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HomeMy WebLinkAbout89063A - Bradley, Jackson and CherifP"w "FZICAMA ❑DREDGE &FILL 1 89063 �% a c ° fPrevious permit 14 GENERAL PERMIT Date previous permit issued W®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 re: I $A NCAC_— i -A taw ❑Rules attached. ® General Permit Rules available at the following link: wvm deancggy/CAMMuIec Applicant Name UCUCX-19 _ .t't( - -1- _� Authorized Agent Address 1 � peu ix." � s Project Location (County): t City i' 6r-gbr»k State mt ZIP i�4`�� i- Stree+t Address/State Rotad/Lot#(s) le& 14'11 Phone#(Z`/) `i��+J+ 1-9sl$ i(Aw Chan c l;Ar- itss Emmil L--,CLV" TA Vl Q t CICK&A c(sm tPt�eAt Subdivision t`ia/Y�t&w 3 TiLards E"� r7e City- yey-i� y" ZIP aL T1149 Affected ❑CW NEW ®PTA ❑FS ❑pTS Adz. Wtr. Body LiflQ����ff� iQayman/unk) AEC(.): n-OEA ❑IHA ❑UW ❑SPIMA ❑PWS ��,,12-(V'er- Closest Maj. War. Body W beMCUA So;�) ORW: Ye51 .0 PNA: yes .• _..\`lR Type of Project/ Activity a,: I, " n /. . . r Shoreline Length, Access Length 10' A fur Pier {dock}length `(jik{Qr 1 FixedPtatform(s} L:ci� " Floating Platforms) Total Platform area i ~ Groin length/R _. Bulkhead/Riprap length Avg distance offshore r Breakwater/Sill - T Max distance/ length -- Basin, channel Cubic yards Beads Bulldozing_ `_' Other SAV observed: A/� yes Moratorium: 05 no Site Photos: /y�es no Riparian Waiver Attached: '� Go iLe3 A building permit/zoning permit may be required by: _ .x � �•wi t rL`Fl g t� rrLrr I..Y o t fStale• 1'zuO ► Lybisli a 1 xrZ! Ipoa+Li r :- 1 t yf � 1 s —f OyS I 1 i c -- i 3rt<14(_ -.I 'J ---i• 1 * t 1 -r- '1 '"t,0 it • � �+- 1 I ! i t , ._..�.... TARIPAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back IAMAWARE of STATUTES CRC RULES AND CONDITIONS THAT APPLY To THIS PROIECr AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Tarkcn t $rn Chen; Bt'ad ley Bent oq%ppfican[PRINTEDNa te. A, (}, Permit ' er's YRINTrD Name ^ , !Please read complrs& p6abamant on bade of permit"* V 51gnature it �- Fees) Check II/Money Order Issuing Date Fxpimfion Date � �wuru $kCAMA ❑ DREDGE & FILL N9 89063 �j B C D 4. GENERAL PERMIT Previous permit � Date previous permit issued ® New []Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by the Sta1te' of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: I SA NCAC n V� t ( 01crl) ❑ Rules attached. ® General Permit Rules available at the following link: www.deq.nc.goy/CAMArules Applicant Name 54C SOh aC CAl �n-Kcl jo 1_ _ Authorized Agent ^� Address,6, f1 ' Pet v, � , Project Location (County): '?A^-Q 'A,jyrr�1%3 City ,',1 i_ ,_:45rd State tit zip 7.1 WIf Street Address/State Road/Lot #(s) les 1 %.Z Phone#(T5—'7) z'(5�—'�J.Zg 1(e Be.l1 ca CnLxr-k Email c c%m Subdivision `__ 181 n%a�w�1 a �' Lat,n Ep d City CF4x—F"Y'llY-EA ZIP ;2ieNq Affected ❑CW QEW ®PTA ❑ES ❑PTS Adi, Wtr. Body L+a?._/j�F-Cy'ef (®a man/unk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body f��bemciLrte Soc,_J ORW: yes/c PNA: yes1ED �y,R Type of Project/ Activity 1!e' L, k ?- "L,> J , Shoreline Length 7— Access Length (V Pier (dock) length D ((; Fixed Platforms) l(o'x2� Floating Platform(s) Fingzgpl `r(s)3(O` K'3 X Total Platform area 91,7—$3L Groin length/# Bulkhead/ Riprap length Avg distance offshore Max distance/ length Basin, channel Cubic yards Boat ramp Boathouse eoatr 16tR /7.' Beach Bulldozing 'N Other I SAV observed: yes Vg Moratorium: (0 ,yes no Site Photos: C no Riparian Waiver Attached: ­0 (rb A building permit/zoning permit may be required by: Permit Conditions OF STATUTES. CRC RULES AND Agent or Applicant PRINTED Name `Lx ct. 'tcy'XIV X Name iryy, L - (Scale:l N� `of ❑ TAR/PAM/NEUSE/BUFFER (circle one) See note on back regarding River Basin rules See additional notes/conditions on back (Please Initial) Signature "Please read compliance statement on back of permit" Signature rr t $ {dot'' IVs( /i4sl2q !�/!�/Zy Application Feels) Check #/Money Order Issuing Date Expiration Date 1*"[e"r'�x ❑CAMA El DREDGE & FILL N? 89063 A B C D a� 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: 15A NCAC : ' 1 1 ,1 ' ❑ Rules attached. ❑ General Permit Rules available at the following link: www.deq.nc.gov/CAMArules Applicant Name Address City State ZIP_' Phone # O Email - Authorized Agent Project Location (County): Street Address/State Road/Lot #(s) Subdivision City Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ IDEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Mal. Wtr. Body ORW: yes/no,i PNA: yes/no., Type of Project/ Activity (Scale: ) Access Length r �— — _— -. i. _ —�__ -j_ 'c ` r I j - Pier (dock) length Fixed Platform(s) - i _ _ - _ i ,r L _�i � a a' Al Floating Platform(s) _ s Fingerpier(s) I I I Total Platform area f h Groin length/q Bulkhead/ Riprap length _ -(-- - 1-- '- , - Avg distance offshore -I- I---� -�----- - I r, - � { --- Breakwater/Sill Max distance/length Basin, channel yards Cubic Y i i I_.. I I Boat ramp r r l -� Boathouse/Boatlift Beach Bulldozing Other -'- 5 - �t SAV observed: yes no Moratorium. n/a yes no Site Photos: yes no --- 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 Initial) Agent or Applicant PRINTED Name Permit Officer's PRINTED Name Signature "Please read compliance statement on back of permit-* Signature Application Feels) Check fJ/Money Order Issuing Date Expiration Date N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED k A4. Roll JRN RE EIPT REOIE�F� or RAND DELIVERY (Top portion to be completed by owner or thelr agent) Neste of Properly Owner- 5a ck52n vchPri Bmd 1r4 Address of ProOertY' Ibt3 paj Jrn n, HeI-Kipird, NG ?. 44 M,l%V Address of Owner ibn rPiiran_C:k, tAelAilf-11, tAr 27944' ownar'semnalLNIahnoinnonic� -ft—M Ownees PhommI:7F"�-N SD-Q Agent's Name_ -N /A Agent Phone#: Agent's EmeE N /q ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION + [am nprOOn to be c pletud by th Adlacerd Property Owner) I herebycerliiy that I own property adja—nto the above referenced pmpeny-The individual apPWQ retitle pervert has desaihed In me. as shown on Via attached drewNg. the devdoprnerd pray are Proposing' 0 desiGMW r ordrawing yYlill djpffld2M arvat be prvvidild.YA lire lattur- d1 DO NOT have obocliors b pr this uposA _ I Do have objecfir[s oto pus Waimear- N you have OttjaeSorrs to swat is be, q Proposer& Yop must iW* fire N.C. Division Of Coastal ould in writing w ffi'du 10 days of receipt Of Ibis aOGca ConOsPtjdwoS sfralso be be to 401 S. Gdfij. St_ Ste. 300, JWm6c111 tlr DC no P" ffYo+r have been odd at17.�2i 264�, 9 . MO raspoase Is ceasVened nofifiedby CeruFied M1 a WAIVER SECTION I rardSeStand that any proposed p�:�• mating pilings, boat romp. breakwater, bpalhouSe, lift. or groin rust be set back a rninitX[ro distance of 1S from my area of riparian acxss unless waived by me (oft does not apply to belidleads or dNap revehnerds). el youwsh to waive the setback. You mast skm the appropriate blank below.) I DO wish fO waive SOMWall of the 15'sethld Skoature of Adjacent ROarfen PmPedy Owner -0R- I do not wish to waive the IT SeWadt roquiremet (initial the blink) Signature of Adjacerd Riparian Property Owner. _ -Y"� TypedlPdmed name of ARPO: M A-R-'l c-tJ M 0-CC� Mailing Address ofARPO: 313to S'tt3tt-t,A SN-, CN'Es1aPEF4�£, V4, T33Z� ARPO'ti etnalb hpccov'dw).c- QQ ARPO'sPhone* 1G 1-33R-6-29 7- Date: 3-7-0 -Z02-4- 'waiver is valid for up to one Year from ARPO's Signature' Revised July 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL • REM -RN RECEIPT REQUESTED or HAND DELIVERY (fop portion to be completed by owner or their agent) Name of Property owner. Ta ckson * Cher Address of Property: 16e Pei iran CIA Her-KprdI WC 271144 Mailing Address of Owner: 1 (o 9 Pp 1 i CGn c+. iiPaf'1'6-Tt4c- 27944 Owner's email: ll(Ahoof angidtwa.cbmOwnersPhone#:ri57� 5DQrJ2Fi Agent's Name: 0 Agent Phone#: ZA AgeM's Email- N/A ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adiacent Property Owner) I herebv certify that I own property adjacentto 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 fetter. 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 G DMsion of Coastal Management (DC69 in writing within 10 days of receipt of this notice Correspondence should be mailed to 401 S. Griffin St, Ste. 300, EJ¢abeth City, NC, 27909. DCM representatives can also be contacted at (252) 264-39111. No response is considered the same as no objection if you have been notified by Certified AWL 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 riprop revelments). (If.you wish to waive tit setback, you must sign the appropriate blank below_) I DO wish to waive some/all of the 15' setback J Signature of ent 1parian Property Owner -0R- I do not wish to waive the 15'setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner: TypediPdnfed name of ARPO: ADUrVa 'Pltl+eJ Mailing Address ofARPO: l+D9 E I tie. `lm n Pf. 50-F D I VA a 3 T3S ARPO's email: A-P0-telhN6.5mGi(.comARPO's Phone#: 757- G76-M9 ' Date: T Z� 2� *waiver Is valid for up to one year from ARPO's Signatue Revised July 2021 C; I m A N N E UI Ul C C NI NI m m v Q a a c a� E YA ✓I O � vl vl vl c c c NI yl NI c c c m m m E E E .0 .c v v v a a a U c d 1, C C00 O"Yhl'c. .r rr a O 'U o i co �I Jl d1 1 �.