HomeMy WebLinkAbout89031A (MOD) - Thomason, Benjamin and White, JaneceMCAMA ❑ DREDGE & FILL N4 89031 A B C C
a Previous permit
I GENERAL PERMIT
+ Date previous permit issued
] New Y"' Modification ElComplete 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
Address Project Location (County):
Street Address/State Road/Lot #(s)
City
Phone #
Email
State ZIP
I
Affected ❑CW ❑EW
AEC(s): ❑ OEA ❑ MA
PTA ❑ ES ❑ PTS
❑UW ❑SPIMA ❑PINS
ORW: yes/no PNA: yes/no
Type of Project/ Activity
Shoreline Length
Access Length — , --- `
Pier dock length
g len 1 1 I I
Fixed Platforms I 1l — +
I _
t- 1
�a�-
J
f _ _.I. _. �' I J��
it lI
r— 1 _�_ I.
_L.
�4�Jy
�1I _II. IL
1.
Floating Platform(s)
71C_
f"I Af
{
Subdivision
City
Adj. Wtr. Body
Closest Maj. Wtr. Body
(Scale:
Finger piers)
Total Platform. areg `--
Groin length I
Bulkhead/ Riprap length
Avg distance o
shore
Breakwater/Sill
Max distance/length
Basin, channel
r
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
SAV observed:
Moratorium: n/a
Site Photos:
Riparian Waiver Attached:
yes
yes
yes
yes
no
no
no
no
A building permit/zoning permit may be required by: G �' >G cl o i'-c i1c, y`
' TAWPAM/NEUSE/BUFFER (circle one)
Permit Conditions
See note on back regarding River Basin rules
See additional notes/conditions on back
JAM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) �.. (__'-
or Applicant PRINTED Name Permit Officer's PRINTED Name
Signature **Please read compliance statement on back of permit**
Application Fee(s) - Check #/Money Order
Signature
Issuing Date
Expiration Date
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RECEIVE
APR 1 1 2024
GM ... EG
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 ortheiragent)
/n�
Name of Property Owner: ('ef99j0,,A)7`tdmusu,y 0/y seaeCC l,(y� -
Address of Property: J` 7�/ Smal( r lizak F'A C/y. A/C -�7Q61?
Mailing Address of Owner: e
Owner's email reY✓ �RA i� YayW Owner's Phone#: S- q63i
Agent's Name: "e-'%Ir1nc�*C Agent Phone#:ZS;2"Z31-6.3(3
Agent's Email: r!.Gt.0eft&Yw/'1e)e— )Y6*t'yr41.C6M
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.
l/LJ-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 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)
( ti RPD) Signature of Adjacent Riparian Property
/Owner: v
TypedfPrintedname ofARPO:
Mailing Address ofARPO: i 06 .'>iMa//Zi'"v e t:711ZG d C-/A /V'7 909
ARPO'semail:221' cARPv'O'sPhone#: �39-,�.J,�'�/✓���'
Date: c//l/D b (/ *waiver is valid for up to one year from ARPO's Signature* RECEIVED
Revised July 2021
APR 1 7 2924
DCM-EC;
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Q.1
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. SOle).� n. U I &Aa. `6 tJ ant A J O N PCc LA) � �+e
Address of Property: 6LA SMa11 6 4 ,zaAf Cr , (V a79u9
Mailing Address of Owner: Sam C
YG CowlOwners email: C h C (� V% re rU 2S @ Owners Phone#: IN
Agent's Name: L4J10_.'3 ~„d nn,' Agent Phone#: e-1Sd' 33/'y3l
Agent's Email: 1404#vyf !' Cbw.
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom Portion to be completed by the Adjacent Property Owned
I hereby certify that I own property adjacent to 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.
_LgOKDO NOT have objections to this proposal, _ I DO have objections to this proposal.
o you nave ogi"uons to wrier rs wing proposso, you must noury we n.u. v,vwur, v, waa,a,
Management (DCM) In wrWng within 10 days of rece/pt of this notice. Correspondence should be
matted to 401 S. Griffin St, Sit. 900, Elizabeth Ch% NC, 27909. DCU representatives can also be
contacted at (252) 264-3901. No response Is cons/dared the some as no objection N you have been
notified by Certified Mail.
WAIVER SECTION
1 understand that any proposed pier, dock. mooring pilings, boat ramp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of Whom my area of riparian aocess 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 somelall of the IS setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the IS setback requirement (Initial the blank) V
CAP (-)Signature of Adjacent Riparian Property
Typed/Printed name of ARPO: Richard Wilson
Melling Address of ARPO: 1215 Fairview Club Dr., Wake Forest, NC 27587
ARPO's email: richard.i.wilson(algmail.com ARPO's Phone/: 704-641-4354
Date: 04/14/2024 'walver Is valid for up to one year from ARPO's Signatue
Revised July 2021RECEIVED
APR 1 2 2024
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RECEIVED
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED MAIL . RETURN RECEIPT REQUESTED or HAND DELIVERY
AVG 0 5 2024
(Top portion to be completed by owner or their agent) ®CM -EC
Name of Property Owner Q erJ i 4miN %nmaSa t .JurVLc� (rJ h r
Address of Property. 5O tl 5rho ll On, r/; Zk be A C, 4y, /y C. 97W
Mailing Address of Owner_11 1 kj,e as e?bove
ettQ� QN CCLQ ykr�40 . Cam fZ
Owner'semail:_Che.Rhre,y77POY6t6o'6neesPhone#: 739,J//8-9631 O2R3z 209-9466
J
Agent's Name: La11 ciP J �1uri Ue CO-51A,chm, Agent Phone#. d✓�a �- 63l3
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adjacent Property Owner)
I hereby cedify that I own property adjacent to the above referenced property.The individual applying for this
permit has described to me, as shown an the attached drawing, the development they are proposing. A
description or drawing with dimensions must be provided with this letter_
1 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 (DC" In writing within 10 days of receipt of this notice. Correspondence should be
mailed to 401 S. GrIf11n 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, lit, or
groin must he 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 revebnentsj. (If you wish to waive the setback, you must sic n
the appropriate blank below.)
I DO wish to waive somelall of the 19 setback
Signature of Adjacent Riparian Property Owner
ST:il
I do not wish to waive the 15' setback requirement (initial the blank)
Siqnature of Adjacent Riparian Property
typed/Printed name of ARPO: w_ r SO (�, 0,r 6
Mailing Address ofARPO:12/5 Rl'ryiek) Club &e leke. aCe /1/.G 275P
r, uard . i. wg era r*a� t Cun
ARPO's email: 9 ARPO's Phone#: _ %O Y (a yl -y 35y
Date: '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 - RETURN RECEIPT REQUESTED or HAND DELIVERY
(Top portion to be completed by owner or their agent)
Name of Property Owner:
Address of Property:
RECEIVE
AU6 0 5 2024
Mailing Address of Owner. SGm e kS a hoop-
`i?2 8o y- yG6G
�1/0.j4 ve[e yutiso, Lon, uK
Owners email: Lh nt rr zy ya6a • 'Owner's Phone#: 73Z G 5a'' 96 / or Auld ll Z-
Agent's Name: Loy deli Manive- Cj,v5frvc%vn Agent Phone#: 25a JJ/- &-i;b
Agent's Email: lay�enimar;rve(D— ko-i-mlt co",
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
I DO NOT have objections to this proposal- 1 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 (DC" 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 ff 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 I& 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 sometall of the 16 setback
Signature of Adjacent Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) c�
Signature of Adjacent Riparian Property Owner-
Typed/Printed name of ARPO: $ }eve C. o 10 .
Mailing Address of ARPO: �O 5/�aII / e
o //�Gd
ARPO'semail: /`lL�gb✓hL�90/ ARPOsPhone#- 23i 25�'1,7yy
Date: 7 ✓� / [� 'waiver is valid for up to one year from ARPO's Signature*
Revised July 2021
RF" EIVED
laud 0 5 2024
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