
`
SAV observed: yes no
�
Moratorlum; n/a yes noL
Site Photos: yes no
I
-�-
p /
r
a.
i
Riparian Waiver Attached: yes no
!
-
A building permit/zoning permit may be required by:
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
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature "Please read compliance statement on back of permit**
Application Feels) C eck #/Money Order
Signature
r
Issuing Date Expiration Date
#[GAMA [VDREDGE & FILL N9 'i129 B C D
Previous permit
GENERAL PERMIT Date previous permit issued
�Oew ❑Modification ❑Complete Reissue El Partial Reissue
As authorized by the Split 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 R des av"Ie at the following knit: www.deo nc gLy&AMArules
Applicant Name @. r.S Authorized Agent N(o f �� 'Ziz S' .t �t aA ,o,„_
Address (s1 3 �',...{ q� ftA-a_ M O-H i n 010.4 Project Location (County): _• �/ �`--
City — a j NC
State - Zip �2 -—r.!'.a 1"•J S3 Street A/ldretsiStato RoadfLot #(s) ( s
Pharw���j-i�l a' t
Emag ^--- Subdivision
Affected CW W A 6-2 - Adf•wO'aodY �'"�` nQG (na rk
AEC(s): ❑OEA IHA UW! Q ❑PWS Closest Mal.Wtr.Body'` �A /tee-SOtit
rmvv-vnsn ~% PNA: vet no
Type of Project/Activity,_ o n +ru, , 0 ar �anlace.n•t+� tf�— Vit1y j_ B�ti �i��.wtct
(Scale;
I
Shoreline Length t�—
Access Length r � lit: (t_
N
Pier (dock) length
Fixed Platform(s)
Floating Platforalls) J ~� Aj- J1.
Finger pier($)
-- t\� `F 13 `�,O �!`�1t�;-.l-taco-�t.,�tiy�fz'� a•-r w' �-er��+o-rl
Total Platform area x) k�
Avg Instance ormnwe
Breakwater/Sill___._f-- `
Max distance/length
Basin, channel E}C ( 5'wg V
Cubic yards— I ���"2•PI;SA'cf�
Boat romp
Boathouse/madift A I `'CsJ-ry
Beach Bulldozing
Other
S lca
SAV observed: s Vat
Moratorium: n/a�
ygg, no nn
Site Photos: <40�
Riparian WalverAttached: yes
A building permit/zoning permit may be required by:
Permit Conditions
re-
TAR/PAM)NEUSUBUFFER (circle one)
See note on hack regarding River Basin rules
See additional notes/canditions on back
I AM AWARE OF STATUTES CRC RULES AND CONDITIONS THAT APPLY TOTXIS PROTECT AND REVIEWED COMPLIANCE STATEMENT. (Please lnitiaey.__._
Ag rApplitant PRINTED tams P¢ it OfNur's pR7NTEDName
Sigma � - Please read compliance statement on b f permit" s f7-2-
Application
J/ (9 y SI L `
Fee(s) Check a( oney Order Issuing Date Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit:
Mailing Address: �(� (5 S ,
Phone Number:
LQ
Email Address: �4ikasiPrsCime.com2024
1 certify that I have authorized )Q' & 1lc�rl r1 f'
Agent / Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits `
necessary for the following proposed development:
13\.13-
at my property located at
in . 5�1�1�� 1 County.
I 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:
ignature
N idi bf rff if st
Print or Type Name
. Owner
Title
5 1 14 12024
Date
This certification is valid throw h l
Revised Mar. 2016
i\M
1�0
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, 1/U I \ \
Address of Property: �:� n ^
Mailing Address of Owner: L 63S� a1
Owner's email: Owners Phonet —
Agents Name: �� Z„�i cl Agent Phone#. r72_ p�
Agents Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom wrii�n to be wmoleted by the Adlacertt Property Ownar)
I hereby certify that I own property adjacent to the above referenced property. The individual applying for this
permft has described to me, as shown on the attached drawing. the development they are proposing. A
d ri ion r i m nsi a 1 .'
-tc cio ne. , J
K 1 DO NOT have ob�ections to this proposal. 111 hav jection$to this proposal.
ff you have objections to what 1s be)ng proposed you must notify the N.C. Division o Coastal
Management (DCM) In writing within 10 days of receipt of this notice. Correspondence should be
mulled le frepresentatives
ci
contacted at (252) 2B¢3901 No response considered the same as no objection if you have been
notifled by Certlt7ed Mail.
WAIVER SECTION (Ghaose onlyLon
al
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
(thi bes not aodv to bulkheads or�ip revetments). (if you wish to waive the setback, you u sl
an
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 15' setback requirement (initial the blank)
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO:
Mary K. Gay
214 Earle Ct, Newport News, VA 23608
Mailing Address of ARPO:
ARPO's email: maryk.gay@ferguson.com ARpO•s phonelk 757-544-34b6
Date: *waiver is valid for up to one year from ARPO's 8IgnatuW
Revised August 2022
W
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL RE T VR ' RECEIPT REQUSTEQ or HAND DELIVERY
(Top /orportiion to be completed by owner or their agent)
Name of Property Owner. t U I )1 C R �1 1' ar`'2 Iy^ ,�
Address of Property:
k l l 2 a S C'�Ltul a r 1t� 1 Cwt
Mailing Address of Owner. 4�
Owner's email: Owner's Phonaik
Agents Name:
TYl / k Yl E Agent Phone#:
D�._,:_� r
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bo om oariion to be comoleted by the Adlacant Proverty Ownerl
I hereby oerffy
that I own property adjacent to the above referenced property. The Individual applying for this
perm t has desaibed to me as atrown on the attached
ed drawing, the ss development they are proposing. g
de cd io or w n e }- J .
�� Yl e'` � 0 5 ons to thisproposal.
�. 1 Oo NOT have ob ectlons to this proposal__ I DO hav jactl
If you have objections to what Is being proposed, you must notlgr the N.C. Dlvislon Of Coastal
Management (DCM) in writing within 10 days of receipt of this nogce. Correspondence should be
Ellxabeth City, NC, 27000. DCM representatives can also be
mailed to 401 S. Griffin St, Ste. 300,
contacted at (252) 204-3901. NO response Is considered the same as no obJecPlon If you have been
no~ by Cori fled Mall.
WAIVER SECTION I&hooae only ones
I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be sat hack a minimum distance of 16 from my area of riparian access unless walved by me
ign
(this Goes not aociv to bulkheed� or doreo revetments). (If you wish to waive the setback, you must s
the appropriate blank below.)
100 wish to waive somelall of the 15, setback Signature of Adjacent ftlparlan P/oParb Owner
-OR-
I DO NOT wish to waive the 15' setback requirement (Initial the blank)
Signature of Adjacent Riparian Property Owner. } i
arum Lets tQ r
Typod/Printed Hama of ARPO: 1 0 11�ec � � A Y � Z3 83
pK prAnc�tit �i'ieST1�
Melling Address of ARPO: l i `� L� JA r )r,
ARPOIsemalk 1•iItdzv_< �.wr^ARPO'sPhonem $154 -LfOZ -71¢16 1
Data `✓ ) �' -waiver Is valid for UP W one yaw from ARM& Sipnawra,
Revised august 2022