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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 N wwafPrapoftoO Regaeae a P+aRyk ��� larh N l m c�su v d �QN ece (��t� C� so Sr 6L D2 � iwmil ■r BMAp �llcl�QNece,�ukOU,C�rn Or 4 YtatibarasaaiboeTaad L en ��iCodMldW r` - laat annvbd atfot>tiepapoftcfPpPlyigatCMKP@mft t saptlOrAtsiapotaitgptaposeddWAfttaem C( Sje,/��C�Ln atowpopadjlbCabtiat SaK SnIC1l Dn . AaL ! fir4mmom ►IW ! am au&miaed jbgtaA sad c b i+ fad g *pom*s mt is aiYddaAatA�asmi�ara$ 8y�,txmiOtPceraAriiliair one* slbtava9nslim I m aomu s ae f\) )a m I n/ / Adrn QSdnl a1V cJ aNece W� rib a h00, corm 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; S C) 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 LJCM—EC w Y� EU C)`1 w x uJ 2 U D ci- C C2 03 C) S U 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 DGM-EC IF ,31 �tp f ytro 4 ate' y P F 1 d