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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