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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 As wvoorafd by th4 Sta% of N x h Cara h a. Oeparvnant of Uvlfpwm , Qvaioy and the CAwn d Rtto t" CU YTi Ssjon m. an aria d em` p! concgm p5pgss A ftt!las a4tac#eil� fiecSc4a RkrrutfiAM avafkaeaab tlra Pmk: YLU3Y d;; Add,xsa .^,.'TJ„..1aft !CS ..:3.t,....,.�_. _ ProiarftcGiNnn (Ca+rvry'}_._.�kN.CM11s�„%a zip S"" st5w*R a(s} ou�s1�G'.�4� �✓ Email . AERtttg:dCOW€A )EW Wt -..ESU RTS ?� wr l PIA AC%)7UW PIMA 1110, F _ Ctos.^ctM*j'AV flail ORW: ve549 PNA:}'es, i Type of Project/ Attitrity a9 "_" x 0, ala4i _J 41S' .4 ' bhorelin2 tuu ri Aascxs Ees+gin P(4f(tnk) i:rogth i.'.xtot �Flxcd Riationf a t F loabrsg P(aYa�Mtst � i tinBer RtQr(x) _ � t.; k' Total Pintftarm rsca .�.'`SG.sC�i -_�i.°= ktiy�4c' � . rs, 041kfieeQj Rlpropl agth t; Avq distance uffahom BreakwatnrJS �i _ � �,", AA" 44tanccl lenggh . _ . Basin, chxnnci �4 VT Bpa4 fPFnp _.-� 0oathnuco , +0 j 2r 14 ( + -.�.. +1�'t Btieth pulld+y ng h :r... � L?tISNt r�.,� j blt4 photec Riperian Mow ARtadvo: no A buNIP4 p&mdthonIn8 (n MIt Miy #,o r£'quired 1A -P.pn au ApV+}tcant Pam ttg Pxteric 5ife z` PA C71 am- eapisea +ua steter>se+�.aY�n�ot paxmk#8 mm Stgt4aEuta a��m_".._ _ i 5'4t!sl CtsecS.q .Cy Ucdc+ KSurx,S Qxtc fx catio-n lL.kY, 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 n � r �! y aw. �� ..rJl.•. � t W� u` x Siritf:siA�� Wr fA 1 `� rr oP 9- o W� t