HomeMy WebLinkAbout89068A - Knight, Aaron and KristygcpeT ' �amP�'P.p t, °W,9 ns Ms.
MCA L._I OREOGIS & FILL �1'40 89068 05 C D
GENERAL PERMIT Date proYoeusp (,�rnt4t }S9ti@Li
New I (Modification 0Complete Reissue E] Partial Reissue
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a � TO 89068 a c D
®CAMA ❑ DREDGE & FILL
permitPrevious
All GENERAL 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 'Mr Fi r 12_OC3 ❑ Rules attached. ® General Permit Rules available at the following link: wwwdeq c gov/CAMArules
Applicant Name
City T. n w^ State NC ZIP
Phone # ( 'R 2% 3bo
Email KYiti
Affected ❑ CW NEW ® PTA ❑ ES ❑ PTS
AEC(s): ❑ OEA ❑ IHA ❑ uW ❑ SPIMA ❑ PINS
ORW: yes PNA: yes/0
of Project/ Activity
!x
Shoreline Length V ^
Access Length
lf
Pier (dock) length Kb
3 �-
Fixed Platforms)
Floating Platform(s)
Finger piers)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards `
Boat ramp
Beach Bulldozing
Other
Authorized Agent L-di t ���Sa{'1 C°•'l6'fYtACihZST't
Project Location (County): CYU t c&n
Street Address/State Road/[�L_ot #(s)
4Y'5 w �nah t of J
Subdivision
City
)�'79 M
Adj. Wtr. Body �' Y\Ol.�xa Y\ Ny"T*taniunKf
Closest Maj. Wtr. Body 1416,-ar2,,k
i
e
yi`ty� ,t`
\b
SAV observed: Yes (50 r, .' �nV e w\ `
Moratorium: np no
Site Photos: c` no
Riparian Waiver Attached: ye ✓ no
A building permit/zoning permit may be required by: ` r\o (_i=X Y\ OLs W W
Permit Conditions
Agent or Applicant PRINTED Name
Permit
(Scale:
r
❑ 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"
.�tZ �`
Application Feels) Check #/ oney Order
Signature
9% /zV ►z�l, /z�l
Issuing Date Expiration Date
d,contIN Nn 89068 �A) B 'C D
r� CAMA ❑DREDGE &FILL
a Previous permit
GENERAL PERMIT Date previous permit issued
El 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:
I SA NCAC ❑ Rules attached. 0 General Permit Rules available at the following link: ww v den nc gov/CAMArules
Applicant Name _
Address
City
Phone # ( )
Email
State
ZIP
Project Location (County):
Street Address/State Road/Lot #(s)
Subdivision
City
'
Affected ❑ CW � EW ❑PTA ❑ ES ❑ Adj. Wtr. Body y (nat/man/unk)
AEC(s): ❑OEA IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Won Body
ORW: yes/no PNA: yes/no
Type of Project/ Activity
(Scale: )
Shoreline Length - .
I I
—
-
--
-
T
-
---
-
T'
�
_T
-
--
"
�
Access Length
Pier (dock) length 1—'
I
Fixed Platform(s)
L
i
—
�
T-
G
Floating Platform(s)
_
t
r__-
r
r
I
Finger piers)
�.
\k
L
-I
_
Total Platform area
1
1
j
rr
{
t .-Id--
Groin length/M
L
1�C
1
�--
Bulkhead/ Riprap length
I
r
Avg distance offshore
_
-
Breakwater/Sill
Max distance/ length
"!_
T
Basin, channel-
CubicyardsBoat
,(�
c_•i
�-
}-._
I—<�
_
ramp
--
.`
r
'_
_
Boathouse/ Boatlift
1
Beach Bulldozing —
Other
J
—LA
SAV yes no
_I
I,
e!
•::
1�
'.�_.
1
_'
__,_..I
_
_
c S-.
Moratorium: n/a yes no
Site : yes no
1
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
Signature --Please read compliance statement on
Permit Officer's PRINTED Name
Signature
Application Feels)
Check q/Money Order
Issuing Date
Expiration Date
t� Pa Aft ra Rt �T9N Cora t R-
Nance of Property Owner Requesting Permit:
Mailing Address: i.i.1A
Phone Number: ....... .-
Email Address:
i certify that I have authorized Agent i Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 4'
at my property located at t.
in �rlu }] County.
I furthermore certify that t rim 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:
RECEIVED
gnalure
1{_t 1I111 1 1 nnnl
IAi
h
h` Y c�afi'
N-C. DIVISION OF COASTAL MANAGEMENT
Af JItCENT RIPARIAN PROPERTY OWNER NOTIFICATIONAAIAIVER FORM
CE�R?IFIEq MAitfCCI elf ANt 17 1 Iy Y
(TOP portion to be completed by Owner Or their went)
Name of Property Clwnor. _
t ~ Tq
Address of property: a
Mailing Address of Ownor: _ (� r _.:_.._.:..
Owner's email:.!`rner�slPhoneIt _: 1 Zbt j t3 t i
Agent's Name: Ai �� }�t t�tc7ent Phonett _.! r� �.�'f7•-� � �tT t
Agent's Email:_ssil���3.L1t)
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
. r,_ . DrnnArty Owner)
y tY _ own
p pe� adjacent to the above referenced properi . The individual applying for this
I hereby cent' that 1 own property y
permit has described to me, as shown on the attached drawing, the development they are Pra Posing. A
t`t?t) NOT have objections to this proposal. _ _,_I Do have objections to this proposal.,
0 --
If you have objections to what Is being proposed, youTmust notify the N.C. division of Coastal
Management WCIM in writing within 10 days of receipt of this notice. Corresporic can
alsoould be
be
mailed to 401 S. Griffin St., Ste, 300, Elizabeth City, NC, 278p8. DCM representativesfyou have been
contacted at (252) 204-380f. No response is considered the same as no objection if
notified by Certified Mail.
WAIVER SECTION
pier, dock, mooring pilings, boat ramp, breakwater, boathouse, Lift, or
i understand that any proposed
groin must be set back a minimum distance of 1 a from my area of riparian access unless waived by me
(this does not apply to bulkheads or nprap revetments). (If you wish to waive the setback, you must sib?
the appropriate blank below.)
I DO wish to waive some/all of the 16 setback
Signature of 1 dlacent Riparian properly Owner,
-OR-
I do not wish to waive the 16 setback requirement (initial the blank) _. � `
t
ED
Signature of Adjacent Riparian Property Owner
Typed/printed name of ARPO.
Mailing Address at ARPO:
�.
ARPO's Phrne#:_
ARPO's email:
*waiver is valid for up to ono year ffeat ARPO's Signature*
Date: Revised Atiy 2021
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM
CERTIFIED it t> f2N RkCEtE�EST 0 ar HANO„D GIB U_-Y
(Tap portion to be completed by owner or their agent)
Name or Property Owner,
Address of properly:
Ma€tiny Address of Owno
Owner's email . jy1i 11)1 1t iuna!kOwnor's Phoneft: � t
Agont's Namo: 1�1tL��wf�?'=�Agent t�honaft 2 L �i._raG h
Agent's rinail _�t jiUs�tl( �t2 1LI I �L, f,&X2 h�q
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to he completed by the Adjacent Property Owner)
1 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
Nam.. ....:.a:.._ _.. a.. ..:. ... .
I DO NOT have objections to this proposal. J DO have objections to this proposal.
if you have objections to what is being proposed, you must notnjy 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) 284-3901: No response is considered the same as no objection if you have been
notified by Certified Mail.
WAIVER SECTION
1 understand that any proposed pier, dock, mooring pilings, boat Tamp, breakwater, boathouse, lift, or
groin must be set back a minimum distance of 16 from my area of riparian access unless waived by me'
(this does not apply to bulkheads orriprap revetments). (If you wish to waive the setback, you must sign
the appropriate blank below.)
I DO wish to waive some/ail of the 15' setback
f�� ct,s, Sri' • _
Signature of Adjd�Riparian Property Owner
-OR-
I do not wish to waive the 15' setback requirement (initial the blank) UC E I V
Signature of Adjacent Riparian Property Owner: JUN 1 1 2024
Typed/Printed name of ARPO:
Mailing Address of ARPO: ®EC
ARPO's email:
Date:
ARPO's Phonefl:
'waiver is valid for up to one year from ARPO's Signaturo`
Revised July 2021
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