HomeMy WebLinkAbout89157A - Whitehead, Charles and Mavoureen#oNew
❑CAMA [IDREDGE & FILL N9 89157 A B C D
Previous permit
GENERAL PERMIT
Date previous permit issued
❑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: www.deo nc gov/CAMArules
Applicant Name i A ,d Y 11 f ' Authorized Agent
Address Project Location (County):
City State ZIP Street Address/State Road/Lot #(s)
Phone # ( )
Email Subdivision
City ZIP
Affected ❑ CW ❑ EW ❑ PTA ❑ ES ❑ pTS Adj. Wtr. Body (nat/man/unk)
AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body
ORW: yes/no PNA: yes/fld
Type of Project/ Activity
(Scale: )
shnrnlinn I nnu h
Access Length
Pier • lengthFixed
����®Iris■■■
■�■■■■
■
■
■■■■
',,.
Platform(s)
Floating Platform(s)
Finger pier(s)
�1
ten■■■
■,��■�■
■f■�■■■®®i
■■■�SON
■�0
■�II
Total Platform area—
■■
■■i�i■■■�ii■�i■=■i■�■■■■■■'i
■■SEEN
■■i
Groin length/#
MI
No
0
No
IN
on
P.11
Mill
■
in■■■0�
Es�■m■i■iiNI
�No
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..
E....�c�HE
an
a
■■�
■■■■
■.
ME
on
SAV observed: yes noMONSOON
Moratorium: n/a yes no
Site Photos: yes .■
Riparian Waiver Attached: yes ma,
MO
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mom
A building permit/zoning permit maybe required by: I
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••
j
Application Feels) Check q/Money Order
Signature
Issuing Date
L
Expiration Date
, Lei ; •� •; W.YJ 4 :ll 11W
Name of Property Owner Requesting Permit: j)qAp01x�4 l W TA0-YWUK ),
Mai" Address:
Email Address:
I certify that I have authorized 1� Y ��c+an 1 n ofA� Cak
U A ant I Contractor
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: 6 'X 80' ✓>U4L_
at my property located at �'t
in i QfCb0. County.
Cd-
f furthermore certify that I am 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:
Signature f
C �1ja dawrxca J S" A% h o4r'
Print or Type Name
77fle
Date
—I nis wrtification is valid through _. J i
RECEIVED
J U L 2 9 2024
DCM-EC
(Top portion to be completed by owner or their agent)
NemeafProperty owner.
Addraw of Pn
Mailing Addnm
Owner's email
Agents Name:
Alienla Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATIAN
talon to be comod ns •� • �iacem mane
rn..,
I h"*hy certify that I own property adjacent to the above referenced property. The individual applying
Perms has described to me, as shown on the attached drawing, the development they arping g 1109. with dimenstona m st be prov(ded w h n I r
100 NOT have objections to this proposal. I DO have ob)ecXiona to this proposal.
t►yar have obJectlorrs to what to be►n9 Aropbsad, You moat n
matt (OCA9J Jn wr/ting wJthln 14 days � race/pt of this noUca. CorrespOndelnca sJtoaeld be
to 401 S, c�PiI1°!n Sx, Sie. 300, @iJzabattt City. AJC, YTat19. DCAf P
at tY62) 2a4-sriol. No Palsponse to constdera,d the s�tma as no � a can ado be nol�ed by CePtlNed Afeib lectlon M you ha�re been
1 understand that an WAIVER SECTION
groin mrat be set back a minimum adistance of 15, MooringPilings,
ms area remR' breakwater, boathouse, I1R, or
the does not splay to bulkheads or riprap revetments). {if you wish oawaive thessetba ss waived by me
the appropr�te blank below.)
Ok, you
1 Do wish to wake some/all of the 16, setback
-MgatAM
OR• SlYjnaimeOfAdjB09>V�p P10 OtanW
1 do not wish to waive the 1 a' setback requlrement pNtlai the blank) RECEIVED
It"ore otAdjaoent Rlpadan Property Owner.`=Pf.. aCa,al U L 2 9 2024
TYPedlPrinbd ~—
ne►ne Of ARPO:
Mailing AddnssOfARPO: iDCM-EC
ARPO's small:
veiK ARPO's Phone*
'u►'shrark valid for up to one ysar front ARPO's Signature'
Revised July 2021
DIVISION OF •MANAGEMENT
hk
• 11: i i t i I i A Y I 911,
,:►• • 1
(Top portion to be completed by mm or thek sent)
Nine elpmperty Owner
Address of Propergr:
r.�1r.-0 _,-r.71119 1 . 11►i►..r.:aaL�l
owner's small:
r. •^--��rr^�s
Agerft Email:
Owners Phones: 0i5a- ` q4- qm
■
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
29UQ i 901111101110 ba COMR1 sd by the Aalactnt PrDVKW Q�
1 hays" Ow" that I Own property adjacent to the above referenced property. The UWivtdual ap+Plft brft
Pares Iwz described to me, as shown on the attached drawkrp, the development they are propoWq. a
100 NOT have objections to this proposai
r. You rwm oDJacOons to what is being propco
11111110ragement (DC" in writing w►thin 10 days of
to 401 S. ®rnnn St, Ste, 900, Elizabeth (
ArtCi � AftL . No r�iaponra a oon
"Need bY
of this notice. COrrsaPcndena shook! be
, 27909. DCAf mpeasentarovae an also be
Me am* as no ob ecom r you stare been
WAIVER eEMON
I underatmd that any proposed plsr, dock, mooring pilings, boat ramp, broakwaW, boathouse, R, or
Groin must be set back a minimum distance of 15, from my area of riparian acoea unlsaa Walled by no
(this does not apply to buikheaO cr omp revetmante). of you wtah to wall 00 11 W you o be appropriate blank below.)
I DO with to weirs somNell of the If setloack
�1[
S�nedssOfAr;<eoarUfi►ltriell owler
A do not with to wsM the 18- SOWN* rsq+drement prddal the blaNCz�j� RECEIVED
�irftnmhre of Adjacent Riparian Property Owner. JUL2 9 2024
_r 1YDeffrint it rw.w of ARPO
wwing Addnse of ARPD: ECM -EC
' ARPO's emeih ARPO'e Ph
ONK *W%%W le vWW for up to one yw thorn ARM Sipnaturw
VJh�°d
Li;50 Nwol- D'
2q'
RECEIVED
JUL 2920A
[ACM -EC
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