HomeMy WebLinkAbout89158A - Riverbark, Joshua and LynneFL
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�A ClDREDGE &FILL N9 89158 (aPrevious per"t
GENERAL PERMIT [>3te previous peent#t 7ssved ( Modification J j Complete Reissue [] partial Reissue
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.OAoc"tr" XCAMA ❑ DREDGE & FILL N° 89158 ® B C D
3 GENERAL PERMIT Previous permit
Date previous permit issued
N 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 7 H, / Z cc) ❑ Rules attached. ® General Permit Rules available at the following link: wwwdeq nc gov/CAMArules
Applicant Name tMGVNUCL d
Address V Q z W. Q
IL
o S
_ r-K
Authorized Agent IrL{,Vij It-j!✓�,
e
Lkp
City. E1de41,+0r1 StateC
cs
1V
Project
2i'732
Location (County): 4LtJ „
/�
Phone #(Z5' W I — O I Ita%
zip
Street Address/State Road/`Lot#(s)
Email ilU rr
w
holmazi
(�'nm
Subdivision 1
City EdPn'iAn zip 279�
Affected ❑ cW ❑ EW
0 PTA
❑ ES ❑ PTS
Adj. Wtr. Body eman/unk)
AEC(s): ❑OEA ❑IHA
❑uW
SPIMA ❑PWS
Closest Maj. Wtr. Body1_mQI.TtQ JQl1{�
ORW: yes/ 6�` PNA: yes/(@
Type of Project/ Activity Con
CI VU t•
U $ i x �I
n1 e , L j/ (i,r X (L,' r r/ _J n I - 4L'., —
Shoreline Length �,7—�s.�'(d
Access Length 4FtZ b C
Pier (dock) length ! r 1�r k
Fixed Platform(s) 16 ' )c fb r
Floating Platform(s)
Finger piers) _
Total Platform area ,Sit A
Groin length/It
Bulkhead/ Riprap length
Avg distance offshore
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse oatli 12. r 'r 1 R 1
Beach Bulldozing
Other
Z`x
ke-
mb� cam"
N��hatYS�,tr°��-i\ndlIb \0�\(�fit�
a11r tte-�
�ci�honZ�c1 I� �� i
oml t4
C 1 r
1 1
SAV observed: yes II
Moratorium: n/ yes no -t1 u
Site Photos: es no 5 Q~CAI
Riparian Waiver Attached: a no d ( A building permit/zoning permit may be required by: C kowc, l okAA4
Permit Conditions
AWARE OF
Agent or Applicant PRINTED Name
THAT
Permit
llt. -te j
10
a l
Qr
L
❑ TARMAM/NEUSE/BUFFER (circle one)
❑ See note on back regarding River Basin rules
❑ See additional notes/conditions on back
(Please
Signature•' Please read compliance statement on back of permit** Signal re �r
_V�. lzy'i�gi2y �Z ti
Application Feels) Check It/Money Order Issuing Date Expiration Date
#iR
EDGE & FILL NO 89158 A a C D
PERMITPrevious 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:
15A NCAC ❑ Rules attached. ❑ General Permit Rules available at the following link: .d .nc. ov CAMArvles
Applicant Name Authorized Agent
Address Project Location (County):
City - State ZIP Street Address/State Road/Lot #(s)
Phone # O A
Email
Affected ❑CW DEW ❑PTA
AEC(s): ❑OEA ❑IHA ❑uW
ORW: yes/no PNA: yes/qoj
Type of Project/ Activity
Shoreline Length
Subdivision
City
❑ ES ❑ FITS Adj. Wtr. Body
❑ SPIMA ❑ PWS Closest Mal. Wtr. Body
(Scale:
Access Length
Pier (dock) length
Fixed Platform(s)
mill
Floating Platform(s)
M
Finger pier(s)
Total Platform area
Groin length/#
Bulkhead/ Riprap length
Avg distance offshore ...
Breakwater/Sill
Max distance/ length
Basin, channel
Cubic yards
Boat ramp
Boathouse/ Boatlift
Beach Bulldozing
ONE
NEI
0
..
■■■■®
.
.■�■R'■■■■■■■�Il■■■■■
■■
■■■■can®■■■■■■■■■■■■■C■■■ii■�ii
Ither-
....
■n■i..n::.■i:.nin..ii
IIAV observed: yes no
Moratorium: n/a yes no
Zlte Photos: yes no
Waiver Attached: yes no
■■■■■■■w
u.■■■■■■■■■■■■■n■■■■■
■
■�■
■■■■■■■■
■■■
i■Riparian
ii■in
�■
A building permit/zoning permit maybe 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 Initial)
Agent or Applicant PRINTED Name
Permit Officer's PRINTED Name
Signature * -Please read compliance statement on back of permit•'
Application Fee(s) Check p/Money Order
Signature
Issuing Date
Expiration Date
AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION
Name of Property Owner Requesting Permit: J05kUA-
Mailing Address:
OR E
Phone Number: V- Z ` do /9 - 5
Email Address: rivr,Abcv-L C`
I certify that I have authorized
to act on my behalf, for the purpose of applying for and obtaining all CAMA permits
necessary for the following proposed development: "B� lif
tfti
Al W AJ k--
atmyproperty located at CJ�o2 �l) QVak ;a on N6 Z%C1.� �
n/
in l,flpW County.
I 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.
Prope Ow
, rmation:
S' re
Print or Type Name
�i,.JrVE L'
Title
I I
Date
This certification is valid through
JUN 19 2024
DCM-EC
N.C. DIVISION OF COASTAL MANAGEMENT
ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER 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: beM- 6— 4yze� 54 E�&A A_ /✓C 0-793iZ
Mailing Address of Owner:
Owner's email: r v90 �L ' q/ J�jia_ .6bWher's Phone#: ZSZ- -& /9 - 8797
Agent's Name: frdLV15 L i �y Agent Phone#: Z5 Z - 33 7 - ,SU Z7
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(Bottom portion to be completed by the Adiacent 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.
/1 100 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' setbackQ, RECEIVED
Signature of Adjacent Riparian Property Owner
-OR- JUN 19 2024
I do not wish to waive the 15' setback requirement (initial the blank)
DrW-r-C
Signature of Adjacent Riparian Property Owner:
Typed/Printed name of ARPO: ` r; 10 /�• r /rr��� /c c ✓
Mailing Address of ARPO: / 04 C Y jOrCJS Y/ w• %�C�7 �� �?/ /1/C d 79.3 k
.1 / .Ow
ARPO's email-r"S/ /•/c'Cwj G ARPO's Phone#: L �`� 76 9 • G 3
Date: / a - h; • " *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 NOTIFICATION/WAIVER FORM
CERTIFIED MAIL •_ftET101IR f EGl iF�€ 6W9019Pof MMD DSIVERY
(Top portion to be completed by owner or their agent)
Name of Prop"
Address of Property: 80 2 bi (yVee, Q� G(r yr /�� 27 j 3
Malting Addre of Oar -
Owners email: k4ye#-%6af& &O h,1,Qyqwner's Phone#: 7(UZ - t'o/y' -& 7% 7
Agent's
Agent's Email:
ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION
(®-6ttM-L 110" to eaI ' fsv A�;�conertY + +�1
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
d e� or drag- #di —wilt tf
J i DO NOT have objections to this proposal. 1 DO have objections to this proposal.
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 (2 S2) 2644W1, No response hs considered the: san-ae as rjecaw: of ym t
notified by Certified Mail.
WAWER SECT10N
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 buadreads w Awap reveae r ). ilf ymu wea v 16 wz&g ,,e sue, you r{om swo
the appropriate blank below.)
I CO wish to waive tt'wne.fa9 of the IV taptbac k
Signature of Adjacent R pa
_Og_ rlor Property Ow
I do not wish to waive the 15' setback requirement (initial the blank)
Signature of Adjacent Riparian
TypediRrimed ftaene of ARpo-
Mailing Address of ARPO: ///�.,76� ("r, (� f_�r ,� �C 2 713L
ARP(3§ :Ten'i ✓,�� AYGQ w(�i k r/ h0's'Plu
Date: /b Z 'waiver Is valid for up to one year from ARPO's Signature'
Revised .lull( 2021
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