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HomeMy WebLinkAbout89181A - Pitman, Terry and Jay3®d(0-U%& CAMA dDREDGE & FILL 1 GENERAL PERMIT [✓New ❑Modification []Complete Reissue ❑Partial Reissue N9 89181 Previous permit Date previous permit issued A0s C D 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: ISA NCAC-12i1d.�_jiQQ ❑ Rules attached. Z"General Permit Rules available at the following link: wv vvdeo.nc¢ov/CAMArules Applicant Name 1 vv Address 1D2. 1W to City -C Jeelt'JeState_J.J,(�__ ZIP y1`72-5P Phone#$-U' �JOI•' '��;in_ 1 EmailIT _1 CaiL(yj-1sy rJ (410Cj1]�GI��q Authorized Agent D wA A E%A ✓0A: ,, jr-i Project Location (County): _ Cf L! t r i k r1 x is Street Address/State Road/Lot #(s) LE1'2. � Drive Subdivision `72(t a City C fz.y1^s•{-ur•k. ZIP 'b'192,9 Affected ❑cW t[eEW [sr PEA fES [?pTS Adj. Wtc Body +0 [ a \ ' ..1 Inaan nk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtc Body Ci LLCP� St �"Uz:ahA ORW: yesdPNA: yetn Type of Prvvoject/ Activity ?2n i eA c• v_ 9 n ( �y,� 6ta i "&- r ) Shoreline Length �%C1 s (Scale:lrt:� Access Length Pier (dock) length N Fixed Platform(s) �"� ` I Y. T' lJ b,l g , )L• l,t-,4, Floating Platform(s) e-� �`•' /�� C At.tAl• b COIM:3CiG1- OA4 Finger piers) Total Platform area /�- /•tee �.� �l ice, / Groin length/R Bulkhead/ Rip replength '9O' Avg distance offshore xI �$ :'11tot7 b-i h:�/ '�'P6r<►t:�,MENi �� Breakwater/Sill GG 9V s fJ� 'FiULk(�IEAS) Max distance/aength_ __ .�✓ Basin, channel /^'• tii /'a-' ^� Cubic yards Boat ramp �a • E (CCfio(wL6 Boathouse/B a i �� •R~ / fJtNL• Beach Bulldoz Ws r — Other ( I � � • - s —� EK3t. 3 Ji{cbl ADD atl fi 1- SAV observed: yes LJ -(RL ro �w\a'\tom Moratorium: n a yes no r4 �•) Site Photos: yes no I ice{} /✓Hw.PL 1 Riparian Waiver Attached: yes nD A building permit/zoning permit may be required by: _ry`L'! Ylt U e!L C' r. ,AF ❑ TAR/PAM/NEUSF/6UFFER (circle one) Permit Conditions _.__ ___ ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back IAMAWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROTECT AND REVIEWED COMPLIANCE STATEMENT. (Pleaselnitial) ,DaryAndronowitz en or Ap ' tPRq INTERName Permit dticeriP MTEDD Name .14 ignatulre Please read compliance statement on back of permit** Signature J 2-4 Application Feels) Check If/Money Order Issuing Dated--` I ExpTra[lon Date (i-' ✓ CAMA DREDGE & FILL N9 89181 0 B C D GENERAL PERMIT Previous 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: I SA NCAC Z11 t 1 oit� 0 Rules attached. [? General Permit Rules available at the following link: www.deq nc gov/CAMArules Applicant Name �i P.Y YJ ,.� C d 17 l-�C rA 2h Address 102. 1s.Ipt I- VyIludit- City rurr%k0g:.J"� State t,G zip` MIZ2 Phone#$-%) 5o%• 9230 tt 1 Email ��4el,h)l'SA'Twva r l _ njy� Authorized Agent Dicta Aydsrw4ct.,1}ta Project Location (County): �, tArY l':U r.L Street Address/State Road/Lot #(s) L6 Z 'Dr +elVG Subdivision _43Y,1( & T_134`` e, city' IJ Yit- t{-uck ZIP 2.71212 Affected ❑ CW t f EW [yriTA dES ❑✓ PTS Adj. Wtr. Body C tJAa l +0 r.6 ll(na an nk) AEC(s): ❑OEA ❑IHA ❑UW ❑SPIMA ❑PWS Closest Maj. Wtr. Body Ci4-CYI "�U�K CiOCIY�Ci ORW: yesiS PNA: yeo Type of Project/ Activity ?�eo 1 n r_r (Scale:i`t't2 ) Shoreline Length 90 Access Length Pier (dock) length Fixed Platforms). Floating Platform(s) Finger pier(s) Total Platform area Groin length/# Bulkheads' Ri, op length 90, Avg distance offshore t Breakwater/Sill ^� 1 Max distanceJaeetglh 2. Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing Other NwL wL $ a l�_J%e4,.,4 GAlaa� ib ��iNwTc�b= I',.A�. Yam— el� ./®+ !'�•' i7'3 izws-t. i3 J11G1+LPCLc :`�l�ti'�oriGli 'IaEPI.AGE.}�lEh1'� 1i f - OUVL SAV observed: yes ( Moratorium: n a yes no r�L 1 Site Photos: yes no �1`-�•� Riparian Waiver Attached: yes (D A building permit/zoning permit may be required by: rd wr r—tt U rl/ mot. %A Permit Conditions 1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJI ��ri �) fn t"mI Lr l cc- Agent or Appli t PRINTED Name Signature "Please read compliance statement on back of permit" ��.���a Application Feels) Check #/Money Order � i�w�11e5 ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back JD REVIEWED COMPLIANCE STATEMENT. (Please Initial) M mlric iA N: �r 1,. N l l Permit OfAAfi�ccer's��P N^^TED (Same -'YfA�YYk 1 ��+��+ \\\\\\ _ Signature ��,��, 5� 1Z /24 12,1 2_2 d Issuing Date f Expiration Date sOA0 tour" ❑CAMA ❑•DREDGE & FILL GENERAL PERMIT 0 New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue N9 89181 Previous permit Date previous permit issued A,, B C ,D 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. ❑ JGeneral Permit Rules available at the following link: w .clea nc gov/CAMArules Applicant Name >. tr t Address + "> .'T I t 1k/6 City !,_fit ZIP!-]'):' 1Y Phone #(­) ' 2,S0 Email T� A/nl s?ktt es . � r'-", Affected ❑ CW e%•EW PTA ❑ ES PTS AEC(s): ❑OEA ❑IHA ❑uW SPIMA ❑PWS ORW: yes/no PNA: yet/hoj Authorized Agent ✓1 sari r'i�M r- .t .�' y'Z Project Location (County): r V. r v I It o C.L Street Address/State Road/Lot #(s) (h 2 I .) o a A D tl r L Subdivision l" City i". t..rr1-)``i, c"_j•C ZIP V1 92,: Adj. Wtr. Body C v\o_.l. k c� (.n k { (nat(man/unk) Closest Mal. Wtr. Body L t.L.(Y J e' C.,2niA.V, c'A Type of Project/ Activity V'=iE) I r't (-.6-. 19r) 1 �k 6 r %(L� r ex ek t � ` =) ihnreline leneth r%/�) (Scale:l2p Access Length Pier (dock) length Fixed Platform(s) 0 NP4 MEN NOME ME 2 Floating Platform(s) ■ 0�� "o■ 1�■■�■�■■ ■ Finger pler(s) .allo ': Eno '.:CC:■ Total Platform area■ Cii�ii� ■■■ !. ■■■■■ Groin length/#1�■� a■ ■■■■■H ■N■� Beach :..: �N N�� ►!■■■■�1■■■ i■�i■iiiTil�l ■■■■■� ME �� ��■n■i■� ■ !■■■t i� ■i � i"Ww■ o G � ■■%��0 �ww■®cam■� _--,�„�. ■ �2 SAV observed: yes no I Moratorium: n/a yes no Site Photos: yes no Waiver Attached: aRiparian N�■■■■■d■�.■■■■■■■f�!■! �ia i�iiw .■■■■■ ■■ ■■ ew■■■■i■i A building permit/zoning permit may be required by: CC.Y t' A 1L Permit Conditions ❑ TAR/PAM/NEUSE/BUFFER (circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back 1 AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) Agent or ApplicaAt PRINTED Name Permit Officer's PRINTED Name Signature --Please read compliance statement on back of permit" Application Feels) Check Signature Order Issuing Date Expiration Date AGENT AUTHORIZATION FOR LAMA PERMIT APPLICATION Name of Property Owner Requesting Permit tG, Mailing Address: d l f �vt'rl�ir� �C Phone Number: �5'� ,y`oig.2YV Email Address: '/��j���n jW�`�, l d I certify that I have authorized LS6yIV of & Agent t Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 1�✓�/) �i,�� p��1y�,yr�y� yL at my property located at 16 in County l 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 �►�'s Il�►.f�.t xE2FS/a P..CTMAtli Print or Type Name 6 .6,JW S Title Date This certification is valid through N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMtAIVER FORM CERTIFIED MAIL - RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner. r e j 4 :1C1I Address of Property: (0✓ (�tx.('i-v)t,; 7r C11`) 1`\Q,I-J, CL, ,r%' 0(t_IvG�r-19_- 9 Mailing Address of Owner: Owner's email: L' l t4 VV7-6 I r_1Ownar's Phona#: 9 G).{ - 5c i ` ; •>!, v} l7Gu-1tl Ar,9 rU�'+�l�-tit_ Agent's Name: Scun.tA Joio eAgy, Lk Agent Phone* a 5 i -U 3=. Agent'sEmail:-�')hnn, 11 tk "19 ?Gry :I t.c•i ^3 ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that 1 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 q de(s�ciiption or drawing with dimensions must be provided with this letter. 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 (OCIM 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. - r, I do not wish to waive the 15' setback requirement (initial the;blank)signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: L'(\+ t ILituc:,4t� 5 Mailing Address ofARPO:IQC ';c\�yCtlia{SP,tI`�i-S�nnr�F(..r,n�J(.ICh3( }"Irl�`j ARPO's email: ARPO's Phone#: Date: 'waiver is valid for up to one year from ARPO's Signature" N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONMAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: -�- C ° ' i S t ^nu r t Address of Property: to9, WoC8 Dv(i- 171iOxJt'JLICAV a ( •nk�Ck ivy i i 7�1ot`� Mailing Address of Owner: _ Owner's email: ^� k4y1u.,1 Owner's Phone#: Agent's Name: M _ __ Agent Phone#: 2 5 Ll l2 =� ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that 1 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. T I 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 1 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.) 1 DO wish to waive some/ail of the 15' setback Signature of Adjacent Riparian Property Owner _OR. I do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property Owner. Typed/Printed name of ARPO: r � MailingAddressofARPO: lU'A i r' ��Lt Qi �nll S1cVt t1('a„r %vi jt1C, �i 1 ARPO's email: ARPO's Phone#: Date: 'waiver is valid for up to one year from ARPO's Signature' L Y � L i N L m i Y C C O .T X 3 c d Z`\N O L c Cco + U �I' 3 a N O (6 Y C �X W